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CompletedNCT05274971Updated Oct 26, 2024

Diet and Exercise on Ambulatory Blood Pressure

An interventional study of Active dietary management and aerobic exercise training. in Prehypertension, sponsored by Korea University Anam Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-10-26.

Sponsored by Korea University Anam Hospital · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This is a multicenter, randomized, single-blinded clinical trial investigating the effect of dietary management and active aerobic exercise training on reduction of 24-hour ambulatory blood pressure in subjects with prehypertension and drug-naïve stage 1 hypertension.

Read the detailed description

Most guidelines recommend lifestyle modifications such as exercise or dietary programs for stage 1 hypertension or prehypertension, before initiation of antihypertensive drug treatment. Epidemiological and observational studies have shown that cardiovascular risk increases progressively from blood pressure levels as low as 115/75 mmHg and that patients with prehypertension or stage 1 hypertension are likely to progress to hypertension requiring medications. From a previous clinical trial, a 12-week aerobic exercise program reduced 24-hour and daytime ambulatory blood pressure in patients with resistant hypertension. Aerobic exercise and DASH (Dietary Approaches to Stop Hypertension) diet are currently recommended in subjects with prehypertension and stage 1 hypertension without a clear randomized, controlled clinical trial. The present trial, thus, seeks to evaluate the effect of dietary management and active aerobic exercise training, preferably moderate-intensity exercise, on 24-hour ambulatory blood pressure.

02

Conditions studied

  • Prehypertension

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Keywords

  • Prehypertension
  • aerobic exercise
  • Dietary management
03

In context

Prehypertension

158 studies on the registry are indexed under Prehypertension; 21 are open to participants now.

This study's enrollment of 70 is close to the median of 66 across 138 interventional studies indexed under Prehypertension.

Browse Prehypertension studies →

Lead sponsor

Korea University Anam Hospital is the lead sponsor of 112 studies on the registry; 31 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18-80 years
  • Prehypertension or grade 1 hypertension, defined as a systolic blood pressure of 130 to 159 mm Hg and/or a diastolic blood pressure of 85 to 99 mm Hg
  • Patients without previous use of anti-hypertensive medication

Exclusion criteria

Exclusion Criteria:

  • Patients under anti-hypertensive medications
  • Patients with suspected or confirmed secondary hypertension
  • Patients with abnormal liver function tests (transaminases more than three times the )
  • Patients without aerobic exercise tolerance
  • Patients under hormone replacement therapy or other
  • Patients with peripheral edemas and/or baseline serum creatinine level above 2.0 mg/dL
  • Patients with medical conditions that potentially affect blood pressure, including neurological disorders, gastrointestinal diseases, or .
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    Active management group

    Active dietary management and aerobic exercise training. Subjects will receive assessment and education of DASH diet (0, 4, and 8 weeks), with active aerobic exercise training (1 hour everyday exercise, at least 5 times per week for 12 weeks) (aerobic exercise education at baseline, 4, and 8 weeks after randomization). Each set of aerobic exercise consists of 10 minutes warm-up, 40 minutes moderate-intensity treadmill trotting, and 10 minutes cooldown. Telephone counseling at 2, 6, and 10 weeks after randomization.

    Other: Active dietary management and aerobic exercise training.

  • No intervention
    Control group

    Subjects will not receive education and recommendation of dietary management and aerobic exercise training.

Interventions

  • OtherActive dietary management and aerobic exercise training.

    Active dietary management and aerobic exercise training.

06

What researchers measure

Primary outcomes

  1. Change in 24-hour ambulatory systolic blood pressure

    Change in 24-hour ambulatory systolic blood pressure

    Time frame: from baseline to 12 weeks

  2. Change in 24-hour ambulatory diastolic blood pressure

    Change in 24-hour ambulatory diastolic blood pressure

    Time frame: from baseline to 12 weeks

  3. Change in daytime ambulatory systolic and diastolic blood pressure

    Change in daytime ambulatory systolic and diastolic blood pressure

    Time frame: from baseline to 12 weeks

  4. Change in nighttime ambulatory systolic and diastolic blood pressure

    Change in nighttime ambulatory systolic and diastolic blood pressure

    Time frame: from baseline to 12 weeks

  5. Change in office systolic and diastolic blood pressure

    Change in office systolic and diastolic blood pressure

    Time frame: from baseline to 12 weeks

Secondary outcomes

  1. Change in arterial stiffness

    augmentation index

    Time frame: from baseline to 12 weeks

  2. Change in arterial stiffness

    pulse wave velocity

    Time frame: from baseline to 12 weeks

  3. Change in serum renin level

    Change in serum renin level

    Time frame: from baseline to 12 weeks

  4. Change in serum angiotensin converting enzyme (ACE) level

    Change in serum angiotensin converting enzyme (ACE) level

    Time frame: from baseline to 12 weeks

  5. Change in circulating endothelial and inflammatory biomarkers

    interleukin-6

    Time frame: from baseline to 12 weeks

  6. Change in circulating endothelial and inflammatory biomarkers

    interleukin-18

    Time frame: from baseline to 12 weeks

  7. Change in circulating endothelial and inflammatory biomarkers

    Tumour Necrosis Factor alpha

    Time frame: from baseline to 12 weeks

  8. Change in circulating endothelial and inflammatory biomarkers

    high sensitivity-C-reactive protein

    Time frame: from baseline to 12 weeks

  9. Change in circulating endothelial and inflammatory biomarkers

    Soluble Vascular Cell Adhesion Molecule-1 (sVCAM-1)

    Time frame: from baseline to 12 weeks

  10. Change in circulating endothelial and inflammatory biomarkers

    Soluble intercellular adhesion molecule-1 (sICAM-1)

    Time frame: from baseline to 12 weeks

  11. Change in circulating endothelial and inflammatory biomarkers

    Plasminogen activator inhibitor-1

    Time frame: from baseline to 12 weeks

07

Study locations

1 site
  • Korea University Anam Hospital
    Seoul, 136705, Korea, Republic of
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05274971
Collaborators
The Korean Vascular Research Working Group
Responsible party
Soon Jun Hong (Professor, Korea University Anam Hospital) — Principal investigator
First posted
Mar 11, 2022
Start date
May 15, 2022
Primary completion
Nov 1, 2023
Completion
Feb 1, 2024
Last update
Oct 26, 2024

Study contacts

Ki-Chul Sung
study chair · Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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