Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12616001390471
Ethics application status
Approved
Date submitted
29/09/2016
Date registered
7/10/2016
Date last updated
9/12/2021
Date data sharing statement initially provided
5/03/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of aerobic exercise training on cardiovascular function in aged adults with and without type 2 diabetes
Query!
Scientific title
The effect of aerobic exercise training on cardiovascular function in aged adults with and without type 2 diabetes
Query!
Secondary ID [1]
290231
0
Nil
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Type 2 diabetes
300420
0
Query!
Cardiovascular health
300421
0
Query!
Condition category
Condition code
Cardiovascular
300281
300281
0
0
Query!
Coronary heart disease
Query!
Metabolic and Endocrine
300307
300307
0
0
Query!
Diabetes
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Adults aged 50 years and older with and without type 2 diabetes will perform a 12 week supervised, group-based aerobic exercise programme that includes cycle, rowing and walking/running exercise. For the entire 12 week intervention, exercise prescription will be 4 weekly exercise sessions for 45-60 minutes. Initial exercise prescription includes 3 moderate-intensity (50-75% of VO2peak), continuous exercise sessions and 1 interval type exercise session (75-95% of VO2peak). At the 4 week period, a moderate-intensity continuous training session will be substituted for another interval-type exercise session for the remainder of the exercise intervention. Exercise sessions will be supervised by exercise physiologists.
Adults aged 35-49 years will not perform the exercise intervention and serve as an age comparator to baseline data (prior to exercise training) of adults aged 50 years and older.
Query!
Intervention code [1]
296008
0
Lifestyle
Query!
Intervention code [2]
296030
0
Treatment: Other
Query!
Comparator / control treatment
Adults aged 35-80 years without type 2 diabetes, with no chronic medical problems and not currently taking any cardiovascular or renal medications. All control participants will have a exercise history of less than 150 minutes per week of moderate-intensity aerobic exercise over the prior 6 months. Healthy adults aged 50 years and older without type 2 diabetes will perform the 12 week exercise intervention.
Query!
Control group
Active
Query!
Outcomes
Primary outcome [1]
299759
0
Exercise capacity (VO2peak) via breath-by-breath gas analysis during incremental cycle exercise
Query!
Assessment method [1]
299759
0
Query!
Timepoint [1]
299759
0
12 weeks after enrollment
Query!
Primary outcome [2]
299760
0
Left ventricular function during sub-maximal (35%, 55% and 75% of VO2peak) upright cycle exercise using carbon dioxide rebreathing method and left and right ventricular function during sub-maximal (100 and 120 beats per minute) supine cycle exercise using MRI
Query!
Assessment method [2]
299760
0
Query!
Timepoint [2]
299760
0
12 weeks after enrollment
Query!
Secondary outcome [1]
328042
0
Nil
Query!
Assessment method [1]
328042
0
Query!
Timepoint [1]
328042
0
Nil
Query!
Eligibility
Key inclusion criteria
Type 2 diabetes group:
Diagnosed for at least 6 months but not longer 10 years
Aged 35-80 years
Performing less than 150 minutes per week of moderate intensity aerobic exercise over the prior 6 months.
Healthy control group (without Type 2 Diabetes):
Aged 35-80 years
Performing less than 150 minutes per week of moderate intensity aerobic exercise over the prior 6 months.
Query!
Minimum age
35
Years
Query!
Query!
Maximum age
80
Years
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
Yes
Query!
Key exclusion criteria
Diagnosed type 2 diabetes for less than 6 months or longer than 10 years
Hypertension
Heart failure
Chronic obstructive pulmonary disease
Coronary artery disease (as evidenced by angina or prior myocardial infarction)
Cerebrovascular disease (as evidenced by prior transient ischemic attack or stroke)
Renal disease
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Non-randomised trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Not Applicable
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Training-related changes in exercise capacity will be compared with paired t-tests. To
determine the interaction effects of group and time on exercise variables, a repeated measures analysis of variance (ANOVA) will be performed. Secondary analysis (post-hoc testing) will be performed if an interaction effect that includes time achieves a p value <0.05.
Query!
Recruitment
Recruitment status
Recruiting
Query!
Date of first participant enrolment
Anticipated
1/11/2016
Query!
Actual
6/09/2017
Query!
Date of last participant enrolment
Anticipated
1/08/2022
Query!
Actual
Query!
Date of last data collection
Anticipated
23/12/2022
Query!
Actual
Query!
Sample size
Target
50
Query!
Accrual to date
25
Query!
Final
Query!
Recruitment outside Australia
Country [1]
8269
0
New Zealand
Query!
State/province [1]
8269
0
Auckland
Query!
Funding & Sponsors
Funding source category [1]
294594
0
Government body
Query!
Name [1]
294594
0
The Health Research Council of New Zealand
Query!
Address [1]
294594
0
Level 3,
110 Stanley St,
Grafton,
Auckland 1010
Query!
Country [1]
294594
0
New Zealand
Query!
Primary sponsor type
University
Query!
Name
The Univeristy of Auckland
Query!
Address
Research office
Building 620
Level 10
49-51 Symonds St
Auckland, 1010
Query!
Country
New Zealand
Query!
Secondary sponsor category [1]
293476
0
None
Query!
Name [1]
293476
0
Query!
Address [1]
293476
0
Query!
Country [1]
293476
0
Query!
Ethics approval
Ethics application status
Approved
Query!
Ethics committee name [1]
296041
0
Health and Disability Ethics Committee
Query!
Ethics committee address [1]
296041
0
Ministry of Health Ethics Department Freyberg Building 20 Aitken Street Wellington, 6011
Query!
Ethics committee country [1]
296041
0
New Zealand
Query!
Date submitted for ethics approval [1]
296041
0
20/10/2016
Query!
Approval date [1]
296041
0
26/10/2016
Query!
Ethics approval number [1]
296041
0
16/STH/174
Query!
Summary
Brief summary
Diabetes mellitus is a significant health issue in New Zealand, with a high prevalence reported in adults aged 50 years and over (older adults) and in Maori and Pacific people. Cardiovascular disease is the leading cause of mortality in adults with type 2 diabetes mellitus (T2D). Human aging and T2D are associated with a diminished exercise capacity, which is strongly associated with the development and progression of many chronic diseases (cardiovascular disease, obesity, some types of cancers) and a higher risk of cardiovascular-related and all-cause mortality. There is substantial evidence to support the hypothesis that structural adaptations including the accumulation of collagen, advanced glycation end products (AGE’s) and triglycerides contribute to the stiffening and dysfunction of the aged heart and blood vessels. Stiffening of the cardiovascular system is believed to play a key role in the pathophysiology of several cardiovascular conditions (systolic hypertension, stroke, atrial fibrillation, congestive heart failure) that affect older adults. People with T2D experience a greater accumulation of these toxic metabolites and thus T2D may accelerate the cardiovascular aging process. Indeed, abnormalities in measures of left ventricular diastolic function are more prevalent in humans with T2D compared to healthy controls. Moreover, a smaller left ventricular stroke volume and end-diastolic volume during exercise in people with T2D suggest that the reduction in exercise capacity in people with T2D may be primarily related to a smaller exercise stroke volume secondary to impaired diastolic function. Regular physical exercise training increases exercise capacity in previously sedentary older adults with T2D; however, no studies have assessed changes in exercise stroke volume before and after training. Therefore, it remains unclear whether increases in exercise capacity with regular and sustained exercise training in older adults with T2D are associated with improved left ventricular function. The aim of this project is to examine the consequences of T2D on cardiovascular function in adults aged 35-80 years. Adults aged 50 years and older with and without T2D will perform a 12 week exercise training programme to examine the effect of exercise training on maximal exercise capacity and left ventricular function during exercise. A comprehensive set of baseline testing and follow-up testing will take place to assess the effects of a 12 week exercise-based intervention. This testing will include submaximal and maximal exercise testing and non-invasive imaging (MRI) of cardiac structure and function at rest and during exercise. We hypothesize that aging will result in a reduction in exercise capacity and left ventricular function during exercise, which will be further reduced in people with T2D. 12 weeks of exercise training will improve exercise capacity and left ventricular function during exercise in older adults with T2D.
Query!
Trial website
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
69318
0
Dr Graeme Carrick-Ranson
Query!
Address
69318
0
STaR Centre
Faculty of Medical and Health Sciences
The University of Auckland
22-30 Park Avenue
Grafton
Auckland 1023
New Zealand
Query!
Country
69318
0
New Zealand
Query!
Phone
69318
0
+64 022 646 9054
Query!
Fax
69318
0
Query!
Email
69318
0
[email protected]
Query!
Contact person for public queries
Name
69319
0
Stacey Reading
Query!
Address
69319
0
Department of Exercise Sciences University of Auckland, Building 907, Suiter Street,
Newmarket, Auckland, 1023
Query!
Country
69319
0
New Zealand
Query!
Phone
69319
0
+64 9 3737599
Query!
Fax
69319
0
+64 09 373 7043
Query!
Email
69319
0
[email protected]
Query!
Contact person for scientific queries
Name
69320
0
Graeme Carrick-Ranson
Query!
Address
69320
0
Faculty of Medical and Health Sciences
The University of Auckland
22-30 Park Avenue
Grafton
Auckland 1023
New Zealand
Query!
Country
69320
0
New Zealand
Query!
Phone
69320
0
+64 022 646 9054
Query!
Fax
69320
0
Query!
Email
69320
0
[email protected]
Query!
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
Query!
What data in particular will be shared?
Individual participant data used in the published results (text, tables, figures) of the study after de-identification
Query!
When will data be available (start and end dates)?
Begining three months and ending 3 years following article publication
Query!
Available to whom?
Case-by-case basis at the discretion of Primary Investigator
Query!
Available for what types of analyses?
For any analysis
Query!
How or where can data be obtained?
Access subject to approval by Principal Investigator (
[email protected]
, +61 8 830 21897).
Query!
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF