Optimization of Interval Exercise Based-intensity on Ventilatory Anaerobic Threshold in Coronary Artery Disease

NCT ID: NCT02313831

Last Updated: 2014-12-16

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2015-12-31

Brief Summary

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The purpose of this study is to investigate the effects of interval training, based-intensity on 70% at 110% of oxygen consumption and workload attained on ventilatory anaerobic threshold, on aerobic functional capacity, autonomic modulation of heart rate, metabolic profile in patients with and without coronary artery disease.

Detailed Description

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Background: Exercise training has been essential component of the cardiac rehabilitation. However, it is not known if interval training based on ventilatory anaerobic threshold could be effective for improving aerobic functional capacity and metabolic profile.

Objective:To investigate the effects of interval training, based-intensity on 70% at 110% of oxygen consumption and workload attained on ventilatory anaerobic threshold, on aerobic functional capacity, autonomic modulation of heart rate, metabolic profile in patients with and without coronary artery disease.

Design: Prospective randomized controlled trial. Subjects: 68 men between 40 and 65 years old.

All subjects will be submitted:

1. \- Clinical assessment: personal data, lifestyle and food, family history, current and previous history of disease.
2. \- Physical examination: cardiac and lung auscultation,measurement of heart rate, blood pressure, body weight and height.
3. \- Heart rate will be recorded at rest, in the supine position for 15 min, standing position for 10 min and respiratory sinus arrhythmia maneuver.
4. \- Submaximal or symptom-limited cardiopulmonary exercise test on cycle ergometer will be performed to determined the ventilatory anaerobic threshold.
5. \- Two cardiopulmonary exercise testing on treadmill at constant workload (moderate and high intensity). Expiratory flow limitation will be evaluated by flow-volume loops at the end of each exercise workload.
6. \- Blood samples will be collected to analyze glycemic and lipid profiles.
7. \- After these procedures, the subjects will be randomly assigned to one of two groups, trained group or control group.
8. \- Interval training program will consist 30-40 minutes each exercise session, three times a week for 16 weeks, with a workload determined on the basis of ventilatory anaerobic threshold.
9. \- At 48 hours after the last day of training, the subjects will repeat all experimental procedures as in baseline testing. Controls will be retested 16 weeks after the completion of baseline testing.
10. \- All subjects will be instructed to maintain their habitual diet without a standardized caloric restriction.

Thus, it is expected that interval training will promote beneficial physiological adaptations in patients with and without coronary artery disease.

Conditions

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Coronary Artery Disease Cardiovascular Risk Factors

Keywords

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autonomic nervous system ventilatory anaerobic threshold oxygen consumption metabolic profile exercise training expiratory flow limitation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Exercise training

Patients of this group will be submitted to an interval training

Group Type EXPERIMENTAL

Interval training

Intervention Type OTHER

Patients of this group will be submitted to an interval training program

Interventions

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Interval training

Patients of this group will be submitted to an interval training program

Intervention Type OTHER

Other Intervention Names

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Cardiac rehabilitation

Eligibility Criteria

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Inclusion Criteria

* All patients will be undergone a medical investigation for coronary artery disease, by coronary angiography, at the Hemodynamics Center of local Hospital.
* After this procedure, the CAD+ group will include 34 patients, who will have clinical evidence significant stenosis (\<50% of stenosis in one or more major coronary vessels), or previous coronary artery intervention (such as percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) surgery).
* The CAD- group will be comprised 32 patients without stenosis in coronary vessels (angiographically documented) and without history of previous myocardial infarction (MI), PCI or CABG.
* All the patients will have three or more cardiovascular risk factors such as obesity (body mass index \>30 kg/m2), smoking, sedentary lifestyle according to the International Physical Activity Questionnaire (IPAQ) version 6, hypertension, diabetes mellitus (type 2 - nonusers of insulin), and dyslipidemia.

Exclusion Criteria

* Severe cardiac arrhythmias
* Chronic obstructive pulmonary disease
* Unstable angina
* Osteomuscular disorders
* Diabetes mellitus (users of insulin)
* Renal failure
* Sequelae associated with stroke.
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Universidade Federal de Sao Carlos

OTHER

Sponsor Role lead

Responsible Party

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Nayara Yamada Tamburús

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ester d Silva, PhD

Role: PRINCIPAL_INVESTIGATOR

Universidade Federal de Sao Carlos

Locations

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Nayara Yamada Tamburús

São Carlos, São Paulo, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Nayara Y Tamburus, M.D.

Role: CONTACT

Phone: +5519998821224

Email: [email protected]

Facility Contacts

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Nayara Y Tamburus, M.D.

Role: primary

Ester Silva, PhD

Role: backup

References

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Tamburus NY, Verlengia R, Kunz VC, Cesar MC, Silva E. Apolipoprotein B and angiotensin-converting enzyme polymorphisms and aerobic interval training: randomized controlled trial in coronary artery disease patients. Braz J Med Biol Res. 2018;51(8):e6944. doi: 10.1590/1414-431x20186944. Epub 2018 May 28.

Reference Type DERIVED
PMID: 29846435 (View on PubMed)

Tamburus NY, Kunz VC, Salviati MR, Castello Simoes V, Catai AM, Da Silva E. Interval training based on ventilatory anaerobic threshold improves aerobic functional capacity and metabolic profile: a randomized controlled trial in coronary artery disease patients. Eur J Phys Rehabil Med. 2016 Feb;52(1):1-11. Epub 2015 Jun 18.

Reference Type DERIVED
PMID: 26086326 (View on PubMed)

Other Identifiers

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34/2012

Identifier Type: -

Identifier Source: org_study_id