NCT04290637

Brief Summary

Cardiovascular disease (CVD) is the leading cause of death worldwide. Hypertension is a well-established risk factor for the development of CVD. Lifestyle modifications, including exercise, remain the cornerstone of blood pressure (BP)-lowering strategy. Swimming has long been a popular recreational activity for exercise, and is recently gaining widespread recognition as an effective option in maintaining and improving cardiovascular health. Previous studies that involved pool swimming as an intervention (versus no pool swimming) demonstrated favorable benefits of the former on BP reduction. However, no studies to date have specifically investigated the effect of cold-water sea swimming on BP. Indeed, the naturally lower water temperature in the sea may engender a 'cold water immersion' experience in sea swimmers with subsequent stress physiology, which have been shown to exert unique effects on cardiovascular hemodynamics. This study primarily aims to determine the impact of cold-water sea swimming on BP in a group of habitual sea swimmers in Galway who will be randomly assigned to either continue or stop swimming for 4-6 weeks. Other objective and subjective health benefits to sea swimming will also be explored in this study. Given the ubiquitous nature of this activity in the Irish general public, particularly in Galway, this study has potential from a public health perspective, and would add to the literature base pertaining to the benefits of sea swimming on cardiovascular health.

Trial Health

33
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Trial recruitment is currently suspended
Enrollment
150

participants targeted

Target at P50-P75 for not_applicable cardiovascular-diseases

Timeline
Completed

Started Oct 2020

Shorter than P25 for not_applicable cardiovascular-diseases

Geographic Reach
1 country

1 active site

Status
suspended

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 24, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

March 2, 2020

Completed
7 months until next milestone

Study Start

First participant enrolled

October 1, 2020

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2021

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2021

Completed
Last Updated

June 30, 2020

Status Verified

April 1, 2020

Enrollment Period

9 months

First QC Date

February 24, 2020

Last Update Submit

June 26, 2020

Conditions

Keywords

Cardiovascular DiseasesCardiac DiseaseHeart DiseasesHypertensionBlood PressureSwimmingExerciseVascular StiffnessPulse Wave AnalysisHealth-Related Quality Of LifeHeart Rate VariabilityImmersion

Outcome Measures

Primary Outcomes (1)

  • Change in mean systolic blood pressure

    Systolic blood pressure recorded using a 24-hour ambulatory blood pressure monitor

    Measured at baseline and again at 6 weeks

Secondary Outcomes (5)

  • Change in Pulse Wave Velocity

    Measured at baseline and 6 weeks

  • Change in Augmentation index

    Measured at baseline and 6 weeks

  • Change in Heart rate variability

    Measured at baseline and 6 weeks

  • Change in Health-related quality of life

    Administered at baseline and 6 weeks

  • Change in mean diastolic blood pressure

    Measured at baseline and again at 6 weeks

Other Outcomes (2)

  • Change in Sleep quality

    Administered at baseline and 6 weeks

  • Change in Muscular strength

    Measured at baseline and 6 weeks

Study Arms (2)

No sea swimming

EXPERIMENTAL

Stop sea swimming for 4-6 weeks

Other: No cold-water sea swimming

Sea swimming

ACTIVE COMPARATOR

Continue sea swimming for 4-6 weeks

Other: Cold-water sea swimming

Interventions

Continue sea swimming for 4-6 weeks

Sea swimming

Discontinue sea swimming for 4-6 weeks

No sea swimming

Eligibility Criteria

Age18 Years - 100 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • habitual swimmers (i.e., sea swimming at least 2 times/week for the past year)
  • years of age or older
  • able to provide informed consent

You may not qualify if:

  • underlying cardiac (e.g., self-reported heart failure) or pulmonary diseases (e.g., self-reported chronic obstructive pulmonary disease)
  • recent orthopedic procedures (e.g., joint replacement therapy)
  • severe disabling comorbidity
  • recent arm (both arms) or chest wall injury
  • pregnant or breast feeding

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Croi Heart and Stroke Centre

Galway, H91 FF68, Ireland

Location

MeSH Terms

Conditions

Cardiovascular DiseasesHypertensionHeart DiseasesMotor Activity

Condition Hierarchy (Ancestors)

Vascular DiseasesBehavior

Study Officials

  • John William McEvoy, MBBCh MHS

    National University of Ireland, Galway

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, Preventive Cardiology

Study Record Dates

First Submitted

February 24, 2020

First Posted

March 2, 2020

Study Start

October 1, 2020

Primary Completion

July 1, 2021

Study Completion

October 1, 2021

Last Updated

June 30, 2020

Record last verified: 2020-04

Data Sharing

IPD Sharing
Will not share

Locations