- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04832048
Modifications in Cardiovascular Risk Factors When Performing Physical Exercise in Hypertensive and Dyslipidemic Patients (ACTIVA)
Comparative Clinical Trial on the Modifications of Cardiovascular Risk Factors When Performing Different Therapeutic Physical Exercise Programs With Different Intensities in Hypertensive and Dyslipidemic Patients.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
All participants included in the study were referred by their primary care physicians, who prescribed physical exercise as a healthy lifestyle intervention added to the antihypertensive regimens in the framework of the "ACTIVA-Murcia Program".
Participants in the HIT and LMIT groups followed the same physical training program, with the only difference being the intensity of the training. The program included two phases of physical exercise lasting 12 weeks and 16 weeks, respectively, separated by a 7-week rest period, which coincided with a holiday period. The times of both phases were not equal in terms of duration, since it is a community physical exercise program established by the Region of Murcia, and does not depend on the researchers.
The program was developed by graduates in Physical Activity and Sport Sciences, who were in charge of teaching the exercises and supervised each training session.
Participants assigned to the HIT and LMIT groups were given guidelines to continue physical exercise during the 7-week rest period, while participants in the control group were offered to participate in the program after the study.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Murcia, Spain, 30107
- Catholic University of Murcia
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age between 40 and 65 years.
- Under treatment with at least one antihypertensive drug for hypertension. Treatment should have lasted at least 12 months prior to inclusion in the study.
- Diagnosed with dyslipidemia under pharmacological treatment or with a specific hypercholesterolemia (> 200 mg/dL) in the past and a cholesterol level at the start of the study greater than 200 mg/dL.
- Patient in Primary Prevention.
- Subjects who do not develop physical exercise scheduled on a weekly basis.
- Subjects who have given written informed consent to participate in the study.
Exclusion Criteria:
- Serious or terminal illnesses.
- Diagnosis of ischemic and/or cerebrovascular heart disease.
- Presence of chronic diseases that prevent the performance of a physical exercise program or a stress test (disabling arthropathies, chronic moderate/severe pneumopathies, arrhythmias, etc).
- Severe mental illnesses: psychosis, severe depressive disorder, neurosis.
- Diabetes mellitus.
- Presence of absolute or relative contraindications dictated by the American College of Sports Medicine (ACSM, 1995), during the performance of the stress tests.
- Pregnant or breast-feeding women
- Inability to understand the informed consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: High intensity training (HIT) group
The HIT group performed the exercises with loads at 80-90% of HRF.
|
The physical training program was carried out 3 days a week in 1-hour sessions focused on basic endurance exercises (global body activities), strength (specific muscle region activities) and flexibility. Intensity was be determined by Maximum Heart Rate (HRF). |
Experimental: Low-moderate intensity training (LMIT) group
The HIT group performed the exercises with the loads at 50-70% of the HRF
|
The physical training program was carried out 3 days a week in 1-hour sessions focused on basic endurance exercises (global body activities), strength (specific muscle region activities) and flexibility. Intensity was be determined by Maximum Heart Rate (HRF). |
Placebo Comparator: No training group
They did not perform any type of programmed physical exercise during the study.
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No programmed physical exercise
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Ambulatory blood pressure monitoring
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Blood pressure is measured with a holter
|
Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Control of dietary intake
Time Frame: A nutritional registry will be carried out. The nutritional intake of three days in two periods will be collected. One record at the beginning and another at the end, that is, six days.
|
Diet source
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A nutritional registry will be carried out. The nutritional intake of three days in two periods will be collected. One record at the beginning and another at the end, that is, six days.
|
Systolic blood pressure
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Blood pressure is measured with a holter
|
Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Diastolic blood pressure
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Blood pressure is measured with a holter
|
Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Mean blood pressure
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Blood pressure is measured with a holter
|
Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Pulse pressure
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Blood pressure is measured with a holter
|
Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Lipid profile
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Blood samples
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Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Antihypertensive medication
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Record of medication and dosage
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Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Lipid lowering medication
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Record of medication and dosage
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Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Muscle function
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Isokinetic dynamometry.
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Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Balance
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Force platform Kistler
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Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Aerobic function
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
|
Modified Balke-Ware protocol on a rolling mat
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Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Framingham tables by category
Time Frame: Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Physicians Global Assessment to measure cardiovascular risk
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Measurements will be taken at baseline and 12 weeks (phase 1) and at baseline and 16 weeks (phase 2)
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Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- UCAMCFE-00021
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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