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

Completed
Conditions
Cardiovascular Diseases
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
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

Sheffield Hallam University
🇬🇧Sheffield, Yorkshire, United Kingdom

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