Background: Stress is one of the direct or indirect causes of hypertension. Chronic stress and particularly the nonadaptive response to stress are more likely causes of sustained elevation of blood pressure. Hypertension accelerates arteriosclerotic changes in the brain predisposing to atheroma formation in large diameter blood vessels and arteriosclerosis and arteriolar tortuosity of small vessels of the cerebral vasculature. These vascular changes result in a reduction of luminal diameter, increased resistance to flow, and a decline in perfusion. Aim: The current study aimed to evaluate the effect of the treadmill exercises on stress, cognition, and quality of life in stage -1 hypertensive patients. Methods: The study included 32 subjects. Samples are being recruited from a tertiary care hospital, Belagavi, aged between 20 to 45 years, scoring ranging from 13 and above on Perceived Stress Scale for 12 months as per convenience. They are being evaluated for their Cognition using ACE-R and Quality of Life using the SF-36 QOL Questionnaire. Results: The results state that there was a statistically noteworthy change in the Serum Cortisol. Improvements were also seen in the parameters of ACE-R, PSS, and quality of life. Conclusion: This study concluded that a 3 week for consecutive 5 days treadmill exercise protocol showed improvement in stage-1 hypertension patients and terms of their serum cortisol, stress, and cognition and SF- 36 quality of life.
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