Functional Circuit Training in Older Adults With Congestive Heart Failure

NCT ID: NCT00108147

Last Updated: 2009-03-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2003-10-31

Brief Summary

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The goal of this study is to determine the effect of a functional circuit training program as compared to standard cardiac rehabilitation or control exercise in improving physical function and activity.

Detailed Description

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In older (65 years of age or older) patients with congestive heart failure, we propose to:

1. Assess: a) Peak aerobic capacity (peak VO2) during a monitored, standardized treadmill test; b) Oxygen uptake kinetics and heart rate during a standardized submaximal treadmill test; c) Performance on a set of functional mobility tasks; d) Self-report of physical disability and difficulty in performing daily tasks, and physical activity.
2. Conduct a 12-week randomized controlled trial, comparing changes in these assessed measures in patients randomized to three different groups: 1) standard cardiac rehabilitation using bicycle exercise; 2) group functional circuit training focusing on exercises that involve functional mobility tasks and a home-activities exercise component; 3) a chair-based, flexibility and "toning " (low level resistance) group control exercise.
3. Reassess all groups after an additional 12 weeks in the measures identified above to identify how well the three groups maintain their function.
4. Examine the mechanisms underlying change in functional mobility performance and self-reported function as a result of the interventions

Primary hypothesis 1: Compared to chair-based exercise controls at the end of week 12, both the cardiac rehabilitation and functional circuit training groups will show improvements in measures of peak aerobic capacity, submaximal oxygen uptake kinetics, functional mobility performance, and self-reported function.

Primary hypothesis 2: Compared to the other two groups that are given exercise instructions only, the functional circuit training group, who continue their home activities exercise program, show less decline by week 24 in measures of peak aerobic capacity, submaximal oxygen uptake kinetics, functional mobility performance, and self-reported function.

Secondary hypothesis: Measures of submaximal oxygen uptake kinetics are better predictors of changes in functional mobility performance and self-reported function than peak aerobic capacity, muscle strength, joint range of motion, balance, and behavioral factors (such as depression).

Conditions

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Heart Failure, Congestive

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

SINGLE

Study Groups

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1

Circuit Training

Group Type EXPERIMENTAL

Circuit Training

Intervention Type PROCEDURE

2

Cardiac Rehabilitation

Group Type ACTIVE_COMPARATOR

Cardiac Rehabilitation

Intervention Type PROCEDURE

3

Flexibility and toning

Group Type ACTIVE_COMPARATOR

Flexibility and toning

Intervention Type PROCEDURE

Interventions

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Circuit Training

Intervention Type PROCEDURE

Cardiac Rehabilitation

Intervention Type PROCEDURE

Flexibility and toning

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Congestive Heart Failure
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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US Department of Veterans Affairs

FED

Sponsor Role lead

Responsible Party

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Department of Veterans Affairs

Principal Investigators

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Neil Alexander, MD

Role: PRINCIPAL_INVESTIGATOR

VA Ann Arbor Healthcare System

Locations

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VA Ann Arbor Healthcare System

Ann Arbor, Michigan, United States

Site Status

Countries

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United States

Other Identifiers

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AGCG-002-03S

Identifier Type: -

Identifier Source: org_study_id

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