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Periodization of Exercise Training in Patients With Coronary Heart Disease. (PERIOD)

Primary Purpose

Coronary Heart Disease, Healthy Control

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Exercise training
Sponsored by
Montreal Heart Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Heart Disease focused on measuring aerobic exercise training, periodization, cerebral oxygenation and perfusion, cognition

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria for patients with coronary heart disease:

  • Major
  • Adequate physical and mental capacities
  • Autonomy in daily activities
  • Documented coronary artery disease
  • Stable or recent coronary artery disease

Exclusion Criteria for patients with coronary heart disease:

  • Inability to complete the consent form
  • Acute coronary syndrome < 3 months
  • Heart failure
  • Ejection fraction of the left ventricle <40%
  • Coronary artery disease non revascularisable including left main coronary stenosis
  • Waiting for a bridging of the coronary artery
  • Chronic atrial fibrillation
  • Malignant arrhythmias during exercise
  • Restriction to non cardiopulmonary exercise
  • Severe intolerance to exercise

Sites / Locations

  • Cardiovascular prevention and rehabilitation center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Linear training

Non-linear training

Arm Description

Linear training consists to a progressive improvement of the training load during the 3 month-program.

Non-linear training consists to an undulating progressive improvement of the training load during the 3 month-program.

Outcomes

Primary Outcome Measures

Maximal oxygen uptake (VO2peak) with gas exchange
VO2peak will be measured during maximal exercise test with a gas exchange device. The highest value reached during the exercise phase of the maximal test (ergocycle) will be considered as the VO2peak. We will measure change of VO2peak before and after exercise training.

Secondary Outcome Measures

Cerebral hemodynamics
Cerebral hemodynamics will be measured using near-infrared spectroscopy (NIRS) system during maximal and submaximal exercise tests. We will measure change of cerebral hemodynamics before and after exercise training
Cognitive functions at rest by a by standard pen-paper battery test
Cognitive functions will be measured at rest with a pen-paper battery test by a neuropsychologist. We will measure change of score to the cognitive tests before and after exercise training.
Cardiac hemodynamics
Cardiac hemodynamics will be measured continuously during the maximal exercise test on bike using an impedance cardiography device. We will measure change of cardiac hemodynamics before and after exercise training.
Standard echocardiographic parameter of left and right ventricular strain
global longitudinal strain (%) will be measued at rest for both ventricule

Full Information

First Posted
January 22, 2018
Last Updated
August 29, 2022
Sponsor
Montreal Heart Institute
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1. Study Identification

Unique Protocol Identification Number
NCT03443193
Brief Title
Periodization of Exercise Training in Patients With Coronary Heart Disease.
Acronym
PERIOD
Official Title
The Effects of Periodization Training on Physiological Parameters, Cerebral Oxygenation, Cognitive Functions and Cardiac Remodelling in Coronary Patients.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
December 16, 2015 (Actual)
Primary Completion Date
September 30, 2017 (Actual)
Study Completion Date
December 31, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Montreal Heart Institute

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The research project includes two components that assess exercise physiology parameters, cerebrovascular reserve, cognitive functions and cardiac function in coronary heart disease patients at rest, during an acute exercise, and after two different periodized training programs.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Heart Disease, Healthy Control
Keywords
aerobic exercise training, periodization, cerebral oxygenation and perfusion, cognition

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
70 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Linear training
Arm Type
Experimental
Arm Description
Linear training consists to a progressive improvement of the training load during the 3 month-program.
Arm Title
Non-linear training
Arm Type
Experimental
Arm Description
Non-linear training consists to an undulating progressive improvement of the training load during the 3 month-program.
Intervention Type
Other
Intervention Name(s)
Exercise training
Intervention Description
Patients will undergo three weekly exercise training sessions with periodized high-intensity interval training and resistance training for a period of 12 weeks.
Primary Outcome Measure Information:
Title
Maximal oxygen uptake (VO2peak) with gas exchange
Description
VO2peak will be measured during maximal exercise test with a gas exchange device. The highest value reached during the exercise phase of the maximal test (ergocycle) will be considered as the VO2peak. We will measure change of VO2peak before and after exercise training.
Time Frame
At baseline and following 12 weeks exercise training intervention
Secondary Outcome Measure Information:
Title
Cerebral hemodynamics
Description
Cerebral hemodynamics will be measured using near-infrared spectroscopy (NIRS) system during maximal and submaximal exercise tests. We will measure change of cerebral hemodynamics before and after exercise training
Time Frame
At baseline and following 12 weeks exercise training intervention
Title
Cognitive functions at rest by a by standard pen-paper battery test
Description
Cognitive functions will be measured at rest with a pen-paper battery test by a neuropsychologist. We will measure change of score to the cognitive tests before and after exercise training.
Time Frame
At baseline and following 12 weeks exercise training intervention
Title
Cardiac hemodynamics
Description
Cardiac hemodynamics will be measured continuously during the maximal exercise test on bike using an impedance cardiography device. We will measure change of cardiac hemodynamics before and after exercise training.
Time Frame
At baseline and following 12 weeks exercise training intervention
Title
Standard echocardiographic parameter of left and right ventricular strain
Description
global longitudinal strain (%) will be measued at rest for both ventricule
Time Frame
At baseline and following 12 weeks exercise training intervention

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for patients with coronary heart disease: Major Adequate physical and mental capacities Autonomy in daily activities Documented coronary artery disease Stable or recent coronary artery disease Exclusion Criteria for patients with coronary heart disease: Inability to complete the consent form Acute coronary syndrome < 3 months Heart failure Ejection fraction of the left ventricle <40% Coronary artery disease non revascularisable including left main coronary stenosis Waiting for a bridging of the coronary artery Chronic atrial fibrillation Malignant arrhythmias during exercise Restriction to non cardiopulmonary exercise Severe intolerance to exercise
Facility Information:
Facility Name
Cardiovascular prevention and rehabilitation center
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H1T 1N6
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
33108743
Citation
Boidin M, David LP, Trachsel LD, Gayda M, Tremblay J, Lalonge J, Juneau M, Nigam A, Henri C. Impact of 2 different aerobic periodization training protocols on left ventricular function in patients with stable coronary artery disease: an exploratory study. Appl Physiol Nutr Metab. 2021 May;46(5):436-442. doi: 10.1139/apnm-2020-0423. Epub 2020 Oct 27.
Results Reference
derived
PubMed Identifier
33096006
Citation
Trachsel LD, Boidin M, Henri C, Fortier A, Lalonge J, Juneau M, Nigam A, Gayda M. Women and men with coronary heart disease respond similarly to different aerobic exercise training modalities: a pooled analysis of prospective randomized trials. Appl Physiol Nutr Metab. 2021 May;46(5):417-425. doi: 10.1139/apnm-2020-0650. Epub 2020 Oct 23.
Results Reference
derived

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Periodization of Exercise Training in Patients With Coronary Heart Disease.

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