The clinical efficacy of 10-month regular aerobic exercise combined with community psychological care on patients with menopausal syndrome and hypertension

Objective To explore the intervention effect of regular aerobic exercise combined with community psychological care on blood pressure, negative emotions and sleep quality in community patients with menopausal syndrome and hypertension.

Methods A total of 192 patients with menopausal syndrome and hypertension admitted to two community health service centers in Xi'an from August 2023 to July 2024 were selected as the research subjects and randomly divided into control group (96 cases) and intervention group (96 cases). The patients in control group received conventional drug treatment, while the patients in the intervention group received combined intervention of regular aerobic exercise and community psychological care on the basis of conventional drug treatment. The intervention lasted for 10 months. Changes in blood pressure, and scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS), Pittsburgh sleep quality index (PSQI) before and after the intervention were observed in both groups.

Results Before the intervention, there were no significant differences in age, gender, duration of menopausal syndrome combined with hypertension, body mass index, systolic blood pressure, diastolic blood pressure, SAS and SDS scores, sleep disorders, sleep efficiency, sleep time, and sleep latency between the control group and the intervention group (P＞0.05). After the intervention, the total effective rate in the intervention group was significantly higher than that in the control group 91.7% (88/96) vs 71.8% (69/96), χ²=12.982, P=0.002; the body mass index (27.8±2.0) vs (28.7±2.0) kg/m², t=2.996, P=0.003, systolic blood pressure (141.0±3.2) vs (143.5±3.4) mmHg, t=5.128, P＜0.001, diastolic blood pressure (89.6±2.2) vs (91.5±2.9) mmHg, t=5.096, P＜0.001, SAS score (48.02±3.19) vs (59.92±5.16) points, t=19.223, P＜0.001, SDS score (42.12±2.15) vs (52.32±5.16) points, t=17.878, P＜0.001 were significantly lower in the intervention group than those in the control group. The scores of sleep quality were lower in the intervention group than those in the control group (P＜0.01) .

Conclusion Regular aerobic exercise combined with community psychological care intervention can improve the blood pressure control rate of patients with menopausal syndrome and hypertension, and also improve the anxiety and depression, and enhance sleep quality.