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Recruiting NCT07529821

Additional Effects of Pilates Breathing and Diaphragmatic Breathing Combined With Moderate Intensity Continuous Treadmill Training on Blood Pressure, Chest Expansion, Pulmonary Function and Quality Of Life in Pre-hypertensive Patients

No phase Interventional PRE-HYPERTENSION

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Treadmill Training (Moderate-intensity continuous training), Pilates Breathing, Diaphragmatic Breathing.
Who it may be relevant to
Registry conditions: PRE-HYPERTENSION. Basic parameters: 20 years — 55 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Pakistan
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

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Overview

Pre-hypertension is defined as systolic blood pressure between 120-139mmHg or diastolic blood pressure between 80-89mmHg and is considered a risk factor for developing hypertension. Early lifestyle interventions such as aerobic exercise and breathing techniques may help prevent progression to hypertension. This randomised controlled trial aims to determine the additional effects of pilates breathing and diaphragmatic breathing combined with moderate-intensity continuous treadmill training on blood pressure, chest expansion, pulmonary function and quality of life in pre-hypertensive patients. A total of 45 participants will be randomly allocated into three groups: treadmill training with pilates breathing, tredmill training with diaphragmtic brething and treadmill training alone. The intervention will be conducted for 6 weeks. Outcome measures including blood pressure, pulmonary function, chest expansion and quality of life will be assesed before and after the intervention.

Detailed description

Pre-hypertension is defined as systolic blood pressure between 120-139mmHg or diastolic blood pressure between 80-89mmHg.

This study is a three-arm parallel randomized controlled trial designed to evaluate the additional effects of pilates breathing and diaphragmatic breathing combined with moderate-intensity continuous treadmill training (MICT) in individuals with prehypertension.

A total of 45 participants aged 20-55 years diagnosed with prehypertension will be recruited from the Rehabilitation OPD of Fauji Foundation Hospital Rawalpindi. Participants will be randomly allocated into three groups:

Group A (Pilates breathing + treadmill training), Group B (Diaphragmatic breathing + treadmill training), and Group C (Treadmill training only). The intervention will be performed three times per week for six weeks. Treadmill training will follow a moderate-intensity continuous training protocol based on 55-70% of maximum heart rate. Breathing exercises will be performed for 10-15 minutes per session. Data will be analyzed using SPSS software.

Interventions

  • Other Treadmill Training (Moderate-intensity continuous training)
    70% of maximum heart rate for 20-35 minutes, three sessions per week for six weeks.
  • Other Pilates Breathing
    Controlled lateral breathing technique focusing on rib cage expansion and core activation performed for 10-15 minutes, with low intensity, the perceived effort should be 3-4/10, with 3 days/week. A 06 weeks protocol will be followed. Steps: Patient in neutral spine position and hands placed on rib cage and abdomen. Inhale deeply expanding the ribs laterally. Exhale drawing the navel inward to engage core muscles.
  • Other Diaphragmatic Breathing
    Slow deep breathing emphasizing diaphragmatic movement performed for 10-15 minutes, with low intensity, the perceived effort should be 3-4/10, with 3 days/week. A 06 weeks protocol will be followed. Steps: Patient in supine or in seated position. Place one hand on chest and one below the ribs. Inhale slowly through the nose expanding the abdomen. Exhale through pursed lips, allowing the abdomen to fall inward and chest should remain still.

Primary outcome measures

  • Blood Pressure (SBP and DBP) [Time frame: 06 weeks]
  • Chest Expansion [Time frame: 06 weeks]
  • Pulmonary Function Test [Time frame: 06 weeks]

Eligibility criteria

Inclusion criteria

  • Prehypertensive individuals (SBP 120-139 mmHg or DBP 80-89 mmHg)
  • Age 20-55 years
  • Both male and female
  • Sedentary individuals according to IPAQ
  • Willing to participate and provide informed consent

Exclusion criteria

  • Diagnosed hypertension (≥140/90 mmHg)
  • Cardiopulmonary diseases (COPD, asthma, CAD, heart failure)
  • Musculoskeletal conditions preventing exercise
  • Neurological disorders
  • Pregnancy
  • Participation in structured exercise in last 3 months

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Treatment

Study locations

Pakistan · 1 center
  • Foundation University Islamabad — Islamabad

Identifiers

NCT: NCT07529821 · FUCP/CTR/2026/02

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗