title: Modified relaxation technique for treating hypertension in Thai postmenopausal women.
abstract: OBJECTIVE
  To examine the effectiveness of a modified relaxation (MR) technique in reducing blood pressure levels in Thai postmenopausal women with mild hypertension, compared with a control group who received health education.
  
  
  METHODS
  This is a 16-week, randomized, parallel, open-label, controlled trial in a menopausal clinic in a tertiary health care center in Northeastern Thailand. The intervention group received a 60-minute session of MR training and were encouraged to practice 15-20 minutes a day, at least 5 days a week. The control group received lifestyle education, including diet and exercise. The primary and secondary outcomes were systolic and diastolic blood pressure (SBP and DBP).
  
  
  RESULTS
  Of 432 participants, 215 and 217 were randomly allocated to the MR and control groups, respectively. Of those, 167 participants in the MR group and 175 participants in the control group completed the study. The SBP was significantly more reduced in the MR group, with a mean of 2.1 mmHg (P < 0.001). There was no significant difference between groups on the changed DBP.
  
  
  CONCLUSIONS
  The MR technique may be effective in lowering SBP in Thai postmenopausal women visiting a menopause clinic. Its efficacy may be observed as soon as 4 weeks after start of treatment. Long-term and combined relaxation therapy and antihypertensive agents are warranted in a large cohort of this population. This trial is registered in clinicaltrials.gov (number NCT01429662).
authors.affiliation: Academic Department, Faculty of Medicine, Mahasarakham University, Maha Sarakham, Thailand ; Department of community Medicine, Faculty of Medicine, Chiang Mai University,Thailand.
authors.forename: Suprawita
authors.initials: S
authors.lastname: Saensak
authors.forename: Teraporn
authors.initials: T
authors.lastname: Vutyavanich
authors.forename: Woraluk
authors.initials: W
authors.lastname: Somboonporn
authors.forename: Manit
authors.initials: M
authors.lastname: Srisurapanont
keywords: hypertension; postmenopause; relaxation