Effect of Therapeutic Lifestyle Changes (TLC) In Patients with Systemic Hypertension

Author Name: Dr. J.Sathya Shenbega Priya1, Dr. L. N. Samaga2

Volume: 03/01

Country: India

DOI NO.: 11.2023-61555522 DOI Link: https://doi-ds.org/doilink/06.2025-47942965/GIJNR

Affiliation:

1. Principal, College of Nursing, Kannur Medical College, Anjarakandy, Kannur, Kerala
2. Professor, Department of Medicine, K. S. Hegde Medical Academy, Deralakatte, Mangalore.

ABSTRACT

Introduction: Prehypertension is a growing public health concern, often progressing to full-blown hypertension if not addressed early. Therapeutic Lifestyle Changes (TLC), including yoga, offer promising non-pharmacological strategies for prevention and management. Methods: This true experimental study involved 110 prehypertensive participants aged 18–65 years, randomly assigned to experimental (yoga) and control (no intervention) groups. The experimental group practiced yoga daily for 1 to 1.5 hours over six months. Blood pressure readings were taken biweekly. Statistical analysis included repeated measures ANOVA and ANCOVA to assess the impact of the intervention. Results: Baseline systolic and diastolic blood pressures were similar across groups. Over six months, the experimental group showed a significant reduction in systolic BP (from 132 mmHg to 127 mmHg) and diastolic BP (from 84 mmHg to 82 mmHg), while the control group showed no meaningful change. No significant associations were found between blood pressure and demographic or lifestyle variables, except smoking, which was linked to elevated diastolic pressure. Discussion: Yoga was found to be an effective, accessible intervention for reducing blood pressure in individuals with prehypertension. These findings support the inclusion of TLC, particularly yoga, in routine care strategies for early-stage hypertension management. Conclusion: Yoga effectively reduces systolic and diastolic blood pressure in prehypertensive individuals, with significant improvements seen only in the experimental group. Smoking was the only notable risk factor for elevated diastolic pressure. The findings support yoga as a valuable lifestyle intervention to manage and prevent prehypertension.

Key words: Pre-hypertension, TLC, Yoga, Hypertension, non pharmacological intervention