This study will compare participants who have uncontrolled hypertension and perform a set of five breathing exercises (Pranayama breathing) to a control group. The purpose of the study is to determine the effect of the breathing exercises on reduction of blood pressure.
Untreated or uncontrolled hypertension is a leading cause of heart disease, stroke, and kidney failure. Hypertension, is a modifiable risk factor that may be successfully treated using one or a combination of treatment options, including medication, diet, exercise, tobacco cessation, or complementary and alternative medicine such as breathing exercises. A well-established cascade of adverse health outcomes are associated with hypertension as well as increased mortality rates. For patient-centered care, providing patients with additional strategies for their health care also has the potential to empower the patient, augment patient-physician team approach to the patient's health care, and support the standards of care for treating hypertension. As explained by McCaffrey et al from their focus group work with patients, "Participants do not want prescription medications except as a last resort and feel that conventional medicine overemphasizes prescription medicines. This may be because of a combination of factors including distrust in conventional medicine, fear of side effects from medicines, and an underlying belief that the body can heal itself given the right nutrition, rest, and time" Using a randomized controlled trial study design with a 1-month and 3-month follow-up, the investigators hypothesize that practicing breathing at least 5 times per week will show a mean reduction in systolic (SBP) and diastolic (DBP) blood pressures in uncontrolled hypertensive patients compared to control patients. Participants will be randomized into one of three arms of the study. For the intervention arm, participants will be either assigned to a weekly class for the pranayama breathing instruction and practice or given a DVD that contains instructions on the breathing exercises and the 15-minute practice session.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
103
Pranayama Breathing exercises practiced at least 5 times a week and log practice times
Pranayama Breathing exercises practiced at least 5 times a week and log practice times
Log dinner times
University of Missouri-Columbia
Columbia, Missouri, United States
Reduced blood pressure from breathing exercises
5 mmHg point reduction in blood pressure (dichotomous variable) associated with breathing exercises
Time frame: Baseline to week 10
Beta blocker medication affect on blood pressure reduction
Differences on blood pressure (mean mmHg) reduction stratified by use of beta blockers (dichotomous)
Time frame: Baseline to week 6
Perceived political stress level of participant affect on blood pressure reduction
Differences on blood pressure (mean mmHg / dichotomous 5 mmHg reduction) reduction stratified by participants reported stress using one question about stress related to the 2016 elelction rated on a 5-point Likert scale from high stress (extremely-somewhat) to low stress (slightly-not at all); range 5-1;
Time frame: Baseline to week 10
Self Efficacy response to breathing exercises
General self efficacy scale ( point change; range: 10-40) increase in response to breathing exercises
Time frame: Baseline to week 18
Depressive severity response to breathing exercises
% participants who had PHQ-9 Patient Health Questionnaire which screens for depression (score \<5 or \>9; range 0-27) in response to breathing exercises
Time frame: Baseline to week 18
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