Ola Hou i ka Hula: Hula and Hypertension

NCT01995812 | Completed

• 1 other identifier: Ola Hou i ka Hula
• Study Type: interventional
• Target: 59
• Locations: 1 country
• Sites: 1

Brief Summary

Physical activity is an important lifestyle modification for individuals with high blood pressure. It is part of national cardiac care guidelines for hypertension management that recommends, along with prescribing medication, lifestyle modification be promoted for improved dietary intake, and participation in about 150 minutes of moderate exercise a week. Native Hawaiians and other Pacific peoples (NHPP) have among the highest risk for the heart disease, with mortality rates twice other ethnic groups. In many minority populations, including NHPP, hypertension develops at an early age, is more severe and is less likely to be controlled. Despite the ability of physical activity to reduce blood pressure, the majority of U.S. population, do not meet physical activity recommendations and new interventions that can improve accessibility and adherence, particularly among at-risk minority populations are needed. In this research, Hypertension and Hula: Ola Hou Pilot Study, we plan to evaluate a culturally relevant intervention that uses hula and is consistent with the goals of recommended physical activity for improved lifestyle - moderate-intensity, prolonged physical activity cumulatively at about 150 minutes per week. Hula, the traditional dance form of Native Hawaiians, is commonly practiced in Hawai'i as a cultural practice, form of creative expression, and exercise that is structured on controlled, rhythmic movements. Combining aspects of meditation, music, self-awareness with low-impact aerobic exercise, traditional hula may be particularly suitable to individuals with limited mobility and fitness and within the recommended paradigm for exercise training and secondary prevention of coronary artery disease (CAD). We anticipate a hula and heart health education program will be particularly appealing to Native Hawaiians and other Pacific people (NHPP) including Pacific Islanders and Filipino who suffer from a significant disparity in cardiovascular health. Specifically, we will determine if individuals with poorly managed hypertension and randomized to a 12-week hula and heart health education intervention will demonstrate better blood pressure levels, functional capacity, and exercise tolerance (6-minute walk test) than individuals randomized to a usual care group. We will also assess if the individuals in the hula intervention report better health-related quality of life, stress management, perceptions of discrimination, and exercise self efficacy.

Conditions

Hypertension

Outcome Measures

Primary Outcomes (1)

• Reduction of systolic blood pressure in hypertensive participants

  3 months

Secondary Outcomes (1)

• Health-related quality of life

  3 months

Study Arms (2)

Hula and heart health education

EXPERIMENTAL

12 weeks of hula classes, 2 times a week for one hour. An additional 3 hours of heart health education was given to participants

Behavioral: Hula and heart health education

Control group

NO INTERVENTION

Interventions

Hula and heart health education BEHAVIORAL

Hula and heart health education

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult (age \> 18) with blood pressure \>140/90 or \>130/80 if also diagnosed with diabetes
• Under a physicians care for hypertension for at least 6 months
• Prescribed 2-3 hypertension medications
• Independently ambulatory
• Approval of participation from primary care physician or cardiologist

You may not qualify if:

• Prescribed more than 4, or only 1 hypertension medication
• Severe cognitive dysfunction precluding informed consent and understanding of hula
• Pregnancy at time or during the study period

Sponsors & Collaborators

• University of Hawaii: lead

Study Sites (1)

University of Hawaii, John A Burns School of Medicine, Department of Native Hawaiian Health

Honolulu, Hawaii, 96813, United States

Location

Related Publications (1)

• Kaholokula JK, Look M, Mabellos T, Zhang G, de Silva M, Yoshimura S, Solatorio C, Wills T, Seto TB, Sinclair KA. Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: a Pilot Randomized Trial. J Racial Ethn Health Disparities. 2017 Feb;4(1):35-46. doi: 10.1007/s40615-015-0198-4. Epub 2015 Dec 22.

  PMID: 27294768 DERIVED

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chair and Associate Professor

Study Record Dates

• First Submitted: November 18, 2013
• First Posted: November 27, 2013
• Study Start: March 1, 2012
• Primary Completion: March 1, 2013
• Study Completion: May 1, 2013
• Last Updated: November 27, 2013

Record last verified: 2013-11

Locations

US (1)