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Mechanical Stress Effects on the Cardiovascular Adaptations of Peripheral Arterial Calcifications Among Athletes

Terminated
Conditions
Monckeberg Medial Calcific Sclerosis
Registration Number
NCT01577576
Lead Sponsor
Centre Hospitalier Universitaire de Nīmes
Brief Summary

The main objective of this study is to obtain data for the integrated analysis of morphological, functional and biomechanical parameters pertaining to lower limb arteries in various categories of elite athletes (without cardiovascular risk and practicing high- or low-impact aerobic activities which preferentially implicate lower limb activity) as compared to (each other and to) sedentary controls.

Detailed Description

Secondary objectives of this study are:

A. Determine the presence and extent of intima-media calcifications in athletes B. Determine the relationship between these calcifications and the level, length and intensity of sports activity.

C. Determine the relationship between these properties and calcification of the arterial wall D. Analyze the relationship between the type of sports activity and properties of the arterial wall.

E. Examine the relationship between the properties of the arterial wall and peripheral perfusion pressures.

F. Examine the relationship between the properties of the arterial wall, changes in afterload, morphology and systolic heart function.

G. Analyze the relationships between the parameters characterizing the arterial wall and muscle mass of the lower limbs.

H. Analyze the relationship between the presence of intramural calcification and bone density determined by densitometry.

I. Analyze the relationship between the presence of intramural calcification and dietary protein intake and calcium.

J. Compare indices of pressure at the ankle and toe, depending on the extent of calcification.

K. Create a collection of biological samples (serum).

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
56
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Presence / absence of intra parietal calcification of lower limb arteriesBaseline (Day 0; transversal study)
Secondary Outcome Measures
NameTimeMethod
Serum vitamin D2Baseline (Day 0; transversal study)

µg/l

Extent of intra parietal calcification of lower limb arteriesBaseline (Day 0; transversal study)

Score ranging from 0 to 3

Inner diameter of the intima-media of the superficial femoral artery (mm)Baseline (Day 0; transversal study)
Outer diameter of the intima-media of the superficial femoral artery (mm)Baseline (Day 0; transversal study)
Inner diameter of the intima-media of the common carotid artery (mm)Baseline (Day 0; transversal study)
Inner diameter of the intima-media of the common femoral artery (mm)Baseline (Day 0; transversal study)
Outer diameter of the intima-media of the common femoral artery (mm)Baseline (Day 0; transversal study)
Outer diameter of the intima-media of the common carotid artery (mm)Baseline (Day 0; transversal study)
Thickness of the intima-media of the common femoral artery (mm)Baseline (Day 0; transversal study)
Thickness of the intima-media of the superficial femoral artery (mm)Baseline (Day 0; transversal study)
Thickness of the intima-media of the common carotid artery (mm)Baseline (Day 0; transversal study)
Local parietal compliance of the superficial femoral arteryBaseline (Day 0; transversal study)

mm\^2/mmHg

Compliance of the carotid arteryBaseline (Day 0; transversal study)

mm\^2/mmHg

Distensibility of the carotid arteryBaseline (Day 0; transversal study)

mmHg\^-1\*10\^-2

Arterial wave velocity in upper limbBaseline (Day 0; transversal study)

m/s

Endothelium-dependent vasorelaxation in the femoral arteryBaseline (Day 0; transversal study)
Postischemic vasomotor response at the (skin) microcirculatory levelBaseline (Day 0; transversal study)
Systolic pressure index at the ankleBaseline (Day 0; transversal study)

relative units

Cardiac afterload indexBaseline (Day 0; transversal study)

g/cm\^2

Arterial wave velocity in lower limbBaseline (Day 0; transversal study)

m/s

Systolic pressure index for the big toeBaseline (Day 0; transversal study)

relative units

Echocardiographic parameters analyzing systolic function: the stroke volumeBaseline (Day 0; transversal study)

ml

Echocardiographic parameters analyzing systolic function: cardiac outputBaseline (Day 0; transversal study)

l/min

Echocardiographic parameters analyzing diastolic function: early diastolic strain-rateBaseline (Day 0; transversal study)

s\^-1

Echocardiographic parameters analyzing systolic function: peripheral vascular resistanceBaseline (Day 0; transversal study)

Pa.s/m\^3

Echocardiographic parameters analyzing systolic function: fractional shorteningBaseline (Day 0; transversal study)
Echocardiographic parameters analyzing systolic function: global longitudinal strainBaseline (Day 0; transversal study)
Ventricular-arterial couplingBaseline (Day 0; transversal study)

relative units

Echocardiographic parameters analyzing diastolic function: transmitral E wave velocityBaseline (Day 0; transversal study)

cm/s

Echocardiographic parameters analyzing systolic function: speed of the S-wave according to tissue DopplerBaseline (Day 0; transversal study)

cm.s-1

Echocardiographic parameters analyzing diastolic function: transmitral A wave velocityBaseline (Day 0; transversal study)

cm/s

Echocardiographic parameters analyzing diastolic function: transmitral E wave velocity / transmitral A wave velocityBaseline (Day 0; transversal study)

relative units

Echocardiographic parameters analyzing diastolic function: maximum Em wave velocity according to tissue DopplerBaseline (Day 0; transversal study)

cm/s

Echocardiographic parameters analyzing diastolic function: maximum Am wave velocity according to tissue DopplerBaseline (Day 0; transversal study)

cm/s

Echocardiographic parameters analyzing diastolic function: transmitral E wave velocity / maximum Em wave velocity according to tissue DopplerBaseline (Day 0; transversal study)

relative units

Years of athletic trainingBaseline (Day 0; transversal study)
Best performance in the last 6 monthsBaseline (Day 0; transversal study)
Hours of athletic training per weekBaseline (Day 0; transversal study)

h/week

Lower limb muscle massBaseline (Day 0; transversal study)

g

Bone densityBaseline (Day 0; transversal study)

g/cm\^2

Dietary calcium intakeBaseline (Day 0; transversal study)

mg/day

Dietary protein intakeBaseline (Day 0; transversal study)

% calories per day

Serum proteinBaseline (Day 0; transversal study)

g/l

Serum parathyroid hormoneBaseline (Day 0; transversal study)

ng/l

Serum calciumBaseline (Day 0; transversal study)

mmol/l

Serum phosphorusBaseline (Day 0; transversal study)

mmol/l

Serum vitamin D3Baseline (Day 0; transversal study)

µg/l

Trial Locations

Locations (2)

Université d'Avignon, Faculté des Sciences

🇫🇷

Avignon, France

CHU de Nîmes - Hôpital Universitaire Carémeau

🇫🇷

Nîmes Cedex 09, France

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