Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT04396405 |
Other study ID # |
GO 20/360 |
Secondary ID |
|
Status |
Completed |
Phase |
|
First received |
|
Last updated |
|
Start date |
January 15, 2021 |
Est. completion date |
October 30, 2021 |
Study information
Verified date |
July 2023 |
Source |
Hacettepe University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Observational
|
Clinical Trial Summary
The investigators aim to investigate the factors affecting cardiorespiratory fitness in
individuals with systemic hypertension.
Description:
Systemic artery hypertension is a condition characterized by persistent high blood pressure
(BP) in systemic arteries. Blood pressure is expressed as the rate of systolic BP (SBP)
(pressure exerted by the blood on the arterial walls when the heart contracts) and diastolic
BP (DBP) (pressure that occurs when the heart is relaxed).
Hypertension is defined as SBP level ≥ 140 mmHg and DBP level ≥ 90 mmHg. Pre-hypertension,
defined as the gray area, or increased normal blood pressure, ranges between SBP 130-139 mmHg
and DBP 85-89 mmHg. Hypertension is among the most common preventable risk factors for
cardiovascular diseases. Although hypertension, which is seen as a silent killer due to the
absence of any symptoms in its early stages until a serious medical crisis such as heart
attack, stroke or chronic kidney disease, is often asymptomatic, some patients may present
with headache, dizziness, visual impairment or fainting spells. There is still too much
uncertainty about the pathophysiology of hypertension. Fewer patients (between 2% to 5%) as
the cause of increased blood pressure; there is an underlying kidney or adrenal disease.
However, one reason is not clearly defined and in the rest condition "essential hypertension"
is defined. A number of physiological mechanisms are involved in maintaining normal blood
pressure, and irregularities of these mechanisms play a role in the development of essential
hypertension. These physiological mechanisms; cardiac output and peripheral resistance,
renin-angiotensin-aldosterone system, autonomic nervous system, vasoactive substances,
excessive coagulation, insulin sensitivity, genetic factors, diastolic dysfunction and
endothelial dysfunction.
Evaluation of exercise capacity and prescribing individualized exercise programs in
individuals with increased cardiovascular risk and risk factors is a protective and
therapeutic health policy. Hypertensive individuals should be evaluated to evaluate motor and
cardiovascular functions and prescribe exercise. Hypertension and the chronic diseases it may
cause make it difficult for individuals to perform their daily life activities and may limit
the participation of individuals in daily life. The exercise, being one of the most important
components involved in the management of hypertension together hypertensive subjects of
exercise capacity, activities of daily living (ADL), is considerably less than the studies
that assessed in detail the balance parameters and the impact of hypertension as it is made
in almost all geriatric population of the studies makes it difficult to demonstrate directly.
The aim of our study is to evaluate individuals in terms of all these variables and to
determine the factors affecting them, to examine the effect of antihypertensive drugs on
daily life activity and exercise capacity, and to examine whether gender differences are
observed.