Evidence map›Paper›PMID 29976188›Full record

ArticleBMC complementary and alternative medicine2018

Impact of a structured yoga program on blood pressure reduction among hypertensive patients: study protocol for a pragmatic randomized multicenter trial in primary health care settings in Nepal.

Raja Ram Dhungana, Mahesh Kumar Khanal, Suira Joshi, Om Prakash Kalauni, Anu Shakya, Vijay Bhrutel, Savyata Panthi, Ramesh Kumar Kc, Binod Ghimire, Achyut Raj Pandey and 5 more

Abstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Characteristics of Yoga Providers and Their Sessions and Attendees in the UK: A Cross-Sectional Survey.International journal of environmental research and public health · 2022
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Raja Ram DhunganaNepal Family Development Foundation, Kathmandu, Nepal. raja.dhungana@gmail.com.ORCID http://orcid.org/0000-0002-9610-6306
Mahesh Kumar KhanalMinistry of Health, Kathmandu, Nepal.
Suira JoshiMinistry of Health, Kathmandu, Nepal.
Om Prakash KalauniMinistry of Health, Kathmandu, Nepal.
Anu ShakyaMinistry of Health, Kathmandu, Nepal.
Vijay BhrutelMinistry of Health, Kathmandu, Nepal.
Savyata PanthiMinistry of Health, Kathmandu, Nepal.
Ramesh Kumar KcMinistry of Health, Kathmandu, Nepal.
Binod GhimireNepal Ayurveda Research and Training Center, Kathmandu, Nepal.
Achyut Raj PandeyNepal Health Research Council, Kathmandu, Nepal.
Bihungum BistaNepal Health Research Council, Kathmandu, Nepal.
Binaya SapkotaNobel College, Kathmandu, Nepal.
Shiva Ram KhatiwodaPatanjali Ayurveda Medical College and Research Center, Dulikhel, Kathmandu, Nepal.
Craig Steven McLachlanRural Clinical School, University of New South Wales, Sydney, Australia.
Dinesh NeupaneNepal Development Society, Bharatpur, Chitwan, 10, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension control remains a major global challenge. The behavioral approaches recommended for blood pressure reduction are stress reduction, increased exercise and healthy dietary habits. Some study findings suggest that yoga has a beneficial effect in reducing blood pressure. However, the role of yoga on blood pressure has received little attention in existing health care practices in developing countries. This study will be conducted in primary health care facilities in Nepal to assess the effectiveness of a pragmatic yoga intervention to complement standard practice in further reducing blood pressure.

methodsThis will be multicentric, two arms, randomized, nonblinded, pragmatic trial. It will be conducted in seven District Ayurveda Health Centers (DAHCs) in Nepal between July 2017 and June 2018. The study participants will consist of hypertensive patients with or without antihypertensive medication attending to the outpatient department (OPD). One hundred and forty participants will be randomized to treatment or control groups by using a stratified block randomization. At the study site, the treatment arm participants will receive an intervention consisting of five days of structured yoga training and practice of the same package at home with a recommendation of five days a week for the following 90 days. Both the intervention and control groups will receive two hours of health education on lifestyle modifications. The primary outcome of this trial will be the change in systolic blood pressure and it will be assessed after 90 days of the intervention. DISCUSSION: This study will establish the extent to which a yoga intervention package can help reduce blood pressure in hypertensive patients. If proven effective, study findings may be used to recommend the governing bodies and other stakeholders for the integration of yoga in the national healthcare system for the treatment and control of hypertension.

trial registrationClinical Trial Registry- India (CTRI); CTRI Reg. No- CTRI/2017/02/007822 . Registered on 10/02/2017.

Indexed as

Randomized Controlled Trials as TopicYogaBlood PressureHumansHypertensionMulticenter Studies as TopicNepalHypertensionNepalObesityPrimary health careYoga

Identifiers

PMID29976188
PMCPMC6034305

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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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 Socratic graph.