Blood Pressure Clinical Trial
Official title:
Lifestyle Changes in Patients With Type 2 DM and Hypertension: DASH Diet and Exercise Effects
Data obtained in hypertensive patients without diabetes suggest that increased association of non-pharmacological treatment in patients with diabetes and hypertension may be associated with an improvement in blood pressure control. Despite the beneficial results found, is not yet known the magnitude of the effect of a DASH diet associated with the stimulus of physical activity on BP in patients with type 2 diabetes. The beneficial effects on blood pressure of an additional non-pharmacological intervention to drug therapy may have an even greater impact in patients with treatment-resistant hypertension The aim of this study is to evaluate the effect of changes in lifestyle on blood pressure in patients with type 2 diabetes and hypertension resistant to treatment.
The aim of this study is to evaluate the effect of changes in lifestyle on blood pressure in
patients with type 2 diabetes and hypertension. Secondary objectives are: Assess whether the
prescription of a DASH-type diet and encouragement for physical activity through use of
pedometers, can improve blood pressure control in patients with type 2 diabetes and
hypertension resistant to treatment.
Forty type 2 diabetic with resistant hypertension outpatients were included in a randomized
clinical trial: treatment 1- DASH diet + encouragement for physical activity through use of
pedometer; treatment 2- ADA diet + usual exercises. The duration of each treatment are four
weeks. The patients included should have performed Ambulatory Blood Pressure Monitoring
(ABPM) to exclude white-coat effect, ie when there are abnormal in the measurement of office
blood pressure (equal to or above 140/90 mm Hg) and normal blood pressure by ABPM during the
awake period (equal to or below 135/85 mm Hg). Twenty-four hour records with concurrent 24h
urinary collections (protein intake estimative), clinical and laboratory evaluation were
performed at baseline and after 4 weeks. Serum fatty acids were measured in total lipids by
gas chromatography.
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