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Exercise, Heart Failure, and Type 2 Diabetes

Not Applicable
Withdrawn
Conditions
Heart Failure
Type 2 Diabetes
Interventions
Behavioral: aerobic exercise training
Registration Number
NCT02122835
Lead Sponsor
Duke University
Brief Summary

The purpose of this study is to understand the differences in how patients with heart failure respond to exercise training compared to patients with heart failure and type 2 diabetes.

Detailed Description

The investigators will measure exercise capacity in patients with heart failure or heart failure plus type 2 diabetes prior to and following a 12-week exercise training program (5d/wk, 30 min/d, 60-75% VO2max) to determine whether improvements in exercise capacity in response to exercise training are mitigated in patients with combined heart failure plus type 2 diabetes.

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • ≥50 yr of age
  • New York Heart Association class II-III CHF and ejection fraction ≤35%
  • receiving optimal medical therapy
  • sedentary (≤ 30 min/wk structured physical activity).
  • Half of volunteers (n=30) will have a diagnosis of type 2 diabetes (CHF+T2D).
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Exclusion Criteria
  • smoking
  • changes in medication ≤6 wk prior to enrollment
  • major cardiovascular event or procedure ≤6 wk prior to enrollment
  • foot ulcers
  • advanced neuropathy
  • co-morbidities or other limitations that may interfere with or prevent volunteers from safely completing the exercise training
  • fixed rate pacemaker
  • type 1 diabetes mellitus
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
heart failure plus type 2 diabetesaerobic exercise trainingaerobic exercise training
heart failureaerobic exercise trainingaerobic exercise training
Primary Outcome Measures
NameTimeMethod
exercise capacitybaseline, 12 weeks

measured as peak oxygen consumption as well as treadmill time to exhaustion, also known as cardiopulmonary fitness

Secondary Outcome Measures
NameTimeMethod
flow-mediated dilationbaseline, 12 weeks

brachial artery flow-mediated dilation

nitrite flux during exercisebaseline, 12 weeks

changes in plasma nitrite during exercise

Trial Locations

Locations (1)

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

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