Trial Outcomes & Findings for High Intensity Interval Exercise in Diastolic Heart Failure (NCT NCT02147613)

NCT ID: NCT02147613

Last Updated: 2019-04-12

Results Overview

Measured using left ventricular echocardiography. Diastolic dysfunction is graded as: normal, grade 1, grade 2, grade 3, grade 4. Increasing grade is indicative of worsening LV dysfunction and worse outcomes. Improvement in LV grade is associated with better long term outcomes.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

19 participants

Primary outcome timeframe

Before and after the 1 month exercise intervention

Results posted on

2019-04-12

Participant Flow

Participant milestones

Participant milestones
Measure
High Intensity Interval Training
High intensity interval training - 3 days per week at 85-90% peak heart rate (4x4 bouts) for 1 month (12 sessions of exercise) High intensity interval training: 3 days per week at 85-90% peak heart rate (4x4 bouts) for 1 month (12 sessions of exercise)
Moderate Intensity Exercise Training
3 days/week, 30 mins at 70% Peak heart rate for 1 month (12 sessions of exercise) Moderate intensity exercise training: 3 days/week, 30 mins at 70% Peak heart rate for 1 month (12 sessions of exercise)
Overall Study
STARTED
10
9
Overall Study
COMPLETED
9
6
Overall Study
NOT COMPLETED
1
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Subjects who completed

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
High Intensity Interval Training
n=10 Participants
High intensity interval training - 3 days per week at 85-90% peak heart rate (4x4 bouts) for 1 month (12 sessions of exercise) High intensity interval training: 3 days per week at 85-90% peak heart rate (4x4 bouts) for 1 month (12 sessions of exercise)
Moderate Intensity Exercise Training
n=9 Participants
3 days/week, 30 mins at 70% Peak heart rate for 1 month (12 sessions of exercise) Moderate intensity exercise training: 3 days/week, 30 mins at 70% Peak heart rate for 1 month (12 sessions of exercise)
Total
n=19 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=9 Participants • Subjects who completed
0 Participants
n=6 Participants • Subjects who completed
0 Participants
n=15 Participants • Subjects who completed
Age, Categorical
Between 18 and 65 years
2 Participants
n=9 Participants • Subjects who completed
1 Participants
n=6 Participants • Subjects who completed
3 Participants
n=15 Participants • Subjects who completed
Age, Categorical
>=65 years
7 Participants
n=9 Participants • Subjects who completed
5 Participants
n=6 Participants • Subjects who completed
12 Participants
n=15 Participants • Subjects who completed
Age, Continuous
Mean age of completers
69 years
STANDARD_DEVIATION 6.1 • n=9 Participants • Mean age of participants that completed the study
71.5 years
STANDARD_DEVIATION 11.7 • n=6 Participants • Mean age of participants that completed the study
69.9 years
STANDARD_DEVIATION 8.3 • n=15 Participants • Mean age of participants that completed the study
Sex: Female, Male
Female
1 Participants
n=9 Participants • Composition of participants that completed
2 Participants
n=6 Participants • Composition of participants that completed
3 Participants
n=15 Participants • Composition of participants that completed
Sex: Female, Male
Male
8 Participants
n=9 Participants • Composition of participants that completed
4 Participants
n=6 Participants • Composition of participants that completed
12 Participants
n=15 Participants • Composition of participants that completed
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
10 participants
n=10 Participants
9 participants
n=9 Participants
19 participants
n=19 Participants

PRIMARY outcome

Timeframe: Before and after the 1 month exercise intervention

Measured using left ventricular echocardiography. Diastolic dysfunction is graded as: normal, grade 1, grade 2, grade 3, grade 4. Increasing grade is indicative of worsening LV dysfunction and worse outcomes. Improvement in LV grade is associated with better long term outcomes.

Outcome measures

Outcome measures
Measure
High Intensity Interval Training
n=9 Participants
High intensity interval training - 3 days per week at 85-90% peak heart rate (4x4 bouts) for 1 month (12 sessions of exercise) High intensity interval training: 3 days per week at 85-90% peak heart rate (4x4 bouts) for 1 month (12 sessions of exercise)
Moderate Intensity Exercise Training
n=6 Participants
3 days/week, 30 mins at 70% Peak heart rate for 1 month (12 sessions of exercise) Moderate intensity exercise training: 3 days/week, 30 mins at 70% Peak heart rate for 1 month (12 sessions of exercise)
Left Ventricular Diastolic Dysfunction
Post
1.3 DD grade
Standard Deviation 0.7
2.2 DD grade
Standard Deviation 0.8
Left Ventricular Diastolic Dysfunction
Pre
2.1 DD grade
Standard Deviation 0.3
2 DD grade
Standard Deviation 0.6

SECONDARY outcome

Timeframe: Test carried out before and after the 1 month long exercise intervention.

Measured using a graded exercise test (modified Bruce protocol) with 12-lead EKG monitoring and ventilatory gas exchange analysis.

Outcome measures

Outcome measures
Measure
High Intensity Interval Training
n=9 Participants
High intensity interval training - 3 days per week at 85-90% peak heart rate (4x4 bouts) for 1 month (12 sessions of exercise) High intensity interval training: 3 days per week at 85-90% peak heart rate (4x4 bouts) for 1 month (12 sessions of exercise)
Moderate Intensity Exercise Training
n=6 Participants
3 days/week, 30 mins at 70% Peak heart rate for 1 month (12 sessions of exercise) Moderate intensity exercise training: 3 days/week, 30 mins at 70% Peak heart rate for 1 month (12 sessions of exercise)
VO2peak
Pre
19.2 ml/kg/min
Standard Deviation 5.2
16.9 ml/kg/min
Standard Deviation 3
VO2peak
Post
21 ml/kg/min
Standard Deviation 5.2
16.8 ml/kg/min
Standard Deviation 4

OTHER_PRE_SPECIFIED outcome

Timeframe: Before and after 1-month exercise intervention

Reactive hyperemia mediated brachial artery dilation will be measured after 5 minutes of ischemia with forearm cuff occlusion. Artery will be continuously monitored using B-mode ultrasound.

Outcome measures

Outcome measures
Measure
High Intensity Interval Training
n=9 Participants
High intensity interval training - 3 days per week at 85-90% peak heart rate (4x4 bouts) for 1 month (12 sessions of exercise) High intensity interval training: 3 days per week at 85-90% peak heart rate (4x4 bouts) for 1 month (12 sessions of exercise)
Moderate Intensity Exercise Training
n=6 Participants
3 days/week, 30 mins at 70% Peak heart rate for 1 month (12 sessions of exercise) Moderate intensity exercise training: 3 days/week, 30 mins at 70% Peak heart rate for 1 month (12 sessions of exercise)
Brachial Artery Flow-mediated Dilation
Pre
6.9 percentage of FMD
Standard Deviation 3.7
8.1 percentage of FMD
Standard Deviation 4.1
Brachial Artery Flow-mediated Dilation
Post
7 percentage of FMD
Standard Deviation 4.2
3.4 percentage of FMD
Standard Deviation 3.6

Adverse Events

High Intensity Interval Training

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Moderate Intensity Exercise Training

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Siddhartha S. Angadi, PhD., FACSM

Arizona State University - Downtown Phoenix Campus

Phone: 6028272254

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place