Physical Activity Barriers in Adolescent Hypertension Patients

NCT05461989 | Completed

• 1 other identifier: GO 22/505
• Study Type: observational
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

One of the most prevalent chronic disorders in children, especially teenagers, is hypertension . The prevalence of hypertension has significantly increased in recent years, particularly with the rise in obesity. It has been demonstrated that hypertension is a significant, controllable risk factor for cardiovascular disease and that it is linked to atherosclerosis in children. Additionally, in patients with hypertension who were monitored from infancy to adulthood, it was discovered that the unfavorable cardiac alterations and vascular damage linked to hypertension were linked to early cardiovascular disease in adults. Therefore, the key to preventing cardiovascular disease in children and adolescents-especially when risk factors like obesity, diabetes, or chronic renal disease are present-is early diagnosis and effective treatment of hypertension. Insufficient exercise and sedentary lifestyles are additional risk factors for pediatric hypertension.Investigating physical activity barrier in teenage hypertension patients is vital in light of all these factors as well as studies on adolescents' inadequate physical activity. The literature is lacking studies examining the obstacles to physical exercise faced by people with adolescent hypertension, hence this topic is open for investigation.

Conditions

Physical Inactivity

Outcome Measures

Primary Outcomes (1)

• physical activity barriers

  With a scale consisting of three questionnaires in total (Parent Physical Activity Barriers scale, the Child Physical Activity Outcome Expectancies Scale, and the Child Physical Activity Home Environment scale), the barriers of individuals to physical activity will be evaluated. As a result of these evaluations, it will guide us to understand the causes of physical activity barriers in primary and secondary hypertension patients.

  12 months

Study Arms (2)

primary hypertension

adolesence primary hypertension patients

Other: Anthropometric measurement; Other: Level of Physical Activity; Other: Physical Activity Barriers Scale; Other: Hand Grip Strength; Other: Arterial stiffness

secondary hypertension

adolesence secondary hypertension patients

Other: Anthropometric measurement; Other: Level of Physical Activity; Other: Physical Activity Barriers Scale; Other: Hand Grip Strength; Other: Arterial stiffness

Interventions

Anthropometric measurement OTHER

It will be measured with the Xiaomi Body Composition Scale II, and a total of 9 measurements will be made as a result of the measurements.

primary hypertension; secondary hypertension

Level of Physical Activity OTHER

The scale to be used for this purpose is the Child Physical Activity Questionnaire (CPAQ) developed by Kowalski et al. It is a seven-day self-reported recall scale designed to assess moderate-intensity physical activity in children aged 8-14 years. CFAQ is designed to be implemented throughout the school year.

primary hypertension; secondary hypertension

Physical Activity Barriers Scale OTHER

It consists of three surveys in total, which are: A) Scale of Expectations Regarding Physical Activity for Children B) Children's perception of family support regarding physical activity scale C) Physical Activity Barriers Scale for Parents

primary hypertension; secondary hypertension

Hand Grip Strength OTHER

Hand grip strength will be measured using a hand dynamometer (Jamar, Sammons Preston, Rolyon, Bolingbrook, IL).

primary hypertension; secondary hypertension

Arterial stiffness OTHER

Arterial stiffness will be evaluated using the pulse wave velocity (PWV) technique with the blood pressure holter-ABPM (Mobil-O-Graph, I.E.M., Stolberg, Germany) device. The measurement is made from the non-dominant arm based on the principle of blood pressure measurement with the appropriate cuff determined according to the arm diameter. After two consecutive measurements taken 30 seconds apart, the average of the measurement values will be recorded.

primary hypertension; secondary hypertension

Eligibility Criteria

• Age: 10 Years - 19 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

adolescent primary and secondary hypertension patients

You may qualify if:

• Being 10-19 years old,
• Being diagnosed with primary hypertension,
• Being clinically stable and no drug/drug dose changes for the last four weeks,
• Determined to be voluntary to participate in the study

You may not qualify if:

• Having a neurological, cognitive or orthopedic disease that will affect the measurements,
• Severe respiratory system disease (FEV1 \<35%; FVC \<50%),
• Having acute infection,
• Having malignancy,
• Receiving hormone replacement therapy,
• Body mass index \>40 kg/m²,
• Ejection fraction less than 50%,
• Having uncontrolled hypertension,
• Individuals with diabetes will not be included in the study.
• For Secondary Hypertension
• Being 10-19 years old,
• Being diagnosed with secondary hypertension,
• Being clinically stable and no drug/drug dose changes for the last four weeks,
• Not being under high-dose glucocorticoid therapy (2 mg/kg/day),
• Not taking intravenous biologic or conventional immunosuppressive therapy (including pulsed steroids) in the past month

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Sedentary Behavior

Interventions

Hand Strength; Vascular Stiffness

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Muscle Strength; Physical Examination; Diagnostic Techniques and Procedures; Diagnosis; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Cardiovascular Physiological Phenomena; Circulatory and Respiratory Physiological Phenomena

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Target Duration: 12 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist (MSc)

Study Record Dates

• First Submitted: July 9, 2022
• First Posted: July 18, 2022
• Study Start: September 30, 2022
• Primary Completion: March 30, 2024
• Study Completion: September 1, 2024
• Last Updated: September 22, 2025

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)