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Effects of progressive muscular relaxation and stretching exercises combination on blood pressure among farmers in rural areas of Indonesia: a randomized study† Cover

Effects of progressive muscular relaxation and stretching exercises combination on blood pressure among farmers in rural areas of Indonesia: a randomized study†

Open Access
|Dec 2021

Figures & Tables

Figure 1

PMR from Bernstein and Borkovec for tension release in 16 major muscle groups. PMR, progressive muscle relaxation.

Figure 2

CONSORT Flow Diagram for enrollment, allocation, and follow-up study participant. PMR, progressive muscle relaxation; SE, stretching exercise..

Table 1

Baseline characteristics of participant and BP (n = 130).

VariableTotalControl (n = 65)Intervention (n = 65)Z/χ2P-value
Age (year)
  Md (P25–P75)45 (40.7–50.0)46 (39.5–56.0)45 (41.0–48.0)−1.1490.250
Gender n (%)
  Male107 (82.3)49 (75.4)58 (89.2)3.3810.066
  Female23 (17.7)16 (24.6)7 (10.8)
Education level n (%)
  Not attending17 (13.1)11 (16.9)6 (9.2)1.7870.618
  Elementary school93 (71.5)45 (69.2)48 (73.8)
  Junior high school13 (10.0)6 (9.2)7 (10.8)
  Senior high school7 (5.4)3 (4.6)4 (6.2)
Smoking n (%)
  No89 (68.5)39 (60.0)50 (76.9)3.5630.059
  Yes41 (31.5)26 (40.0)15 (23.1)
Length of working per day (h)
  Md (P25–P75)6.0 (5.0–7.0)6.0 (5.0–8.0)6.0 (4.0–7.0)−1.3040.192
Length of rest in working (h)
  Md (P25–P75)2.0 (2.0–3.0)2.0 (2.0–3.5)2.0 (1.0–3.0)−1.7670.077
Length of sleeping per day (h)
  Md (P25–P75)6.0 (5.0–7.0)6.0 (5.0–8.0)6.0 (5.0–7.0)−1.4590.145
SBP (mmHg)
  Md (P25–P75)130 (120–140)130 (120.0–142.5)130 (120–140)−0.9390.348
DBP (mmHg)
  Md (P25–P75)80 (80–90)80 (80–90)90 (80–90)−1.9140.056

[i] Note: Z was determined using Mann Whitney-U test; χ2 was determined using Chi-square test.

[ii] BP, blood pressure; DBP, diastolic blood pressure; SBP, systolic blood pressure.

Table 2

Comparison of SBP and DBP baseline and 3 months data in control and intervention groups (n = 90).

VariableControl (n = 30)Intervention (n = 60)
Md (P25–P75)ZP-valueMd (P25–P75)ZP-value
SBP (mmHg)
  Pre120.0 (110.0–150.0)−1.7320.083130.0 (120.0–147.5)−5.381<0.001*
  Post120.0 (110.0–150.0)120.0 (110.0–130.0)
DBP (mmHg)
  Pre80.0 (80.0–90.0)−1.3420.18090.0 (80.0–90.0)−5.038<0.001*
  Post80.0 (80.0–85.0)80.0 (76.25–83.75)

Note:

* Determined using Wilcoxon Signed Ranks Test. DBP, diastolic blood pressure; SBP, systolic blood pressure.

Table 3

The comparison of number of type BP baseline and 3 months data in the control group (n = 30).

BPSBPDBP
Baseline (n)3 months (n)Changing (%)χ2 (P-value)Baseline (n)3 months (n)Changing (%)χ2 (P-value)
Normal1010060.066050.0
Pre hypertension10100(<0.001)1618+ 6.7(<0.001)
Hypertension stage I1010086–6.7
Hypertension stage II000000

[i] Note: JNC VII (National Heart, Lung, 2003); Normal (SBP < 120 mmHg; DBP < 80 mmHg), Pre hypertension (DBP = 120–139 mmHg), Hypertension stage I (SBP = 140–159 mmHg), and Hypertension stage II (SBP > 160 mmHg; DBP > 100 mmHg).

Table 4

The comparison of number of type BP baseline and 3 months data in the intervention group (n = 60).

BaselineSBPDBP
Baseline (n)3 months (n)Changing (%)χ2 (P-value)Baseline (n)3 months (n)Changing (%)χ2 (P-value)
Normal1016+10.043.2915+10.034.7
Pre hypertension2436+20.0(<0.001)1938+31.6(<0.001)
Hypertension stage I268–30.0327–41.6
Hypertension stage II000000

[i] Note: JNC VII (National Heart, Lung, 2003); Normal (SBP < 120 mmHg; DBP < 80 mmHg), Pre hypertension (DBP = 120–139 mmHg), Hypertension stage I (SBP = 140–159 mmHg), and Hypertension stage II (SBP > 160 mmHg; DBP > 100 mmHg).

[ii] BP, blood pressure; DBP, diastolic blood pressure; JNC VII, The Seven Report of the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure; SBP, systolic blood pressure.

[iii] BP, blood pressure; DBP, diastolic blood pressure; JNC VII, The Seven Report of the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure; SBP, systolic blood pressure.

Table 5

Distribution of number BP values among drop out of participant in control and intervention group.

BPControl (n = 35)Intervention (n = 5)
Systolic, n (%)Diastolic, n (%)Systolic, n (%)Diastolic, n (%)
Normal4 (11.4)35 (100.0)05 (100.0)
Pre hypertension18 (51.4)04 (80.0)0
Hypertension stage I13 (37.1)01 (20.0)0
Hypertension stage II0000

[i] Note: JNC VII (National Heart, Lung, 2003); Normal (SBP < 120 mmHg; DBP < 80 mmHg), Pre hypertension (DBP = 120–139 mmHg), Hypertension stage I (SBP = 140–159 mmHg), and Hypertension stage II (SBP > 160 mmHg; DBP > 100 mmHg).

[ii] BP, blood pressure; DBP, diastolic blood pressure; JNC VII, The Seven Report of the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure; SBP, systolic blood pressure.

DOI: https://doi.org/10.2478/fon-2021-0036 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 365 - 374
Submitted on: Feb 14, 2021
Accepted on: Mar 26, 2021
Published on: Dec 30, 2021
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services

© 2021 Tantut Susanto, Retno Purwandari, Emi Wuri Wuryaningsih, Hirohito Watanabe, Kana Kazawa, Michiko Moriyama, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.