Hypoxia Intolerance in Preterm Individuals

NCT ID: NCT04739904

Last Updated: 2024-08-15

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

COMPLETED

Total Enrollment

36 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-04-30

Study Completion Date

2022-03-31

Brief Summary

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Reduced Hypoxic Ventilatory Response (HVR) and systemic O2 saturation subsequently leading to blunted aerobic capacity as well as decreased overall physical and cognitive performance are the main physiological challenges faced by prematurely born individuals in hypobaric hypoxia (i.e. during high altitude sojourn). While these phenomena have been described previously, the underlying mechanisms are currently unresolved. Given that the reduction in altitude-performance and its underlying mechanisms are not well understood, it is currently impossible to give evidence-based recommendation for altitude sojourns in this cohort. It is also of note, that even hypobaric hypoxia exposure during long-haul flights might be detrimental to well-being of pre-term born individuals.

The present project aims to comprehensively investigate physiological responses to altitude/hypoxia during rest and exercise in prematurely born, but otherwise healthy adults. Specifically, the investigators aim to elucidate the underlying mechanisms of the altered resting and exercise cardiovascular, respiratory, cerebral and hematological responses to hypoxia in prematurely born individuals. The obtained results from this cohort will be compared to the data from a control groups consisting of healthy, age and aerobic capacity-matched individuals born at full-term. While acute hypoxic effects will be the focus of the project's first phase, the researchers will test the effect of prolonged terrestrial (real) or simulated (normobaric hypoxia) altitude exposures in the second part. This phase will, in addition to the insight into the prolonged altitude acclimatization modulation in prematurely born individuals, also enable the potential differences between the effects of normobaric (simulated) and hypobaric (terrestrial) hypoxia in this cohort to be investigated.

Detailed Description

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Conditions

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Premature Birth Hypoxia

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Preterm born

Premature born but otherwise healthy adults exposed to normoxic, normobaric hypoxic and hypobaric hypoxic interventions.

Normoxia

Intervention Type OTHER

48 hours experimental protocol conducted at sea level

Normobaric hypoxia

Intervention Type OTHER

24 hours experimental protocol conducted in a normobaric hypoxic facility

Hypobaric hypoxia

Intervention Type OTHER

72 hours experimental protocol conducted at terrestrial altitude

Full-term control

Full-term born healthy adults exposed to normoxic, normobaric hypoxic and hypobaric hypoxic interventions.

Normoxia

Intervention Type OTHER

48 hours experimental protocol conducted at sea level

Normobaric hypoxia

Intervention Type OTHER

24 hours experimental protocol conducted in a normobaric hypoxic facility

Hypobaric hypoxia

Intervention Type OTHER

72 hours experimental protocol conducted at terrestrial altitude

Interventions

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Normoxia

48 hours experimental protocol conducted at sea level

Intervention Type OTHER

Normobaric hypoxia

24 hours experimental protocol conducted in a normobaric hypoxic facility

Intervention Type OTHER

Hypobaric hypoxia

72 hours experimental protocol conducted at terrestrial altitude

Intervention Type OTHER

Other Intervention Names

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Normoxic condition Sea level Simulated altitude Terrestrial altitude

Eligibility Criteria

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Inclusion Criteria

* prematurely born (gestational age: ≤ 32 weeks; gestational weight ≤ 1500g)
* full-term born
* healthy individuals
* male

Exclusion Criteria

* presence of any medical risk factors to exercise and/or exposure to altitude
* presence of any medical condition that would make the protocol unreasonably hazardous for the patient
* smokers
* exposure to altitude above 1000m in the last 2 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Lausanne

OTHER

Sponsor Role collaborator

Jozef Stefan Institute

OTHER

Sponsor Role lead

Responsible Party

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Tadej Debevec

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Jozef Stefan Institute

Ljubljana, , Slovenia

Site Status

University of Ljubljana

Ljubljana, , Slovenia

Site Status

Institute of Sport Sciences of the University of Lausanne

Lausanne, Canton of Vaud, Switzerland

Site Status

Countries

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Slovenia Switzerland

References

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Manferdelli G, Narang BJ, Bourdillon N, Debevec T, Millet GP. Physiological Responses to Exercise in Hypoxia in Preterm Adults: Convective and Diffusive Limitations in the O 2 Transport. Med Sci Sports Exerc. 2023 Mar 1;55(3):482-496. doi: 10.1249/MSS.0000000000003077. Epub 2022 Oct 26.

Reference Type DERIVED
PMID: 36459101 (View on PubMed)

Other Identifiers

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PreAlti

Identifier Type: -

Identifier Source: org_study_id

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