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Participants were originally randomized to a\n                      <jats:underline>C<\/jats:underline>\n                      ardiac rehabilitation-based\n                      <jats:underline>LIFE<\/jats:underline>\n                      style program (C-LIFE) or to a\n                      <jats:underline>S<\/jats:underline>\n                      tandardized\n                      <jats:underline>E<\/jats:underline>\n                      ducation and\n                      <jats:underline>P<\/jats:underline>\n                      hysician\n                      <jats:underline>A<\/jats:underline>\n                      dvice (SEPA) condition for 4-months. During their one-year follow-up, participants underwent assessments of sleep quality, body mass index, actigraphy-assessed physical activity levels, and cerebrovascular reactivity using functional near infrared spectroscopy (fNIRS). Cognitive function was assessed using a 45-min test battery incorporating tests of Executive Function\/Learning, Memory, and Processing Speed. Regression-based models incorporating reliable change indices were used to assess cognitive change.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants included 91 individuals (mean age\u2009=\u200963.6 [SD\u2009=\u20098.6]), evenly distributed in biological sex and race\/ethnicity, and tended to be college-educated. The C-LIFE group had more preserved cognitive functioning compared to SEPA (C-LIFE: z\u2009=\u2009\u22120.26 [\u22120.40, \u22120.12] versus SEPA: \u22120.60 [\u22120.81, \u22120.39]; d\u2009=\u20090.44, p\u2009=\u20090.008), with reduced PSQI sleep symptoms associating with more preserved cognitive function (B\u2009=\u2009\u22120.18, p\u2009=\u20090.050 per 3-points). Treatment did not improve fNIRS markers, although changes in weight and physical activity associated with fNIRS outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Lifestyle modification may help preserve cognitive functioning among individuals with resistant hypertension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877251409716","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T08:27:31Z","timestamp":1768897651000},"page":"1748-1763","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lifestyle, sleep quality, and cognitive function in resistant hypertension: One-year follow-up from the TRIUMPH trial"],"prefix":"10.1177","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6374-0298","authenticated-orcid":false,"given":"Patrick J.","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of North Carolina at Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Blumenthal","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista","family":"Ingle","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lana L.","family":"Watkins","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Forgive","family":"Avorgbedor","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of North Carolina at Greensboro, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3506-8710","authenticated-orcid":false,"given":"Stephanie K.","family":"Mabe","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Kraus","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal","family":"Tyson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Hinderliter","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of North Carolina at Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9067-185X","authenticated-orcid":false,"given":"Andrew","family":"Sherwood","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"225","article-title":"Hypertension and cognitive dysfunction: a narrative review","volume":"40","author":"Cheon EJ","year":"2023","unstructured":"Cheon EJ. 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