Trial Outcomes & Findings for Cardiovascular Responses to Heat Waves in the Elderly (NCT NCT04538144)

NCT ID: NCT04538144

Last Updated: 2025-10-23

Results Overview

Core body temperature will be measured via a telemetric pill or rectal temperature probe.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

59 participants

Primary outcome timeframe

Prior to and after the 3-hour simulated heat wave exposure.

Results posted on

2025-10-23

Participant Flow

18 participants were either screened out or withdrew before randomization.

Participant milestones

Participant milestones
Measure
Younger Participants: Hot and Humid First, Then Hot and Dry
Individuals aged 18-39 years that had the hot/humid trial first and the hot/dry trial second.
Younger Participants: Hot and Dry First, Then Hot and Humid
Individuals aged 18-39 years that had the hot/dry trial first and the hot/humid trial second.
Older Participants: Hot and Humid First, Then Hot and Dry
Individuals aged 65 years or older that had the hot/humid trial first and the hot/dry trial second.
Older Participants: Hot and Dry First, Then Hot and Humid
Individuals aged 65 years or older that had the hot/dry trial first and the hot/humid trial second.
First Intervention (3 Hours)
STARTED
9
11
8
13
First Intervention (3 Hours)
COMPLETED
9
11
8
13
First Intervention (3 Hours)
NOT COMPLETED
0
0
0
0
Washout (1 Week)
STARTED
9
11
8
13
Washout (1 Week)
COMPLETED
9
11
8
12
Washout (1 Week)
NOT COMPLETED
0
0
0
1
Second Intervention (3 Hours)
STARTED
9
11
8
12
Second Intervention (3 Hours)
COMPLETED
9
11
8
12
Second Intervention (3 Hours)
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Younger Participants: Hot and Humid First, Then Hot and Dry
Individuals aged 18-39 years that had the hot/humid trial first and the hot/dry trial second.
Younger Participants: Hot and Dry First, Then Hot and Humid
Individuals aged 18-39 years that had the hot/dry trial first and the hot/humid trial second.
Older Participants: Hot and Humid First, Then Hot and Dry
Individuals aged 65 years or older that had the hot/humid trial first and the hot/dry trial second.
Older Participants: Hot and Dry First, Then Hot and Humid
Individuals aged 65 years or older that had the hot/dry trial first and the hot/humid trial second.
Washout (1 Week)
Withdrawal by Subject
0
0
0
1

Baseline Characteristics

Cardiovascular Responses to Heat Waves in the Elderly

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Younger Participants: Hot and Humid First, Then Hot and Dry
n=9 Participants
Individuals aged 18-39 years that had the hot/humid trial first and the hot/dry trial second.
Younger Participants: Hot and Dry First, Then Hot and Humid
n=11 Participants
Individuals aged 18-39 years that had the hot/dry trial first and the hot/humid trial second.
Older Participants: Hot and Humid First, Then Hot and Dry
n=8 Participants
Individuals aged 65 years or older that had the hot/humid trial first and the hot/dry trial second.
Older Participants: Hot and Dry First, Then Hot and Humid
n=12 Participants
Individuals aged 65 years or older that had the hot/dry trial first and the hot/humid trial second.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
30 years
STANDARD_DEVIATION 6 • n=5 Participants
29 years
STANDARD_DEVIATION 4 • n=7 Participants
70 years
STANDARD_DEVIATION 4 • n=5 Participants
71 years
STANDARD_DEVIATION 4 • n=4 Participants
50 years
STANDARD_DEVIATION 21 • n=21 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
4 Participants
n=4 Participants
20 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
5 Participants
n=7 Participants
2 Participants
n=5 Participants
8 Participants
n=4 Participants
20 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
3 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
10 Participants
n=7 Participants
7 Participants
n=5 Participants
12 Participants
n=4 Participants
37 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 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
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
6 Participants
n=21 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
6 Participants
n=7 Participants
7 Participants
n=5 Participants
11 Participants
n=4 Participants
30 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
United States
9 participants
n=5 Participants
11 participants
n=7 Participants
8 participants
n=5 Participants
12 participants
n=4 Participants
40 participants
n=21 Participants

PRIMARY outcome

Timeframe: Prior to and after the 3-hour simulated heat wave exposure.

Core body temperature will be measured via a telemetric pill or rectal temperature probe.

Outcome measures

Outcome measures
Measure
Younger Participants- Hot and Dry
n=20 Participants
Individuals aged 18-39 years.
Older Participants- Hot and Dry
n=20 Participants
Individuals aged 65 years or older.
Younger Participants: Hot and Humid
n=20 Participants
Individuals aged 18-39 years.
Older Participants: Hot and Humid
n=20 Participants
Individuals aged 65 years or older.
Change in Core Body Temperature
.68 degrees Celsius (°C)
Standard Deviation .27
1.37 degrees Celsius (°C)
Standard Deviation .42
.58 degrees Celsius (°C)
Standard Deviation .25
1.02 degrees Celsius (°C)
Standard Deviation .32

PRIMARY outcome

Timeframe: Prior to, during, and after each simulated heat wave exposure; approximately 20 min each

Change in peak mitral annular systolic velocity was measured by tissue doppler imaging.

Outcome measures

Outcome measures
Measure
Younger Participants- Hot and Dry
n=20 Participants
Individuals aged 18-39 years.
Older Participants- Hot and Dry
n=20 Participants
Individuals aged 65 years or older.
Younger Participants: Hot and Humid
n=20 Participants
Individuals aged 18-39 years.
Older Participants: Hot and Humid
n=20 Participants
Individuals aged 65 years or older.
Change in Peak Mitral Annular Systolic Velocity (S')
1.46 cm/s
Standard Deviation 1.54
3.33 cm/s
Standard Deviation 2.05
1.39 cm/s
Standard Deviation 1.31
2.09 cm/s
Standard Deviation 1.29

SECONDARY outcome

Timeframe: At the end of the 3-hour simulated heat wave exposure.

Population: It should be noted that only 17 older participants for the hot/dry trial and 19 participants for the hot/humid trial were analyzed due to missing data/equipment issues.

Skin temperature will be measured from small temperature sensitive electrodes attached to the participant's skin.

Outcome measures

Outcome measures
Measure
Younger Participants- Hot and Dry
n=20 Participants
Individuals aged 18-39 years.
Older Participants- Hot and Dry
n=17 Participants
Individuals aged 65 years or older.
Younger Participants: Hot and Humid
n=20 Participants
Individuals aged 18-39 years.
Older Participants: Hot and Humid
n=19 Participants
Individuals aged 65 years or older.
Ending Skin Temperature
37.57 degrees Celsius (°C)
Standard Deviation .73
37.37 degrees Celsius (°C)
Standard Deviation .85
36.65 degrees Celsius (°C)
Standard Deviation .83
36.05 degrees Celsius (°C)
Standard Deviation .58

SECONDARY outcome

Timeframe: At the end of the 3-hour simulated heat wave exposure.

Heart rate will be measured via ECG electrodes attached to the participant

Outcome measures

Outcome measures
Measure
Younger Participants- Hot and Dry
n=20 Participants
Individuals aged 18-39 years.
Older Participants- Hot and Dry
n=20 Participants
Individuals aged 65 years or older.
Younger Participants: Hot and Humid
n=20 Participants
Individuals aged 18-39 years.
Older Participants: Hot and Humid
n=20 Participants
Individuals aged 65 years or older.
Ending Heart Rate
82 beats per minute (bpm)
Standard Deviation 9
87 beats per minute (bpm)
Standard Deviation 15
80 beats per minute (bpm)
Standard Deviation 10
81 beats per minute (bpm)
Standard Deviation 14

SECONDARY outcome

Timeframe: At the end of the 3-hour simulated heat wave exposure.

Population: It should be noted that only 19 participants were analyzed in the Hot/Humid arm because of missing data/equipment issues.

Arterial blood pressure will be measured using a standard arm blood pressure cuff.

Outcome measures

Outcome measures
Measure
Younger Participants- Hot and Dry
n=20 Participants
Individuals aged 18-39 years.
Older Participants- Hot and Dry
n=20 Participants
Individuals aged 65 years or older.
Younger Participants: Hot and Humid
n=20 Participants
Individuals aged 18-39 years.
Older Participants: Hot and Humid
n=19 Participants
Individuals aged 65 years or older.
Ending Mean Arterial Pressure
77 mmHg
Standard Deviation 7
76 mmHg
Standard Deviation 10
78 mmHg
Standard Deviation 5
76 mmHg
Standard Deviation 8

SECONDARY outcome

Timeframe: Prior to and after the 3-hour simulated heat wave exposure.

Population: It should be known that only 16 participants in the hot/dry trials (younger and older) and the hot/humid trial (younger) and only 14 participants in the hot/humid trial (older) were analyzed due to missing data/equipment malfunction.

Cardiac output (how much blood is ejected from the heart per minute) was measured using echocardiography.

Outcome measures

Outcome measures
Measure
Younger Participants- Hot and Dry
n=16 Participants
Individuals aged 18-39 years.
Older Participants- Hot and Dry
n=16 Participants
Individuals aged 65 years or older.
Younger Participants: Hot and Humid
n=16 Participants
Individuals aged 18-39 years.
Older Participants: Hot and Humid
n=14 Participants
Individuals aged 65 years or older.
Change in Cardiac Output
.88 L/min
Standard Deviation .77
.75 L/min
Standard Deviation .82
.38 L/min
Standard Deviation .52
.76 L/min
Standard Deviation .96

Adverse Events

Younger Participants: Hot and Dry

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

Older Participants: Hot and Dry

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

Younger Participants: Hot and Humid

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

Older Participants: Hot and Humid

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

Dr. Craig Crandall

Institute for Exercise and Environmental Medicine

Phone: 214-345-4623

Results disclosure agreements

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