Ultramarathons and Impact of Phased Electromagnetic Field Therapy (PEMF)
The Pulmonary Consequences of Participating in the UTMB and Hong Kong 100 Ultramarathons and Impact of Phased Electromagnetic Field Therapy (PEMF)
1 other identifier
interventional
72
1 country
1
Brief Summary
This research is being done to better understand the pulmonary consequences of completing an ultra marathon at altitude and a sea level city.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable healthy
Started Dec 2016
Longer than P75 for not_applicable healthy
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 12, 2016
CompletedFirst Submitted
Initial submission to the registry
October 27, 2017
CompletedFirst Posted
Study publicly available on registry
November 6, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 15, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
June 15, 2021
CompletedApril 11, 2022
April 1, 2022
4.5 years
October 27, 2017
April 1, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Change in right ventricle end diastolic area (EDA)
Cardiac ultrasound (Philips CX50) will be performed to determine left and right ventricular morphology and function. Ultrasound will be performed in accordance with the recommendations of the American Society of Echocardiography guidelines (ASE). Imaging of the ventricles and the diameter during relaxation (diastole) will be captured and evaluated. Normal value for right ventricle EDA indexed to body surface area ranges between 5-12.6 cm\^2/m\^2 for males and 4.5-11.5 cm\^2/m\^2 for females .
baseline, within 2 hours of race completion, 24-48 hours post race
Change in tricuspid annular plane systolic excursion (TAPSE)
Another ultrasound metric that will be evaluated is tricuspid annular plane systolic excursion (TAPSE) which is used a parameter of global RV function which describes apex-to-base shortening. Normal value for TAPSE is above 16 mm.
baseline, within 2 hours of race completion, 24-48 hours post race
Change in ratio between early mitral inflow velocity and mitral annular early diastolic velocity (E/e')
Another ultrasound metric that will be evaluated is early mitral inflow velocity and mitral annular early diastolic velocity (E/e') which is used to evaluate the diastolic or relaxation function of the left ventricle. Normal value for E/e' is \<6.
baseline, within 2 hours of race completion, 24-48 hours post race
Change in the ratio of peak velocity flow in early diastole (the E wave) to peak velocity flow in late diastole caused by atrial contraction (the A wave)
Another ultrasound metric that will be evaluated is he ratio of peak velocity flow in early diastole (the E wave) to peak velocity flow in late diastole caused by atrial contraction (the A wave) (E/A) which is used to evaluate the diastolic filling of the left ventricle. Normal value for E/A is between 0.8 and 2.
baseline, within 2 hours of race completion, 24-48 hours post race
Change in lung fluid assessed through ultrasound incidence of comet tails
Ultrasound will be used to image 28 "windows" covering the 2nd through the 5th intercostal/rib space on the right and left sides of the chest. The number of comet tails observed over these 28 locations will be documented and the change in this number over the course of the study will be evaluated.
baseline, within 2 hours of race completion, 24-48 hours post race
Change in lung fluid assessed through diffusion capacity of the lungs for carbon monoxide and nitric oxide
Subjects will take a maximal breath of a test gas mixture, hold that inhalation for 4 seconds and then exhale and the exhaled gas will be analyze to determine the change in gas concentrations between what was inhaled and exhaled. Comparison will be made between the change over time in this ability of gas to move from the lungs to the blood stream.
baseline, within 2 hours of race completion, 24-48 hours post race
Secondary Outcomes (6)
Change in exhaled nitric oxide
baseline, within 2 hours of race completion, 24-48 hours post race
Change in hemoglobin
baseline, within 2 hours of race completion, 24-48 hours post race
Change in hematocrit
baseline, within 2 hours of race completion, 24-48 hours post race
Change in cardiac troponin I
baseline, within 2 hours of race completion, 24-48 hours post race
Change in B-type natriuretic peptide
baseline, within 2 hours of race completion, 24-48 hours post race
- +1 more secondary outcomes
Study Arms (4)
HK100 Pulsed Electromagnetic Field
EXPERIMENTAL20 athletes (ideally a mix of elite and amateur level athletes and veteran (40-65y) and young (20-39y). Athletes will be recruited at the 2018 and 2019 Hong Kong 100 races. In addition, these athletes will use the pulsed electromagnetic field (PEMF) for the two weeks prior to the race.
HK100 Pulsed Electromagnetic Field Sham
SHAM COMPARATOR20 athletes (ideally a mix of elite and amateur level athletes and veteran (40-65y) and young (20-39y). Athletes will be recruited at the 2018 and 2019 Hong Kong 100 races. In addition, these athletes will use a PEMF device that doesn't produce electromagnetic fields (sham) for the two weeks prior to the race.
UTMB Pulsed Electromagnetic Field
EXPERIMENTAL20 athletes (ideally a mix of elite and amateur level athletes and veteran (40-65y) and young (20-39y). Athletes will be recruited at the 2018 and 2019 Ultra Trail du Mont Blanc (UTMB) races. In addition, these athletes will use the pulsed electromagnetic field (PEMF) for the two weeks prior to the race.
UTMB Pulsed Electromagnetic Field Sham
SHAM COMPARATOR20 athletes (ideally a mix of elite and amateur level athletes and veteran (40-65y) and young (20-39y). Athletes will be recruited at the 2018 and 2019 Ultra Trail du Mont Blanc (UTMB) races. In addition, these athletes will use a PEMF device that doesn't produce electromagnetic fields (sham) for the two weeks prior to the race.
Interventions
PEMF Therapy based on Biological Electromagnetic (BEM) microbial wave technology provides micro-magnetic emissions to the center of the palm (Laogong acupoint). While participating in the study, the subjects will undertake 2 sessions of therapy every day (1 session in the morning and evening). Each session will last for 16-min (8-min for left and 8-min for right hand).
PEMF therapy will be administered however it will not produce micro-magnetic emissions. The therapy will be used on the center of the palm (Laogong acupoint) of each hand. While participating in the study, the subjects will undertake 2 sessions of therapy every day (1 session in the morning and evening). Each session will last for 16-min (8-min for left and 8-min for right hand).
Eligibility Criteria
You may qualify if:
- Healthy endurance trained individuals participating in the Ultra Trail du Mont Blanc (UTMB) and/or Hong Kong 100 ultramarathons
You may not qualify if:
- \> 65 years age
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mayo Cliniclead
Study Sites (1)
Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Bruce D Johnson
Mayo Clinic
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Study team and participants will not know if they have received the PEMF therapy or the sham
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
October 27, 2017
First Posted
November 6, 2017
Study Start
December 12, 2016
Primary Completion
June 15, 2021
Study Completion
June 15, 2021
Last Updated
April 11, 2022
Record last verified: 2022-04