Elevated Blood Pressure
Conditions
Brief summary
Elevated blood pressure or prehypertension is highly associated with increased risk of developing hypertension, cardiovascular event, and type II diabetes. Many physically inactive young adults, particularly in Malaysia have blood pressure higher than normal range, therefore it is important to control the blood pressure within normal range as prophylactic measure. This experimental research will be carried out to study the effect of physical training (aerobic exercise) and mental training (mindfulness meditation) with diet as a control group on the systolic blood pressure, diastolic blood pressure and resting heart rate among young adult with elevated blood pressure living a sedentary lifestyle. Participant will be divided into 2 experimental groups (mental and physical training) and 1 control group (Dietary Approaches to Stop Hypertension -DASH diet plan) who need to complete the prescribed intervention for 6 weeks. Results will be analysed by repeated measures ANOVA followed by post-hic test.
Interventions
Mental training (guided mindfulness meditation by Jon Kabat-Zinn for 20 minutes, 3 times per week.
Physical training (continuous moderate-intensity training at 40-60% of participants' heart rate reserve for 20 minutes excluding warm-up/cool-down, 3 times per week.
Mental and physical training (combination of mindfulness mediation for 20-minutes, 3 times per week and continuous moderate-intensity training for 20 minutes, 3 times per week.
DASH diet ( (more vegetables, fruits and low-fat dairy foods and moderate amounts of whole grains, fish, poultry and nuts; and less than 3 grams of sodium daily) for 6-weeks.
Sponsors
Study design
Masking description
Outcome assessor will not know about grouping of the participants.
Eligibility
Inclusion criteria
* Male adults aged 18-25 years * Normal BMI (18.5-24.9) * Physically inactive * SBP between 120-139 mmHg and/or DBP between 60-89 mmHg * No hearing abnormalities * Willing to participate
Exclusion criteria
* Participants who have cardiovascular, musculoskeletal, and neurological disorders or any other medical condition that would restrict them to participate in the exercise * Those who are taking antihypertensive medications or other medications that will affect their BP and heart rate * Participants who are currently engaging in any form of relaxation techniques such as yoga or meditation * Individuals who are actively engaged in physical activities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline Systolic Blood Pressure at 6 weeks. | At baseline over a period of 6 weeks. | Systolic blood pressure (SPB) will be measured at baseline (before intervention begin), after 3 weeks of intervention, and post 6-weeks of intervention. |
| Change from Baseline Diastolic Blood Pressure at 6 weeks. | At baseline over a period of 6 weeks. | Diastolic blood pressure (DPB) will be measured at baseline (before intervention begin), after 3 weeks of intervention, and post 6-weeks of intervention. |
| Change from Baseline Mean Arterial Pressure at 6 weeks. | At baseline over a period of 6 weeks. | Mean arterial pressure (MAP) will be measured at baseline (before intervention begin), after 3 weeks of intervention, and post 6-weeks of intervention. |
| Change from Baseline Resting Heart Rate at 6 weeks. | At baseline over a period of 6 weeks. | Resting heart rate (RHR) will be measured at baseline (before intervention begin), after 3 weeks of intervention, and post 6-weeks of intervention. |
| Change from Baseline Pulse Pressure at 6 weeks. | At baseline over a period of 6 weeks. | Pulse pressure will be measured at baseline (before intervention begin), after 3 weeks of intervention, and post 6-weeks of intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline Body Mass Index at 6 weeks. | At baseline over a period of 6 weeks. | Body mass index (BMI) will be measured at baseline (before intervention begin), after 3 weeks of intervention, and post 6-weeks of intervention. |
Countries
Malaysia