- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04255745
The Impact of a Resistance Training Intervention on Blood Pressure Control in Older Adults With Sarcopenia (INERTIA)
September 19, 2023 updated by: Deepika Laddu-Patel, University of Illinois at Chicago
Current prevention and treatment of high blood pressure (BP) in sarcopenia, by non-pharmacological approaches remain limited and are far from optimal.
This randomized control intervention pilot study will provide new evidence of the unexplored relationship between muscle strength and high BP in sarcopenia, and experimentally test the effects of an evidence-based progressive resistance training intervention on BP, while also examining reversibility to identify muscle strength as a non-pharmacological target for BP control in older sarcopenic adults.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
This premise of this K01 proposal is to address current gaps in the literature regarding the understanding of high blood pressure due to sarcopenia, and provide new evidence for the discernible relationship between low muscle strength and blood pressure in sarcopenia, and effective non-pharmaceutical treatment approaches.
This study will evaluate the feasibility of recruitment, retention, implementation and adherence to an empirically-based progressive resistance training (PRT) intervention to test its effect on blood pressure in a targeted population of older adults with sarcopenia who are randomized (via block permuted scheme) to the PRT intervention.
Built within this randomized control intervention design, the investigators will further explore reversibility to examine whether muscle strength serves as an intervention target for blood pressure control in sarcopenic adults, which will be more appropriately tested in subsequently well-powered R-level intervention studies.
Physiologically plausible microvascular mechanisms by which the PRT impacts changes in blood pressure will also be explored.
Study Type
Interventional
Enrollment (Actual)
77
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: Deepika Laddu, PhD
- Phone Number: 3123552135
- Email: dladdu@uic.edu
Study Contact Backup
- Name: Nidhi Choudhary
- Phone Number: 312-996-0018
- Email: nid@uic.edu
Study Locations
-
-
Illinois
-
Chicago, Illinois, United States, 60612
- University of Illinois at Chicago
-
-
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
60 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Adults (men and women) aged 60 years and older (any racial/ethnic background)
- Demonstrates adequate cognitive function by the MoCA (education adjusted score of >22 at screening)
- Sedentary or low active adults (not active in strength training)
- Resides in the Chicagoland Area
- Able to walk/perform exercise without complete dependence on assisted device
- Able and willing to enroll and provide written informed consent, i.e., to meet the time and data collection requirements of the study, be randomized to 1 of 2 treatment arms, follow through assignment during 3 months active period, participate in 1 follow-up visit at 12 months
Exclusion Criteria:
- Subjects with self-report of inability to walk at least ¼ mile or walk 400 meters in <15 minutes without sitting
- Subjects who self-reported having a history of a cardiovascular disease event or physician diagnosed cardiovascular disease (heart attack, heart failure, congenital heart disease, peripheral vascular disease, coronary revascularization, or angina that required overnight hospitalization), cerebrovascular disease (stroke, transient ischemic attack)
- Diagnosis of cancer (other than non-melanoma skin cancer) that is/was active or treated with radiation or chemotherapy within the past 5 years;
- Subjects with orthopedic pathology or deformity that prevents exercising safely
- Diagnosis or history of cognitive impairment (Dementia, Alzheimer's Disease) or bipolar or psychotic disorder or hospitalization for psychological or emotional problems within the last 2 years
- Diagnosis of autoimmune diseases, such as (but not limited to) lupus, multiple sclerosis, advanced/severe rheumatoid arthritis that would preclude exercising safely
- Diagnosis of advanced or severe osteoporosis or orthopedic deformities that may prevent strength training exercise safely
- Participants from the same household as those already enrolled in the study
- Current abuser of alcohol or usage of illicit drugs or history of alcohol or drug abuse
- Planning to move out of the area or take an extended vacation during the study period
- Current or planned participation in in another structured program that overtly focuses on exercise
- Currently enrolled or planning to enroll into another research study that would limit full participation in the study
- Investigator discretion for clinical safety or protocol adherence reasons
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: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Assessment-only control
30 Assessment-only control group will be mailed (standard or electronic) NIH/National Institutes on Aging (NIA) Go4Life® educational materials once a month for 3 months.
Exercise logs documenting weekly exercise activities, duration, time and effort will be requested to be sent back.
|
|
Experimental: Intervention
60 Intervention group will receive 12 weeks of supervised resistance training following the American Heart Association and American College of Sports Medicine guidelines for older adults.
Exercises will include a mixture of upper-body and lower body strength exercises.
Training load will be determined based on initial 1-repetition maximum tests (1-RM).
Initial exercise load will start off at low resistance (40-50% 1RM) with more frequent repetitions per exercise, and will gradually increase weight load and intensity over the exercise training period.
|
Individual, tailored, progressive muscle strength and function intervention
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in blood pressure
Time Frame: baseline, 12 weeks, 1 year
|
change in systolic and diastolic blood pressure
|
baseline, 12 weeks, 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Short Physical Performance Battery (SPPB)
Time Frame: baseline, 12 weeks, 1 year
|
4 meter gait speed (m/s; slow speed indicates lower function), timed five-time-sit-to-stand (in seconds, slower time indicates lower function), 3-stage balance (3 positions total, scored separately; inability to hold each position for 10seconds each indicates lower function)
|
baseline, 12 weeks, 1 year
|
Timed up and go performance
Time Frame: baseline, 12 weeks, 1 year
|
change in timed up and go (slower time indicates lower function)
|
baseline, 12 weeks, 1 year
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Muscle strength
Time Frame: baseline, 8 weeks 12 weeks, 1 year
|
muscle strength will be assessed using the 1 Repetition maximum test ( the maximum amount of weight a person can hold while performing an exercise safely and maintaining form. the 1RM will be tested on upper and lower body for a total of 6 exercises, as recommended by the American College of Sports Medicine. Changes in 1RM will be reevaluated to see if strength improves.
|
baseline, 8 weeks 12 weeks, 1 year
|
Microvascular flow-induced vasodilation (FID) dose response
Time Frame: baseline, 12 weeks
|
Microvessels in subcutaneous fat (SF) will be extracted from 10 intervention and 5 control subjects (total=15) and isolated for microvascular flow-induced vasodilation (FID).
Microvessels will be constricted to physiological and pharmacological pressures (stimuli) followed by dialation by a vasodialtor.
The dose response curves to vasodialator will be measured (known as FID dose-response) will be the primary outcome.
|
baseline, 12 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Deepika Laddu, PhD, UIC
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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)
January 27, 2020
Primary Completion (Estimated)
January 30, 2024
Study Completion (Estimated)
January 30, 2024
Study Registration Dates
First Submitted
January 31, 2020
First Submitted That Met QC Criteria
February 3, 2020
First Posted (Actual)
February 5, 2020
Study Record Updates
Last Update Posted (Actual)
September 21, 2023
Last Update Submitted That Met QC Criteria
September 19, 2023
Last Verified
September 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017-0009
- 1K01HL148503-01 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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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