The relationship between hypertension and health-related physical fitness in older adult residences in Wuhan: a cross-sectional study

AimThis study aimed to investigate hypertension-associated disparities in health-related physical fitness (HRPF) among community-dwelling older adults in Wuhan.MethodsThis cross-sectional study employed multi-stage stratified random sampling: random selection of 7 districts from Wuhan’s 17 administr...

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Main Authors: Wen Luo, Xi Chen, Jue Wang, Sisi Ke, Wei Zhang, Mei Yang, Yan Guo
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1555638/full
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author Wen Luo
Xi Chen
Jue Wang
Sisi Ke
Wei Zhang
Mei Yang
Yan Guo
author_facet Wen Luo
Xi Chen
Jue Wang
Sisi Ke
Wei Zhang
Mei Yang
Yan Guo
author_sort Wen Luo
collection DOAJ
description AimThis study aimed to investigate hypertension-associated disparities in health-related physical fitness (HRPF) among community-dwelling older adults in Wuhan.MethodsThis cross-sectional study employed multi-stage stratified random sampling: random selection of 7 districts from Wuhan’s 17 administrative districts and 3–5 communities per district. A total of 801 eligible adults aged ≥65 years were recruited (after exclusions). The sample size was determined using 2015 municipal census data (α = 0.05, power = 90%). Assessments included verification of hypertension and demographic questionnaires, as well as seven standardized HRPF tests across four domains. The data were analyzed using SPSS 13.0, which involved calculating descriptive statistics (means ± SDs, 95% CIs) and performing between-group comparisons (χ2 tests and ANOVA).ResultsHypertensive participants (n = 291) demonstrated impaired dynamic balance: they had reduced One-Leg Balance (OLB) time (3.38 ± 3.30 s vs. 3.98 ± 3.81 s; p = 0.02). Decreased aerobic endurance: fewer 2-min step repetitions (65.62 ± 29.17 vs. 70.13 ± 26.71; p = 0.033). However, they showed enhanced shoulder flexibility: greater back scratch reach (−14.11 ± 12.36 cm vs. -10.47 ± 11.15 cm; p < 0.001).ConclusionHypertension is associated with domain-specific HRPF impairments, particularly in balance and aerobic endurance. Targeted exercise interventions that prioritize these domains may mitigate functional decline and reduce cardiovascular burden in aging populations.
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spelling doaj-art-a89484b2a9414396b9ae509a122e6dc82025-08-20T02:57:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-08-011310.3389/fpubh.2025.15556381555638The relationship between hypertension and health-related physical fitness in older adult residences in Wuhan: a cross-sectional studyWen Luo0Xi Chen1Jue Wang2Sisi Ke3Wei Zhang4Mei Yang5Yan Guo6Wuhan Centre for Disease Prevention and Control, Wuhan, ChinaWuhan Centre for Disease Prevention and Control, Wuhan, ChinaMaternal and Child Health Hospital of Hongshan District, Wuhan, ChinaWuhan Centre for Disease Prevention and Control, Wuhan, ChinaWuhan Centre for Disease Prevention and Control, Wuhan, ChinaSchool of Public Health, Wuhan University of Science and Technology, Wuhan, ChinaWuhan Centre for Disease Prevention and Control, Wuhan, ChinaAimThis study aimed to investigate hypertension-associated disparities in health-related physical fitness (HRPF) among community-dwelling older adults in Wuhan.MethodsThis cross-sectional study employed multi-stage stratified random sampling: random selection of 7 districts from Wuhan’s 17 administrative districts and 3–5 communities per district. A total of 801 eligible adults aged ≥65 years were recruited (after exclusions). The sample size was determined using 2015 municipal census data (α = 0.05, power = 90%). Assessments included verification of hypertension and demographic questionnaires, as well as seven standardized HRPF tests across four domains. The data were analyzed using SPSS 13.0, which involved calculating descriptive statistics (means ± SDs, 95% CIs) and performing between-group comparisons (χ2 tests and ANOVA).ResultsHypertensive participants (n = 291) demonstrated impaired dynamic balance: they had reduced One-Leg Balance (OLB) time (3.38 ± 3.30 s vs. 3.98 ± 3.81 s; p = 0.02). Decreased aerobic endurance: fewer 2-min step repetitions (65.62 ± 29.17 vs. 70.13 ± 26.71; p = 0.033). However, they showed enhanced shoulder flexibility: greater back scratch reach (−14.11 ± 12.36 cm vs. -10.47 ± 11.15 cm; p < 0.001).ConclusionHypertension is associated with domain-specific HRPF impairments, particularly in balance and aerobic endurance. Targeted exercise interventions that prioritize these domains may mitigate functional decline and reduce cardiovascular burden in aging populations.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1555638/fullhypertensionhealth related physical fitnessaging populationcross-sectional studyWuhan
spellingShingle Wen Luo
Xi Chen
Jue Wang
Sisi Ke
Wei Zhang
Mei Yang
Yan Guo
The relationship between hypertension and health-related physical fitness in older adult residences in Wuhan: a cross-sectional study
Frontiers in Public Health
hypertension
health related physical fitness
aging population
cross-sectional study
Wuhan
title The relationship between hypertension and health-related physical fitness in older adult residences in Wuhan: a cross-sectional study
title_full The relationship between hypertension and health-related physical fitness in older adult residences in Wuhan: a cross-sectional study
title_fullStr The relationship between hypertension and health-related physical fitness in older adult residences in Wuhan: a cross-sectional study
title_full_unstemmed The relationship between hypertension and health-related physical fitness in older adult residences in Wuhan: a cross-sectional study
title_short The relationship between hypertension and health-related physical fitness in older adult residences in Wuhan: a cross-sectional study
title_sort relationship between hypertension and health related physical fitness in older adult residences in wuhan a cross sectional study
topic hypertension
health related physical fitness
aging population
cross-sectional study
Wuhan
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1555638/full
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