Effects of Age and Exercise on Blood Pressure Regulation
Arterial Stiffness With Age: Part 1 and 2
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This study is being done to find out how age, activity level, and the presence of heart disease affect the way the body controls blood pressure. A total of 80 individuals will be recruited for the study, and will consist of two groups: sedentary healthy individuals and those with coronary artery disease (CAD). Each group will undergo screening tests, including history, questionnaires, physical exam, lab tests, treadmill exercise tolerance test, and maximal exercise test. These screening tests will be repeated at 3 months and 6 months.
The study involves 20 visits over a 6-month period. An exercise-training program will be designed for the individual's fitness level. During the first month, the individual will be supervised while exercising at Spaulding Rehabilitation Hospital, but after that may choose to exercise at home or in a fitness center. These exercise sessions will take place 3-5 times per week for 15-40 minutes per session based on the individual's exercise program, increasing to 4-6 times per week for 30-60 minutes per session after the first month. Participants will be required to visit Spaulding Rehabilitation Hospital a minimum of once every two weeks so that information can be collected from a heart rate monitor.
Testing is done at the beginning and end of the exercise-training intervention period to determine what effect the intervention has had on the individual's blood pressure regulation. This testing consists of 2 sequential study days. During the first day's testing, which will last about 2 hours, the participant will receive 8 low doses of atropine to alter vagal effects. On the second day, which will take about 4 hours, the participant will receive sodium nitroprusside, phenylephrine, and low-dose atropine while sympathetic nervous activity is recorded. Differences in blood pressure regulation pre- and post-training will be studied.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Glen Picard, MA
- Phone Number: 617-573-2786
- Email: apicard@partners.org
Study Contact Backup
- Name: J. Andrew Taylor, PhD
- Phone Number: 617-573-2784
- Email: jandrew_taylor@hms.harvard.edu
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02114
- Recruiting
- Spaulding Rehabilitation Hospital
-
Contact:
- Glen Picard, MA
- Phone Number: 617-573-2786
- Email: gpicard@partners.org
-
Contact:
- J. Andrew Taylor
- Phone Number: 617-573-2784
- Email: jandrew_taylor@hms.harvard.edu
-
Principal Investigator:
- J. Andrew Taylor, PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Sedentary Older Individuals Group:
- Healthy men and women ages 55-75
- Normally physically active (performing regular aerobic exercise less than 60 minutes per week) with aerobic capacities below the 80th percentile for age and gender
Coronary Artery Disease (CAD) Group:
- Men and women ages 55-75
- Written authorization from participant's cardiologist to participate in the study (Note: if Dr. Zervos is the participant's cardiologist, their primary care physician will also be asked to give written authorization)
- Documented CAD by previous MI or angiography
Exclusion Criteria:
General exclusion criteria for all groups:
- Neurological diseases
- Diabetes
- History of migraine headaches
- Hypertension
- Glaucoma
- Pacemaker
- History of stroke or TIA
- High cholesterol
- Current cancer
- Benign prostatic hyperplasia
- Allergy to sulfa
- Carotid disease
- Currently taking anti-depression, anti-psychotic, or anti-anxiety medications
Sedentary Older Individuals Group:
- Coronary artery or carotid vascular disease
Coronary Artery Disease (CAD) Group:
- Myocardial Infarction (MI), Percutaneous Transluminal Coronary Angioplasty (PTCA) or Coronary Artery Bypass Graft (CABG) in the last 3 months
- Unstable angina, EF branch block severe valvular disease, chronic atrial fibrillation, and frequent atrial or ventricular arrhythmias (including more than 3 PVCs or APCs per minute)
- Currently taking anticoagulants or any cardioactive medications other than ACE inhibitors, calcium channel blockers, and beta-blockers
Study Plan
How is the study designed?
Design Details
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: J. Andrew Taylor, PhD, Spaulding Rehabilitation Hospital, Harvard Medical School
- Principal Investigator: Gerasimos Zervos, MD, Chief of Nuclear Cardiology, Massachusetts General Hospital
Publications and helpful links
General Publications
- Hagbarth KE, Vallbo AB. Pulse and respiratory grouping of sympathetic impulses in human muscle-nerves. Acta Physiol Scand. 1968 Sep-Oct;74(1):96-108. doi: 10.1111/j.1748-1716.1968.tb04218.x. No abstract available.
- Wallin BG, Fagius J. Peripheral sympathetic neural activity in conscious humans. Annu Rev Physiol. 1988;50:565-76. doi: 10.1146/annurev.ph.50.030188.003025. No abstract available.
- Eckberg DL, Wallin BG, Fagius J, Lundberg L, Torebjork HE. Prospective study of symptoms after human microneurography. Acta Physiol Scand. 1989 Dec;137(4):567-9. doi: 10.1111/j.1748-1716.1989.tb08804.x. No abstract available.
- Yuasa T, Takata S, Maruyama M, Yasuma K, Yoshizawa H, Kontani M, Nagai H, Sakagami S, Kobayashi K. Low-dose atropine attenuates muscle sympathetic nerve activity in healthy humans. Hypertens Res. 2000 May;23(3):213-8. doi: 10.1291/hypres.23.213.
- Ikuta Y, Shimoda O, Kano T. Quantitative assessment of the autonomic nervous system activities during atropine-induced bradycardia by heart rate spectral analysis. J Auton Nerv Syst. 1995 Mar 18;52(1):71-6. doi: 10.1016/0165-1838(94)00148-d.
- Alcalay M, Izraeli S, Wallach-Kapon R, Tochner Z, Benjamini Y, Akselrod S. Paradoxical pharmacodynamic effect of atropine on parasympathetic control: a study by spectral analysis of heart rate fluctuations. Clin Pharmacol Ther. 1992 Nov;52(5):518-27. doi: 10.1038/clpt.1992.180.
- Smyth HS, Sleight P, Pickering GW. Reflex regulation of arterial pressure during sleep in man. A quantitative method of assessing baroreflex sensitivity. Circ Res. 1969 Jan;24(1):109-21. doi: 10.1161/01.res.24.1.109. No abstract available.
Study record dates
Study Major Dates
Study Start
Study Start
Study Completion
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- AG0063
- R01AG014376 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Cardiovascular Disease
-
NCT02729389CompletedCardiovascular Disease | Psychosocial Influence on Cardiovascular Disease
-
NCT07187947RecruitingCardiovascular Disease (CVD) | Gender Incongruence | Cardiovascular (CV) Risk | Cardiovascular Health Status | Cardiovascular Disease Prevention | Cardiovascular Disease Acute | Cardiovascular Disease Risk Factor
-
NCT02122575CompletedCardiovascular Disease | Inflammatory Disease
-
NCT07401550RecruitingCoronary Artery Disease (CAD) | Cardiovascular Diseases (CVD) | Cardiovascular Disease Prevention | Cardiovascular Disease Risk Factor
-
NCT07497932RecruitingCardiovascular Disease | Cardiovascular Surgery
-
NCT07521436Recruiting
-
NCT07293260Recruiting
-
NCT06740448Not yet recruitingCardiovascular Disease
-
NCT04310917Recruiting
Clinical Trials on Exercise-Training Program
-
NCT03887117CompletedSmoking | Exercise Capacity
-
NCT06715137CompletedOxidative Stress | Exercise Training | Congenital Heart Disease | Coronary Microvascular Dysfunction | Congenital Heart Defect | Microvascular Dysfunction | Peripheral Microvascular Dysfunction
-
NCT05819333Active, not recruiting
-
NCT05713461CompletedObesity | Overweight and Obesity | Overweight or Obesity
-
NCT01631019CompletedModerate to Severe COPD Receiving Home Exercise Training
-
NCT05998616Completed
-
NCT01889563CompletedChronic Obstructive Pulmonary Disease (COPD)
-
NCT07045259RecruitingMotoric Cognitive Risk Syndrome | Elderly (People Aged 65 or More) | Geriatric Patient | Exergaming | Neuromuscular Exercise
-
NCT07150741Not yet recruitingPain | Sleep | Anxiety State