Lifestyle Intervention for Treating Systemic Hypertension in Primary Care Setting

Not Applicable

Completed

• Conditions: Hypertension
• Interventions: Behavioral: Lifestyle intervention

• Registration Number: NCT02492035
• Lead Sponsor: Laval University

Brief Summary

The Canadian hypertension education program recommends increased physical activity, adoption of the Dietary Approaches to Stop Hypertension (DASH) diet, and reduction in sodium and alcohol intake for treatment and prevention of hypertension. Objective: To describe patients participating in an interdisciplinary lifestyle intervention to reduce blood pressure in a family medicine primary care setting. Design: Descriptive study. Participants: The study aims to recruit 60 sedentary hypertensive patients to participate in a 6-month randomized-controlled trial. To be eligible, patients must be ≥18 years of age, sedentary (7-day measured steps/day and self-report), hypertensive (based on 24-h ambulatory blood pressure measurements \[ABPM\]), non-smoker, non-diabetic and without dyslipidemia. Intervention: Patients are recruited by health care professionals of the family medicine unit and are thereafter randomized to one of four intervention groups: 1) standard medical care (control), 2) improved diet (DASH diet), 3) physical activity, or 4) both improved diet and physical activity. Patients are evaluated (pre, mid and post intervention), monitored, and educated by the interdisciplinary health care team that includes a physician, a kinesiologist, a nutritionist and a nurse, depending on the intervention group. T-tests and descriptive statistics were used to analyse data. This study will document the efficacy of a primary care lifestyle intervention program on cardiometabolic and hypertension risk factors.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-02
• Study First Submitted: 2015-06-03
• Study First Submitted QC: 2015-07-02
• Study First Posted: 2015-07-08
• Primary Completion: 2016-12-23
• Study Completion: 2016-12-23
• Status Verified: 2020-10
• Last Update Submitted: 2020-10-14
• Last Update Posted: 2020-10-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• ≥18 years of age
• Sedentary (7-day measured steps/day and self-report)
• Arterial hypertensive (based on 24-h ambulatory blood pressure measurements [ABPM])

Exclusion Criteria

• secondary hypertension
• diabetes
• dyslipidemia
• cardiovascular diseases with complications
• smoker

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Diet	Lifestyle intervention	Tailoring intervention with nutritionist
Physical activity	Lifestyle intervention	Tailoring intervention with kinesiologist
Physical activity and diet	Lifestyle intervention	Tailoring intervention with kinesiologist and nutritionist

Primary Outcome Measures

Name	Time	Method
Systolic and diastolic blood pressure	6 months

Trial Locations

Locations (1)

GMF-UMF Laval-Québec; 🇨🇦 Québec, Canada