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Exercise, Arterial Cross-Talk Modulation and Inflammation in an Ageing Population

Not Applicable
Completed
Conditions
Heart; Disease, Activity
Cardiovascular Disease
Obesity
Atherosclerosis
Interventions
Other: Training or control condition
Registration Number
NCT02796976
Lead Sponsor
University of Basel
Brief Summary

The aims of the study are twofold. In the cross-sectional approach (Part I), the study will be conducted in an older population to assess the association of physical fitness on different parts of the human vascular bed. In the interventional approach (Part II), it aims to investigate whether and to what extent advanced vascular ageing (AVA) in older subjects with increased cardiovascular risk can be reversed by regular walking- based high intensity interval training.

Detailed Description

In the cross-sectional part the investigators analyze physical fitness, vascular health and further outcomes in a healthy older active, a healthy older sedentary and a obese sedentary group with increased cardiovascular risk. The investigators will analyze large and small artery function, physical fitness and activity as well as inflammatory parameters in these three groups. Here the investigators will investigate the influence of physical activity and inflammatory parameters on the vascular health in different beds.

In the intervention part the older sedentary group with increasing cardiovascular risk (OSR) will be randomized in a control and an intervention group. The intervention group will get a high intensity interval training which is walking based and individual adjusted. The control group will get general lifestyle recommendations. After 12 weeks of training OSR group will be tasted again. The aim of the second part is to assess the effect of high intensity interval training on vascular health and inflammatory parameters.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
158
Inclusion Criteria
  • men and women aged 50-79 years
  • Active lifestyle: > 9 MET/week (> 3hours moderate walking/week); 18.5≤ BMI ≤ 29.9 kg/m2
  • Sedentary lifestyle: ≤ 3 MET/week (≤ 1 hour moderate walking/week); 18.5≤ BMI ≤ 29.9 kg/m2
  • Sedentary men and women aged 50-79 years with increased cardiovascular risk are allowed to have ≥ one additional cardiovascular risk factor
Exclusion Criteria
  • History of cardiovascular, pulmonary or chronic inflammatory disease
  • blood pressure ≥ 140/90 mmHg during 24h monitoring
  • current or past smoker (in healthy group)
  • macular degeneration or glaucoma
  • compromising orthopaedic problems

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
older sedentary at riskTraining or control conditioncross-sectional and training or control condition
Primary Outcome Measures
NameTimeMethod
Change of pulse wave velocity (m/s)Change from baseline pulse wave velocity at 12 weeks

Measured at local, central and peripheral site

Secondary Outcome Measures
NameTimeMethod
Change of augmentation index (AIx@75) in %Change from baseline augmentation index at 12 weeks

AIx and AIx@75 will be measured by using the gold standard device for single measurements (SphygmoCor®)

Change of arteriolar to venular diameter ratio (AVR) in µmChange from baseline AVR at 12 weeks

Dynamic and static retinal vessel analyzes will be investigated

Change of physical activity in METs per weekChange from baseline physical activity at 12 weeks

The Freiburger Questionnaire of physical activity and inactivity and an accelerometer for seven days will be used to measure physical activity.

Change of physical fitness in VO2maxChange from baseline VO2max at 12 weeks

An individual treadmill ramp test will be used to investigate peak oxygen consumption and maximal heart rate.

Trial Locations

Locations (1)

Bereich Sport- und Bewegungsmedizin, Abteilung Präventive Sportmedizin & Systemphysiologie

🇨🇭

Basel, Basel Stadt, Switzerland

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