Trial Outcomes & Findings for Combined Effects of Prolonged Sitting and Mental Stress on the Cardiovascular System (NCT NCT04207333)

NCT ID: NCT04207333

Last Updated: 2023-04-18

Results Overview

bfPWV (m/s) is the velocity at which a pressure wave travels between the brachial and femoral arterial segments. An increase in bfPWV represents increased arterial stiffness (worse outcome).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

6 participants

Primary outcome timeframe

Baseline and immediately following the acute mental stressor

Results posted on

2023-04-18

Participant Flow

Participant milestones

Participant milestones
Measure
Prolonged Sitting + Mental Stress, Then Brief Sitting + Mental Stress
Participants will sit for 120 min prior to being exposed to mental stress Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 120 minutes while watching a documentary. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Following a 2-7 day wash-out period, participants will be exposed to the other condition (brief sitting, followed by mental stress). For this condition participants will rest in the supine position for 10 minutes, then will be switched to an upright seated position. Following the 10 minutes quiet rest in the seated position, participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Brief Sitting + Mental Stress, Then Prolonged Sitting + Mental Stress
Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 10 minutes. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Following a 2-7 day wash-out period, participants will be exposed to the other condition (prolonged sitting, followed by mental stress). For this condition participants will rest in the supine position for 10 minutes, then will be switched to an upright seated position. Participants will sit quietly for 120 min while watching a documentary, following which the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
First Intervention (Single 1-Day Visit)
STARTED
3
3
First Intervention (Single 1-Day Visit)
COMPLETED
3
3
First Intervention (Single 1-Day Visit)
NOT COMPLETED
0
0
Washout (2-7 Days)
STARTED
3
3
Washout (2-7 Days)
COMPLETED
3
3
Washout (2-7 Days)
NOT COMPLETED
0
0
Second Intervention (Single 1-Day Visit)
STARTED
3
3
Second Intervention (Single 1-Day Visit)
COMPLETED
3
3
Second Intervention (Single 1-Day Visit)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=6 Participants
All participants who completed both conditions in either Period 1 or Period 2 or Period 3 as per randomization schedule.
Age, Continuous
43 years
STANDARD_DEVIATION 8.0 • n=6 Participants
Sex: Female, Male
Female
2 Participants
n=6 Participants
Sex: Female, Male
Male
4 Participants
n=6 Participants
Region of Enrollment
United States
6 Participants
n=6 Participants

PRIMARY outcome

Timeframe: Baseline and immediately following the acute mental stressor

bfPWV (m/s) is the velocity at which a pressure wave travels between the brachial and femoral arterial segments. An increase in bfPWV represents increased arterial stiffness (worse outcome).

Outcome measures

Outcome measures
Measure
Prolonged Sitting With Mental Stress
n=6 Participants
Participants will sit for 120 min prior to being exposed to mental stress Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 120 minutes while watching a documentary. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Brief Sitting With Mental Stress
n=6 Participants
Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 10 minutes. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Mean Change in Brachial-femoral Pulse Wave Velocity (bfPWV)
-0.26 m/s
Standard Error 0.56
0.22 m/s
Standard Error 0.56

PRIMARY outcome

Timeframe: Baseline and immediately following the acute mental stressor

Brain PWV (cm/s) is the velocity at which a pressure wave travels between the heart and cerebrovascular system. An increase in Brain PWV represents increased arterial stiffness (worse outcome).

Outcome measures

Outcome measures
Measure
Prolonged Sitting With Mental Stress
n=6 Participants
Participants will sit for 120 min prior to being exposed to mental stress Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 120 minutes while watching a documentary. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Brief Sitting With Mental Stress
n=6 Participants
Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 10 minutes. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Change in Heart-middle Cerebral Artery Pulse Wave Velocity (Brain PWV)
6.1 cm/s
Standard Error 2.8
-0.97 cm/s
Standard Error 2.8

SECONDARY outcome

Timeframe: Baseline and immediately following the acute mental stressor

Carotid PWV (m/s) is the velocity at which a pressure wave travels between the carotid and femoral arterial segments. An increase in carotid PWV represents increased arterial stiffness (worse outcome).

Outcome measures

Outcome measures
Measure
Prolonged Sitting With Mental Stress
n=6 Participants
Participants will sit for 120 min prior to being exposed to mental stress Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 120 minutes while watching a documentary. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Brief Sitting With Mental Stress
n=6 Participants
Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 10 minutes. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Mean Change Carotid-femoral Pulse Wave Velocity (PWV)
-0.26 m/s
Standard Error 0.56
0.22 m/s
Standard Error 0.56

SECONDARY outcome

Timeframe: Baseline and immediately following the acute mental stressor

Femoral-ankle PWV (m/s) is the velocity at which a pressure wave travels between the femoral-ankle arterial segments. An increase in femoral-ankle PWV represents increased arterial stiffness (worse outcome).

Outcome measures

Outcome measures
Measure
Prolonged Sitting With Mental Stress
n=6 Participants
Participants will sit for 120 min prior to being exposed to mental stress Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 120 minutes while watching a documentary. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Brief Sitting With Mental Stress
n=6 Participants
Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 10 minutes. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Mean Change in Femoral-ankle PWV
1.28 m/s
Standard Error 1.00
1.20 m/s
Standard Error 1.00

SECONDARY outcome

Timeframe: Baseline and immediately following the acute mental stressor

Augmentation Index is a measure of arterial wave reflection and calculated as augmentation pressure divided by central pulse pressure.

Outcome measures

Outcome measures
Measure
Prolonged Sitting With Mental Stress
n=6 Participants
Participants will sit for 120 min prior to being exposed to mental stress Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 120 minutes while watching a documentary. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Brief Sitting With Mental Stress
n=6 Participants
Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 10 minutes. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Mean Change Augmentation Index
-1.83 percentage of pulse pressure
Standard Error 4.25
-1.92 percentage of pulse pressure
Standard Error 4.25

SECONDARY outcome

Timeframe: following the acute mental stressor

Executive Function was measured at the end of each condition by recording the completion time of a trail making test. The trail making test was delivered using a tablet and the time to complete the test was recorded. Subject instructed to connect a set of 25 dots as rapidly as possible.

Outcome measures

Outcome measures
Measure
Prolonged Sitting With Mental Stress
n=6 Participants
Participants will sit for 120 min prior to being exposed to mental stress Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 120 minutes while watching a documentary. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Brief Sitting With Mental Stress
n=6 Participants
Following 10 minutes of supine rest, participants will switch to an upright sitting position and remain seated for 10 minutes. Following the 10 minutes quiet rest the participants will be subjected to a 5 minute mental arithmetic test. Mental Arithmetic Test: The researcher will call out a four-digit number and ask the participant to subtract either 7 or 13. Each minute, a new four-digit number will be called out and the participant must subtract the 7 or 13 from the number. The test will last approximately 5 minutes
Mean Executive Function
48.7 sec
Standard Deviation 20.2
76.2 sec
Standard Deviation 75.2

SECONDARY outcome

Timeframe: following the acute mental stressor

Population: This data was not collected.

Neurovascular Coupling reflects the cerebral blood flow during a cognitive task.

Outcome measures

Outcome data not reported

Adverse Events

Prolonged Sitting With Mental Stress

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

Brief Sitting With Mental Stress

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

Lee Stoner, PhD, MPH

University of North Carolina at Chapel Hill

Phone: 919-962-0534

Results disclosure agreements

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