Evidence map›Paper›PMID 29968437›Full record

ArticleKorean circulation journal2018

The Effects of Diet Alone or in Combination with Exercise in Patients with Prehypertension and Hypertension: a Randomized Controlled Trial.

Chan Joo Lee, Ji Young Kim, Eugene Shim, Sung Hyun Hong, MiKyung Lee, Justin Y Jeon, Sungha Park

2 registry-linked trialsAbstract read
In one paragraph

Article in Korean circulation journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01637909 nacompletednot on this map

Korean Life-Style Modification Effects on Blood Pressure

TypeinterventionalSponsorYonsei UniversityRan2011 to 2015Enrolled85ConditionsPrehypertension, HypertensionArmsControl group who are advised for proper life style modification by the physician such as regular exercise and healthy diet without active intervention., Treatment group 1(Dietary intervention), Treatment group 2(dietary and exercise intervention)
NCT04841902 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects of Life Style Intervention Manual on Metabolic, Cardiovascular, Respiratory and Physical Parameters in Pre Hypertensive Sedentary Population

TypeinterventionalSponsorRiphah International UniversityRan2021 to 2023Enrolled240ConditionsPre HypertensionArmsLife Style Intervention Manual (With Exercise Under Supervision), General Advice, Life Style Intervention Manual (Home Based)
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Physical Activity Counseling in Saudi Arabia: A Systematic Review of Content, Outcomes, and Barriers.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Chan Joo Lee *Department of Health Promotion, Severance Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-8756-409X
Ji Young Kim *Department of Sport Industry Studies, Yonsei University College of Education, Seoul, Korea.ORCID https://orcid.org/0000-0001-7643-6132
Eugene ShimDepartment of Food and Nutrition, Soongeui Women's College, Seoul, Korea.ORCID https://orcid.org/0000-0001-9930-6349
Sung Hyun HongDepartment of Sport Industry Studies, Yonsei University College of Education, Seoul, Korea.ORCID https://orcid.org/0000-0001-7645-3485
MiKyung LeeDepartment of Sport Industry Studies, Yonsei University College of Education, Seoul, Korea.ORCID https://orcid.org/0000-0002-9690-4463
Justin Y JeonDepartment of Sport Industry Studies, Yonsei University College of Education, Seoul, Korea.ORCID https://orcid.org/0000-0001-7978-4271
Sungha ParkDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5362-478X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesSupervised lifestyle interventions, including dietary and exercise programs, may be infeasible to implement in real-world settings. Therefore, this study aimed to evaluate the effectiveness of a home-based lifestyle modification intervention on blood pressure (BP) management.

methodsEighty-five patients aged over 20 years and diagnosed with prehypertension or mild hypertension were randomly assigned to an advice-only comparison group (C group, n=28), a Dietary Approaches to Stop Hypertension (DASH) diet education group (D group, n=30), or a DASH and home-based exercise group (D+Ex group, n=27). The intervention lasted for 8 weeks. The primary outcome was the difference in office systolic blood pressure (SBP) before and after the study period (Trial registry at ClinicalTrials.gov, NCT01637909).

resultsSeventy-two participants (87.8%) completed the trial. The degree of change in office SBP did not significantly differ among the intervention groups; however, the D+Ex group demonstrated a tendency toward decreased SBP. Upon analysis of 24-hour ambulatory BP measurements, daytime ambulatory SBP was significantly lower in the D+Ex group (134 mmHg; 95% confidence interval [CI], 131 to 137; p=0.011) than in the C group (139.5 mmHg; 95% CI, 130.9 to 137), and daytime ambulatory SBP was significantly decreased in the D+Ex group (-5.2 mmHg; 95% CI, -8.3 to -2.1; p=0.011) compared to the C group (0.4 mmHg, 95% CI, -2.5 to 3.3).

conclusionsIn conclusion, lifestyle modification emphasizing both diet and exercise was effective for lowering BP and should be favored over diet-only modifications.

Indexed as

DietExerciseHypertensionLifestylePrehypertension

Identifiers

PMID29968437
PMCPMC6031728

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.