- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04249557
Exercise is Medicine: a Cohort Study (EIM-cohort)
August 28, 2023 updated by: Lee Kam Pui, Chinese University of Hong Kong
6,000 patients with HT and/or DM will be recruited to participate a 12-week EIM exercise intervention, which also involve consistent feedback and reminders using information technology (IT).
The primary outcome will be improvement of blood pressure at 1-year.
Other clinical outcomes will be obtained on recruitment (baseline), 12-week (immediately after EIM classes) and 1-year after recruitment
Study Overview
Study Type
Interventional
Enrollment (Estimated)
6000
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Kam Pui Lee, MSc
- Phone Number: 2252 8562
- Email: lkp032@cuhk.edu.hk
Study Locations
-
-
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Hong Kong, Hong Kong
- Recruiting
- Lek Yuen Clinic
-
Contact:
- Kam Pui Lee, Msc
- Phone Number: +852 60996560
- Email: Lkp032@cuhk.edu.hk
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Principal Investigator:
- Kam pui Lee, Msc
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- have a clinical diagnosis of primary HT and/or type II DM from clinical medical record
- having less than 150 minutes of moderate intensity exercise per week OR having less than 75 minutes of intensive intensity exercise per week (this is set according to latest World Health Organization guideline)
- who have used any mobile apps on their phone (because the intervention involve use of apps to monitor and remind regular exercise)
Exclusion Criteria:
- patients with diagnosed chronic obstructive lung disease and recent stroke (within last 12 months)
- Patients on 3 or more anti-hypertensive medications (on maximum or maximal tolerable doses) are excluded because these patients have resistant HT and may represent another spectrum of disease.
- Patients with spinal cord compression, radiculopathy with active pain, or osteoarthritis of hips and knees that are on the waiting list for joint replacement surgery are excluded for safety reasons.
- acute myocardial infarction in last 6 months
- ongoing angina
- uncontrolled cardiac arrhythmia
- acute diseases including known active endocarditis/acute pulmonary embolism, pulmonary infarction, deep vein thrombosis, acute aortic dissection, acute myocarditis
- known aortic stenosis
- known heart failure
- known obstructive left main coronary artery stenosis
- uncontrolled ventricular rates
- complete heart block
- known hypertrophic obstructive cardiomyopathy
- mental impairment that limit co-operation
- resting blood pressure with systolic blood pressure >180mmHg or diastolic blood pressure >110mmHg
- known anaemia with haemoglobin level less than 11gm/dL
- known uncorrected electrolyte imbalance
- known uncontrolled hyperthyroidism.
- For DM patients, patients with proliferative diabetic retinopathy and recent retinal bleeding (in last 12 months)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: EIM group
This contains: A 12-week Exercise is medicine teaching class containing 6-18 patients per group (class size may be limited by social distancing policy in Hong Kong), homework are prescribed to participants to encourage regular exercise.
The exercise level will be recorded by a tracker and provides feedback to the participants and physical trainer.
The physical parameters such as fat percentage and blood pressure level will be feedback to the patients to encourage exercise.
(If sports center are closed by the Government, the classes will be conducted online)
|
a 12-week exercise classes program combined with other motivational skills, including feedback and information technology support.
The whole program lasts for 1 year for each participant
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
office blood pressure
Time Frame: Change from Baseline Systolic Blood Pressure at 3 months
|
office systolic blood pressure
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Change from Baseline Systolic Blood Pressure at 3 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
serum lipid level
Time Frame: baseline, 3-month after recruitment (immediate after EIM class), 12-month after recruitment (end-of-study)
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low density lipoprotein, high density lipoprotein, total cholesterol, triglyceride
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baseline, 3-month after recruitment (immediate after EIM class), 12-month after recruitment (end-of-study)
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body fat percentage
Time Frame: baseline, 3-month after recruitment (immediate after EIM class), 12-month after recruitment (end-of-study)
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that will be measured by a validated machine
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baseline, 3-month after recruitment (immediate after EIM class), 12-month after recruitment (end-of-study)
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body mass index
Time Frame: baseline, 3-month after recruitment (immediate after EIM class), 12-month after recruitment (end-of-study)
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body weight (in kilogram) divided by square of body height (in meter)
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baseline, 3-month after recruitment (immediate after EIM class), 12-month after recruitment (end-of-study)
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international physical activity questionnaire- short form
Time Frame: baseline, 3-month after recruitment (immediate after EIM class), 12-month after recruitment (end-of-study)
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assess the amount of exercise, physical activities and sitting time in the last 7 days.
After asking the number of hours spent on walking, moderate intensity exercise and vigorous exercise, the amount of energy expenditure (in the unit MET-min/week) can be calculated.
The higher the number, the higher the energy expenditure
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baseline, 3-month after recruitment (immediate after EIM class), 12-month after recruitment (end-of-study)
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office blood pressure
Time Frame: baseline, 12-month after recruitment (end-of-study)
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office systolic and diastolic blood pressure
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baseline, 12-month after recruitment (end-of-study)
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 1, 2020
Primary Completion (Estimated)
April 30, 2024
Study Completion (Estimated)
June 30, 2024
Study Registration Dates
First Submitted
January 21, 2020
First Submitted That Met QC Criteria
January 29, 2020
First Posted (Actual)
January 31, 2020
Study Record Updates
Last Update Posted (Actual)
August 30, 2023
Last Update Submitted That Met QC Criteria
August 28, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- EIM-cohort
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
IPD Plan Description
Can share out after personal permission is obtained
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
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