- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06019169
Impact of YOGA on the Quality of Life and Well-being of Heart Failure Patients (YOG-IC)
Randomized Pilot Trial: Impact of YOGA on the Quality of Life and Well-being of Heart Failure Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study design :
Pilot study, prospective, monocentric controlled in open, Randomization ratio 1:1: in two parallel groups
- Arm control workshops around social activities
- Yoga arm (Y): Participation in YOGA classes. There are 4 sessions of 45 minutes (2 face-to-face and 2 remote) per month for 3 months. An attendance sheet will be completed at each session.
Population concerned :
Patients with stabilized chronic heart failure (last episode of acute heart failure dating back more than a month) followed at the Pitié Salpêtrière cardiology institut
The study may be offered to any stabilized heart failure patient followed in the study centre. Visit V1 (D0): Information, Inclusion and randomization Visit V2 (M3): final visit. Between V1 and V2: weekly workshop sessions around storytelling (arm C) or Hatha yoga (Arm Y).
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Lise LEGRAND, Dr
- Phone Number: +33 01 42 16 30 74
- Email: lise.legrand@aphp.fr
Study Contact Backup
- Name: Nicolas VIGNOLLES
- Phone Number: +33 01 42 16 30 30
- Email: nicolas.vignolles-ext@aphp.fr
Study Locations
-
-
-
Paris, France, 75013
- Recruiting
- Institut de Cardiologie, Centre Hospitalier Universitaire Pitié Salpêtrière (APHP), UPMC
-
Contact:
- Gilles MONTALESCOT, Pr
- Phone Number: 0033 01 42 16 30 07
- Email: gilles.montalescot@aphp.fr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient ≥18 years old
- Chronic heart failure patient defined by: Most recent LVEF ≤50% (regardless of measurement method)
- Stabilized (last episode of acute heart failure dating back more than a month) in NYHA stage I to III dyspnoea, ambulatory, discharged from hospital for > 1 month
- Drug treatment optimized according to the judgment of the investigator
- Ability to participate in activities as proposed (remote or face-to-face)
- Patient affiliated with a social security scheme
- Written consent to participate
Exclusion Criteria:
- Patients who have practiced yoga regularly (> once a month) in the six months prior to selection.
- Current pregnancy / lactation
- Etiology of heart failure: hypertrophic cardiomyopathy, restrictive heart disease or severe curable valve disease
- Severe renal impairment GFR<25ml/min/1.73 m2 or on dialysis.
- Persons subject to legal protection measures (guardianship, curatorship)
- Person not "receptive" to the practice of yoga
- Participation in intervention research
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Yoga classes
Participation in YOGA classes performed by Mme Laura BOGANI from The Blue Fish LAB Association.
There are 4 sessions of 45 minutes (2 face-to-face and 2 remote) per month for 3 months.
|
Participation in YOGA classes performed by Mme Laura BOGANI from The Blue Fish LAB Association.
There are 4 sessions of 45 minutes (2 face-to-face and 2 remote) per month for 3 months.
An attendance sheet will be completed at each session.
|
|
Active Comparator: Workshops around social activities
Participate in workshops around social activities.
4 sessions are planned (2 face-to-face and 2 remotely) per month for 3 months.
|
Participate in workshops around storytelling led by the association of storytellers l'Age D'or. 4 sessions are planned (2 face-to-face and 2 remotely) per month for 3 months.
An attendance sheet will be completed at each session.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
SF-36 quality of life
Time Frame: at day 0 and maximum at 5 month
|
The SF-36 quality of life self-questionnaire is one of the most widely used questionnaires to assess the quality of life of patients.
Its result is between 0 and 100.
It includes a physical summary score and a psychological summary score.
|
at day 0 and maximum at 5 month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Score Hospital Anxiety and Depression Scale (HAD)
Time Frame: at day 0 and maximum at 5 month
|
Self questionnaire about nervous breakdown, min=0, max=42, higher score means a worse outcome
|
at day 0 and maximum at 5 month
|
|
Weight (kg)
Time Frame: at day 0 and maximum at 5 month
|
Weight measurement during the inclusion visit (1st visit) and at the last visit (2nd visit).
we measure the delta between the 2 visits.
|
at day 0 and maximum at 5 month
|
|
Waist circumference (cm)
Time Frame: at day 0 and maximum at 5 month
|
Measurement of the waist circumference during the inclusion visit (1st visit) and at the last visit (2nd visit).
we measure the delta between the 2 visits.
|
at day 0 and maximum at 5 month
|
|
Heart rate (Bpm)
Time Frame: at day 0 and maximum at 5 month
|
Measurement of the heart rate during the inclusion visit (1st visit) and at the last visit (2nd visit).
we measure the delta between the 2 visits.
|
at day 0 and maximum at 5 month
|
|
Blood pressure (mmHg)
Time Frame: at day 0 and maximum at 5 month
|
Measurement of blood pressure during the inclusion visit (1st visit) and at the last visit (2nd visit).
we measure the delta between the 2 visits.
|
at day 0 and maximum at 5 month
|
|
NYHA assessment
Time Frame: at day 0 and maximum at 5 month
|
Definition of the stage of heart failure by the NHYA classification at the inclusion visit (1st visit) and at the last visit (2nd visit).
we measure the delta between the 2 visits.
|
at day 0 and maximum at 5 month
|
|
Concentration of Nt-pro BNP Biomarker
Time Frame: 3 months before inclusion and maximum 7 months after inclusion
|
Analysis of Nt-pro BNP biomarkers at the inclusion visit (1st visit) and at the last visit (2nd visit).
we measure the delta between the 2 visits.
They will be used to analyze the results of the assessments carried out according to the current practice of the center
|
3 months before inclusion and maximum 7 months after inclusion
|
|
Concentration of CRP Biomarkers
Time Frame: 3 months before inclusion and maximum 7 months after inclusion
|
Analysis of CRP biomarkers at the inclusion visit (1st visit) and at the last visit (2nd visit).
we measure the delta between the 2 visits.
They will be used to analyze the results of the assessments carried out according to the current practice of the center
|
3 months before inclusion and maximum 7 months after inclusion
|
|
Concentration IL6 Biomarkers
Time Frame: 3 months before inclusion and maximum 7 months after inclusion
|
Analysis of IL6 biomarkers during the inclusion visit (1st visit) and the last visit (2nd visit).
we measure the delta between the 2 visits.
They will be used to analyze the results of the assessments carried out according to the current practice of the center
|
3 months before inclusion and maximum 7 months after inclusion
|
|
Distance during 6-minute walk test
Time Frame: 3 months before inclusion and maximum 7 months after inclusion
|
distance traveled by the patient in 6 minutes
|
3 months before inclusion and maximum 7 months after inclusion
|
|
Peak VO2
Time Frame: 3 months before inclusion and maximum 7 months after inclusion
|
Peak VO2 measurement on two different dates to analyze the results of walk tests carried out according to the center's current practice
|
3 months before inclusion and maximum 7 months after inclusion
|
|
VO2 charge level
Time Frame: 3 months before inclusion and maximum 7 months after inclusion
|
VO2 charge level on two different dates to analyze the results of walk tests carried out according to the center's current practice
|
3 months before inclusion and maximum 7 months after inclusion
|
|
VE/VCO2
Time Frame: 3 months before inclusion and maximum 7 months after inclusion
|
Measurement of the VE/VCO2 ratio on two different dates to analyze the results of the walk tests carried out according to the current practice of the center
|
3 months before inclusion and maximum 7 months after inclusion
|
|
First ventilatory threshold
Time Frame: 3 months before inclusion and maximum 7 months after inclusion
|
Measurement of the first ventilatory threshold on two different dates to analyze the results of the walking tests carried out according to the current practice of the center
|
3 months before inclusion and maximum 7 months after inclusion
|
|
First ventilatory load level
Time Frame: 3 months before inclusion and maximum 7 months after inclusion
|
Measurement of the first ventilatory level of load on two different dates to analyze the results of the walking tests carried out according to the current practice of the center
|
3 months before inclusion and maximum 7 months after inclusion
|
Collaborators and Investigators
Investigators
- Study Chair: Lise LEGRAND, Dr, Institut de Cardiologie - Hôpital La Pitié Salpêtrière (APHP)
- Study Director: Gilles MONTALESCOT, Pr, Institut de Cardiologie - Hôpital La Pitié Salpêtrière (APHP)
Publications and helpful links
General Publications
- Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.
- Pullen PR, Nagamia SH, Mehta PK, Thompson WR, Benardot D, Hammoud R, Parrott JM, Sola S, Khan BV. Effects of yoga on inflammation and exercise capacity in patients with chronic heart failure. J Card Fail. 2008 Jun;14(5):407-13. doi: 10.1016/j.cardfail.2007.12.007. Epub 2008 May 27.
- Pullen PR, Thompson WR, Benardot D, Brandon LJ, Mehta PK, Rifai L, Vadnais DS, Parrott JM, Khan BV. Benefits of yoga for African American heart failure patients. Med Sci Sports Exerc. 2010 Apr;42(4):651-7. doi: 10.1249/MSS.0b013e3181bf24c4.
- Nolte K, Herrmann-Lingen C, Wachter R, Gelbrich G, Dungen HD, Duvinage A, Hoischen N, von Oehsen K, Schwarz S, Hasenfuss G, Halle M, Pieske B, Edelmann F. Effects of exercise training on different quality of life dimensions in heart failure with preserved ejection fraction: the Ex-DHF-P trial. Eur J Prev Cardiol. 2015 May;22(5):582-93. doi: 10.1177/2047487314526071. Epub 2014 Mar 13.
- Aggarwal M, Bozkurt B, Panjrath G, Aggarwal B, Ostfeld RJ, Barnard ND, Gaggin H, Freeman AM, Allen K, Madan S, Massera D, Litwin SE; American College of Cardiology's Nutrition and Lifestyle Committee of the Prevention of Cardiovascular Disease Council. Lifestyle Modifications for Preventing and Treating Heart Failure. J Am Coll Cardiol. 2018 Nov 6;72(19):2391-2405. doi: 10.1016/j.jacc.2018.08.2160.
- Pullen PR, Seffens WS, Thompson WR. Yoga for Heart Failure: A Review and Future Research. Int J Yoga. 2018 May-Aug;11(2):91-98. doi: 10.4103/ijoy.IJOY_24_17.
- Diez-Quevedo C, Lupon J, Gonzalez B, Urrutia A, Cano L, Cabanes R, Altimir S, Coll R, Pascual T, de Antonio M, Bayes-Genis A. Depression, antidepressants, and long-term mortality in heart failure. Int J Cardiol. 2013 Aug 20;167(4):1217-25. doi: 10.1016/j.ijcard.2012.03.143. Epub 2012 Apr 14.
- Snaith RP, Zigmond AS. The hospital anxiety and depression scale. Br Med J (Clin Res Ed). 1986 Feb 1;292(6516):344. doi: 10.1136/bmj.292.6516.344. No abstract available.
- Chandra A, Vaduganathan M, Lewis EF, Claggett BL, Rizkala AR, Wang W, Lefkowitz MP, Shi VC, Anand IS, Ge J, Lam CSP, Maggioni AP, Martinez F, Packer M, Pfeffer MA, Pieske B, Redfield MM, Rouleau JL, Van Veldhuisen DJ, Zannad F, Zile MR, McMurray JJV, Solomon SD; PARAGON-HF Investigators. Health-Related Quality of Life in Heart Failure With Preserved Ejection Fraction: The PARAGON-HF Trial. JACC Heart Fail. 2019 Oct;7(10):862-874. doi: 10.1016/j.jchf.2019.05.015. Epub 2019 Jul 10.
- Galinier M, Roubille F, Berdague P, Brierre G, Cantie P, Dary P, Ferradou JM, Fondard O, Labarre JP, Mansourati J, Picard F, Ricci JE, Salvat M, Tartiere L, Ruidavets JB, Bongard V, Delval C, Lancman G, Pasche H, Ramirez-Gil JF, Pathak A; OSICAT Investigators. Telemonitoring versus standard care in heart failure: a randomised multicentre trial. Eur J Heart Fail. 2020 Jun;22(6):985-994. doi: 10.1002/ejhf.1906. Epub 2020 Jun 15.
- Giuliano C, Karahalios A, Neil C, Allen J, Levinger I. The effects of resistance training on muscle strength, quality of life and aerobic capacity in patients with chronic heart failure - A meta-analysis. Int J Cardiol. 2017 Jan 15;227:413-423. doi: 10.1016/j.ijcard.2016.11.023. Epub 2016 Nov 7.
- Peyre H, Leplege A, Coste J. Missing data methods for dealing with missing items in quality of life questionnaires. A comparison by simulation of personal mean score, full information maximum likelihood, multiple imputation, and hot deck techniques applied to the SF-36 in the French 2003 decennial health survey. Qual Life Res. 2011 Mar;20(2):287-300. doi: 10.1007/s11136-010-9740-3. Epub 2010 Oct 1.
- Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS, Falk V, Gonzalez-Juanatey JR, Harjola VP, Jankowska EA, Jessup M, Linde C, Nihoyannopoulos P, Parissis JT, Pieske B, Riley JP, Rosano GMC, Ruilope LM, Ruschitzka F, Rutten FH, van der Meer P; ESC Scientific Document Group. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016 Jul 14;37(27):2129-2200. doi: 10.1093/eurheartj/ehw128. Epub 2016 May 20. No abstract available.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- APHP230227
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.
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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