scholarly journals Iyengar Yoga versus Enhanced Usual Care on Blood Pressure in Patients with Prehypertension to Stage I Hypertension: a Randomized Controlled Trial

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Debbie L. Cohen ◽  
LeAnne T. Bloedon ◽  
Rand L. Rothman ◽  
John T. Farrar ◽  
Mary Lou Galantino ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trial ◽  
Usual Care ◽  
Randomized Trials ◽  
Controlled Trial ◽  
Reduce Blood Pressure ◽  
Cortisol Metabolism ◽  
Randomized Controlled ◽  
Stage 1

The prevalence of prehypertension and Stage 1 hypertension continues to increase despite being amenable to non-pharmacologic interventions. Iyengar yoga (IY) has been purported to reduce blood pressure (BP) though evidence from randomized trials is lacking. We conducted a randomized controlled trial to assess the effects of 12 weeks of IY versus enhanced usual care (EUC) (based on individual dietary adjustment) on 24-h ambulatory BP in yoga-naïve adults with untreated prehypertension or Stage 1 hypertension. In total, 26 and 31 subjects in the IY and EUC arms, respectively, completed the study. There were no differences in BP between the groups at 6 and 12 weeks. In the EUC group, 24-h systolic BP (SBP), diastolic BP (DBP) and mean arterial pressure (MAP) significantly decreased by 5, 3 and 3 mmHg, respectively, from baseline at 6 weeks (P< .05), but were no longer significant at 12 weeks. In the IY group, 24 h SBP was reduced by 6 mmHg at 12 weeks compared to baseline (P= .05). 24 h DBP (P< .01) and MAP (P< .05) decreased significantly each by 5 mmHg. No differences were observed in catecholamine or cortisol metabolism to explain the decrease in BP in the IY group at 12 weeks. Twelve weeks of IY produces clinically meaningful improvements in 24 h SBP and DBP. Larger studies are needed to establish the long term efficacy, acceptability, utility and potential mechanisms of IY to control BP.

scholarly journals The development and use of the assessment of dementia awareness and person-centred care training tool in long-term care

Dementia ◽  
2018 ◽  
Vol 18 (7-8) ◽  
pp. 3059-3070 ◽  
Author(s):  
Alys Wyn Griffiths ◽  
Claire A Surr ◽  
Byron Creese ◽  
Lucy Garrod ◽  
Lynn Chenoweth
Keyword(s):  
Randomized Controlled Trial ◽  
Usual Care ◽  
Long Term Care ◽  
Controlled Trial ◽  
Awareness Training ◽  
Term Care ◽  
Training Tool ◽  
Randomized Controlled ◽  
Care Training

Policy and practice guidelines recommend person-centred care to support people to live well with dementia in long-term care. Therefore, staff working in long-term care settings need to be trained in dementia awareness and person-centred care. However, the access to, content of and reach of training across long-term care settings can be varied. Data on current and ongoing access to person-centred care training can form an important component of data gathered on usual care in research studies, in particular clinical trials within long-term care. However, no suitable assessment tools are available to measure dementia awareness and person-centred care training availability, content and reach. This paper describes the development of a training audit tool to meet this need for a usual care measure of dementia awareness and person-centred care training. The ‘Assessment of Dementia Awareness and Person-centred care Training’ tool was based on a review of published person-centred care literature and consultation with dementia and aged care experts. The Assessment of Dementia Awareness and Person-centred care Training tool was piloted in 13 long-term care facilities the UK and Australia, before being used to assess the content of dementia and person-centred care awareness training in 50 UK settings in a randomized controlled trial as part of usual care recording. Following pilot testing, modifications to the Assessment of Dementia Awareness and Person-centred care Training tool’s wording were made to enhance item clarity. When implemented in the randomized controlled trial, pre-baseline training assessment data showed that the Assessment of Dementia Awareness and Person-centred care Training tool was able to differentiate between the training in different long-term care settings and identify settings where further dementia awareness training was required. The Assessment of Dementia Awareness and Person-centred care Training tool was then used as a method of recording data on dementia awareness and person-centred care training as part of ongoing usual care data collection. The Assessment of Dementia Awareness and Person-centred care Training tool is suitable for use by researchers to establish the availability, content and reach of dementia and person-centred care awareness training to staff within research studies.

scholarly journals DISSOCIATION BETWEEN LONG-TERM WEIGHT LOSS INTERVENTION AND BLOOD PRESSURE. AN 18-MONTH RANDOMIZED CONTROLLED TRIAL

2021 ◽  
Vol 39 (Supplement 1) ◽  
pp. e339
Author(s):  
Yftach Gepner ◽  
Nir Goldstein ◽  
Ilan Shelef ◽  
Dan Schwarzfuchs ◽  
Hila Zelicha ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Weight Loss ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Weight Loss Intervention ◽  
Randomized Controlled

scholarly journals The Effects of Tai Chi on Grade 1 Hypertension: A Study Protocol for a Randomized Controlled Trial

2019 ◽  
Author(s):  
Sang Hyun Lee ◽  
Byung-Jun Kim ◽  
In-Hwa Park ◽  
Eui-Hyoung Hwang ◽  
Eun Ju Park ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trial ◽  
Tai Chi ◽  
Salt Intake ◽  
Controlled Trial ◽  
Treatment Options ◽  
Treatment Method ◽  
Care Group ◽  
Randomized Controlled

Abstract Background Medication is generally recommended to reduce the morbidity and mortality caused by cardiovascular disease in hypertensive patients. However, considering the difficulties and economic factors associated with long-term medication, interest in tai chi as an exercise treatment method has been recently increasing in Korean medical practice. Numerous studies have suggested that tai chi can be used to treat various diseases and affect psychosomatic factors such as anxiety. This study aims to evaluate the effect of tai chi in reducing blood pressure among grade 1 hypertensive patients.Methods In this randomized, active-controlled, assessor-blinded, two parallel-armed trial, 80 grade 1 hypertension patients will be recruited and randomly assigned to the usual care group or to the tai chi group (n = 40 in each group). Subjects who voluntarily signed a study agreement will be educated to manage their own blood pressure by restricting salt intake, losing weight, moderating alcohol consumption, performing exercise, and regulating dietary intake at their first visit. In addition to self-management, the tai chi group will perform two 60-minute tai chi sessions per week for a total of 8 weeks. Blood pressure will be measured as the primary outcome. In addition, body composition, heart rate, and the perceived strength and difficulty of the exercise will be measured as secondary outcomes.Discussion This study intends to conduct a randomized controlled trial of tai chi, which is not widely practiced in Korea. This study will provide valuable data on the effects of tai chi on hypertension, to inform non-pharmaceutical treatment options for this disorder.

Effects of n-3 fatty acid supplements on cardiometabolic profiles in hypertensive patients with abdominal obesity in Inner Mongolia: a randomized controlled trial

2019 ◽  
Vol 10 (3) ◽  
pp. 1661-1670 ◽  
Author(s):  
Bo Yang ◽  
Mei-qi Shi ◽  
Zi-hao Li ◽  
Lin Shi ◽  
Ai-min Wang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Randomized Controlled Trial ◽  
Fatty Acid ◽  
Inner Mongolia ◽  
Controlled Trial ◽  
Reduce Blood Pressure ◽  
Hypertensive Patients ◽  
Randomized Controlled ◽  
Drug Treatments

Daily supplementation with n-3 fatty acid (FA) has been believed to be an adjunct or alternative to drug treatments to reduce blood pressure (BP) and triglyceride (TG) levels in western patients with high risk of cardiovascular disease.

scholarly journals Meta-Analysis: Acupuncture Therapy in Reducing Blood Pressure on Hypertensive Patients

2020 ◽  
Author(s):  
Fahmi Eko Susilo ◽  
◽  
Hanung Prasetya ◽  
Agus Kristiyanto ◽  
◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trial ◽  
Acupuncture Therapy ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Blood Pressure Reduction ◽  
Reduce Blood Pressure ◽  
Sham Acupuncture ◽  
Hypertensive Patients ◽  
Randomized Controlled

Background: Blood pressure control is an important component of cardiovascular disease prevention. Despite the advances in the treatment of hypertension; effective management remains poor. Studies have shown that acupuncture facilitated a significant reduction in blood pressure. The purpose of this study was to examine the effectiveness of acupuncture therapy in reducing blood pressure on hypertensive patients. Subjects and Method: This was a meta-analysis and systematic review. The study was conducted by collected articles from PubMed, Google Schoolar, Mendeley, and Hindawi databases. Keywords used “acupuncture hypertension” OR “acupuncture high blood pressure” AND “efficacy acupuncture” AND “hypertension” AND “effect acupuncture for hypertension” AND “randomized controlled trial” AND “visual analogue scale”. The study population was patients with hypertension. The intervention was acupuncture. The comparison was sham acupuncture. The outcome was blood pressure reduction. The inclusion criteria were full text with English language and using randomized controlled trial study design. The selected articles were analyzed by PRISMA flow diagram and RevMan 5.3. Results: 7 articles were studied. There was high heterogeneity between experiment groups (I2= 66%; p= 0.007). Acupuncture therapy was more effective to reduce blood pressure than sham acupuncture (Standardized Mean Difference= 0.13; 95% CI= -0.13 to 0.39; p= 0.320). Conclusion: Acupuncture therapy is effective to reduce blood pressure in patients with hypertension. Keywords: hypertension, acupuncture Correspondence: Fahmi Eko Susilo. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 081393644991. DOI: https://doi.org/10.26911/the7thicph.05.53

Exercise intervention to Normalize blood pressure and nocturnal Dipping in HyperTensive patients (END-HT): protocol of a randomized controlled trial

2021 ◽  
Author(s):  
E K P Lee ◽  
D X Zhang ◽  
B H K Yip ◽  
J Cheng ◽  
S S C Hui ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trial ◽  
Usual Care ◽  
Controlled Trial ◽  
Exercise Program ◽  
Chinese Patients ◽  
Resistance Training Program ◽  
Combined Exercise ◽  
Randomized Controlled ◽  
Validated Questionnaire

Abstract Background Lack of decrease (≤ 10%) in systolic blood pressure during sleep, referred to as non-dipping, independently predicts cardiovascular events and mortality. There has been no prospective and adequately powered randomized-controlled trial to determine whether exercise, when compared to standard treatment, can normalize non-dipping (ND) in patients with hypertension. Further, most patients do not sustain an exercise program by 12 months. Method A two-arm, assessor-blinded randomized controlled trial, involving 198 hypertensive Chinese patients who have non-dipping will be conducted to evaluate the effectiveness of a combined exercise (aerobic exercise and resistance training) program to normalize non-dipping (ND). The combined exercise program, “exercise is medicine” (EIM), was developed to maintain exercise habit using a variety of techniques (e.g. 12-week exercise classes, mobile application, wrist trackers, self-scheduling, monitoring, regular feedback and motivational interviewing). Eligible patients will be randomized to EIM plus usual care or to usual care in 1:1 ratio by stratified randomization according to age and sex. The randomization sequence is blinded to the investigators and allocation is disclosed only after valid consent. Ambulatory blood pressure measurements will be performed at baseline, 3-month and 12-month. The primary outcome is proportion of participants with ND at 3-months; secondary outcomes include proportion of participants with ND at 12-months, absolute BP values at 3-month and 12-month. Exercise level will be detected by validated questionnaire and compared between two arms at 3-month and 12-month. Implication The trial will examine the efficacy of treating non-dipping and hypertension by an exercise program.

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