Pre Hypertension
Conditions
Brief summary
Hypertension is leading yet preventable risk factor for cardiovascular disease and all-cause mortality worldwide. Prehypertension identifies those at high risk of developing HTN, prompting intervention to prevent or delay the onset of the disease. High intensity interval training (HIIT) is a time efficient mode of training with established benefits, while Isometric wall squats (IWS) also provide a range of proven benefits and advantages, but their combined effect on BP measures is yet to be determined.Hence the objective of this study is to compare the effects of isometric wall squats along with high intensity interval training versus high intensity interval training alone on rate pressure product, SBP and DBP, heart rate and anthropometric measures in normotensive and pre-hypertensive sedentary adults
Detailed description
Pre-Hypertension is not a disease itself rather it categorizes those who are at the risk of developing hypertension in future. By targeting pre-hypertensive and normotensive individuals we are focusing on preventive measures, potentially reducing incidence of HTN and cardiovascular conditions in future. If found effective, this study can help in providing training protocols while also decreasing the risk of hypertension in future.A total of 15 sessions of high intensity interval training alone in one group and combination of high intensity interval and isometric wall squat in other group, for thrice a week on alternative days for 5 consecutive weeks will be given.
Interventions
PROCEDUREHigh Intensity Interval Training (HIIT)
High intensity interval training on treadmill with moderate intensity (40-60%HRR) in week 1 to achieve the baseline fitness level and from week 2 to 5 they will progress to high intensity with setting the lower target HR 40-60%HRR and upper target HR 80-85%HRR with 1:4 work to rest ratio followed by 5-7 min of cool-down period..A total of 15 sessions of high intensity interval training alone , for thrice a week on alternative days for 5 consecutive weeks will be given. Warm-up session consisting of stretching exercises prior to intervention and cool down session after intervention will also be done and vitals before and after the session will be taken.
PROCEDUREIsometric Wall Squat
For isometric wall squat, each training session will be composed of 4 × 2-min bouts of IWS followed by 2-min rest periods. In first week, participants will do squat training or there will be a protocol for selecting exercise intensity in which participants will be given 30-s to perform a wall squat to select a position that they predict would elicit an target RPE score by varying the squat height. Based on the final squat height and RPE score, after bout 4, participants will be given a starting squat height for training session 1 and will then be progressed in each week
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This is a randomized controlled trial having two groups. One group(interventional group) will be doing High Intensity Training (HIIT) and Isometric Wall Squat and the other group (control group) will be doing High intensity Interval Training (HIIT).
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Both male and female adults aged 18-45 years. * Participants lying in Low PA (inactive) category on basis of IPAQ. * Pre-hypertensive adults: * SBP- 120 mmHg or more and \<140 mmHg * DBP of 80 mmHg or more and \< 90 mmHg. * Normotensive adults: SBP \< 120 mmHg and DBP \< 80 mmHg.
Exclusion criteria
* Diagnosed with any current infections. * Subjects with any diagnosed cardiovascular or respiratory conditions. * Subjects with diagnosed musculoskeletal or neurological conditions which hinder participation in physical activity program. * Active Smokers * Those with any contraindication to exercise testing or training. * Pregnant females
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate Pressure Product | 5 weeks | Measured by multiplying Heart Rate and Systolic Blood Pressure |
| Blood Pressure(SBP and DBP) | 5 weeks | Evaluation will be done using sphygmomanometer |
| Heart rate | 5 weeks | Heart Rate will be measured using pulse oximeter. |
| Anthropometric Measures Waist circumference | 5 weeks | Measuring Tape will be used to measure Waist circumference |
| Anthropometric Measures hip circumference | 5 weeks | Measuring Tape will be used to measure hip circumference |
| Anthropometric Measures Waist to hip ratio | 5 weeks | Ratio of waist circumference and hip circumference |
| BMI | 5 weeks | Body mass index ratio of weight and height |
Countries
Pakistan
Outcome results
None listed