Blood Pressure
Conditions
Keywords
Blood pressure, Salt sensitivity
Brief summary
This investigation aims to determine the effects of a 4-week yoga intervention on sodium-induced pressor and endothelial function responses as well as markers of renal sodium handling in African American adults.
Interventions
Yoga sessions will be completed 5 times per week for 4 weeks.
Waitlisted participants will maintain their normal exercise and diet for 4 weeks. After follow up testing at week 4, participants will be rerandomized to the yoga condition.
Sponsors
Study design
Eligibility
Inclusion criteria
* African American * Adults ages 18-60 years
Exclusion criteria
* pregnancy or within 60 days postpartum * having taken blood pressure (including diuretics beta-blockers, ACE inhibitors, angiotensin receptor blockers, and calcium channel blockers) or statin medications within the past 3 months (statins have been demonstrated to reduce oxidative stress which could impact flow-mediated dilation); * infection (viral or other) within the past 4 weeks; * having adrenal or endocrine tumors (these could impact BP); * renal disease defined as a glomerular filtration rate (GFR) of less than 60 (creatinine will be tested at initial screening and GFR will be calculated); * prior myocardial infarction; vii) known coronary heart disease; * personal history of stroke; * heart failure; * cardiac arrhythmias; * chronic obstructive pulmonary disease; * recent chest pain or dyspnea; * orthopedic limitations that preclude the execution of yoga postures; * current insulin dependence; * currently taking steroid medications; * currently undergoing chemotherapy or radiation; * having practiced yoga or yogic breathing techniques at least once weekly consistently within the past 3 months; * heat intolerance or electrolyte imbalances (hypo- or hyper-natremia or hypo- or hyper-kalemia).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in blood pressure from low- to high-sodium dietary conditions | Measurements will be completed after 3 days of low and 3 days of high sodium intake at baseline and after 4 weeks for both conditions. | Blood pressure will be measured after 3 days of very low sodium and 3 days of high sodium intake. |
| Change in endothelial function from low- to high-sodium dietary conditions. | Measurements will be completed after 3 days of low- and 3 days of high-sodium intake at baseline and at week 4. | Flow-mediated dilation will be measured via ultrasound imaging of the upper arm after 3 days of low- and 3 days of high- sodium dietary conditions. |
| Change in arterial stiffness from low- to high-sodium dietary conditions. | Measurements will be completed after 3 days of low- and 3 days of high-sodium intake at baseline and at week 4. | Cardio-ankle vascular index will be measured after 3 days of low- and 3 days of high-sodium intake. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in urinary sodium excretion from low- to high-sodium dietary conditions. | Measurements will be completed after 3 days of low- and 3 days of high-sodium intake at baseline and at week 4. | 24-hour urine collection will be completed after 3 days of low- and after 3 days of high-sodium dietary conditions. |
Countries
United States