MedPath

Exercise Training and Kidney Transplantation

Not Applicable
Completed
Conditions
Solid Organ Transplant Rejection
Muscle Weakness
Chronic Kidney Failure
Quality of Life
Inflammation
Interventions
Other: Exercise training
Other: Continue exercising
Other: Discontinue exercising
Registration Number
NCT06216015
Lead Sponsor
Hugo de Luca Correa
Brief Summary

The goal of this clinical trial is to investigate the physiological and molecular effects of exercise training in transplant recipients. The main questions it aims to answer are:

1. Can exercise training improve physical fitness and muscle strength in transplant recipients?

2. Can exercise training modulate inflammatory profile, hormones, lipid profile, and exercise-induced molecules in transplant recipients?

3. Can exercise training improve blood pressure and endothelial health in transplant patients?

Participants will be invited to an exercise training program 6-month after their transplant surgery. Body composition, physical assessment, and blood draw will be assessed at baseline and 12-weeks after exercise or control regimen.

Researchers will compare exercise group vs. routine care group to see if exercise training impact the health-related outcomes of this population.

Detailed Description

The study will involve inviting participants to join an exercise training program six months after their transplant surgery. The research will include baseline assessments and measurements, such as body composition, physical assessment, and blood draws. These assessments will be conducted both at the beginning of the study and 12 weeks after participants have undergone either the exercise regimen or a control regimen.

The research team will compare two groups: the exercise group and the routine care group. The goal is to examine whether participating in an exercise training program has a significant impact on various health-related outcomes in transplant recipients when compared to individuals receiving standard care.

This clinical trial seeks to understand the potential benefits of exercise training on physical fitness, quality of life, inflammatory and molecular profiles, as well as cardiovascular health in individuals who have undergone organ transplantation. The comparison between the exercise group and the routine care group will provide valuable insights into the effectiveness of exercise interventions for this specific population.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
345
Inclusion Criteria
  • Medical Authorization:
  • Stable Health Status
  • Medication Consistency
  • No History of Severe Cardiovascular Events
  • No Major Orthopedic Issues
  • Non-Smokers or Consistent Smoking Habits
  • Ability to Comply with Study Protocols
Exclusion Criteria
  • Inability to Comply
  • Cognitive disorders
  • Unwillingness to Continue
  • Unstable Health Conditions
  • Physical limitations during the protocol

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Exercise training groupExercise trainingThe training programs will encompass three phases, with a gradual progression in both intensity and duration. Each phase will span a duration of four weeks, culminating in a comprehensive 12-week training regimen.
Continue exerciseContinue exercisingFollowing the 12-week training regimen, patients will have the option to decide whether they wish to continue their exercise training. This group will include individuals who choose to persist with their exercise routine.
Discontinue exerciseDiscontinue exercisingFollowing the 12-week training regimen, patients will have the option to decide whether they wish to continue their exercise training. This group will comprise individuals who opted not to continue their exercise routine.
Primary Outcome Measures
NameTimeMethod
Isometric muscle strengthBaseline, after 12-weeks and at the end of the protocol

Handgrip strength

Functional performanceBaseline, after 12-weeks and at the end of the protocol

6-minute walking test

Muscle strengthBaseline, after 12-weeks and at the end of the protocol

One Repetition Maximum Test

Physical fitnessBaseline, after 12-weeks and at the end of the protocol

Ergospirometric Test

Secondary Outcome Measures
NameTimeMethod
Inflammatory profileBaseline, after 12-weeks and at the end of the protocol

Interleukin 6, interleukin 10, and tumor necrosis factor

Blood glucoseBaseline, after 12-weeks and at the end of the protocol

Fasting blood glucose levels

Urea-to-creatinine ratioBaseline, after 12-weeks and at the end of the protocol

Urea and creatinine will be combined to report urea-to-creatinine ratio

HormonesBaseline, after 12-weeks and at the end of the protocol

Irisin, Klotho, and adiponectin

Graft rejectionThrough study completion, an average of 5 years

Number of patients that rejected their graft

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