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Pre HypertensionNCT04841902

Effects of Life Style Intervention Manual in Pre Hypertensive Sedentary Population

A study testing Life Style Intervention Manual (With Exercise Under Supervision), General Advice and Life Style Intervention Manual (Home Based) in people with Pre Hypertension, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Hypertension is an increasingly important medical and public health issue. The prevalence of hypertension increases with advancing age to the point where more than half of people 60-69 years of age and approximately three-fourths of those 70 years of age and older are affected. Read more about this study

Who is it for?
Ages 25 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Pre Hypertension
What is being tested?
Life Style Intervention Manual (With Exercise Under Supervision), General Advice and Life Style Intervention Manual (Home Based)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
240 participants
Where
1 sitePakistan
Study dates
1 Jul 2021to 30 Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 25 to 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Aged between 25 - 40 years
  • Either gender
  • Clinic BP will be consistent with the diagnosis of pre-hypertension
  • Sedentary Subjects (<150 min/week or <600 MET-min/week on IPAQ Urdu Version)

Who cannot join

  • Body Mass Index less than 18.5 kg/m2 or greater than 45 kg/m2
  • Evidence of target organ damage such as left ventricular hypertrophy, angina, heart failure, stroke, chronic kidney disease, peripheral artery disease
  • Women of child-bearing age who tested positive for HCG \& breastfeeding women
  • Individuals who could not read the consent or Participated in another study within 3 months

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • Riphah Rehabiliation Clinic

    Lahore, Punjab Province, 54770

Other trials in Pakistan

About this study

Official title: Effects of Life Style Intervention Manual on Metabolic, Cardiovascular, Respiratory and Physical Parameters in Pre Hypertensive Sedentary Population

Hypertension is an increasingly important medical and public health issue. The prevalence of hypertension increases with advancing age to the point where more than half of people 60-69 years of age and approximately three-fourths of those 70 years of age and older are affected. The age related rise in SBP is primarily responsible for an increase in both incidence and prevalence of hypertension with increasing age. At present, it is estimated that about 1 billion people worldwide have hypertension (>140/90 mmHg), and this number is expected to increase to 1.56 billion by 2025.

Because of the new data on lifetime risk of hypertension and the impressive increase in the risk of cardiovascular complications associated with levels of BP previously considered to be normal, the JNC 7 report has introduced a new classification that includes the term "prehypertension" for those with BPs ranging from 120-139 mmHg systolic and/or 80-89 mmHg diastolic. This new designation is intended to identify those individuals in whom early intervention by adoption of healthy lifestyles could reduce BP, decrease the rate of progression of BP to hypertensive levels with age, or prevent hypertension entirely. Prehypertension is not a disease category. Rather, it is a designation chosen to identify individuals at high risk of developing hypertension, so that both patients and clinicians are alerted to this risk and encouraged to intervene and prevent or delay the disease from developing. Individuals who are pre hypertensive are not candidates for drug therapy based on their level of BP and should be firmly and unambiguously advised to practice lifestyle modification in order to reduce their risk of developing hypertension in the future.

The goal for individuals with prehypertension and no compelling indications is to lower BP to normal levels with lifestyle changes, and prevent the progressive rise in BP using the recommended lifestyle modifications.

Read the detailed description

Adoption of healthy lifestyles by all persons is critical for the prevention of high BP and is an indispensable part of the management of those with hypertension. Weight loss of as little as 10 lbs (4.5 kg) reduces BP and/or prevents hypertension in a large proportion of overweight persons, although the ideal is to maintain normal body weight. BP is also benefited by adoption of the Dietary approaches to Stop Hypertension (DASH) eating plan which is a diet rich in fruits, vegetables, and low fat dairy products with a reduced content of dietary cholesterol as well as saturated and total fat (modification of whole diet). It is rich in potassium and calcium content. Dietary sodium should be reduced to no more than 100 mmol per day (2.4 g of sodium). Everyone who is able should engage in regular aerobic physical activity such as brisk walking at least 30 minutes per day most days of the week. Lifestyle modifications reduce BP, prevent or delay the incidence of hypertension, enhance antihypertensive drug efficacy and decrease cardiovascular risk. For example, in some individuals, a 1,600 mg sodium DASH eating plan has BP effects similar to single drug therapy. Combinations of two (or more) lifestyle modifications can achieve even better results. For overall cardiovascular risk reduction, patients should be strongly counseled to quit smoking.

Lifestyle modification involves altering long-term habits, typically of eating or physical activity, and maintaining the new behavior for months or years. Lifestyle changes are a more natural way toward therapeutic goals and should be an integral component of halting or even reversing early vascular aging as in pre hypertensive subjects. From a public health perspective, even a small reduction in BP should have a tremendous, beneficial effect on the occurrence of hypertension and its complications. In view of the current epidemic of BP-related diseases and the proven effects of lifestyle modifications on BP, the current challenge to health care providers, researchers, and public officials is to develop and implement effective life style intervention program comprising exercise dietary and educative component in clinical and public health strategies that achieve and maintain healthy lifestyle modification

Being tested
Life Style Intervention Manual (With Exercise Under Supervision), General Advice, Life Style Intervention Manual (Home Based)
Keywords
Pre Hypertension, Lifestyle Intervention, Metabolic parameters, Cardiovascular parameters, Respiratory parameters, Physical parameters
Medical subject headings
Prehypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Life Style Intervention Manual (With Exercise Under Supervision)Other

    Life Style Intervention Manual for Pre Hypertensive subjects will consist of three components; Exercise, Dietary Modification and Education. The exercise will be supervised will other two components will be home based.

  • General AdviceOther

    General advice to stay healthy and active

  • Life Style Intervention Manual (Home Based)Other

    Life Style Intervention Manual for Pre Hypertensive subjects will consist of three components; Exercise, Dietary Modification and Education. All three components will be home based.

Study groups in NCT04841902
Study groupRoleWhat they receive
Life Style Intervention Manual (Supervised)ExperimentalSupervised Exercises with Life Style Intervention Manual (Dietary \& Educational Component) for 3 days / week for 16 weeks. Each session will comprise of 60 minutes of alternating light to moderate intensity aerobic exercises including warm up and rest interval
Receives: Other: Life Style Intervention Manual (With Exercise Under Supervision)
Life Style Intervention Manual (Home Based)ExperimentalHome Based- Life Style Intervention Manual (Exercise, Dietary \& Educational Component for 16 weeks. Subject will be asked to maintain a regular exercise and dietary diary to ensure adherence to the program
Receives: Other: Life Style Intervention Manual (Home Based)
ControlPlacebo comparatorAge matched Control Group followed for 16 weeks with General Advise to stay healthy and active
Receives: Other: General Advice

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Blood Pressure

    Office, Ambulatory, Daytime, Nighttime \& 24 hours Systolic \& Diastolic Blood Pressure, Mean Arterial Blood Pressure measured at baseline, 8th Week post treatment and 16th Week post treatment

    Measured: 16 Weeks

  2. Change in Serum Triglycerides

    Serum Triglycerides measured at baseline, 8th Week post treatment and 16th Week post treatment

    Measured: 16 Weeks

  3. Change in Body Mass Index (BMI)

    Body Mass Index (BMI) measured at baseline, 8th Week post treatment and 16th Week post treatment. BMI is calculated using height (m) and weight (kg) using the formula kg/m^2

    Measured: 16 Weeks

  4. Change in Forced Vital Capacity (FVC)

    Forced Vital Capacity (FVC) measured at baseline, 8th Week post treatment and 16th Week post treatment using a digital spirometer.

    Measured: 16 Weeks

  5. Change in Serum Total Cholesterol

    Serum Total Cholesterol measured at baseline, 8th Week post treatment and 16th Week post treatment from intravenous blood specimen.

    Measured: 16 Weeks

  6. Change in Serum High Density Lipoprotein (HDL-C)

    Serum High Density Lipoprotein (HDL-C) measured at baseline, 8th Week post treatment and 16th Week post treatment from intravenous blood specimen.

    Measured: 16 Weeks

  7. Change in Serum High Density Lipoprotein (LDL-C)

    Serum High Density Lipoprotein (LDL-C) measured at baseline, 8th Week post treatment and 16th Week post treatment from intravenous blood specimen.

    Measured: 16 Weeks

  8. Change in Forced Expiratory Volume - 01 Second (FEV1)

    Forced Expiratory Volume - 01 Second (FEV1) measured at baseline, 8th Week post treatment and 16th Week post treatment using digital spirometer.

    Measured: 16 Weeks

  9. Change in Forced Expiratory Volume 1 Second / Forced Vital Capacity (FEV1/FVC)

    Forced Expiratory Volume 1 Second / Forced Vital Capacity (FEV1/FVC) measured at baseline, 8th Week post treatment and 16th Week post treatment using digital spirometer.

    Measured: 16 Weeks

  10. Change in Peak Expiratory Flow Rate (PEFR)

    Peak Expiratory Flow Rate (PEFR) measured at baseline, 8th Week post treatment and 16th Week post treatment using digital spirometer.

    Measured: 16 Weeks

  11. Change in Body Fat Percentage

    Body Fat Percentage measured at baseline, 8th Week post treatment and 16th Week post treatment using a body fat analyzer

    Measured: 16 Weeks

  12. Change in Waist-Hip Ratio

    Waist-Hip Ratio measured at baseline, 8th Week post treatment and 16th Week post treatment. Waist and hip circumference will be measured using inelastic tape.

    Measured: 16 Weeks

  13. Change in Hand Grip Strength

    Hand Grip Strength (Dominant \& Non Dominant)measured at baseline, 8th Week post treatment and 16th Week post treatment using Hand Held Dynamometer.

    Measured: 16 Weeks

  14. Change in VO2 Maximum

    VO2 Maximum measured at baseline, 8th Week post treatment and 16th Week post treatment using treadmill.

    Measured: 16 Weeks

  15. Change in Level of Perceived Exertion

    Level of Perceived Exertion measured at baseline, 8th Week post treatment and 16th Week post treatment using BROG scale.

    Measured: 16 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Apr 2021
  2. Study start1 Jul 2021
  3. Primary completion30 Nov 2023
  4. Study completion30 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
240 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04841902
Sponsor's protocol ID
REC/Lhr/21/1101 Danish Hassan
Status last verified
Apr 2024
First submitted
29 Mar 2021
Last updated
19 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • AlGhatrif M, Lakatta EG. The conundrum of arterial stiffness, elevated blood pressure, and aging. Curr Hypertens Rep. 2015 Feb;17(2):12. doi: 10.1007/s11906-014-0523-z.

    PubMed 25687599
  • Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, Chen J, He J. Global Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population-Based Studies From 90 Countries. Circulation. 2016 Aug 9;134(6):441-50. doi: 10.1161/CIRCULATIONAHA.115.018912.

    PubMed 27502908
  • Park JB, Kario K, Wang JG. Systolic hypertension: an increasing clinical challenge in Asia. Hypertens Res. 2015 Apr;38(4):227-36. doi: 10.1038/hr.2014.169. Epub 2014 Dec 11.

    PubMed 25503845
  • Lee CJ, Kim JY, Shim E, Hong SH, Lee M, Jeon JY, Park S. The Effects of Diet Alone or in Combination with Exercise in Patients with Prehypertension and Hypertension: a Randomized Controlled Trial. Korean Circ J. 2018 Jul;48(7):637-651. doi: 10.4070/kcj.2017.0349.

    PubMed 29968437
  • Gerber M, Beck J, Brand S, Cody R, Donath L, Eckert A, Faude O, Fischer X, Hatzinger M, Holsboer-Trachsler E, Imboden C, Lang U, Mans S, Mikoteit T, Oswald A, Puhse U, Rey S, Schreiner AK, Schweinfurth N, Spitzer U, Zahner L. The impact of lifestyle Physical Activity Counselling in IN-PATients with major depressive disorders on physical activity, cardiorespiratory fitness, depression, and cardiovascular health risk markers: study protocol for a randomized controlled trial. Trials. 2019 Jun 20;20(1):367. doi: 10.1186/s13063-019-3468-3.

    PubMed 31221205
  • Zheng S, Lubin B, Au R, Murabito JM, Benjamin EJ, Shwartz M. Advantages of Continuous-Valued Risk Scores for Predicting Long-Term Costs: The Framingham Coronary Heart Disease 10-Year Risk Score. Adv Geriatr Med Res. 2019;1(1):e190004. doi: 10.20900/agmr20190004. Epub 2019 Jun 6.

    PubMed 31448373
  • Zhang C, Zhang Y, Lin H, Liu S, Xie J, Tang Y, Huang H, Zhang W. Blood pressure control in hypertensive patients and its relation with exercise and exercise-related behaviors: A case-control study. Medicine (Baltimore). 2020 Feb;99(8):e19269. doi: 10.1097/MD.0000000000019269.

    PubMed 32080136

Questions about this trial

What is this clinical trial studying?

A study testing Life Style Intervention Manual (With Exercise Under Supervision), General Advice and Life Style Intervention Manual (Home Based) in people with Pre Hypertension, run by Riphah International University at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Blood Pressure (time frame: 16 Weeks). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04841902, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Apr 2024.

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