{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T17:20:27Z","timestamp":1788456027658,"version":"build-2803163510"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to investigate hypertension-associated disparities in health-related physical fitness (HRPF) among community-dwelling older adults in Wuhan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross-sectional study employed multi-stage stratified random sampling: random selection of 7 districts from Wuhan\u2019s 17 administrative districts and 3\u20135 communities per district. A total of 801 eligible adults aged \u226565\u202fyears were recruited (after exclusions). The sample size was determined using 2015 municipal census data (\u03b1\u202f=\u202f0.05, power\u202f=\u202f90%). Assessments included verification of hypertension and demographic questionnaires, as well as seven standardized HRPF tests across four domains. The data were analyzed using SPSS 13.0, which involved calculating descriptive statistics (means \u00b1 SDs, 95% CIs) and performing between-group comparisons (\u03c7<jats:sup>2<\/jats:sup> tests and ANOVA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hypertensive participants (<jats:italic>n<\/jats:italic> =\u202f291) demonstrated impaired dynamic balance: they had reduced One-Leg Balance (OLB) time (3.38\u202f\u00b1\u202f3.30\u202fs vs. 3.98\u202f\u00b1\u202f3.81\u202fs; <jats:italic>p<\/jats:italic>\u202f=\u202f0.02). Decreased aerobic endurance: fewer 2-min step repetitions (65.62\u202f\u00b1\u202f29.17 vs. 70.13\u202f\u00b1\u202f26.71; <jats:italic>p<\/jats:italic> =\u202f0.033). However, they showed enhanced shoulder flexibility: greater back scratch reach (\u221214.11\u202f\u00b1\u202f12.36\u202fcm vs. -10.47\u202f\u00b1\u202f11.15\u202fcm; <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Hypertension is associated with domain-specific HRPF impairments, particularly in balance and aerobic endurance. Targeted exercise interventions that prioritize these domains may mitigate functional decline and reduce cardiovascular burden in aging populations.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1555638","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T04:12:28Z","timestamp":1754539948000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["The relationship between hypertension and health-related physical fitness in older adult residences in Wuhan: a cross-sectional study"],"prefix":"10.3389","volume":"13","author":[{"given":"Wen","family":"Luo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jue","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sisi","family":"Ke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"101174","DOI":"10.1016\/j.arr.2020.101174","article-title":"A 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