Associations of physical activity with quality of life and sleep quality among adults with hypertension in primary care
DOI: https://doi.org/10.56922/mhc.v5i4.3882
Hypertension Physical Activity Quality of Life Sleep Quality Primary Healthcare
Abstract
Background: Hypertension is a major public health problem that negatively affects patients' quality of life and sleep quality. Physical activity is an important non-pharmacological strategy that may improve both outcomes; however, evidence from primary healthcare settings remains limited.
Purpose: To examine the relationship between physical activity, quality of life, and sleep quality among patients with hypertension.
Method: This analytical correlational study employed a cross-sectional design involving 84 hypertensive patients selected from a population of 352 registered at Singajaya Public Health Center. Data were collected using a respondent characteristics questionnaire, the Global Physical Activity Questionnaire (GPAQ), the World Health Organization Quality of Life-BREF (WHOQOL-BREF), and the Pittsburgh Sleep Quality Index (PSQI). Descriptive statistics and Spearman's rank correlation test were used for data analysis, with a significance level of 0.05.
Results: Most participants had low physical activity (38.1%), good quality of life (54.8%), and poor sleep quality (52.4%). Physical activity was positively correlated with quality of life (ρ = 0.721, p < 0.001) and negatively correlated with PSQI scores (ρ = -0.628, p < 0.001), indicating that higher physical activity was associated with better quality of life and better sleep quality.
Conclusion: Higher levels of physical activity were significantly associated with better quality of life and sleep quality among patients with hypertension. These findings support the importance of promoting physical activity as part of hypertension management in primary healthcare settings.
Keywords: Hypertension; Physical Activity; Quality of Life; Sleep Quality; Primary Healthcare.
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References
Ayanaw, T., Temesgen, M., Azagew, A. W., & Ferede, Y. M. (2022). Sleep quality and associated factors among adult hypertensive patients attending a chronic follow-up care clinic in Northwest Amhara regional state referral hospitals, Northwest Ethiopia. PLoS One, 17(7), e0271072.
Bibbiso, M. M., Berkessa, E. T., Issaaga, W., Abdu, Z., & Zewdie, A. (2026). Poor sleep quality and associated factors among hypertensive follow-up patients in Southwest Ethiopia. Sleep Science and Practice, 10(1), 17.
Chen, Q., Ran, L., Li, M., & Tan, X. (2021). Health-related quality of life of middle-aged and elderly people with hypertension: A cross-sectional survey from a rural area in China. PLoS One, 16(2), e0246409.
Chokroverty, S. (2017). Overview of normal sleep. In Sleep disorders medicine: Basic science, technical considerations and clinical aspects (pp. 5–27). Springer.
Hoseini, R., Hoseini, Z., & Rahmani, N. (2025). Association between obesity with physical activity, eating behavior, sleep quality, general health, and the incidence of hypertension among women: a study in rural and nomadic population of western, Iran. Archives of Public Health, 83(1), 1-11.
Lau, H. W., Ching, S. M., & Fatimah, A. B. (2025). Prevalence and factors associated with poor sleep quality among patients with hypertension in a primary care clinic: A cross-sectional study. Malaysian Family Physician, 20, 38.
Léle, E. C. B., Nenoh, A. L. T., Ndongo, J. M., Ebongue, M. S. N., Kengni, H. T., Mouliom, S., & Kamdem, F. (2025). Joint association of physical activity and sleep quality with blood pressure control in patients with hypertension in Douala, Cameroon. Journal of Physical Activity and Health, 22(5), 582-589.
Li, H., Ching, S. M., Liong, S. F., Lau, H. W., & Fatimah, A. B. (2026). Gender differences in sleep quality and its associated factors in patients with hypertension: A cross-sectional study. BMC Public Health, 26(1), 1918.
Ministry of Health of the Republic of Indonesia. (2024). National action plan for the prevention and control of non-communicable diseases. Ministry of Health of the Republic of Indonesia. https://repository.kemkes.go.id/book/615
Ministry of Health of the Republic of Indonesia. (2025). Physical activity guidelines for chronic disease management in the community. Directorate of Prevention and Control of Non-Communicable Diseases (P2PTM). https://kemkes.go.id/id/aktivitas-fisik-rutin-cegah-hipertensi-diabetes-dan-kolesterol-tinggi
Rachmawati, E., Novindra, Q. A., Syarifah, N. A., & Aisy, N. R. (2024). Association between lifestyle factors and hypertension control in Indonesian primary healthcare settings: A cross-sectional study. Malaysian Family Physician, 19, 18.
Sang, S., Kang, N., Liao, W., Wu, X., Hu, Z., Liu, X., & Zhang, H. (2021). The influencing factors of health-related quality of life among rural hypertensive individuals: A cross-sectional study. Health and Quality of Life Outcomes, 19(1), 244.
Smith, P. J., Sherwood, A., Avorgbedor, F., Ingle, K. K., Kraus, W. E., Hinderliter, A. E., & Blumenthal, J. A. (2023). Sleep quality, metabolic function, physical activity, and neurocognition among individuals with resistant hypertension. Journal of Alzheimer's Disease, 93(3), 995–1006.
Son, Y. J., Park, C., & Won, M. H. (2018). Impact of physical activity and sleep duration on depressive symptoms in hypertensive patients: results from a nationally representative Korean sample. International journal of environmental research and public health, 15(12), 2611.
Wan-Fei, K., Hassan, S. T. S., & Latiff, L. A. (2017). Physical activity and quality of life of hypertensive patients with and without diabetes: A cross-sectional study. International Journal of Public Health and Clinical Sciences, 4, 76-88.
West Java Provincial Health Office. (2025). Healthcare services for patients with hypertension by regency/city in West Java. Open Data Jabar.
World Health Organization. (2025). Global report on hypertension 2025: high stakes: turning evidence into action. World Health Organization. https://www.who.int/publications/i/item/9789240115569
Xu, X., Rao, Y., Shi, Z., Liu, L., Chen, C., & Zhao, Y. (2016). Hypertension impact on health-related quality of life: A cross-sectional survey among middle-aged adults in Chongqing, China. International Journal of Hypertension, 2016, 7404957.
Yan, K., Gao, S., Sun, Q., & Wang, K. (2024). Association of daily physical activity with hypertension, depressive symptoms, loneliness, and poor sleep quality in adults aged 60–79 years. Scientific Reports, 14(1), 30890.
Zhu, Z., Yan, W., Wang, X., Hu, D., Zhu, Y., & Chen, J. (2021). Physical activity, blood pressure control, and health-related quality of life among hypertensive individuals: a cross-sectional study in Jiangsu Province, China. Asia Pacific Journal of Public Health, 33(5), 539-546.
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