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N/A N=271 Randomized Single-blind Treatment

Effect of Reducing Sedentary Behavior on Blood Pressure

Hypertension · Prehypertension

Enrolled (actual)
271
Serious AEs
2.9%
Results posted
Dec 2024
Primary outcome: Primary: Resting Systolic Blood Pressure — 129.5; 127.9; 124.3; 123.6 mm Hg

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Intervention (Behavioral)
Age
Adult, Older Adult · 21+ yrs
Sex
All
Sponsor
University of Pittsburgh
Primary completion
Nov 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Resting Systolic Blood Pressure
129.5; 127.9; 124.3; 123.6
SECONDARY
Resting Diastolic Blood Pressure
82.7; 82.9; 79.7; 79.9
SECONDARY
24-Hour Systolic/Diastolic Ambulatory Blood Pressure
130.2; 129.5; 78.1; 78.4; 130.2; 129.7
SECONDARY
Pulse Wave Velocity
8.22; 7.66; 9.09; 8.97; 8.29; 7.68
SECONDARY
Plasma Renin Activity
-0.16; 0.07
SECONDARY
Aldosterone
-0.52; 13.14

Summary

This is a 2-arm, 3-month randomized trial comparing a novel sedentary behavior intervention vs. control in working adults (n=271). The primary outcome is resting systolic blood pressure (SBP) at 3 months; secondary outcomes will be resting diastolic blood pressure (DBP), ambulatory blood pressure (ABP), and carotid-femoral pulse wave velocity (cfPWV). Also, best practice objective activity monitoring will be leveraged in the analysis of ABP to account for recent activity and posture and will inform adherence and dose-response relationships.We will also measure plasma renin activity and aldosterone as a potential mechanism of blood pressure reduction, and insulin and glucose as exploratory outcomes.

Eligibility Criteria

Inclusion Criteria

  • Age 21-65 years
  • SBP 120-159 mmHg or DBP of 80-99
  • Inactive (Engages in less than 150 min/wk of moderate + 2 x vigorous intensity physical activity)
  • Currently perform deskwork for ≥ 20 hr/week at a desk compatible with the sit-stand attachment
  • Employment within an approximate 25-mile radius of the University of Pittsburgh
  • Stable employment (≥ 3 months in current job, plan to be in current job for the next 3 months)
  • Supervisor approval to join the intervention
  • Possession of a cellular phone able to receive text messages

Exclusion Criteria

  • SBP ≥ 160 mmHg, DBP ≥ 100 mmHg
  • Use of antihypertensive or glucose controlling medication
  • Comorbid condition that would limit ability to reduce sedentary behavior (e.g. musculoskeletal condition, current chemotherapy)
  • History of ischemic heart disease, chronic heart failure, stroke, or chronic kidney disease
  • Unable to obtain consent from primary care provider or physician to participate
  • Current use of sit-stand/standing desk, sedentary behavior prompting device, enrollment in a weight loss or exercise study or program, recent ( 1 week) during the study period
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03307343). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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