Effect of Exercise After Heart Transplantation (TEX)
Effect of High Intensity Interval-based Aerobic Exercise 1-8 Years After Heart Transplantation. 1 Year Follow Up.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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-
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Oslo, Norway, 0027
- Department of Cardiology, Oslo University Hospital, Rikshospitalet
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Norwegian heart transplanted patients > 18 years of age
- 1-8 years after heart transplantation
- Optimal medical treatment
- Stable condition
- Written informed consent
- Must have access to a physical therapist or personal trainer in their hometown
- Motivation for exercise
Exclusion Criteria:
- Unstable condition
- In need of revascularization or other invention
- Infections, open wounds or skin diseases
- Physical disabilities which prevent participation
- Other diseases, illnesses or conditions which contradict exercise
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Other: Exercise
Interval-based aerobic exercise
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High intensity interval-based aerobic exercise training.
Duration: 1 year.
Three 8-weeks supervised periods of physical training 3 times per week.
Individual training 2 times per week between these periods.
Other Names:
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No Intervention: Control
No intervention other than regular follow up hospital visits
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Peak oxygen uptake (VO2peak)
Time Frame: Before and after the intervention period of 1 year
|
Before and after the intervention period of 1 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Isokinetic muscle strength of quadriceps and hamstrings
Time Frame: Before and after the intervention period of 1 year
|
Before and after the intervention period of 1 year
|
|
Quality of life measured by questionnaires
Time Frame: Before and after the intervention period of 1 year
|
Before and after the intervention period of 1 year
|
|
Myocardial function measured by echocardiography
Time Frame: Before and after the intervention period of 1 year
|
Before and after the intervention period of 1 year
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Progression on coronary atherosclerosis measured by intra vascular ultrasound (IVUS)
Time Frame: Before and after the intervention period of 1 year
|
Before and after the intervention period of 1 year
|
|
Vascular tone and compliance measured by tonometry
Time Frame: Before and after the intervention period of 1 year
|
Before and after the intervention period of 1 year
|
|
Regular blood screening, lipid profile, inflammatory status, nerve growth factor, biochemical markers for endothelial function, prothrombotic factor, factors connected to vascularization: NT-proBNP and gene expression analysis.
Time Frame: Before and after the intervention period of 1 year
|
Before and after the intervention period of 1 year
|
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Analysis of isolated muscle cells from myocardial biopsy
Time Frame: Before and after the intervention period of 1 year
|
Before and after the intervention period of 1 year
|
|
Reinnervation as judged by autonomic nervous control (Heart Rate Variability)
Time Frame: Before and after the intervention period of 1 year
|
Before and after the intervention period of 1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Lars Gullestad, MD,PhD,Prof., Oslo University Hospital
Publications and helpful links
General Publications
- Nytroen K, Rolid K, Yardley M, Gullestad L. Effect of high-intensity interval training in young heart transplant recipients: results from two randomized controlled trials. BMC Sports Sci Med Rehabil. 2020 Jun 4;12:35. doi: 10.1186/s13102-020-00180-1. eCollection 2020.
- Nytroen K, Rustad LA, Aukrust P, Ueland T, Hallen J, Holm I, Rolid K, Lekva T, Fiane AE, Amlie JP, Aakhus S, Gullestad L. High-intensity interval training improves peak oxygen uptake and muscular exercise capacity in heart transplant recipients. Am J Transplant. 2012 Nov;12(11):3134-42. doi: 10.1111/j.1600-6143.2012.04221.x. Epub 2012 Aug 17.
- Rustad LA, Nytroen K, Amundsen BH, Gullestad L, Aakhus S. One year of high-intensity interval training improves exercise capacity, but not left ventricular function in stable heart transplant recipients: a randomised controlled trial. Eur J Prev Cardiol. 2014 Feb;21(2):181-91. doi: 10.1177/2047487312469477. Epub 2012 Nov 26.
- Nytroen K, Rustad LA, Gude E, Hallen J, Fiane AE, Rolid K, Holm I, Aakhus S, Gullestad L. Muscular exercise capacity and body fat predict VO(2peak) in heart transplant recipients. Eur J Prev Cardiol. 2014 Jan;21(1):21-9. doi: 10.1177/2047487312450540. Epub 2012 Jun 1.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Keywords
Other Study ID Numbers
Other Study ID Numbers
- 10920
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