Pilates and diaphragmatic breathing added to moderate cycling for people with high blood pressure

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, three-arm parallel trial will enroll 45 adults aged 20–55 with stage 1–2 hypertension who have been on stable antihypertensive medication for at least three months. Participants will be randomized into one of three groups of 15 to receive moderate-intensity continuous cycling (55–70% maximal heart rate, RPE 11–13) alone or combined with Pilates breathing or combined with diaphragmatic breathing. Outcomes include systolic and diastolic blood pressure, chest expansion, pulmonary function, and quality of life measured with validated tools, with blood pressure measured by sphygmomanometer. Participants are screened for exercise readiness using PAR-Q+ and are referred from local clinics or hospitals.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Medically diagnosed patients having Stage 1 hypertension(SBP;140-159 mmHg,DBP:90-99mmHg) and Stage 2 -hypertension(SBP:≥160mmHg,DBP:≥100mmHg) according to JNC 8 Guidelines, referred by a medical specialist or GP or cardiologist from FFH or clinical setups or Hospitals of Rawalpindi/Islambad
* Patients who are on antihypertensive medications for at least 3 months before study.
* Age ranging from 20-55 years
* Both male and female patients.
* Patients who are willing to participate in exercise regime and are able to -provide informed consent, have not been a part of any exercise regime from the last 6 months and well tolerated for exercise after being screened through PAR-Q+

Exclusion Criteria:

* Patients with Stage 3 hypertension (SBP: ≥180 mmHg or DBP: ≥110 mmHg) and above hypertension according to JNC 8 Guidelines or Hypertensive Crisis etc.
* Patients with any severe knee or other orthopedic conditions that can limit exercise performance
* Patients with uncontrolled hypertension
* History of any abdominal, orthopedic or spinal surgery that could interfere with core or breathing exercise
* Neurological or psychiatric disorders
* Uncontrolled cardiovascular conditions such as arrhythmias or recent myocardial infarction
* Pregnant women

Where it's running

• Foundation University, Islamabad
  Islamabad, Pakistan Recruiting

Study contacts

• Study coordinator: Saba Rehman, MSPT-CPT
• Email: sabarehman278@gmail.com
• Phone: 03295200871

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.