Vibration Exercise for Crohn's to Observe Response (VECTOR)
Background: Crohn's disease (CD) is a long-term inflammatory condition of the digestive system. People with CD often have unpredictable and debilitating symptoms, including abdominal pain, diarrhoea and fatigue. In addition, they require long-term treatment with frequent negative effects and often need surgery and hospitalisations. Therefore, people with CD report a lower health-related quality of life (HRQOL) compared with other people. Doctors are constantly trying to find new treatments to improve HRQOL and control symptoms and whole body vibration exercise could be a potential treatment.
Exercise might be a simple, safe, and low-cost intervention for improving HRQOL in people with CD. This is because it has the potential to improve several aspects of physical, mental and social well-being simultaneously. Adults with CD have been shown to be less active than the general population and do not meet the recommended daily physical activity guidelines. One barrier to exercise is lack of time, however whole-body vibration exercise (where you stand and squat on a vibrating plate) can be done over a much shorter duration and at a lower intensity to gain potentially similar or at times greater benefits. More research is needed to understand the effects, both positive and negative of vibration exercise in people with CD.
Aim: This study begins to understand whether undertaking a supervised 6-week vibration exercise programme for adults with mild to moderately active Crohn's disease improves HRQoL and other symptoms such as fatigue.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Lindsay Bottoms
- Phone Number: +441707285685
- Email: l.bottoms@herts.ac.uk
Study Locations
-
-
UK
-
Hatfield, UK, United Kingdom, AL10 9EU
- Recruiting
- University of Hertfordshire
-
Contact:
- Lindsay Bottoms
- Phone Number: +441707285685
- Email: l.bottoms@herts.ac.uk
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Aged over 18-65 years old
Clinical diagnosis of CD for at least 4 weeks before randomization
- Mild to moderate active CD (150-220 CDAI)
- Stable medication for at least 4 weeks before randomization
- Able to provide written consent, complete the study questionnaires and travel to the research centre for study assessment visits and exercise sessions
- Be doing less than 60 minutes of purposeful exercise per week
Exclusion Criteria:
Over 65 years old Severe or uncontrolled medical conditions that make it undesirable for the patient to participate
- Coexistent serious autoimmune disease such as rheumatoid arthritis or systemic sclerosis
- Planned major surgery within the first 3 months after randomization
- Are pregnant, or are planning pregnancy within the first 3 months after randomization
- Poor tolerability to venepuncture or lack of adequate venous access for required blood sampling
- Current participation in >60 min/week of purposeful exercise, such as jogging or cycling
- Participation in another clinical trial for which concurrent participation is deemed inappropriate
- Any orthopaedic implants (hip, knee, spine)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Control
|
|
|
Experimental: Vibration Exercise
|
6-week supervised whole body vibration exercise programme (training sessions three times per week lasting 10 min) alongside a lifestyle education programme
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Inflammatory Bowel Disease Questionnaire (IBDQ)
Time Frame: change in IBDQ from baseline to 6 weeks
|
The scale has 32 items scored on a 7-point Likert scale, ranging from 1 (worst health) to 7 (best health).
|
change in IBDQ from baseline to 6 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Crohn's disease activity index (CDAI)
Time Frame: change in CDAI from baseline to 6 weeks
|
CDAI is a clinically assessed measure of disease activity in Crohn's patients.
The score ranges from 0-600 with higher scores being indicative of higher disease activity
|
change in CDAI from baseline to 6 weeks
|
|
Inflammatory Bowel Disease Fatigue (IBD Fatigue)
Time Frame: change in IBD fatigue from baseline to 6 weeks
|
The IBD Fatigue Scale is comprised of two components.
Part 1 the questionnaire will identify fatigue, its severity, frequency and duration and scores range from 0-20 with a higher score meaning greater fatigue.
Part 2 assesses the perceived impact of fatigue on your daily activities and scores range from 0-120 with a higher score meaning greater perceived impact.
|
change in IBD fatigue from baseline to 6 weeks
|
|
Hospital Anxiety and Depression (HADS)
Time Frame: change in HADS from baseline to 6 weeks
|
The Hospital Anxiety and Depression Scale measures anxiety and depression in patients.
A higher score indicates greater anxiety and depression.
|
change in HADS from baseline to 6 weeks
|
|
Perceived pain
Time Frame: change in pain from baseline to 6 weeks
|
visual analogue scale from 0-10, 0 being no pain and 10 being most intense pain possible
|
change in pain from baseline to 6 weeks
|
|
Concentration of Faecal Calprotectin (FC)
Time Frame: change in FC from baseline to 6 weeks
|
a marker of inflammation in the gastrointestinal tract.
Higher levels are indicative of higher inflammation levels
|
change in FC from baseline to 6 weeks
|
|
Estimated Cardiorespiratory fitness
Time Frame: change in estimated maximal oxygen consumption from baseline to 6 weeks
|
Chester step test to estimate maximal oxygen consumption.
It involves stepping in time to a metronome and measuring heart rate.
|
change in estimated maximal oxygen consumption from baseline to 6 weeks
|
|
Concentration of Tnf-alpha
Time Frame: change from baseline to 6 weeks
|
This measure will be obtained from blood samples to provide a measure of inflammation
|
change from baseline to 6 weeks
|
|
Concentration of Interleukin-6 (IL6)
Time Frame: change from baseline to 6 weeks
|
This measure will be obtained from blood samples to provide a measure of inflammation
|
change from baseline to 6 weeks
|
|
Concentration of Interleuken-10 (IL10)
Time Frame: change from baseline to 6 weeks
|
This measure will be obtained from blood samples to provide a measure of inflammation
|
change from baseline to 6 weeks
|
|
Concentration of Interleukin 17a (IL17a)
Time Frame: change from baseline to 6 weeks
|
This measure will be obtained from blood samples to provide a measure of inflammation
|
change from baseline to 6 weeks
|
|
Concentration of Interleukin 12 (IL12)
Time Frame: change from baseline to 6 weeks
|
This measure will be obtained from blood samples to provide a measure of inflammation
|
change from baseline to 6 weeks
|
|
Concentration of Interleukin 23 (IL23)
Time Frame: change from baseline to 6 weeks
|
This measure will be obtained from blood samples to provide a measure of inflammation
|
change from baseline to 6 weeks
|
|
Concentration of Transforming Growth Factor Beta (TGF-Beta)
Time Frame: change from baseline to 6 weeks
|
This measure will be obtained from blood samples to provide a measure of inflammation
|
change from baseline to 6 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- VECTOR
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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