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CompletedNCT06515054Updated Dec 16, 2025

Isometric Exercise for Hypertension

An interventional study of wall squat and passive stretching in Hypertension, sponsored by Chinese University of Hong Kong. Completed at 1 site in Hong Kong. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-16.

Sponsored by Chinese University of Hong Kong · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Background: Isometric resistance exercises (IREs) have great potential to improve blood pressure (BP) control.

Methods: This is a pilot randomized controlled trial that will involve 50 patients with hypertension (HT) who do not meet the current physical activity guidelines defined by the World Health Organization. Participants will be randomly assigned in a 1:1 ratio using stratified and blocked randomization to either the IRE (wall squat) group or stretching exercise (active control) group. A well-structured, widely accepted, and validated 24-week wall squat program (2 minutes per exercise, 2 minutes of rest between sets, and 3 sessions per week) will be implemented, as it has been commonly used in previous research. All patients will be followed up for 24 weeks. Control group will receive exact same treatment except that IRE is replaced by frequency-matched and time-matched stretching exercise. The primary outcome measure will be rate of recruitment. Secondary outcomes will include BP parameters from 24-hour ambulatory BP monitoring

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Conditions studied

  • Hypertension

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In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.

This study's enrollment of 50 is below the median of 90 across 4,995 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Chinese University of Hong Kong is the lead sponsor of 1,419 studies on the registry; 487 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • a suboptimal daytime SBP of >135-160 mmHg on a 24-h ABPM
  • reported no regular physical activity or less than that recommended for adults by the World Health Organization (e.g. \<150 minutes of moderate-intensity aerobic exercise per week);
  • on stable doses of anti-HT medication(s) for ≥4 weeks if the patient is receiving drug treatments
  • agree for no drug changes during the intervention period (24 weeks);

Exclusion criteria

Exclusion Criteria:

  • cannot provide informed consent
  • unwillingness to repeat ABPM
  • relative contraindications to ABPM (i.e. diagnosed atrial fibrillation, nighttime workers, occupational drivers, or patients with bleeding tendencies)
  • severe osteoarthritis pending knee replacement surgery
  • known secondary HT
  • use of ≥3 anti-HT medications at maximum doses or ≥4 anti-HT medications
  • SBP or DBP are >160 mmHg or >100 mmHg, respectively, on ABPM
  • pregnancy/breastfeeding
  • active malignancy
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    isometric exercise

    wall squat exercise. Each exercise session will contain 4 sets of 2-minute wall squat isometric holds with 2 minutes of rest between each set (approximately 14 minutes per session in total), and a total of 3 sessions will be arranged every week (with ideally 48 h between exercises)

    Behavioral: wall squat

  • Active comparator
    passive stretching

    A frequency-matched (3x/week) and time-matched (\~14 minutes each session) passive static stretching exercise will be used

    Behavioral: passive stretching

Interventions

  • Behavioralwall squat

    self-learnt wall squat exercise to be conducted for totally 24 weeks

  • Behavioralpassive stretching

    time-matched passive stretching exercise to be conducted for totally 24 weeks

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What researchers measure

Primary outcomes

  1. rate of recruitment

    number of people recruited per month

    Time frame: through study completion, an average of 1 year

Secondary outcomes

  1. Blood pressure parameters

    24-hour, daytime and nighttime blood pressure from 24-hour ambulatory systolic and diastolic blood pressure measurement

    Time frame: 24-week after recruitment

  2. Carotid-femoral pulse wave velocity

    analysed by applanation tonometry using SphygmoCor (AtCor Medical Pty Ltd) with the accompanying SphygmoCor Software Suite (SphygmoCor System)

    Time frame: 24-week after recruitment

  3. flow-mediated velocity (FMD)

    FMD will be performed using a high-resolution linear artery transducer couple with a software (FMD suite, Quipu, Italy) that automatically detect and measure the brachial artery diameter and will be performed according to international guidelines

    Time frame: 24-week after recruitment

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Study locations

1 site
  • School of public health and primary care
    Hong Kong, Hong Kong
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References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06515054
Lead sponsor
Chinese University of Hong Kong
Responsible party
Lee Kam Pui (clinical associate professor, Chinese University of Hong Kong) — Principal investigator
First posted
Jul 23, 2024
Start date
Jul 20, 2024
Primary completion
Sep 30, 2025
Completion
Nov 30, 2025
Last update
Dec 16, 2025

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 Nov 2025. You cannot join it, but the record below documents what was studied.

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