Study Results
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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COMPLETED
NA
33 participants
INTERVENTIONAL
2009-07-31
2016-02-29
Brief Summary
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Hypothesis #2. The change in peripheral vascular function will be predictive of improved exercise performance following the supervised exercise program.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Supervised Exercise
Supervised program consisting of graded treadmill walking, with progressive increments in exercise duration from 15 to 40 minutes at an exercise intensity of 40% of exercise capacity.
Walking Exercise
3 times per week for 3 months
Control
Light resistance training without any walking
Control
Resistance training 3 times per week for 3 months
Interventions
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Walking Exercise
3 times per week for 3 months
Control
Resistance training 3 times per week for 3 months
Eligibility Criteria
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Inclusion Criteria
* exercise limited by intermittent claudication during a screening treadmill test using the Gardner protocol
* an ankle/brachial index (ABI) \< 0.90 at rest or \< 0.73 immediately following the treadmill exercise test
* at least one year past menopause
Exclusion Criteria
* asymptomatic PAD (Fontaine stage I)
* rest pain due to PAD (Fontaine stage III)
* tissue loss due to PAD (Fontaine stage IV)
* medical conditions that are contraindicative for exercise according to the American College of Sports Medicine (e.g., acute myocardial infarction, unstable angina, etc.)
* use of medications indicated for the treatment of intermittent claudication (cilostazol and pentoxifylline) initiated within three months prior to investigation)
* cognitive dysfunction (mini-mental state examination score \< 24)
* active cancer, renal disease, or liver disease
* a calf skin fold measurement \> 50 mm, because of potential interference with the light path of the near-infrared spectroscopy probe from penetrating the subcutaneous tissue
* pulse arterial oxygen saturation of the index finger \< 95% because of the potential deleterious effect on calf muscle StO2 from poor pulmonary gas exchange
60 Years
100 Years
FEMALE
No
Sponsors
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Oklahoma Center for the Advancement of Science and Technology
OTHER
Milton S. Hershey Medical Center
OTHER
University of Oklahoma
OTHER
Responsible Party
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Principal Investigators
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Andrew W Gardner, PhD
Role: PRINCIPAL_INVESTIGATOR
Penn State College of Medicine
Locations
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Clinical Research Center, Penn State College of Medicine
Hershey, Pennsylvania, United States
Countries
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References
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Gardner AW, Poehlman ET. Exercise rehabilitation programs for the treatment of claudication pain. A meta-analysis. JAMA. 1995 Sep 27;274(12):975-80.
Gardner AW, Katzel LI, Sorkin JD, Bradham DD, Hochberg MC, Flinn WR, Goldberg AP. Exercise rehabilitation improves functional outcomes and peripheral circulation in patients with intermittent claudication: a randomized controlled trial. J Am Geriatr Soc. 2001 Jun;49(6):755-62. doi: 10.1046/j.1532-5415.2001.49152.x.
Gardner AW, Katzel LI, Sorkin JD, Goldberg AP. Effects of long-term exercise rehabilitation on claudication distances in patients with peripheral arterial disease: a randomized controlled trial. J Cardiopulm Rehabil. 2002 May-Jun;22(3):192-8. doi: 10.1097/00008483-200205000-00011.
Gardner AW, Killewich LA, Montgomery PS, Katzel LI. Response to exercise rehabilitation in smoking and nonsmoking patients with intermittent claudication. J Vasc Surg. 2004 Mar;39(3):531-8. doi: 10.1016/j.jvs.2003.08.037.
Gardner AW, Montgomery PS, Flinn WR, Katzel LI. The effect of exercise intensity on the response to exercise rehabilitation in patients with intermittent claudication. J Vasc Surg. 2005 Oct;42(4):702-9. doi: 10.1016/j.jvs.2005.05.049.
Other Identifiers
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HR09-035
Identifier Type: -
Identifier Source: org_study_id
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