Trial Outcomes & Findings for Exercise and Weight Loss in PAD (NCT NCT02607033)

NCT ID: NCT02607033

Last Updated: 2024-06-17

Results Overview

The change in the amount of time it takes for calf pain to first appear while walking on a treadmill comparing pre and post-intervention

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

18 participants

Primary outcome timeframe

6 months

Results posted on

2024-06-17

Participant Flow

Participant milestones

Participant milestones
Measure
Exercise and Weight Loss
Individuals assigned to this group will be asked to complete both the exercise and weight loss intervention for six months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs. Weight Loss: Individuals will be asked to meet with a registered dietitian once a week to discuss strategies to reduce daily caloric intake to gradually reduce body weight over 6 months.
Exercise
Individuals assigned to this group will be asked to complete the exercise intervention for xic months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs.
Overall Study
STARTED
9
9
Overall Study
COMPLETED
7
2
Overall Study
NOT COMPLETED
2
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Exercise and Weight Loss in PAD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exercise and Weight Loss
n=9 Participants
Individuals assigned to this group will be asked to complete both the exercise and weight loss intervention for six months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs. Weight Loss: Individuals will be asked to meet with a registered dietitian once a week to discuss strategies to reduce daily caloric intake to gradually reduce body weight over 6 months.
Exercise
n=9 Participants
Individuals assigned to this group will be asked to complete the exercise intervention for xic months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs.
Total
n=18 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
8 Participants
n=7 Participants
13 Participants
n=5 Participants
Age, Continuous
66 years
n=5 Participants
72 years
n=7 Participants
67 years
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Population: 6 individuals in the exercise and weight loss group and 2 individuals in the exercise group completed pre/post measures for Claudication onset time

The change in the amount of time it takes for calf pain to first appear while walking on a treadmill comparing pre and post-intervention

Outcome measures

Outcome measures
Measure
Exercise and Weight Loss
n=6 Participants
Individuals assigned to this group will be asked to complete both the exercise and weight loss intervention for six months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs. Weight Loss: Individuals will be asked to meet with a registered dietitian once a week to discuss strategies to reduce daily caloric intake to gradually reduce body weight over 6 months.
Exercise
n=2 Participants
Individuals assigned to this group will be asked to complete the exercise intervention for xic months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs.
Difference in Time to Onset of Calf Pain (Claudication Onset Time) Pre-intervention to Post-intervention
396 seconds
Interval 264.0 to 524.0
140 seconds
Interval 106.0 to 175.0

PRIMARY outcome

Timeframe: 6 months

Population: 6 individuals in the exercise and weight loss group and 2 individuals in the exercise group completed pre/post measures for ankle brachial index

A change in the muscle blood flow to the legs determined by taking blood pressure in the arms and legs before and after cessation of exercise comparing the change pre to post exercise scores pre-intervention (baseline) and post intervention (6 months). There are no units because the ankle brachial index is a ratio. An improvement would be a higher number a post-intervention testing than pre-intervention testing. A negative number indicates improvement while a positive number indicates a worse score post-testing.

Outcome measures

Outcome measures
Measure
Exercise and Weight Loss
n=6 Participants
Individuals assigned to this group will be asked to complete both the exercise and weight loss intervention for six months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs. Weight Loss: Individuals will be asked to meet with a registered dietitian once a week to discuss strategies to reduce daily caloric intake to gradually reduce body weight over 6 months.
Exercise
n=2 Participants
Individuals assigned to this group will be asked to complete the exercise intervention for xic months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs.
Difference in Ankle Brachial Index Pre-intervention to Post-intervention
0.04 ratio
Interval -0.15 to 0.27
-0.16 ratio
Interval -0.18 to -0.14

SECONDARY outcome

Timeframe: 6 months

A mobility measure that utilizes 9 tasks scored 0-4 (total possible score 36) to determine functional status. Scores from each of the nine items are summed for the total score. Scores are from 0-36 with higher scores considered to be better. The post-testing median score will be reported for post-testing.

Outcome measures

Outcome measures
Measure
Exercise and Weight Loss
n=7 Participants
Individuals assigned to this group will be asked to complete both the exercise and weight loss intervention for six months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs. Weight Loss: Individuals will be asked to meet with a registered dietitian once a week to discuss strategies to reduce daily caloric intake to gradually reduce body weight over 6 months.
Exercise
n=2 Participants
Individuals assigned to this group will be asked to complete the exercise intervention for xic months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs.
Score on the Modified Physical Performance Test Post-intervention
33 score on a scale
Interval 30.0 to 36.0
31 score on a scale
Interval 26.0 to 36.0

SECONDARY outcome

Timeframe: 6 months

Population: This measure was not conducted due to staffing and pandemic related limitations in acquiring the CT scans.

A measure of the amount of muscle and fat in the muscle using a CT scan of the legs. Pre-test levels will be compared to post-test levels.

Outcome measures

Outcome data not reported

Adverse Events

Exercise and Weight Loss

Serious events: 2 serious events
Other events: 4 other events
Deaths: 0 deaths

Exercise

Serious events: 3 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Exercise and Weight Loss
n=9 participants at risk
Individuals assigned to this group will be asked to complete both the exercise and weight loss intervention for six months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs. Weight Loss: Individuals will be asked to meet with a registered dietitian once a week to discuss strategies to reduce daily caloric intake to gradually reduce body weight over 6 months.
Exercise
n=9 participants at risk
Individuals assigned to this group will be asked to complete the exercise intervention for xic months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs.
Nervous system disorders
Stroke
11.1%
1/9 • Number of events 1 • 6 months from baseline
0.00%
0/9 • 6 months from baseline
Cardiac disorders
angina
11.1%
1/9 • Number of events 1 • 6 months from baseline
11.1%
1/9 • Number of events 1 • 6 months from baseline
Cardiac disorders
Coronary Artery Bypass Graft (CABG)
0.00%
0/9 • 6 months from baseline
11.1%
1/9 • Number of events 1 • 6 months from baseline
Gastrointestinal disorders
Gastrointestinal (GI) bleed
0.00%
0/9 • 6 months from baseline
11.1%
1/9 • Number of events 1 • 6 months from baseline

Other adverse events

Other adverse events
Measure
Exercise and Weight Loss
n=9 participants at risk
Individuals assigned to this group will be asked to complete both the exercise and weight loss intervention for six months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs. Weight Loss: Individuals will be asked to meet with a registered dietitian once a week to discuss strategies to reduce daily caloric intake to gradually reduce body weight over 6 months.
Exercise
n=9 participants at risk
Individuals assigned to this group will be asked to complete the exercise intervention for xic months Exercise: Individuals will be asked to walk 3 times a week on a treadmill (initially starting at 15 minutes and progressing up to 40 minutes) and participate in a short weight training program focused on increasing strength in the legs.
Musculoskeletal and connective tissue disorders
Fall
11.1%
1/9 • Number of events 1 • 6 months from baseline
0.00%
0/9 • 6 months from baseline
Infections and infestations
Infection
33.3%
3/9 • Number of events 5 • 6 months from baseline
22.2%
2/9 • Number of events 3 • 6 months from baseline
Social circumstances
Car accident
0.00%
0/9 • 6 months from baseline
11.1%
1/9 • Number of events 1 • 6 months from baseline

Additional Information

Odessa Addison

Baltimore VA Hosptial

Phone: 4106057000

Results disclosure agreements

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