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 volunteersQualifiers
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
Factorial
Treatments tested in this trial
Panel Effective Photobiomodulation Therapy
DevicePhotobiomodulation 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
DeviceUse of common red lamp to perform the sham photobiomodulation for the panel group
Modified ILIB Sham Photobiomodulation Therapy
DeviceILIB Therapy device turned off for the sham ILIB therapy
Modified ILIB Photobiomodulation Therapy
DeviceCommon laser used in ILIB mode for modified ILIB therapy
Treatment groups
Trial outcomes
Primary outcomes
Diastolic Blood Pressure
Diastolic blood pressure measured in millimeters of mercury (mmHg)
Secondary outcomes
Systolic Blood Pressure
systolic blood pressure measured in millimeters of mercury (mmHg)
Mean Arterial Pressure
mean arterial pressure measured in millimeters of mercury (mmHg)
Endothelial Function
Endothelial function measured by flow-mediated dilation, with a brachial artery ultrasound
Arterial Stiffness
Arterial stiffness measured by pulse wave velocity
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