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Treating hypertension in type II diabetic patients with device-guided breathing: a randomized controlled trial
M H Schein1, B Gavish, T Baevsky
1Department of Family Medicine and Braun School of Public Health and Community Medicine, Hebrew University-Hadassah Medical Center, Jerusalem, Israel. mhschein@yahoo.com
Journal of Human Hypertension
|November 14, 2008
Summary
Device-guided breathing significantly lowered blood pressure in hypertensive type II diabetic patients. This non-pharmacological intervention offers a promising approach for managing hypertension in this population.
Area of Science:
- Cardiology
- Endocrinology
- Behavioral Medicine
Background:
- Hypertension and type II diabetes are significant comorbidities.
- Uncontrolled blood pressure (BP) in diabetic patients increases cardiovascular risk.
- Non-pharmacological interventions are sought to complement existing treatments.
Purpose of the Study:
- To evaluate the efficacy of device-guided breathing (DGB) in reducing BP.
- To assess DGB as a self-treatment for hypertensive type II diabetic patients.
Main Methods:
- Randomized controlled trial with 66 hypertensive type II diabetic patients.
- Intervention group used a device for 15 minutes daily for 8 weeks.
- Control group received standard care; medication remained unchanged.
Main Results:
- Significant reduction in systolic BP (-10.0 mmHg) and diastolic BP (-3.6 mmHg) in the DGB group (P<0.0001).
- No significant BP change in the control group.
- Higher compliance with DGB correlated with greater BP reduction (P=0.01).
Conclusions:
- Device-guided breathing is an effective self-treatment for lowering office systolic BP.
- DGB is a viable non-pharmacological option for hypertensive type II diabetic patients.
- Increased adherence to DGB enhances its blood pressure-lowering effects.
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