Exercise in Air Pollution and Lung Health in Asthmatics
2021年9月28日 更新者：Michael Koehle、University of British Columbia
The Effects of Inhaled Beta-2-Agonists and Air Pollution on Lung Function and Athletic Capacity
When exposed to air pollution, the asthma symptoms are aggravated and lung function is impaired.
Due to high breathing rates and volumes, physically active individuals are at particular risk of lung health impairment due to the high breathing rates and volumes.
Greater doses of air pollutants reach deeper areas in the lungs where they can trigger asthma-symptoms.
When treating these symptoms with inhaled beta-2-agonists the airways widen even more, allowing the air pollutants to reach even deeper areas of the lung.
With this study the investigators investigate how inhaled beta-2-agonists affect athletic capacity and lung health in physically active asthmatics.
研究概览
地位
完全的
研究类型
介入性
注册 (预期的)
20
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。
学习地点
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British Columbia
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Vancouver、British Columbia、加拿大、V6T 1Z1
- University of British Columbia, Environmental Physiology Laboratory
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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
19年 至 40年 (成人)
接受健康志愿者
是的
有资格学习的性别
全部
描述
Inclusion Criteria:
- mild-moderate asthmatics with controlled treatment (definition of "mild": percent fall index at eucapnic voluntary hyperpnea (EVH) test on screening day between 10-15%; "moderate": percent fall index at EVH test on screening day between 15 - 20%).
- men and non-pregnant women
Exclusion Criteria:
- any history of uncontrolled respiratory or cardiac disease
- pregnancy
- allergic reactions to lidocaine and salbutamol
- any recent infections or orthopaedic nasal issues/injuries that may interfere with the insertion of the catheter needed to assess expiratory flow limitation or work of breathing
- claustrophobia in small rooms, comparable to the air pollution chamber used for this study.
- English as a second language (ESL) - participants who are not able to understand the risk that may be associated with the participation in this study due to language difficulties after following the University of British Clinical Research Ethics Board Guidance Notes 13.2.1. (ESL participants will be given a consent form in the most appropriate language or an appropriate translator will be present during the initial consent process).
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：基础科学
- 分配：随机化
- 介入模型：交叉作业
- 屏蔽：三倍
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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有源比较器：Resting in diesel exhaust following salbutamol inhalation
Participants will be sitting in an air pollution chamber while being exposed to diesel exhaust (PM2.5 of 300 μg/m3) for a total of 1hour following the inhalation of 400ug of salbutamol.
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Study participants will sit on a chair for 60min.
This is to simulate physical resting condition.
Study participants will be exposed to 400ug of salbutamol prior to entering the air pollution chamber.
Participants will be exposed to PM2.5 of 300 μg/m3
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安慰剂比较：Resting in diesel exhaust following placebo inhalation
Participants will be sitting in an air pollution chamber while being exposed to diesel exhaust (PM2.5 of 300 μg/m3) for a total of 1hour following the inhalation of a placebo.
|
Study participants will sit on a chair for 60min.
This is to simulate physical resting condition.
Participants will be exposed to PM2.5 of 300 μg/m3
Study participants will inhale a placebo (placebo for salbutamol) prior to entering the air pollution chamber
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有源比较器：Cycling in diesel exhaust following salbutamol inhalation
Participants will be cycling while being exposed to diesel exhaust (PM2.5 of 300 μg/m3) for a total of 1 hr following the inhalation of 400ug of salbutamol.
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Study participants will be exposed to 400ug of salbutamol prior to entering the air pollution chamber.
Participants will be exposed to PM2.5 of 300 μg/m3
Study participants will exercise on a cycle ergometer for 45min.
Participants will start their 30-min long constant workload exercise test test 60-min after the drug intervention.
The exercise test will be set to a resistance of 50% of the maximal wattage that was reached on the graded exercise test on the screening day.
The cycling exercise intervention will follow the rest-intervention.
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安慰剂比较：Cycling in diesel exhaust following placebo inhalation
Participants will be cycling while being exposed to diesel exhaust (PM2.5 of 300 μg/m3) for a total of 1 hr following the inhalation of a placebo
|
Participants will be exposed to PM2.5 of 300 μg/m3
Study participants will inhale a placebo (placebo for salbutamol) prior to entering the air pollution chamber
Study participants will exercise on a cycle ergometer for 45min.
Participants will start their 30-min long constant workload exercise test test 60-min after the drug intervention.
The exercise test will be set to a resistance of 50% of the maximal wattage that was reached on the graded exercise test on the screening day.
The cycling exercise intervention will follow the rest-intervention.
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假比较器：Resting in filtered air following salbutamol inhalation
Participants will be sitting while being exposed to filtered air for a total of 1hour following the inhalation of 400ug of salbutamol.
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Study participants will sit on a chair for 60min.
This is to simulate physical resting condition.
Participants will be breathing filtered air
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安慰剂比较：Resting in filtered air following placebo inhalation
Participants will be sitting while being exposed to filtered air for a total of 1hour following the inhalation of a placebo.
|
Study participants will sit on a chair for 60min.
This is to simulate physical resting condition.
Participants will be breathing filtered air
|
|
假比较器：Cycling in filtered air following salbutamol inhalation
Participants will be cycling while being exposed to filtered air for a total of 1 hr following the inhalation of 400ug of salbutamol.
|
Study participants will be exposed to 400ug of salbutamol prior to entering the air pollution chamber.
Study participants will exercise on a cycle ergometer for 45min.
Participants will start their 30-min long constant workload exercise test test 60-min after the drug intervention.
The exercise test will be set to a resistance of 50% of the maximal wattage that was reached on the graded exercise test on the screening day.
The cycling exercise intervention will follow the rest-intervention.
Participants will be breathing filtered air
|
|
安慰剂比较：Cycling in filtered air following placebo inhalation
Participants will be cycling while being exposed to filtered air for a total of 1 hr following the inhalation of a placebo
|
Study participants will inhale a placebo (placebo for salbutamol) prior to entering the air pollution chamber
Study participants will exercise on a cycle ergometer for 45min.
Participants will start their 30-min long constant workload exercise test test 60-min after the drug intervention.
The exercise test will be set to a resistance of 50% of the maximal wattage that was reached on the graded exercise test on the screening day.
The cycling exercise intervention will follow the rest-intervention.
Participants will be breathing filtered air
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研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
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Change in rating of perceived exertion for breathing, dyspnea
大体时间：Difference in perceived dyspnea between salbutamol and placebo exposure as well as polluted air and filtered air. Dyspnea ratings will be collected every 2.5min for a duration of 45min during the exercise test.
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Difference in perceived dyspnea between salbutamol and placebo exposure as well as polluted air and filtered air. Dyspnea ratings will be collected every 2.5min for a duration of 45min during the exercise test.
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次要结果测量
结果测量 |
大体时间 |
|---|---|
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Change in work of breathing (WOB) between filtered air and polluted air
大体时间：work of breathing will be assessed every 2.5min for a time period of 45min during the exercise bout
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work of breathing will be assessed every 2.5min for a time period of 45min during the exercise bout
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其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change in spirometry (FEV1 and FVC) between filtered air and polluted air
大体时间：Spirometry will be assessed at baseline and 45min after the start of the exercise bout.
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Spirometry will be assessed at baseline and 45min after the start of the exercise bout.
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Change in cognitive function
大体时间：Cognitive function will be assessed at baseline (prior to entering the air pollution chamber) and 45 min after the start of the exercise intervention.
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cognitive function will be assessed using the NIH toolbox tests and the brain derived neurotrophic factor (BDNF) blood serum measurements
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Cognitive function will be assessed at baseline (prior to entering the air pollution chamber) and 45 min after the start of the exercise intervention.
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Retinal Imaging
大体时间：The retina will be imaged at baseline (prior to entering the air pollution chamber) and 20 min after the completion of the exercise intervention.
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The blood vessels in the eye will be imaged using a camera.
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The retina will be imaged at baseline (prior to entering the air pollution chamber) and 20 min after the completion of the exercise intervention.
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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。
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
2015年5月1日
初级完成 (实际的)
2016年8月1日
研究完成 (实际的)
2021年5月1日
研究注册日期
首次提交
2014年9月16日
首先提交符合 QC 标准的
2014年9月29日
首次发布 (估计)
2014年9月30日
研究记录更新
最后更新发布 (实际的)
2021年9月30日
上次提交的符合 QC 标准的更新
2021年9月28日
最后验证
2021年9月1日
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- H13-01079
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.
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