Impact of a structured yoga program on blood pressure reduction among hypertensive patients: study protocol for a pragmatic randomized multicenter trial in primary health care settings in Nepal
| Autor: | Craig S. McLachlan, Mahesh Kumar Khanal, Suira Joshi, Binod Ghimire, Binaya Sapkota, Anu Shakya, Bihungum Bista, Dinesh Neupane, Om Prakash Kalauni, Ramesh Kumar Kc, Shiva Ram Khatiwoda, Vijay Bhrutel, Savyata Panthi, Achyut Raj Pandey, Raja Ram Dhungana |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Blood Pressure 030204 cardiovascular system & hematology Study Protocol 03 medical and health sciences 0302 clinical medicine Nepal Multicenter trial Intervention (counseling) Health care medicine Humans Multicenter Studies as Topic Outpatient clinic Obesity 030212 general & internal medicine Randomized Controlled Trials as Topic Primary health care business.industry Yoga lcsh:Other systems of medicine General Medicine lcsh:RZ201-999 medicine.disease Clinical trial Blood pressure Complementary and alternative medicine Hypertension Physical therapy Health education business |
| Zdroj: | BMC Complementary and Alternative Medicine, Vol 18, Iss 1, Pp 1-8 (2018) BMC Complementary and Alternative Medicine |
| ISSN: | 1472-6882 |
| Popis: | Hypertension control remains a major global challenge. The behavioral approaches recommended for blood pressure reduction are stress reduction, increased exercise and healthy dietary habits. Some study findings suggest that yoga has a beneficial effect in reducing blood pressure. However, the role of yoga on blood pressure has received little attention in existing health care practices in developing countries. This study will be conducted in primary health care facilities in Nepal to assess the effectiveness of a pragmatic yoga intervention to complement standard practice in further reducing blood pressure. This will be multicentric, two arms, randomized, nonblinded, pragmatic trial. It will be conducted in seven District Ayurveda Health Centers (DAHCs) in Nepal between July 2017 and June 2018. The study participants will consist of hypertensive patients with or without antihypertensive medication attending to the outpatient department (OPD). One hundred and forty participants will be randomized to treatment or control groups by using a stratified block randomization. At the study site, the treatment arm participants will receive an intervention consisting of five days of structured yoga training and practice of the same package at home with a recommendation of five days a week for the following 90 days. Both the intervention and control groups will receive two hours of health education on lifestyle modifications. The primary outcome of this trial will be the change in systolic blood pressure and it will be assessed after 90 days of the intervention. This study will establish the extent to which a yoga intervention package can help reduce blood pressure in hypertensive patients. If proven effective, study findings may be used to recommend the governing bodies and other stakeholders for the integration of yoga in the national healthcare system for the treatment and control of hypertension. Clinical Trial Registry- India (CTRI); CTRI Reg. No- CTRI/2017/02/007822 . Registered on 10/02/2017. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink