PURPOSE: This study aimed to investigate the effects of telerehabilitation-based core stabilization exercise training on epicardial adipose tissue (EAT), functional exercise capacity, mobility, and balance in individuals with hypertension. METHOD: Forty-eight individuals with hypertension were randomly divided into two groups: exercise and control. All participants underwent a core stabilization endurance test (bridge test) and core muscle strength assessment using a pressure biofeedback unit, the six-minute walk test (6MWT) for functional exercise capacity, and the Timed Up and Go (TUG) test for functional mobility and balance before and after the intervention. EAT was measured with echocardiography. The exercise group underwent telerehabilitation and performed core stabilization exercise synchronously 3 days a week for 8 weeks. The control group received periodic reminders about general physical activity recommendations throughout the study period. RESULTS: After the exercise intervention, 6MWT distance (F 41.476, p < 0.001, eta2 0.474), 6MWT% distance (F 37.805, p < 0.001, eta2 0.451), and TUG test score (F 36.236, p < 0.001, eta2 0.441) were improved significantly in the exercise group compared to the control group. EAT thickness (F 9.435, p = 0.004, eta2 0.170) was significantly lower in the exercise group compared to the control group. CONCLUSION: Telerehabilitation-based core stabilization exercise intervention reduces EAT and increases functional exercise capacity and mobility/balance in individuals with hypertension. ClinicalTrials.gov Identifier: NCT06083376.

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