Exercise Pressor Reflex and Lifelong Training

NCT ID: NCT04013022

Last Updated: 2019-07-09

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

Total Enrollment

48 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-08-01

Study Completion Date

2021-11-29

Brief Summary

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Cardiovascular diseases represent the first mortality cause in the world. Ageing is considered as the most prominent risk factor for this kind of diseases. Also, hypertension represents one of the modifiable risk factors. Blood pressure response to exercise is governed by three systems: central command, baroreflex, and a feedback mechanism originating in the skeletal muscle. An abnormal cardiovascular response to exercise facilitates the occurrence of cardiovascular events. The goal of the study is to characterize the cardiovascular response in lifelong trained individuals and explore the potential benefits of endurance and strength training on cardiovascular regulation to exercise onset.

Detailed Description

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Population ageing represents a problem both for health outcomes and for social dynamics in the social welfare states. Currently, the over 60 represents the fastest growing segment of the population. Despite a downward trend in the incidence of cardiovascular diseases, they remain the main culprits for what concern mortality rates in the world. Increasing age is considered the major risk factor for cardiovascular mortality.

One of the main components of the cardiovascular response to exercise is dictated by the exercise pressor reflex originating in the exercising muscle and responding to metabolic and mechanical stimuli. Research indicates that at least 20% of the regulation of blood pressure could be ascribed to these cardiovascular reflexes. A dysfunctional reflex-mediated response increases the chances of cardiovascular events that may end up in severe consequences.

Chronic exercise training is recognized to be an important tool to control blood pressure. The mechanisms through which exercise exerts its effect are multiple. Among these, an improvement of the neural control of the reflex originating in the muscle seems a likely contributor. However, at present, the effect of chronic exercise training on the EPR response in the elderly has not been elucidated. The aim of the study is to characterize the central and peripheral cardiovascular response in the lifelong endurance and strength trained elders population.

Conditions

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Healthy Aging Cardiovascular Risk Factor

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Young

Healthy young subjects (age 18 - 30 )

Exercise History

Intervention Type BEHAVIORAL

The groups will be divided based on their exercise history

Old Sedentary

Healthy and sedentary old subjects (age 65 - 75)

Exercise History

Intervention Type BEHAVIORAL

The groups will be divided based on their exercise history

Old Endurance Trained

Healthy old subjects ( age 65 - 75) who participated in endurance sports for ≥30 years, ≥5 hours per week and ≥4 sessions per week

Exercise History

Intervention Type BEHAVIORAL

The groups will be divided based on their exercise history

Old Strength Trained

Healthy old subjects ( age 65 - 75) who participated in resistance training/sports for ≥30 years, ≥5 hours per week and ≥4 sessions per week

Exercise History

Intervention Type BEHAVIORAL

The groups will be divided based on their exercise history

Interventions

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Exercise History

The groups will be divided based on their exercise history

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

General:

* Young: 18 - 30, males, non smokers
* Old Sedentary: 65 -75, males, non smokers
* Old Endurance Trained: 65 -75, males, non smokers
* Old Strength Trained: 65 - 75, males, non smokers

Exercise history (different for each group):

* Young: ≤ 5 h/week
* Old Sedentary: ≤ 2h/week
* Old Endurance Trained: ≥ 5 h/week, ≥ 30 years of practice, ≥ 4 sessions/week
* Old Strength Trained: ≥ 5 h/week, ≥ 30 years of practice, ≥ 4 sessions/week

Exclusion Criteria

* History of cardiovascular events/diseases
* Respiratory, musculoskeletal, renal, and insulin-resistant diseases
* Hypercholesterolemia
* Use of beta-blockers
* BMI ≥ 30
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Universita di Verona

OTHER

Sponsor Role lead

Responsible Party

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Massimo Venturelli, PhD

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Massimo Venturelli, PhD

Role: PRINCIPAL_INVESTIGATOR

Universita di Verona

Locations

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University of Verona

Verona, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Massimo Venturelli, PhD

Role: CONTACT

+39 0458425114

Fabio Giuseppe Laginestra, MSc

Role: CONTACT

+39 0458425146

Facility Contacts

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Massimo Venturelli, PhD

Role: primary

References

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Milia R, Roberto S, Mulliri G, Loi A, Marcelli M, Sainas G, Milia N, Marongiu E, Crisafulli A. Effect of aging on hemodynamic response to metaboreflex activation. Eur J Appl Physiol. 2015 Aug;115(8):1693-703. doi: 10.1007/s00421-015-3153-5. Epub 2015 Mar 24.

Reference Type BACKGROUND
PMID: 25802227 (View on PubMed)

Groot HJ, Rossman MJ, Garten RS, Wang E, Hoff J, Helgerud J, Richardson RS. The Effect of Physical Activity on Passive Leg Movement-Induced Vasodilation with Age. Med Sci Sports Exerc. 2016 Aug;48(8):1548-57. doi: 10.1249/MSS.0000000000000936.

Reference Type BACKGROUND
PMID: 27031748 (View on PubMed)

Boushel R. Muscle metaboreflex control of the circulation during exercise. Acta Physiol (Oxf). 2010 Aug;199(4):367-83. doi: 10.1111/j.1748-1716.2010.02133.x. Epub 2010 Mar 27.

Reference Type BACKGROUND
PMID: 20353495 (View on PubMed)

Murphy MN, Mizuno M, Mitchell JH, Smith SA. Cardiovascular regulation by skeletal muscle reflexes in health and disease. Am J Physiol Heart Circ Physiol. 2011 Oct;301(4):H1191-204. doi: 10.1152/ajpheart.00208.2011. Epub 2011 Aug 12.

Reference Type BACKGROUND
PMID: 21841019 (View on PubMed)

Markel TA, Daley JC 3rd, Hogeman CS, Herr MD, Khan MH, Gray KS, Kunselman AR, Sinoway LI. Aging and the exercise pressor reflex in humans. Circulation. 2003 Feb 11;107(5):675-8. doi: 10.1161/01.cir.0000055190.81716.ab.

Reference Type BACKGROUND
PMID: 12578866 (View on PubMed)

Other Identifiers

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30444

Identifier Type: -

Identifier Source: org_study_id

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