Home‐based transcutaneous electrical acupoint stimulation for high‐normal blood pressure: A randomized controlled trial

Abstract The authors investigated the effectiveness of home‐based transcutaneous electrical acupoint stimulation (TEAS) combined with lifestyle modification on blood pressure (BP) control and explored the feasibility of the trial design in this prospective, randomized controlled trial. The authors r...

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Main Authors: Yu Wang, Jing‐Wen Yang, Jun‐Hong Liu, You‐Sheng Qi, Jian‐Feng Tu, Zhong‐Xue Tian, Guang‐Xia Shi, Shi‐Yan Yan, Li‐Qiong Wang, Cun‐Zhi Liu
Format: Article
Language:English
Published: Wiley 2022-08-01
Series:The Journal of Clinical Hypertension
Subjects:
Online Access:https://doi.org/10.1111/jch.14496
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author Yu Wang
Jing‐Wen Yang
Jun‐Hong Liu
You‐Sheng Qi
Jian‐Feng Tu
Zhong‐Xue Tian
Guang‐Xia Shi
Shi‐Yan Yan
Li‐Qiong Wang
Cun‐Zhi Liu
author_facet Yu Wang
Jing‐Wen Yang
Jun‐Hong Liu
You‐Sheng Qi
Jian‐Feng Tu
Zhong‐Xue Tian
Guang‐Xia Shi
Shi‐Yan Yan
Li‐Qiong Wang
Cun‐Zhi Liu
author_sort Yu Wang
collection DOAJ
description Abstract The authors investigated the effectiveness of home‐based transcutaneous electrical acupoint stimulation (TEAS) combined with lifestyle modification on blood pressure (BP) control and explored the feasibility of the trial design in this prospective, randomized controlled trial. The authors recruited individuals with high‐normal BP who had a systolic blood pressure (SBP) of 120–139 mm Hg and a diastolic blood pressure (DBP) of 80–89 mm Hg, or both. Participants were randomly assigned to receive either lifestyle modification combined with TEAS four times weekly for 12 weeks at home (intervention group) or solely lifestyle modification (control group). The primary outcome was the change in mean SBP at week 12 from the baseline measurement. A total of 60 participants were randomized in a 1:1 ratio, and an intention‐to‐treat analysis was performed on all of the outcomes. The mean difference in the change in SBP for the intervention group (compared to the control) at week 12 was −3.85 mm Hg (95% CI: −7.58 to −.12; p = .043); for the DBP, the change was −2.27 mm Hg (95% CI: −5.76 to 1.23; p = .199). There was no difference in the proportion of progression to hypertension, quality of life, body mass index (BMI) or waist circumference. In addition, two participants reported TEAS‐related adverse events. The authors found a reduction in SBP control in the pragmatic, home‐based intervention by using TEAS combined with lifestyle modification in adults with high‐normal BP. Trial Registration: The study was registered in the Chinese Clinical Trial Registry (ChiCTR 1900024982) on August 6, 2019.
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spelling doaj.art-58ef5a9f9cfa4dc7bf005b7110bb36442023-10-30T13:26:05ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762022-08-0124898499210.1111/jch.14496Home‐based transcutaneous electrical acupoint stimulation for high‐normal blood pressure: A randomized controlled trialYu Wang0Jing‐Wen Yang1Jun‐Hong Liu2You‐Sheng Qi3Jian‐Feng Tu4Zhong‐Xue Tian5Guang‐Xia Shi6Shi‐Yan Yan7Li‐Qiong Wang8Cun‐Zhi Liu9International Acupuncture and Moxibustion Innovation Institute Beijing University of Chinese Medicine Chaoyang District Beijing ChinaInternational Acupuncture and Moxibustion Innovation Institute Beijing University of Chinese Medicine Chaoyang District Beijing ChinaHeyi Community Health Service Center Fengtai District Beijing ChinaHeyi Community Health Service Center Fengtai District Beijing ChinaInternational Acupuncture and Moxibustion Innovation Institute Beijing University of Chinese Medicine Chaoyang District Beijing ChinaInternational Acupuncture and Moxibustion Innovation Institute Beijing University of Chinese Medicine Chaoyang District Beijing ChinaInternational Acupuncture and Moxibustion Innovation Institute Beijing University of Chinese Medicine Chaoyang District Beijing ChinaInternational Acupuncture and Moxibustion Innovation Institute Beijing University of Chinese Medicine Chaoyang District Beijing ChinaInternational Acupuncture and Moxibustion Innovation Institute Beijing University of Chinese Medicine Chaoyang District Beijing ChinaInternational Acupuncture and Moxibustion Innovation Institute Beijing University of Chinese Medicine Chaoyang District Beijing ChinaAbstract The authors investigated the effectiveness of home‐based transcutaneous electrical acupoint stimulation (TEAS) combined with lifestyle modification on blood pressure (BP) control and explored the feasibility of the trial design in this prospective, randomized controlled trial. The authors recruited individuals with high‐normal BP who had a systolic blood pressure (SBP) of 120–139 mm Hg and a diastolic blood pressure (DBP) of 80–89 mm Hg, or both. Participants were randomly assigned to receive either lifestyle modification combined with TEAS four times weekly for 12 weeks at home (intervention group) or solely lifestyle modification (control group). The primary outcome was the change in mean SBP at week 12 from the baseline measurement. A total of 60 participants were randomized in a 1:1 ratio, and an intention‐to‐treat analysis was performed on all of the outcomes. The mean difference in the change in SBP for the intervention group (compared to the control) at week 12 was −3.85 mm Hg (95% CI: −7.58 to −.12; p = .043); for the DBP, the change was −2.27 mm Hg (95% CI: −5.76 to 1.23; p = .199). There was no difference in the proportion of progression to hypertension, quality of life, body mass index (BMI) or waist circumference. In addition, two participants reported TEAS‐related adverse events. The authors found a reduction in SBP control in the pragmatic, home‐based intervention by using TEAS combined with lifestyle modification in adults with high‐normal BP. Trial Registration: The study was registered in the Chinese Clinical Trial Registry (ChiCTR 1900024982) on August 6, 2019.https://doi.org/10.1111/jch.14496acupuncturehigh‐normal blood pressurelifestyle interventionsprehypertensiontranscutaneous electrical acupoint stimulation
spellingShingle Yu Wang
Jing‐Wen Yang
Jun‐Hong Liu
You‐Sheng Qi
Jian‐Feng Tu
Zhong‐Xue Tian
Guang‐Xia Shi
Shi‐Yan Yan
Li‐Qiong Wang
Cun‐Zhi Liu
Home‐based transcutaneous electrical acupoint stimulation for high‐normal blood pressure: A randomized controlled trial
The Journal of Clinical Hypertension
acupuncture
high‐normal blood pressure
lifestyle interventions
prehypertension
transcutaneous electrical acupoint stimulation
title Home‐based transcutaneous electrical acupoint stimulation for high‐normal blood pressure: A randomized controlled trial
title_full Home‐based transcutaneous electrical acupoint stimulation for high‐normal blood pressure: A randomized controlled trial
title_fullStr Home‐based transcutaneous electrical acupoint stimulation for high‐normal blood pressure: A randomized controlled trial
title_full_unstemmed Home‐based transcutaneous electrical acupoint stimulation for high‐normal blood pressure: A randomized controlled trial
title_short Home‐based transcutaneous electrical acupoint stimulation for high‐normal blood pressure: A randomized controlled trial
title_sort home based transcutaneous electrical acupoint stimulation for high normal blood pressure a randomized controlled trial
topic acupuncture
high‐normal blood pressure
lifestyle interventions
prehypertension
transcutaneous electrical acupoint stimulation
url https://doi.org/10.1111/jch.14496
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