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The Effect of Exercise Training on Skeletal Muscle Metabolism in Peripheral Artery Disease (PAD)

2013年2月20日 更新者:Reena Pande, MD、Brigham and Women's Hospital

The Effect of Exercise Training on Skeletal Muscle Metabolism in Peripheral Artery Disease

Specific Aim 1: To test the hypothesis that subjects with PAD and intermittent claudication have altered expression of genes that regulate skeletal muscle metabolism.

Specific Aim 2: To test the hypothesis that exercise training improves calf skeletal muscle insulin resistance and genes that regulate skeletal muscle metabolic function in PAD patients with intermittent claudication.

研究概览

研究类型

介入性

注册 (预期的)

75

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

学习地点

    • Massachusetts
      • Boston、Massachusetts、美国、02115
        • 招聘中
        • Brigham and Women's Hospital
        • 接触:
        • 首席研究员:
          • Reena Pande, MD

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

40年 及以上 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

全部

描述

Inclusion Criteria:

  • claudication symptoms
  • ABI ≤ 0.9 in the symptomatic leg

Exclusion Criteria:

  • diabetes
  • impaired fasting glucose
  • peripheral vascular intervention within the prior six months
  • recent unstable angina
  • myocardial infarction or stroke within the prior six months
  • changes to their HMG-CoA reductase inhibitor (statin)within the past three months
  • changes to pentoxifylline and/or cilostazol regimen within the past three months or anticipated to be necessary during the study
  • are on Coumadin
  • exercise limitations for reasons other than intermittent claudication (such as congestive heart failure, angina, chronic lung disease, or other disorders affecting the limb such as arthritis or neuropathy)
  • rest pain or ulcers due to critical limb ischemia
  • lower extremity amputation

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
有源比较器:Exercise Training
Subjects randomized to exercise training will participate in a three-month treadmill exercise program in 1-hour training sessions three times per week as previously described. After a 5-minute warm-up period, exercise is initiated at a low workload of 2 mph at 0% grade. Subjects walk until moderate claudication severity develops, and then rest until the discomfort resolves, repeating until the total exercise period is completed. The intensity of the treadmill exercise is increased as tolerated by increasing walking speed by 0.5-1 mph and/or grade by 1-2%. Subjects are encouraged to continue the walking program at home for at least 30 minutes on two separate occasions each week.
Subjects randomized to exercise training will participate in a three-month treadmill exercise program in 1-hour training sessions three times per week as previously described. After a 5-minute warm-up period, exercise is initiated at a low workload of 2 mph at 0% grade. Subjects walk until moderate claudication severity develops, and then rest until the discomfort resolves, repeating until the total exercise period is completed. The intensity of the treadmill exercise is increased as tolerated by increasing walking speed by 0.5-1 mph and/or grade by 1-2%. Subjects are encouraged to continue the walking program at home for at least 30 minutes on two separate occasions each week.
有源比较器:Normal routine
Subjects randomized to the routine activity control group will be asked to keep a log of their daily activities and return to the Vascular Research Center at weeks 4, 8, and 12 at which time they will be asked to return their log and undergo repeat treadmill testing and complete the 6 minute walk test.
Subjects randomized to the routine activity control group will be asked to keep a log of their daily activities and return to the Vascular Research Center at weeks 4, 8, and 12 at which time they will be asked to return their log and undergo repeat treadmill testing and complete the 6 minute walk test.

研究衡量的是什么?

主要结果指标

结果测量
大体时间
Expression of genes regulating skeletal muscle metabolism
大体时间:3 months
3 months

次要结果测量

结果测量
大体时间
Additional measures include skeletal muscle glucose uptake, measures of functional capacity, leg blood flow, and quality of life.
大体时间:3 months
3 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Reena Pande, MD、Brigham and Women's Hospital

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2010年10月1日

初级完成 (预期的)

2014年6月1日

研究完成 (预期的)

2014年6月1日

研究注册日期

首次提交

2010年10月28日

首先提交符合 QC 标准的

2010年10月28日

首次发布 (估计)

2010年11月1日

研究记录更新

最后更新发布 (估计)

2013年2月22日

上次提交的符合 QC 标准的更新

2013年2月20日

最后验证

2013年2月1日

更多信息

与本研究相关的术语

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

Exercise Training的临床试验

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