Hypertension, Menopause
Conditions
Keywords
Taekwondo, Menopause, Hypertension, Arterial Stiffness, Blood Catecholamines
Brief summary
Aging is associated with hormonal imbalances and progressive decreases in arterial health and function. It is crucial to prevent or reduce the negative effects of aging on hormonal balance and the vasculature by implementing appropriate lifestyle interventions, such as exercise training. We examined the effects of a 12-week Taekwondo training program on blood catecholamines, arterial stiffness (pulse wave velocity, PWV), blood pressure (BP), resting heart rate, and muscular strength in postmenopausal women with stage 2 hypertension.
Detailed description
Using a parallel experimental design, participants were randomly assigned to either a Taekwondo exercise training group (n=10) or non-exercising control group (n=10) for 12 weeks. Participant in the Taekwondo training group trained 3 days/week for 60 minutes per session, and the intensity progressed weekly. Participants in the control group performed no exercise intervention.
Interventions
Exercise group
Sponsors
Study design
Intervention model description
Parallel design with treatment group and control
Eligibility
Inclusion criteria
* Be diagnosed with stage-2 hypertension * Be postmenopausal * Be between 65 and 85 years old
Exclusion criteria
* Known cardiovascular, metabolic or renal diseases * Physical limitations that prohibit exercise * Participates in regular exercise
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood Epinephrine Levels | 12-weeks |
| Blood Norepinephrine Levels | 12-weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hand Grip Strength | 12-weeks | — |
| Arterial Stiffness | 12-weeks | Pulse Wave Velocity |
| Leg Strength | 12-weeks | — |
| Diastolic Blood Pressure | 12-weeks | — |
| Systolic Blood Pressure | 12-weeks | — |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Taekwondo Training Taekwondo training was performed 60 minutes/day, 3 days/week for 12-weeks. Exercise intensity was set at 30-40% of heart rate reserve (HRR) and gradually increased to 50-60% over 12 weeks.
Taekwondo training: Exercise group | 10 |
| Control Sedentary control asked not to exercise | 10 |
| Total | 20 |
Baseline characteristics
| Characteristic | Taekwondo Training | Control | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 10 Participants | 10 Participants | 20 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Continuous | 70 years STANDARD_DEVIATION 4 | 70 years STANDARD_DEVIATION 4 | 70 years STANDARD_DEVIATION 4.7 |
| Arterial stiffness | 8.41 m/s STANDARD_DEVIATION 1 | 8.27 m/s STANDARD_DEVIATION 0.67 | 8.34 m/s STANDARD_DEVIATION 0.84 |
| Blood epinephrine levels | 43.6 pg/mL STANDARD_DEVIATION 6.6 | 43.4 pg/mL STANDARD_DEVIATION 5.1 | 43.5 pg/mL STANDARD_DEVIATION 5.9 |
| Blood norepinephrine levels | 268.6 pg/mL STANDARD_DEVIATION 41.3 | 243.4 pg/mL STANDARD_DEVIATION 5.1 | 256 pg/mL STANDARD_DEVIATION 23.2 |
| Diastolic Blood Pressure | 98 mmHg STANDARD_DEVIATION 2 | 99 mmHg STANDARD_DEVIATION 2 | 99 mmHg STANDARD_DEVIATION 2 |
| Hand grip strength | 24 kg STANDARD_DEVIATION 4 | 25 kg STANDARD_DEVIATION 4 | 25 kg STANDARD_DEVIATION 4 |
| Leg strength | 39 kg STANDARD_DEVIATION 6 | 38 kg STANDARD_DEVIATION 7 | 39 kg STANDARD_DEVIATION 7 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 10 Participants | 10 Participants | 20 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 0 Participants | 0 Participants | 0 Participants |
| Region of Enrollment South Korea | 10 participants | 10 participants | 20 participants |
| Sex: Female, Male Female | 10 Participants | 10 Participants | 20 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
| Systolic Blood Pressure | 144 mmHg STANDARD_DEVIATION 2 | 143 mmHg STANDARD_DEVIATION 2 | 144 mmHg STANDARD_DEVIATION 2 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 10 | 0 / 10 |
| other Total, other adverse events | 0 / 10 | 0 / 10 |
| serious Total, serious adverse events | 0 / 10 | 0 / 10 |
Outcome results
Blood Epinephrine Levels
Time frame: 12-weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Taekwondo Training | Blood Epinephrine Levels | 39.3 pg/mL | Standard Deviation 7.1 |
| Control | Blood Epinephrine Levels | 46.2 pg/mL | Standard Deviation 4.7 |
Blood Norepinephrine Levels
Time frame: 12-weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Taekwondo Training | Blood Norepinephrine Levels | 232.2 pg/mL | Standard Deviation 33.7 |
| Control | Blood Norepinephrine Levels | 330 pg/mL | Standard Deviation 38.2 |
Arterial Stiffness
Pulse Wave Velocity
Time frame: 12-weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Taekwondo Training | Arterial Stiffness | 7.67 m/s | Standard Deviation 1 |
| Control | Arterial Stiffness | 8.48 m/s | Standard Deviation 1 |
Diastolic Blood Pressure
Time frame: 12-weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Taekwondo Training | Diastolic Blood Pressure | 87 mmHg | Standard Deviation 2 |
| Control | Diastolic Blood Pressure | 97 mmHg | Standard Deviation 2 |
Hand Grip Strength
Time frame: 12-weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Taekwondo Training | Hand Grip Strength | 27 kilograms (kg) | Standard Deviation 3 |
| Control | Hand Grip Strength | 24 kilograms (kg) | Standard Deviation 4 |
Leg Strength
Time frame: 12-weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Taekwondo Training | Leg Strength | 41 kilograms (kg) | Standard Deviation 7 |
| Control | Leg Strength | 38 kilograms (kg) | Standard Deviation 8 |
Systolic Blood Pressure
Time frame: 12-weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Taekwondo Training | Systolic Blood Pressure | 130 mmHg | Standard Deviation 2 |
| Control | Systolic Blood Pressure | 142 mmHg | Standard Deviation 2 |