Acute Effect of Photobiomodulation in Individuals with Hypertension

ConditionHypertension
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-60
SponsorUniversidade Federal de Sao Carlos

About this trial

This is a randomized, double-blind and sham-controlled clinical trial that aims to evaluate and compare the acute effect of full-body photobiomodulation (PBM) and modified ILIB (Intravascular laser irradiation of blood) on blood pressure, endothelial function and arterial stiffness in individuals with hypertension. Participants (n=48) will be equally, randomly and secretly allocated into one of 4 groups: Panel Group; Panel Sham Group; Modified ILIB group; and Modified ILIB Sham Group. Participants aged 40 to 60 years old, diagnosed with hypertension and using control drugs for at least 3 months will be included. Participants will be assessed at pre- and post-intervention for: BP; endothelial function; arterial stiffness; blood nitrite; and thermography. In the post-intervention period, the ambulatory blood pressure monitoring will also be carried out. Participants will receive a single application of PBM, which, depending on the group, may be full-body irradiation from an LED panel (660 nm; 25.34 J/cm²; 42.24 mW/cm²), modified ILIB (660 nm; 42,462 J/cm²; 35.385 W/cm²), or the respective sham therapies. Data homogeneity and normality will be verified by the Levene and Shapiro-Wilk tests, which will determine the choice of subsequent tests. A statistical significance of 5% will be considered.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Sedentary or irregularly inactive individuals (IPAQ)

Both sexes

Age between 40 to 60 years old

Clinical diagnosis of hypertension for at least 3 months with difficulty in blood pressure control

Disqualifiers

Diabetes diagnosis

Smokers

BMI > 30 kg/m²

Cardiac pacemaker use

Trial design

Design model

Factorial

Treatments tested in this trial

  • Panel Effective Photobiomodulation Therapy

    Device

    Photobiomodulation therapy is the use of low-power light in biological tissues through a non-ionizing source of light (600 to 1.100 nm), with variable power between 1 and 500 mW and therapeutic goals. This group will receive photobiomodulation from a whole-body panel of low intensity LEDs

  • Sham Panel Photobiomodulation Therapy

    Device

    Use of common red lamp to perform the sham photobiomodulation for the panel group

  • Modified ILIB Sham Photobiomodulation Therapy

    Device

    ILIB Therapy device turned off for the sham ILIB therapy

  • Modified ILIB Photobiomodulation Therapy

    Device

    Common laser used in ILIB mode for modified ILIB therapy

Treatment groups

48 Participants
are divided into 4 treatment groups
Group A: Panel GroupExperimental treatment 1 intervention
Group B: Panel Sham GroupSham comparator 1 intervention
Group C: Modified ILIB GroupExperimental treatment 1 intervention
Group D: Modified ILIB Sham GroupSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

Diastolic Blood Pressure

Diastolic blood pressure measured in millimeters of mercury (mmHg)

Time frame
Acute effect (immediately post-intervention until 24 hours after)

Secondary outcomes

1

Systolic Blood Pressure

systolic blood pressure measured in millimeters of mercury (mmHg)

Time frame
Acute effect (immediately post-intervention until 24 hours after)
2

Mean Arterial Pressure

mean arterial pressure measured in millimeters of mercury (mmHg)

Time frame
Acute effect (immediately post-intervention until 24 hours after)
3

Endothelial Function

Endothelial function measured by flow-mediated dilation, with a brachial artery ultrasound

Time frame
Acute effect (About 25 minutes post-intervention)
4

Arterial Stiffness

Arterial stiffness measured by pulse wave velocity

Time frame
Acute effect (About 15 minutes post-intervention)

Other outcomes

Sponsors and contacts

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Universidade Federal de Sao Carlos

Lead sponsor

Fundação de Amparo à Pesquisa do Estado de São Paulo

Collaborator