Physical Activity and Hypertension: Knowing Is Not Enough; We Must Apply. Willing Is Not Enough; We Must Do-von Goethe.
Brent M Egan
https://pubmed.ncbi.nlm.nih.gov/28137989Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
ID07400549
Prospective Exploratory Study on the Comprehensive Application Effectiveness of Exercise Prescription Decision Support Tools in the Management of Patients With "Four Highs" (Hypertension, Hyperglycemia, Hyperlipidemia, Hyperuricemia)
Led by China National Center for Cardiovascular Diseases · Updated on 2026-02-10
100
Participants Needed
1
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the impact of an exercise prescription mini-program on the physical activity levels and related health indicators of patients with hypertension, hyperglycemia, hyperlipidemia, and hyperuricemia in primary healthcare settings in China. This six-month exploratory clinical trial aims to study how this digital intervention can affect patients with these "Four Highs" conditions, using exercise guidelines tailored to their needs. The study compares two groups: one receiving an enhanced mini-program intervention that includes physician training, patient exercise guidance through the mini-program, and social support group activities; and a control group where physicians receive training and provide exercise guidance independently. The intervention lasts for six months, focusing on behavior changes supported by technology and social interaction. Participants will be monitored for changes in their average daily step count, moderate-to-vigorous physical activity time, handgrip strength, body measurements, blood pressure, blood sugar, cholesterol, and uric acid levels over three months. Adherence to the exercise plan will be tracked through mini-program check-ins and social support attendance. The study involves regular assessments to understand the effects of exercise guidance supported by digital tools on managing these health conditions.
CONDITIONS
Brief Title
Prospective Exploratory Study on the Comprehensive Application Effectiveness of Exercise Prescription Decision Support Tools in the Management of Patients With "Four Highs" (Hypertension, Hyperglycemia, Hyperlipidemia, Hyperuricemia)
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Aged 18 years or older
- Willing to participate and able to provide written informed consent
- Diagnosed with at least one of the "Four Highs": hypertension, diabetes mellitus, hyperlipidemia, or hyperuricemia as defined by specific clinical criteria
- Capable of using a smartphone
- Local permanent resident receiving basic public health service management at designated community health center or township hospital
- Has not engaged in regular moderate- to vigorous-intensity physical activity (at least 30 minutes per session, 3 days per week) in the past three months
You will not qualify if you...
- History or acute episode of cardiovascular or cerebrovascular disease including angina, myocardial infarction, stroke, symptomatic peripheral arterial disease, ventricular arrhythmia, uncontrolled atrial fibrillation, congestive heart failure (NYHA Class III or IV), hypertrophic cardiomyopathy, or aneurysm
- Current or recent malignant tumor within past five years
- Contraindications to exercise such as bone and joint diseases
- Severe respiratory diseases including asthma, COPD, restricted lung volume, or cystic fibrosis
- Neuromuscular and degenerative diseases such as muscular dystrophy, poliomyelitis, or dementia
- Severe mental illness including schizophrenia, bipolar disorder, eating disorders, or recent hospitalization for depression
- Movement and neurological disorders including Huntington's disease, torsion dystonia, Parkinson's disease, or certain epileptic disorders
- Severe comorbidities with life expectancy less than 24 months
- Plans to relocate within next three months
- Participation in other physical activity interventions within six months prior to screening
- Current participation in another randomized clinical trial
- Any condition that may interfere with adherence to the trial protocol as judged by the investigator
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - 3 months
Participants receive exercise guidance either through a mini-program with social support activities or autonomously, supported by physician training and assessments.
Regular visits as needed for guidance and assessments
Trial Site Locations
Total: 1 location
1
Fuwai Hospital, Chinese Academy of MedicL Sciences
Beijing, China, 100061
Actively Recruiting
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Research Team
T
Tian
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association.
Sheri R Colberg, Ronald J Sigal, Jane E Yardley...
https://pubmed.ncbi.nlm.nih.gov/27926890Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association.
Frank M Sacks, Alice H Lichtenstein, Jason H Y Wu...
https://pubmed.ncbi.nlm.nih.gov/28620111The Prevalence of Hyperuricemia and Its Correlates among Adults in China: Results from CNHS 2015-2017.
Wei Piao, Liyun Zhao, Yuxiang Yang...
https://pubmed.ncbi.nlm.nih.gov/36235748National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants.
Tessa Strain, Seth Flaxman, Regina Guthold...
https://pubmed.ncbi.nlm.nih.gov/38942042The Effect of Exercise Training on Blood Lipids: A Systematic Review and Meta-analysis.
Neil A Smart, David Downes, Tom van der Touw...
https://pubmed.ncbi.nlm.nih.gov/39331324Lifestyle behaviors and risk of cardiovascular disease and prognosis among individuals with cardiovascular disease: a systematic review and meta-analysis of 71 prospective cohort studies.
Jian Wu, Yifei Feng, Yuanyuan Zhao...
https://pubmed.ncbi.nlm.nih.gov/38650004Influence of Physical Activity on Hypertension and Cardiac Structure and Function.
Sheila M Hegde, Scott D Solomon
https://pubmed.ncbi.nlm.nih.gov/26277725Strategies to improve the implementation of preventive care in primary care: a systematic review and meta-analysis.
Laura Heath, Richard Stevens, Brian D Nicholson...
https://pubmed.ncbi.nlm.nih.gov/39334345A systematic umbrella review and meta-meta-analysis of eHealth and mHealth interventions for improving lifestyle behaviours.
Ben Singh, Mavra Ahmed, Amanda E Staiano...
https://pubmed.ncbi.nlm.nih.gov/38969775