I10.0
Conditions
Interventions
Group 1: 24 weeks 4 baths per week in thermo-neutral water for 60 minutes
Group 2: 4 weeks 4 baths per week, 20 weeks 1 bath per week in thermo-neutral water for 60 minutes
Group 3: 24 weeks non-drug
Sponsors
Universitätsklinikum Freiburg
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Known Arterial Hypertension • Blood pressure: systolic RR 140-180, 90-110 diastolic (hypertension grade 1 and 2), with and without antihypertensive drugs, •> 18 years • existence of a written consent of the patient • sufficient knowledge of German for questionnaires, and being able to perform an ambulatory RR-measurement • Willingness and ability to perform over 26 weeks 4 baths per week, or relaxation exercises,
Exclusion criteria
Exclusion criteria: Participation in other interventional trials • risk factors, organ damage, DM, metabolic syndrome are no exclusion criteria per se, but only • heart failure class III and IV (clinical, echocardiographic in doubt and / or verified by BNP) • Grade IV PAD (clinically confirmed if necessary Doppler or duplex • renal failure, creatinine> 1.5 mg / dl • acute infection, fever • Unstable AP • or very severe disease • change in antihypertensive medication last 4 weeks • Secondary hypertension indication for treatment with antihypertensive drugs other than (further clarification necessary only for clear indications, such as hypokalemia, flushing, etc.) • The need for a change of antihypertensive medication in the next 4 weeks • reasons to exclude the public bath (open wounds or similar) • Regular baths (> 1 per week) in past 2 months • Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| morning blood pressure and 24-hour-RR measurement (diastolic, systolic, and MAP) before treatment, after 4 weeks of therapy and after 24 weeks of therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| Other parameters of the 24-hour-RR measurement, additional RR measurements of the diary, weight, waist circumference Number of responders (RR = reduction by more than 5 mmHg or reduction of medication antihypertensiven) Additional laboratory parameters (BB, sodium, potassium, creatinine, CK, chol, CRP, Aldosterone, renin, angiotensin, N-präANP, cortisol in hair), should provide clues to the mode of action of the baths. Blood is taken on scheduled dates. Through questionnaires (SF36, PSQ, own questionnaire) to be detected in as much relaxation, stress reduction, quality of life or other subjective parameters can explain the effect. In addition, detection of potential problems and acceptance of therapy baths and the control treatment. Adverse events. Influence of the frequency and duration of the baths. Subgroups that benefit most from therapy (gender, age) | — |
Countries
Germany
Contacts
Public ContactJohannes Naumann
IBF Balneologie der Uniklinik Freiburg
Outcome results
None listed