Comprehensive Approach to Lower Blood Pressure (CALM-BP): a randomized controlled trial of a multifactorial lifestyle intervention
Autor: | Y Mirovski, K Doenyas, E Bodenstein, Arnona Ziv, K Wolkomir, S Pintov, D Keret, S Efrati, O Vogel |
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Rok vydání: | 2013 |
Předmět: |
Blood Glucose
Male lifestyle medicine.medical_specialty Time Factors Blood Pressure Body Mass Index law.invention stress chemistry.chemical_compound Quality of life Randomized controlled trial Risk Factors law Dash Internal Medicine medicine Humans Prospective Studies Israel Prospective cohort study Antihypertensive Agents Aged business.industry Cholesterol Yoga Middle Aged Combined Modality Therapy Lipids Diet Exercise Therapy Treatment Outcome Blood pressure quality of life chemistry Hypertension Ambulatory Physical therapy Female Original Article business Risk Reduction Behavior Body mass index Biomarkers Stress Psychological |
Zdroj: | Journal of Human Hypertension |
ISSN: | 1476-5527 0950-9240 |
DOI: | 10.1038/jhh.2013.29 |
Popis: | Complementary medicine advocates the use of a multifactorial approach to address the varied aspects of hypertension. The aim of this study was to compare the blood pressure (BP) effect and medication use of a novel Comprehensive Approach to Lowering Measured Blood Pressure (CALM-BP), based on complementary medicine principles, with the standard recommended Dietary Approach to Stop Hypertension (DASH). A total of 113 patients treated with antihypertensive drugs were randomly assigned to either CALM-BP treatment (consisting of rice diet, walks, yoga, relaxation and stress management) or to a DASH+exercise control group (consisting of DASH and walks). Ambulatory 24-h and home BP were monitored over a 16-week programme, followed by 6 months of maintenance period. Medications were reduced if systolic BP dropped below 110 mm Hg accompanied by symptoms. In addition to BP reduction, medications were reduced because of symptomatic hypotension in 70.7% of the CALM-BP group compared with 32.7% in the DASH group, P |
Databáze: | OpenAIRE |
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