Association of Hypertension with Sedentary Lifestyle Among Elderly in Urban Population

Association of Hypertension with Sedentary Lifestyle


  • Duaa Afzal Yusra Institute of Rehabilitation Sciences, Lahore, Pakistan
  • Zainab Tariq Pakistan Railway Hospital, Rawalpindi, Pakistan
  • Syeda Aiman Batool Lahore Institute of Professional Studies, Lahore, Pakistan
  • Jawaria Jabeen Yusra Institute of Rehabilitation Sciences, Lahore, Pakistan
  • Sana Sajjad Yusra Institute of Rehabilitation Sciences, Lahore, Pakistan
  • Sajid Rehman Yusra Institute of Rehabilitation Sciences, Lahore, Pakistan



elderly, hypertension, physical status, sedentary behavior, STEPS instrument, urban areas


Background: Hypertension or high blood pressure, is a non-communicable disease that is a major contributor to develop cardiovascular disease and mortality worldwide. A sedentary lifestyle characterized by limited physical activity has been known as a risk factor for hypertension. Objective: To explore the relationship between hypertension and sedentary behavior among the elderly in an urban population. Methods: A cross-sectional survey was conducted on older adults diagnosed with hypertension in urban areas. A sample of 172 participants was recruited using non-probability convenient sampling. Data was collected from various hospitals in urban areas and analyzed using SPSS version 25. The modified WHO STEPS instrument was used to gather information on physical activity and blood pressure. The non-parametric tests were performed due to non-homogenous and non-normally distributed data. The chi-square test was used to compare categorical variables and a 5% level of significance (p-value less than 0.05) was applied. Results: The study found that 91.3% of the 172 participants had been diagnosed with hypertension within the last 12 months. Among those with hypertension, 61.8% spent 12-17 hours in sedentary behavior, 30.6% spent 7-11 hours, 7% spent 18-24 hours, and only 0.6% spent 0-6 hours in sedentary behavior. In contrast, among those without hypertension, 60% spent 0-6 hours in sedentary behavior. The study also found that 88.5% of participants with hypertension performed less than 600 METS minutes/week of physical activity, while only 9.6 and 1.9% performed 600-3000 METS minutes/week and ≥3000 METS minutes/week respectively, while 88.5% were physically inactive. Conclusion: The study found a positive association between hypertension and a sedentary lifestyle among the elderly in urban areas, with most participants being diagnosed with hypertension and physically inactive. The study also found an increase in sedentary behavior with age and higher levels of physical activity among women.


Flack JM, Adekola B. Blood pressure and the new ACC/AHA hypertension guidelines. Trends in cardiovascular medicine 2020; 30(3): 160-4.

Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). European heart journal 2018; 39(33): 3021-104.

Sheng Y, Zhu L. The crosstalk between autonomic nervous system and blood vessels. Int J Physiol Pathophysiol Pharmacol 2018; 10(1): 17-28.

Mouhtadi BB, Kanaan RMN, Iskandarani M, Rahal MK, Halat DH. Prevalence, awareness, treatment, control and risk factors associated with hypertension in Lebanese adults: A cross sectional study. Global cardiology science & practice 2018; 2018(1).

Chen X, Kong C, Yu H, et al. Association between osteosarcopenic obesity and hypertension among four minority populations in China: a cross-sectional study. BMJ open 2019; 9(7): e026818.

Badego B, Yoseph A, Astatkie A. Prevalence and risk factors of hypertension among civil servants in Sidama Zone, south Ethiopia. PloS one 2020; 15(6): e0234485.

Saka M, Shabu S, Shabila N. Prevalence of hypertension and associated risk factors in older adults in Kurdistan, Iraq. Eastern Mediterranean Health Journal 2020; 26(3): 268-75.

Leung AA, Bushnik T, Hennessy D, McAlister FA, Manuel DG. Risk factors for hypertension in Canada. Health Rep 2019; 30(2): 3-13.

Wang J, Sun W, Wells GA, et al. Differences in prevalence of hypertension and associated risk factors in urban and rural residents of the northeastern region of the People’s Republic of China: A cross-sectional study. Plos one 2018; 13(4): e0195340.

Basit A, Tanveer S, Fawwad A, Naeem N, Members N. Prevalence and contributing risk factors for hypertension in urban and rural areas of Pakistan; a study from second National Diabetes Survey of Pakistan (NDSP) 2016–2017. Clinical and Experimental Hypertension 2020; 42(3): 218-24.

Shah N, Shah Q, Shah AJ. The burden and high prevalence of hypertension in Pakistani adolescents: a meta-analysis of the published studies. Archives of Public Health 2018; 76(1): 20.

Jafar TH, Gandhi M, Jehan I, et al. Determinants of Uncontrolled Hypertension in Rural Communities in South Asia—Bangladesh, Pakistan, and Sri Lanka. American Journal of Hypertension 2018; 31(11): 1205-14.

Matthew R Alexander M, PhD Fellow, Division of Cardiovascular Medicine, Department of Internal Medicine, Physician Scientist Training Program, Vanderbilt University School of Medicine. Hypertension. Medscape Feb 22, 2019

Kjeldsen SE. Hypertension and cardiovascular risk: General aspects. Pharmacological research 2018; 129: 95-9.

Wu CY, Hu HY, Chou YJ, Huang N, Chou YC, Li CP. High Blood Pressure and All-Cause and Cardiovascular Disease Mortalities in Community-Dwelling Older Adults. Medicine 2015; 94(47): e2160.

Challa HJ AM, Uppaluri KR. DASH Diet To Stop Hypertension. StatPearls 2022 Jan.

Whelton PK, Carey RM, Mancia G, Kreutz R, Bundy JD, Williams B. Harmonization of the American College of Cardiology/American Heart Association and European Society of Cardiology/European Society of Hypertension Blood Pressure/Hypertension Guidelines: Comparisons, Reflections, and Recommendations. European Heart Journal 2022; 43(35): 3302-11.

Kim Y, Lee E. The association between elderly people’s sedentary behaviors and their health-related quality of life: focusing on comparing the young-old and the old-old. Health and Quality of Life Outcomes 2019; 17(1): 131.

Suryadinata RV, Wirjatmadi B, Adriani M, Lorensia A. Effect of age and weight on physical activity. J Public Health Res 2020; 9(2): 3.

Liao YH, Kao TW, Peng TC, Chang YW. Gender differences in the association between physical activity and health-related quality of life among community-dwelling elders. Aging Clin Exp Res 2021; 33(4): 901-8.

Khargekar N, Singh A, Shruti T, Pradhan S. A Cross Sectional Assessment of the Profile of Risk Factors of Non-Communicable Diseases Among Health Care Staff of a Tertiary Cancer Hospital. Journal of Lifestyle Medicine 2022; 12(2): 98.

Choi HM, Kim HC, Kang DR. Sex differences in hypertension prevalence and control: Analysis of the 2010-2014 Korea National Health and Nutrition Examination Survey. PLoS One 2017; 12(5).

Ramezankhani A, Azizi F, Hadaegh F. Associations of marital status with diabetes, hypertension, cardiovascular disease and all-cause mortality: A long term follow-up study. PLoS One 2019; 14(4).

Poggio R, Serón P, Calandrelli M, et al. Prevalence, Patterns, and Correlates of Physical Activity Among the Adult Population in Latin America: Cross-Sectional Results from the CESCAS I Study. Glob Heart 2016; 11(1): 81-8.

Delfino LD, Tebar WR, Tebar FCSG, et al. Association between sedentary behavior, obesity and hypertension in public school teachers. Industrial health 2020; 58(4): 345-53.

Lee PH, Wong FKY. The Association Between Time Spent in Sedentary Behaviors and Blood Pressure: A Systematic Review and Meta-Analysis. Sports Medicine 2015; 45(6): 867-80.

Twinamasiko B, Lukenge E, Nabawanga S, et al. Sedentary Lifestyle and Hypertension in a Periurban Area of Mbarara, South Western Uganda: A Population Based Cross Sectional Survey. International journal of hypertension 2018; 2018: 8253948.




How to Cite

Afzal, D. ., Tariq, Z. ., Batool, S. A., Jabeen, J. ., Sajjad , S. ., & Rehman, S. . (2023). Association of Hypertension with Sedentary Lifestyle Among Elderly in Urban Population : Association of Hypertension with Sedentary Lifestyle. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 3(5), 532–539.