RT journal article
T1 Effects of a 6-Month Educational Program on Blood Pressure in Pre-Frail and Frail Older Adults: A Randomized Controlled Trial
A1 Ávila Cabeza de Vaca, Laura
A1 Mier Perulero, Alba
A1 Lacrimioara, Tania Tirnovan
A1 Costilla Macias, Manuel Jesús
A1 Casals Vázquez, Cristina
A1 González Mariscal, Andrea María
A1 Corral Pérez, Juan
A2 Didáctica de la Educación FísicaPlástica y Musical
K1 health education
K1 frailness
K1 blood pressure determination
K1 health promotion
K1 nutritional education
K1 exercise
K1 gerontology
K1 healthy aging
K1 cognition
K1 cardiovascular risk factor
AB Background/Objectives: Maintaining healthy blood pressure (BP) is essential in the frailty phenotype to prevent cardiovascular events. This study examined the effects of a 6-month educational program on BP in community-dwelling pre-frail or frail older adults. Methods: In this multicenter randomized controlled trial, 210 community-dwelling older adults (145 women; 74± 6 years) meeting at least one of Fried’s frailty criteria were assigned to a control group (usual care; n = 95) or an intervention group (educational program; n = 115). The 6-month intervention consisted of an educational program that provided recommendations on physical activity, nutrition, cognition, and psychosocial well-being, delivered through four group sessions and six telephone calls. Systolic BP and diastolic BP were measured at baseline and after 6 months, and categorized as normal, high-normal, or hypertensive (systolic: <130, 130–139, ≥140 mmHg; diastolic: <85, 85–89, ≥90 mmHg, respectively). Results: A significant reduction in systolic BP was observed within the intervention group (Z = −2.84, p < 0.01, r = 0.27), increasing the proportion of participants with normal systolic BP by 16% and reducing the proportion of participants with high-normal and hypertensive systolic BP by 8% each (χ2 (3) = 9.21, p = 0.03). No significant changes were observed in the control group (p > 0.05), nor were there significant effects for diastolic BP in any study group (p > 0.05). Conclusions: These findings suggest that this educational program may be a feasible complementary non-pharmacological strategy to improve systolic BP, a key cardiovascular risk factor, in community-dwelling pre-frail and frail older adults.
PB MDPI
SN 2227-9032
YR 2026
FD 2026
LK http://hdl.handle.net/10498/40171
UL http://hdl.handle.net/10498/40171
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 05-nov-2026