Effect of Spinal Stabilization Exercises on Epicardial Fat Tissue and Exercise Capacity in Hypertensives

Karamanoğlu Mehmetbey University

Status: Completed

Conditions: Hypertension

Treatments: Other: physical activity counseling; Other: Spinal Stabilization Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT06083376

KMU-TUNCSUYGUN-003

Details and patient eligibility

About

It has been suggested that Epicardial Adipose Tissue (EAT) may be an adjunctive marker to classical risk factors for the presence and severity of coronary artery disease. EAT thickness is also associated with MetS and hypertension, high levels of low-density lipoprotein cholesterol and insulin resistance.Studies have shown that moderate-intensity and high-intensity aerobic exercise and resistance exercise training reduce EAT. However, aerobic and resistance exercises may be found challenging and demanding by individuals and in most cases, high or moderate intensity exercise may be considered difficult. In a study conducted in physically inactive individuals, it was concluded that there was a significant increase in heart rate and BP following spinal stabilisation exercises performed 4 days a week for a total of 8 sessions for 2 weeks, but the increase in these cardiac parameters would tend to decrease following regular exercise. In the current literature, there is no study evaluating the effect of spinal stabilisation exercise on EAT thickness, exercise capacity and cardiovascular parameters in individuals with HT.

Barriers to access to healthcare services such as distance, time and cost can be overcome with technology. COVID-19 has accelerated the transition of many physiotherapy services to telerehabilitation. Evidence has shown that telerehabilitation is an effective delivery model for providing face-to-face physiotherapy services with equal or even superior outcomes, especially in musculoskeletal treatment.

The aim of this study was to determine the effect of spinal stabilisation exercise with telerehabilitation on EAT and exercise capacity in individuals with HT.

Enrollment: 48 patients

Sex: All

Ages: 30 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Being followed up with Hypertension for at least 6 months
2. Volunteering to participate in the study
3. Speaking Turkish
4. Being literate
5. Not having participated in any structured exercise programme for at least 6 months

Exclusion criteria

1. Severe valvular disease
2. Having heart failure
3. Having cardiomyopathy
4. Myocardial infarction at least 6 months ago
5. Stable or unstable angina pectoris
6. Left ventricular ejection fraction below 40
7. Presence of peripheral artery disease
8. History of deep vein thrombosis, pulmonary embolism or stroke in the past
9. Chronic kidney disease
10. Having thyroid diseases
11. Active infectious or inflammatory disease
12. Body Mass Index >40 kg/m2
13. Having a serious psychiatric illness such as panic disorder or major depression

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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48 participants in 2 patient groups

exercise group

Experimental group

Treatment:

Other: Spinal Stabilization Exercise

control group

Active Comparator group

Treatment:

Other: physical activity counseling