The Effect of Combined Aerobic and Muscle Strengthening Exercises on Structural and Functional Cardiovascular Adaptations in Endometrial Cancer Survivors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 33
- 试验地点
- 1
- 主要终点
- Changes in Vascular Stiffness Following Distance-Based Exercise Program
研究概览
简要总结
STRIVE Cardio is a 12-week exercise intervention study with the goal to improve functional fitness and cardiovascular health for women who have completed treatment for non-metastatic endometrial cancer within the last five years and are currently in remission. Measures will include a functional fitness test, carotid-femoral pulse wave velocity, brachial artery flow mediated dilation, and a blood draw. Participants will be provided resistance bands, a dumbbell, and a Fitbit to keep. Participants will be compensated $50 for each of their two in-person visits.
详细描述
STRIVE Cardio is a distance-based exercise study for women who have completed treatment for non-metastatic endometrial cancer within the last five years and are currently in remission.
The intervention itself is 12 weeks of exercise, with one week of accelerometer wear prior to exercise with an additional week to schedule post-study visit procedures, yielding a total intervention length of 14 weeks. The exercise intervention will consist of (a) in-person pre-intervention study measures; (b) instructional materials (e.g. detailed exercise manual) and exercise training equipment (e.g. resistance bands, adjustable dumbbell, Fitbit Charge 5); (c) a virtually delivered instructional session; (d) access to informational web materials; (e) Support and feedback provided via virtual health coaching sessions; and (f) in-person post-intervention study measures.
Health coaching sessions will be delivered virtually and consist of (a) an initial health coaching session during week one discussing the participant's visions for health and wellness and overall goals of completing the intervention exercises; (b) sessions delivered once per week through week four discussing progress, barriers, facilitators, self-efficacy, and motivations for exercise goals to facilitate exercise adoption; (c) a midpoint check-in including a non-bias report from their health coach describing their progress thus far in the intervention. Participants then have the personal option to continue meeting with their health coach on a weekly basis or taper their health coaching sessions to include only weeks eight and eleven; (d) a final in person health coaching session to conclude.
The investigator's primary objective is to measure changes biomarkers of vascular structure and function following combined aerobic and muscle strengthening exercise in endometrial cancer survivors. The investigators hypothesize that there will be clinically meaningful improvements in structural and functional vascular biomarkers, and improved composite risk scores.
The investigator's two aims are to (1) Quantify the changes in vascular structure (pulse wave velocity) and function (flow mediated dilation) following a distance-based exercise program; and (2) Determine the magnitude of changes in ASCVD risk profiles following a distance-based exercise program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
盲法说明
Outcomes assessor will be blinded to exercise status of participant but all participants will receive treatment
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Willing and able to provide written informed consent
- •Willing to comply with study procedures and available for the duration of the study
- •Fluent in spoken and written English
- •Women 18 years of age or older
- •Documented diagnosis of Type I, stage I-IIIc endometrial cancer within the past 5 years
- •Completion of current cytotoxic treatment for endometrial cancer
- •Technology access (phone call access, broadband internet, Wi-Fi) for tele coaching
- •Comfort and willingness to use technology (videoconferencing) throughout the study for coaching
- •Pass the Physical Activity Readiness Questionnaire (PAR-Q)
- •Medical clearances given by their primary provider / oncologist (if indicated by the PAR-Q)
排除标准
- •Absolute contraindications to exercise (i.e., acute myocardial infarction, severe orthopedic or musculoskeletal limitations)
- •History of previous myocardial infarction, ischemia, or hemorrhagic stroke
- •Medically documented history of heart disease including heart valve disease, coronary artery disease, heart failure, peripheral artery disease, aortic disease, pericardial disease, cerebrovascular disease, or deep vein thrombosis
- •Medical documentation of treatment-resistant hypertension OR taking ≥2 medications to treat hypertension
- •Medically documented history of cardiovascular disease including (but not limited to): bypass surgery, stent procedures, bypass grafts, or coronary angioplasty
- •Medically documented or self-reported type 1 diabetes (insulin-dependents)
- •Prescriptions for or use of semaglutide (GLP-1 agonists) including name brands: Ozempic, Wegovy or Mounjaro
- •Current or recent (within last 3 months) use of hormone replacement therapy (HRT)
- •Evidence of recurrent or metastatic disease
- •Currently performing resistance training ≥2 days per week
- •Currently exceeding 150 minutes of at least moderate intensity exercise per week
- •Report of chest pain, shortness of breath, fainting, or angina pectoris
- •Self-reported history of falling, fall risk
- •Have physical disability that would limit range of motion through exercises such as sitting, standing and inability to walk one block
- •Plans to move from the area
- •Enrolled in another clinical trial or has used of any investigational drugs, biologics, or devices within 30 days prior to study enrollment
- •Self-reported tobacco use in last 7 days, current smoking, current tobacco use including e-cigarettes and vaping devices
- •Not suitable for study participation due to other reasons at the discretion of the investigator
研究组 & 干预措施
12-week Exercise Intervention
In this single-arm study, every participant will be enrolled in the 12-week distance-based exercise intervention. All participants will receive an exercise regimen and the necessary materials to complete and measure their exercise. All participants will receive weekly online heath coaching.
干预措施: 12-week home-based exercise intervention (Behavioral)
结局指标
主要结局
Changes in Vascular Stiffness Following Distance-Based Exercise Program
时间窗: 14 weeks
Within participant change from pre- to post-intervention as measured by carotid-femoral pulse wave velocity, which is a measure of speed that is directly related to the stiffness of the arteries/vessels of the body.
次要结局
- Changes in Vascular Function Following Distance-Based Exercise Program(14 weeks)
- Changes in Atherosclerotic Cardiovascular Disease (ASCVD) Risk Profiles Following a Distance-Based Exercise Program(14 weeks)
研究者
Jess S. Gorzelitz
Assistant Professor
University of Iowa