ObjectiveThis study aimed to assess the effects of telerehabilitation with multimodal exercise on cardiac remodeling and blood pressure in hypertensive older adults.MethodsThirty-two hypertensive older adults (66.7 ± 5.33 years; 29.5 ± 4.22 Kg/m2; 24 female) were randomized into either a telerehabilitation or a control group. Echocardiographic parameters and blood pressure were assessed before and after the 16-week intervention. The exercise program was supervised, individualized, and offered 3×/week via videoconference.ResultsBlood pressure significantly decreased after telerehabilitation when compared to the control group, presenting a large effect size. The moderate effect size in relative and posterior wall thickness ( g = 0.63; g = 0.61), shortening fraction ( g = 0.54), and ejection fraction ( g = 0.68).ConclusionAs a preliminary study, telerehabilitation is favorable to promote a moderate clinical improvement of some cardiac morphofunctional parameters and reduce blood pressure in hypertensive older adults.

中文翻译：

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远程康复对高血压老年人心脏重塑和血流动力学参数的影响：一项随机对照试验

目的本研究旨在评估多模式运动远程康复对高血压老年人心脏重塑和血压的影响。方法32 名高血压老年人（66.7 ± 5.33 岁；29.5 ± 4.22 Kg/m）2; 24 名女性）被随机分为远程康复组或对照组。在 16 周干预前后评估超声心动图参数和血压。锻炼计划受到监督、个性化，并通过视频会议提供每周 3 次。结果与对照组相比，远程康复后血压显着下降，呈现出较大的效果。相对后壁厚度（g = 0.63；g = 0.61）、缩短分数（g = 0.54）和射血分数（g = 0.68）的中等效应大小。结论作为初步研究，远程康复有利于促进中等临床效果改善一些心脏形态功能参数并降低高血压老年人的血压。