Effect of Theory-Based Training Intervention on Physical Activity and Blood Pressure in Hypertensive Patients: A Randomized Control Trial

Background: Hypertension is the most common non-communicable diseases. Strict adherence to prescribed antihypertensive treatments is the key to blood pressure control. The present study was conducted with the objective to develop, implement and assess an interventional package on treatment adherence for hypertensive patients.Methods: A clustered randomized control trial of 3 months conducted in two community sites of Chandigarh. The two sites were first randomized by lottery method as experimental and control sites. Total of 250 subjects (n=125 on each sites) were selected by a systematic random sampling technique (every fourth) from the sampling frame. Diagnosed hypertensive patients taking treatment were included in the study and females with pregnancy induced hypertension were excluded. Participants were interviewed as per Interview schedule. Data was collected from July to November 2018. Interventional package was in the form of booklet and flash card, delivered as one to one teachings. Total of 5 face to face follow ups were done to the experimental group. Control group received routine care. Final evaluation was done at 3rd month in both the groups to assess the effectiveness of an interventional package on treatment adherence. Data analysis and interpretation was done by using chi square, paired t test, unpaired t- test, Mc Nemar test were applied to determine the level of significance at p<0.05.Results: The proportion of subjects who were adhered to the treatment has increased from 16% to 68% in the experimental group at third month of follow up. The mean change in systolic blood pressure and diastolic blood pressure were 26.29±12.81 mmHg and 7.74±8.95 mmHg respectively in the experimental group as compared to the control group (p<0.05).Conclusions: The interventional package on treatment adherence among hypertensive patients was effective in improving the treatment adherence.

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Premedication with gabapentin for laryngoscopy: a double-blind randomized control trial in hypertensive patients

Anaesthesia, Pain & Intensive Care ◽

10.35975/apic.v25i2.1464 ◽

2021 ◽

Vol 25 (2) ◽

Author(s):

Muhammad Imran Riasat ◽

Haris Tariq Chohan ◽

Arun Kumar ◽

Syed Farjad Sultan ◽

Hanya Javaid ◽

...

Keyword(s):

Blood Pressure ◽

Placebo Group ◽

Mean Arterial Pressure ◽

Tracheal Intubation ◽

Arterial Pressure ◽

Randomized Control Trial ◽

Double Blind ◽

Hypertensive Patients ◽

Randomized Control ◽

Care Surgery

Background & Objective: Laryngoscopy and intubation (L&I) are strong stimulus for cardiovascular system. Hypertensive patients have a greater incidence of coexisting coronary artery disease and cerebrovascular insufficiency. Several methods have been in practice to prevent or alter the hemodynamic response to L&I. Although the main use of gabapentin has been as an antiepileptic, but its effect on the hemodynamic reflexes is still under evaluation. We compared the effectiveness of a single dose of gabapentin 800 mg on the mean arterial pressure (MAP) in response to L&I in hypertensive patients undergoing day care surgery. Methodology: This randomized, control trial was conducted in operating rooms, Dr Ruth K M Pfau Civil Hospital Karachi, from May 2017 to November 2017. A total of 150 patients undergoing elective surgery requiring general anesthesia with tracheal intubation were included in this study. Patients were randomly allocated equally into two group; Group G (gabapentin group) and Group P (placebo group). Patients in Group G received gabapentin 800 mg and Group P received placebo, 2 h prior to induction of anesthesia. MAP was measured at baseline (before induction), before intubation (after induction), at time 0 (immediately after intubation), and at 1 min, 3 min, 5 min, and 10 min after intubation. Effectiveness was defined as all the MAP reading to be within 30% of the baseline reading. Results: There were 72(48%) males and 78(52%) females. Effectiveness was significantly higher in patients of Group G, as compared to placebo group (Group P) [94.7% vs. 65.3%; p = 0.0005]. Conclusion: Gabapentin effectively suppresses the increase in MAP in response to laryngoscopy and tracheal intubation as compared to the placebo. Abbreviations: L&I: Laryngoscopy and intubation; MAP: Mean arterial pressure; ECG: Electrocardiography; ASA: American Society of Anesthesiologists; BMI: Body mass index; SBP: Systolic blood pressure; DBP: Diastolic blood pressure Key words: Laryngoscopy; Intubation; Hypertension; Gabapentin; Stress response Citation: Riasat MI, Chohan HT, Kumar A, Sultan SF, Javaid H, Siddiqui SZ. Premedication with gabapentin for laryngoscopy: a double-blind randomized control trial in hypertensive patients. Anaesth. pain intensive care 2021;25(2):163-169. DOI: 10.35975/apic.v25i2.1464

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Combination therapy of dry cupping and Pece Kau'a (traditional therapy in Bima, West Nusa Tenggara Province in Indonesia) against blood pressure

International Research Journal of Engineering IT & Scientific Research ◽

10.21744/irjeis.v7n2.1301 ◽

2021 ◽

Vol 7 (2) ◽

pp. 56-62

Author(s):

Rini Hendari ◽

Dahlan D. Ahmad ◽

Martiningsih Martiningsih ◽

Julhana Julhana

Keyword(s):

Blood Pressure ◽

Combination Therapy ◽

Randomized Control Trial ◽

Health Centers ◽

Control Group ◽

P Value ◽

Group Approach ◽

Hypertensive Patients ◽

Nursing Services ◽

Randomized Control

This research aimed at investigating the influence of combination therapy of cupping and Pece Kau'a on hypertensive patients. The research design that was utilized was experimental design by a pretest-posttest control group approach. The population of this research was all patients who suffered from hypertension in Bima City, West Nusa Tenggara Province in Indonesia. The sample in this research was 60 respondents and this sampling utilized a randomized control trial. The results showed that combination therapy of dry cupping and Pece Kau'a on hypertensive patients could reduce the average of systolic and diastolic blood pressure with a p-value of 0.000. Therapy of dry cupping and Pece Kau’a is expected to be an alternative for medical action in nursing services both in hospitals and Public Health Centers. Besides, the combination therapy of dry cupping and Pece Kau’a could be developed more again.

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Sedentary Behavior and Light Physical Activity Are Associated with Brachial and Central Blood Pressure in Hypertensive Patients

PLoS ONE ◽

10.1371/journal.pone.0146078 ◽

2015 ◽

Vol 10 (12) ◽

pp. e0146078 ◽

Cited By ~ 20

Author(s):

Aline M. Gerage ◽

Tania R. B. Benedetti ◽

Breno Q. Farah ◽

Fábio da S. Santana ◽

David Ohara ◽

...

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Sedentary Behavior ◽

Central Blood Pressure ◽

Light Physical Activity ◽

Hypertensive Patients

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Effect of Structured and Unstructured Physical Activity Training on Cognitive Functions in Adolescents – A Randomized Control Trial

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2015/14881.6818 ◽

2015 ◽

Cited By ~ 5

Author(s):

Senthil Kumar Subramanian

Keyword(s):

Physical Activity ◽

Cognitive Functions ◽

Randomized Control Trial ◽

Randomized Control

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The Influence of Physical Activity on Arterial Pressure during Ambulatory Recordings in Man

Clinical Science ◽

10.1042/cs0580115 ◽

1980 ◽

Vol 58 (1) ◽

pp. 115-117 ◽

Cited By ~ 45

Author(s):

D. B. Rowlands ◽

T. J. Stallard ◽

R. D. S. Watson ◽

W. A. Littler

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Heart Rate ◽

Arterial Pressure ◽

Ambulatory Blood Pressure ◽

Physical Activities ◽

Hypertensive Patients ◽

Arterial Blood ◽

Significant Difference ◽

Hypotensive Therapy

1. Ambulatory blood pressure recordings were made over a 48 h period on six hypertensive patients. The conditions of study were standardized, particularly with regard to physical activity, and during one period of each day the patients were randomly allocated to be active or inactive. 2. Results show that blood pressure was highest during physical activity and lowest during sleep. There was no significant difference between the arterial pressures measured during the same physical activities carried out at the same time each day. However, during the same time on consecutive days when activity was randomized, there was a significant difference between the pressure recordings during physical activity compared with those during inactivity. Heart rate changes showed a similar trend during the randomized period. 3. Physical activity and sleep have a profound effect on continuous arterial blood pressure recordings and these are independent of time alone. These observations should be taken into account when using this ambulatory system to assess hypotensive therapy.

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Effectiveness of digital health using the transtheoretical model to prevent or delay type 2 diabetes in impaired glucose tolerance patients: protocol for a randomized control trial

BMC Public Health ◽

10.1186/s12889-019-7921-8 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Rasmieh Alzeidan ◽

Zeinab Shata ◽

Marwah Mazen Hassounah ◽

Leena Rashad Baghdadi ◽

Ahmad Hersi ◽

...

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Health Promotion ◽

Saudi Arabia ◽

Cardiovascular Diseases ◽

Behavior Modification ◽

Transtheoretical Model ◽

Randomized Control Trial ◽

Randomized Control

Abstract Background There is high prevalence of prediabetes and type 2 diabetes mellitus (T2DM) in Saudi Arabia that is still increasing. Early diagnosis of prediabetes, and immediate, effective intervention is yet unestablished. Conventional health promotion approaches are used to educate prediabetic patients. Behavior modification is very effective in prediabetics to delay T2DM. Thus, the main objective of this study is to examine the effect of the new behavioral model, the Transtheoretical Model short messages (text 4 change) to modify lifestyle to prevent or delay the onset of T2DM, through promotion of a healthy diet and increased physical activity, in impaired glucose tolerance patients. Another objective is to estimate the impact of this model on markers of cardiovascular and metabolic risks as T2DM is one of the modifiable risk factors to prevent cardiovascular diseases. Methods This is a randomized controlled trial. One thousand and sixteen, eligible Saudi adults will be recruited from the Heart Health Promotion study (HHP), which was conducted at the King Saud University from July 2013 to April 2014. These adults were at a higher risk of developing T2DM within 2–3 years. The research team’s database has a contact list and they will recruit individuals over 6–8 weeks. All participants will be randomized at a 1:1 ratio into two groups, receive group education about lifestyle modifications and written information about diet and physical activity. Text 4 change SMS texts will be sent only to the intervention group. All participants will be assessed at baseline, 6, 12, 18, 24, 30, and 36 months for behavioral change using a World Health Organization (WHO) STEPS questionnaire and for glycated hemoglobin, biochemical and anthropometric measurements using standard methods. Discussion This new approach for promoting the importance of behavior modification in prediabetics is expected to delay and/or prevent the development of T2DM in Saudi Arabia, subsequently reducing the risk of cardiovascular morbidity and mortality too. Results from this study will promote an innovative and high-tech way to decrease the burden of cardiovascular diseases in Saudi Arabia. Trial registration International Standard Randomized Control Trial, registration number ISRCTN10857643. Registered 4 June, 2018.

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