November 4, 2022

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Remote support program helps decrease blood pressure, study finds

Hourly SBP and DBP measured by 24‐hour ABPM. Mean hourly SBP and DBP for each study group were calculated at baseline and 12 weeks and plotted using lowess smoothing. ABPM indicates ambulatory blood pressure monitoring; DBP, diastolic blood pressure; and SBP, systolic blood pressure. Credit: Journal of the American Heart Association (2022). DOI: 10.1161/JAHA.122.027213
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Hourly SBP and DBP measured by 24‐hour ABPM. Mean hourly SBP and DBP for each study group were calculated at baseline and 12 weeks and plotted using lowess smoothing. ABPM indicates ambulatory blood pressure monitoring; DBP, diastolic blood pressure; and SBP, systolic blood pressure. Credit: Journal of the American Heart Association (2022). DOI: 10.1161/JAHA.122.027213

People with elevated blood pressure saw improvement after 12 weeks of a telehealth support program, with or without support from a dietitian, a Geisinger study found.

A research team led by Alexander Chang, M.D., Geisinger nephrologist, enrolled two groups of patients with high in a remote support program delivered through web-based applications. Both groups were provided lifestyle guidance from the American Heart Association, and one group also participated in weekly calls with a dietitian.

Over the course of 12 weeks, the two groups saw a similar reduction in 24-hour systolic blood pressure. The group with access to dietitian support showed a greater reduction in while asleep, as well as increased self-reported , better dietary quality and more weight loss than the group using remote support alone.

Results were published in the Journal of the American Heart Association.

"These remotely delivered programs improved blood pressure in a manner similar to a blood pressure medication," Dr. Chang said. "The interventions were low-cost and could be scaled to help larger groups of patients improve their blood pressure through lifestyle change."

The research team will explore implementing similar remotely delivered programs to a larger patient population at Geisinger to improve blood pressure and reduce cardiovascular risk.

More information: Alexander R. Chang et al, Effects of a Dietitian‐Led, Telehealth Lifestyle Intervention on Blood Pressure: Results of a Randomized, Controlled Trial, Journal of the American Heart Association (2022). DOI: 10.1161/JAHA.122.027213

Journal information: Journal of the American Heart Association

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