Why the study?
Do relaxation techniques added to captopril reduce blood pressure in postmenopausal hypertensive women?
RCT (n=40)
Randomly divided
No
Do relaxation techniques added to captopril reduce blood pressure in postmenopausal hypertensive women?
Absolute Event Rate: 15.25% vs 6.75%
p-value: p=0.001
The addition of relaxation techniques to standard antihypertensive therapy significantly improves blood pressure reduction in postmenopausal women.
Supports adding relaxation techniques to captopril for greater BP reduction in postmenopausal women; extends RCT evidence for adjunctive nonpharmacologic therapy.
Hypertension after menopause sets women up for an increased risk of negative cardiovascular outcomes. A variety of relaxation techniques exist, which aim to relieve stress and reduce blood pressure. Several studies have been conducted to demonstrate the role of several relaxation techniques in lowering the blood pressure in hypertensive patients. The aim of this study was to determine the effect of relaxation techniques on postmenopausal hypertension. Forty postmenopausal hypertensive women were selected randomly from the outpatient clinic at El Agouza Hospital. They were divided randomly into two groups (A, B): group A was treated with antihypertensive drugs (captopril 25 mg twice daily) and relaxation technique sessions (each session 20 min, three times per week for 3 months), whereas group B was treated with antihypertensive drugs (captopril 25 mg twice daily) only. Blood pressure was evaluated before and after performing the program for both groups. Variables were compared using the unpaired t-test, whereas pairwise comparison (pretreatment vs. post-treatment) within the same group was performed using paired t-test. Group A, which was treated with antihypertensive drugs and relaxation techniques, showed a statistically highly significant difference (P<0.01) in both diastolic blood pressure and systolic blood pressure compared with group B, as the mean difference was 12.5 and 3.5, respectively, in the diastolic blood pressure of groups A and B and 15.25 and 6.75 in the systolic blood pressure in groups A and B before and after performing the program, respectively. The practice of relaxation techniques was a very effective method in reducing blood pressure in postmenopausal women.
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Hassan et al. (2017) conducted an RCT in Postmenopausal hypertension (n=40). Relaxation techniques (breathing exercises and meditation) vs. Captopril 25 mg twice daily alone was evaluated on Mean reduction in systolic blood pressure (mmHg) (p=0.001).
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