Remote Dietary Counseling to Promote Healthy Diet and Blood Pressure
| Status: | Recruiting |
|---|---|
| Conditions: | High Blood Pressure (Hypertension), Obesity Weight Loss |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Endocrinology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/26/2019 |
| Start Date: | January 16, 2019 |
| End Date: | June 30, 2020 |
| Contact: | Alexander Chang, MD |
| Email: | achang@geisinger.edu |
| Phone: | 570-271-6393 |
Remote Dietary Counseling Using Web-based Tools to Promote Healthy Diet and Blood Pressure (Healthy BP)
Recent American College of Cardiology/American Heart Association (ACC/AHA) hypertension
guidelines recommend lifestyle modification for patients with BP >= 130/80 mmHg. While eating
a Dietary Approaches to Stop Hypertension (DASH)-type diet, increasing physical activity, and
weight loss have been shown to reduce blood pressure (BP), limited resources are available in
the primary care setting to help patients make these changes.
In this study, the investigators will compare the efficacy of a self-guided vs. dietitian-led
approach using web-based lifestyle modification tools to reduce weight, improve dietary
quality, and lower blood pressure in overweight/obese adults with untreated hypertension.
guidelines recommend lifestyle modification for patients with BP >= 130/80 mmHg. While eating
a Dietary Approaches to Stop Hypertension (DASH)-type diet, increasing physical activity, and
weight loss have been shown to reduce blood pressure (BP), limited resources are available in
the primary care setting to help patients make these changes.
In this study, the investigators will compare the efficacy of a self-guided vs. dietitian-led
approach using web-based lifestyle modification tools to reduce weight, improve dietary
quality, and lower blood pressure in overweight/obese adults with untreated hypertension.
Goals that all participants will be instructed to target include: 1) weight loss >=3% at 3
months; 2) consume a healthier dietary pattern (high in fruits, vegetables, whole grains,
low-fat dairy, vegetable/fish/poultry sources of protein, healthier sources of fat, and avoid
sugar and salt); 3) reduce sodium intake to <2300 mg/d; 4) at least 180 min/wk of
moderate-intensity physical activity.
months; 2) consume a healthier dietary pattern (high in fruits, vegetables, whole grains,
low-fat dairy, vegetable/fish/poultry sources of protein, healthier sources of fat, and avoid
sugar and salt); 3) reduce sodium intake to <2300 mg/d; 4) at least 180 min/wk of
moderate-intensity physical activity.
Inclusion Criteria:
- 24-hour ambulatory SBP 125-160 mmHg
- BMI ≥ 25 kg/m2
- Access to a telephone
- Access to a computer or smartphone with internet access
- Not currently taking antihypertensive medications
- Complete dietary data entry using LoseIt for at least 5 out of 7 days during run-in
period and enter weight 2 out of 7 days, as instructed.
- Enter weight into BMIQ twice during second week of run-in period
Exclusion Criteria:
- Inability to understand English
- Myocardial infarction, stroke, or atherosclerotic cardiovascular disease procedure
within last 6 months.
- Current treatment for malignancy
- Planned or previous bariatric surgery
- Pregnant, breast-feeding, or planned pregnancy prior to the end of participation
- Self-reported average consumption of > 21 alcoholic beverages per week or binge
drinking.
- Psychiatric hospitalization in past year
- Current symptoms of angina
- Planning to leave the area prior to end of the study
- Current participation in another clinical trial
- Principal investigator discretion (i.e. concerns about safety, compliance)
We found this trial at
1
site
100 North Academy Avenue
Danville, Pennsylvania 17822
Danville, Pennsylvania 17822
570-271-6211
Phone: 570-214-5233
Geisinger Medical Center Since 1915, Geisinger Medical Center has been known as the region’s resource...
Click here to add this to my saved trials
