Validation and Impact of Cardiorespiratory Fitness in Severe Mental Illness - the Heart in Mind Project

NCT ID: NCT06743711

Last Updated: 2024-12-20

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

RECRUITING

Total Enrollment

75 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-01-01

Study Completion Date

2026-01-01

Brief Summary

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This project aims to evaluate feasibility, validity and clinically applicability to systematically measure fitness in patients with severe mental illness.

The research project is a validation study using a cross-sectional design. The project will include 50 people with severe mental illness and 25 healthy controls without present or previous mental illness. The protocol includes a baseline visit where three different ways of measure fitness will be carried out, and a 14-day period of physical activity monitoring.

Detailed Description

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BACKGROUND Cardiorespiratory fitness (CRF) is a strong independent predictor of cardiovascular disease (CVD) and all-cause mortality in the general population. However, CRF is rarely considered or measured in psychiatric populations, despite people with severe mental illness (SMI) is a high-risk population of CVD and may suffer from premature death of up to 15-20 years.

AIM The aim of this project is to evaluate the feasibility, validity, and clinical relevance of CRF assessment in patients with SMI.

POPULATION 50 people with severe mental illness in treatment with antipsychotic medications and 25 healthy controls without present or previous mental illness matched for sex, age, and BMI will be included in the study.

METHODS This is a validation study with a cross-sectional design. The study includes a \~3 hour baseline visit and 14 days of physical activity monitoring.

Baseline Visit (D0) Physical health, body composition, vital signs, and non-exercise VO2max estimation by seismocardiography (SCG) will be carried out initially. Afterwards, psychopathology, substance use, and cognition will be assessed during an interview. Questionnaires regarding physical activity, fitness, quality of life, body image and self-esteem, and sleep will be completed by the participants.

Essential for the baseline visit, two fitness tests will be conducted. First, the revised Ekblom-Bak submaximal cycle-ergometer fitness test followed by a state-of-the-art graded cardiopulmonary exercise test to exhaustion. During both tests, oxygen uptake will be assessed with gas-exchange analysis equipment. After the baseline visit, participants will wear a physical activity sensor (SENS Motion(R)) for two weeks, and finish participation in the study with completion of questionnaires.

Conditions

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Severe Mental Illness Schizophrenia Spectrum & Other Psychotic Disorders Bipolar Affective Disorder

Keywords

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cardiorespiratory fitness severe mental illness cardiovascular disease validation physical activity cardiopulmonary exercise test non-exercise vo2max estimation vo2max

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Patients

Adults with severe mental illness in treatment with antipsychotic medications

No interventions assigned to this group

Healthy controls

Adults without present or previous mental illness, and no first-degree relatives with present or previous mental illness, matched to the patient group for gender, age, and BMI.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* 1\) 18-45 years; 2) Diagnosis within schizophrenia spectrum or affective disorders (i.e. F2.x or F3.x according to ICD-10 classification); 3) current antipsychotic treatment for more than one month on a regular daily dose and 4) Able to give informed consent.


* 1\) 18-45 years; 2) No psychiatric diagnosis or having first-degree relatives with psychiatric diagnoses; 3) able to give informed consent.

Exclusion Criteria

* 1\) Clinical or laboratory evidence of uncompensated medical disease; 2) Unstable psychiatric disorder; 3) Acute suicidal risk; 4) Planned hospitalization within the study period.

Healthy controls


* 1\) Clinical or laboratory evidence of uncompensated medical disease; 2) Indication of psychiatric disorder.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mental Health Services in the Capital Region, Denmark

OTHER

Sponsor Role collaborator

VentriJect ApS

INDUSTRY

Sponsor Role collaborator

Bjorn H. Ebdrup

OTHER

Sponsor Role lead

Responsible Party

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Bjorn H. Ebdrup

Professor and consultant psychiatrist

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Bjørn H Ebdrup, Professor and psychiatrist

Role: STUDY_DIRECTOR

Mental Health Center Glostrup, Center for Neuropsychiatric Schizophrenia Research

Victor Sørensen, PhD student

Role: PRINCIPAL_INVESTIGATOR

Mental Health Center Glostrup, Centre for Applied Research in Mental Health Care & Center for Neuropsychiatric Schizophrenia Research

Locations

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Mental Health Center Glostrup

Glostrup Municipality, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Bjørn H Ebdrup, Professor and psychiatrist

Role: CONTACT

Phone: +4538640840

Email: [email protected]

Victor Sørensen, PhD student

Role: CONTACT

Phone: +4523722837

Email: [email protected]

Facility Contacts

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Bjørn H Ebdrup, Professor and psychiatrist

Role: primary

Victor Sørensen, PhD student

Role: backup

Related Links

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Other Identifiers

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2023-0065

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

H-24031121

Identifier Type: OTHER

Identifier Source: secondary_id

H-24031121

Identifier Type: -

Identifier Source: org_study_id