Health Condition 1: I10- Essential (primary) hypertension
Conditions
Interventions
Intervention1: Inspiratory Muscle Strength Training (IMST) - Increasing resistance: Participants will be asked to breathe using the POWERbreathe inspiratory muscle training (IMST) device 5 times a day
Sponsors
Fogarty International Center - National Institutes of Health (NIH)
Eligibility
Inclusion criteria
Inclusion criteria: Participants must be 60 years or older, having hypertension, residing in urban Mysore district/Mysore city for six or more months with no plans to shift residence during the next 14 weeks, having a systolic BP level ?140 mm Hg; and able to give informed consent and complete all study procedures including a medical examination, assessment of their respiratory muscle strength, and an interviewer-administered survey. Hypertension will be diagnosed if, when measured twice on different days, systolic blood pressure on both readings is =140 mmHg and/or diastolic blood pressure on both readings is =90 mmHg.
Exclusion criteria
Exclusion criteria: Having a cognitive disability that makes them unable to perform the IMST training; reported history of uncontrolled cardiac arrhythmias; circulatory shock; acute ischemic heart disease; acute respiratory failure; neuromuscular disease or myopathies; or diaphragmatic paresis or paralysis, ear problems, hospitalization in the prior past three months, any hospitalization for respiratory illness in the last 6 months, having loose teeth/dentures or other oral health issues, any history of smoking in the last ten years and having any condition that might pose a risk for undergoing study procedures including inspiratory pressure testing.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes for this study will be changes in measures of Systolic and Diastolic Blood Pressure from baseline to end of intervention and between intervention and comparison groups.Timepoint: Research staff will monitor the weekly progress of the study participants, obtain blood pressure measurements every two weeks and record other aging measures at mid-point (6 weeks of intervention) and at the endline (12 weeks of intervention). | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in measures of aging including functional mobility (balance and gait), self-efficacy, activities of daily living, quality of life, cognitive health, psychological health, perceived social support, fear of falls, and resilience from baseline to end of intervention and between intervention and comparison groups.Timepoint: Research staff will monitor the weekly progress of the study participants, obtain blood pressure measurements every two weeks and record other aging measures at mid-point (6 weeks of intervention) and at the endline (12 weeks of intervention). | — |
Countries
India
Contacts
Public ContactDr.Kiranmayee Muralidhar
Public Health Research Institute of India
Outcome results
None listed