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Exploring the Effects of Aquatic Exercise on Cardiovascular Function in Older Adults

Completed
Conditions
Cardiovascular Diseases
Interventions
Procedure: Aquatic exercise
Registration Number
NCT04308057
Lead Sponsor
Sheffield Hallam University
Brief Summary

Cardiovascular ageing is implicated in the development of cardiovascular disease (CVD). Aquatic exercise is being considered as a co-adjuvant form of rehabilitation, but there is limited evidence for its cardiovascular risk-reduction properties for older people. Our study aims to address this by exploring the cardiovascular effects of long-term aquatic exercise in older adults in comparison to those who are either inactive or engaged in land-based/mixed training by measurement of micro- and macro-circulation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • being over 55 years of age and normotensive (e.g., <140/90 mm Hg).
Exclusion Criteria
  • any overt chronic disease which would affect microvascular functioning,
  • anaemia (irrespective of whether an iron supplementation course is followed or not)
  • a recent (3 months' ago) major surgery
  • None of the participants were undertaking high intensity interval training of any form.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Sedentary.Aquatic exerciseGeneral inclusion criteria included being over 55 years of age and normotensive (e.g., \<140/90 mm Hg). Specifically for this group, we include participants who are sedentary (e.g., defined as undertaking less than 60 min of structured/planned physical activity per week), for a period longer than 6 months.
Primary Outcome Measures
NameTimeMethod
Nitric oxide-mediated, macro (arterial)- circulatory function.8 weeks.

We will use FMD as a measure of endothelium-dependent, nitric oxide (NO)-mediated, macro (arterial)- circulatory function. Baseline scanning to assess resting vessel diameter will be recorded over 3 minutes, following a 10-minute resting period. A rapid inflation-deflation pneumatic cuff placed immediately distal to the elbow joint will be used to as an FMD stimulus.

Secondary Outcome Measures
NameTimeMethod
Feasibility outcome - 1Baseline

Recruitment rate (% of those expressing an interest, being actually recruited).

Feasibility outcome - 28 weeks

Adherence rate (% of those recruited completing at least 75% of the prescribed number of exercise sessions).

Anthropometry - 18 weeks.

Stature, waist and hip circumferences will be measured (all in cms).

Anthropometry - 28 weeks.

Body mass will be measured.

EQ-5D-5L8 weeks.

The EQ5D-5L questionnaire will be completed, to support assessment of quality of life.

Microcirculatory function8 weeks.

Skin blood flow will be measured as cutaneous red blood cell flux using a Laser Doppler Flowmeter (LDF). Local thermal hyperaemia will be induced using a heating disc surrounding the probe. The probe will be attached to the skin using a double-sided adhesion sticker. Participants will be rested in a supine position in a temperature-controlled room with a constant ambient temperature of 24° C for 35 minutes. Heart rate and diastolic and systolic blood pressure was recorded from the left arm at 5-minute intervals throughout the protocol (Dinamap Dash 2500, GE Healthcare, USA). Baseline skin blood flow data will be recorded for 5 minutes with the local heating disc temperature set at 30° C. Following this, rapid local heating will be initiated to obtain maximal vasodilation and the temperature will be increased by 1° C every 10 seconds until 42° C was reached. This will then be maintained for 30 minutes following, which the test will be completed.

SF-IPAQ8 weeks.

The SF-IPAQ questionnaire will be completed, to assess physical activity levels.

Q-Risk8 weeks.

The online Q-Risk questionnaire will be competed, which assesses the risk of cardiovascular disease risk

Feasibility outcome - 38 weeks

Retention rate (% of those recruited completing the post-intervention assessments).

Trial Locations

Locations (1)

Sheffield Hallam University

🇬🇧

Sheffield, Yorkshire, United Kingdom

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