Comparison of Upper and Lower Limb Maximal Exercise Capacities and Muscle Oxygenation in Patients With ILD
1 other identifier
observational
30
1 country
1
Brief Summary
Interstitial lung diseases (ILD) are a complex group of diseases that cause significant morbidity and mortality, develop diffuse lung parenchyma and alveolar inflammation, as well as interstitial fibrosis, which refers to more than 200 diseases. Due to restrictive type ventilation disorder and impaired pulmonary gas exchange, pulmonary function has deteriorated in these patients and progressive shortness of breath, fatigue, cough and exercise intolerance are usually observed, which also affects the quality of life.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Nov 2023
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 15, 2023
CompletedFirst Posted
Study publicly available on registry
November 21, 2023
CompletedStudy Start
First participant enrolled
November 25, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 28, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2024
CompletedDecember 28, 2023
December 1, 2023
1.1 years
November 15, 2023
December 27, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Peripheral Muscle Oxygenation
Peripheral muscle oxygen will be measured by near-infrared spectrometry. The device probes will be placed on the upper and lower extremities for both tests. The device allows to display of the percentage of oxygen, the concentration of oxyhemoglobin, and deoxyhemoglobin, the difference between oxyhemoglobin and deoxyhemoglobin, and the total hemoglobin. These parameters will be evaluated in our study.
through study completion, an average of 1 year
Secondary Outcomes (12)
Maximal Exercise Capacity
through study completion, an average of 1 year
Energy Consumption During Tests
through study completion, an average of 1 year
Physical Activity Level (Total energy expenditure)
through study completion, an average of 1 year
Physical activity (Active energy expenditure (joule / day))
through study completion, an average of 1 year
Physical activity (Physical activity time (min / day))
through study completion, an average of 1 year
- +7 more secondary outcomes
Study Arms (2)
Lower Extremity Group
The first test is the cardiopulmonary exercise test (CPET), which evaluates the maximal exercise capacity of the lower extremities and will be performed on a treadmill. During the test, the muscle oxygen of the individuals will be measured with a near-infrared spectrometer, and their energy consumption will be measured with a multisensory physical activity monitor.
Upper Extremity Group
In the second test, the maximal exercise capacity for the upper limb will again be evaluated by CPET and performed on the arm ergometer. The second test will be conducted 48 hours after the lower extremity exercise test. During the test in the second group, as in the first test, muscle oxygen will be measured with a near-infrared spectrometer, and energy expenditure with a multisensory physical activity monitor.
Eligibility Criteria
30 patients diagnosed with interstitial lung disease will be recruited.
You may qualify if:
- patients between the ages of 18-75 with interstitial lung disease
You may not qualify if:
- acute infection during the study
- have an orthopedic or neurological disease that will affect their exercise capacity
- acute exacerbation or any infection
- have contraindications to the exercise test
- an acute respiratory infection
- had Coronavirus-19 (COVID-19) disease in the last 3 months
- have undergone different treatments other than standard medical treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Gazi Universitylead
Study Sites (1)
Gazi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Cardiopulmonary Rehabilitation Unit
Ankara, Çankaya, 06490, Turkey (Türkiye)
Related Publications (33)
Guler SA, Corte TJ. Interstitial Lung Disease in 2020: A History of Progress. Clin Chest Med. 2021 Jun;42(2):229-239. doi: 10.1016/j.ccm.2021.03.001.
PMID: 34024399BACKGROUNDMikolasch TA, Garthwaite HS, Porter JC. Update in diagnosis and management of interstitial lung disease . Clin Med (Lond). 2017 Apr;17(2):146-153. doi: 10.7861/clinmedicine.17-2-146.
PMID: 28365626BACKGROUNDMolgat-Seon Y, Schaeffer MR, Ryerson CJ, Guenette JA. Exercise Pathophysiology in Interstitial Lung Disease. Clin Chest Med. 2019 Jun;40(2):405-420. doi: 10.1016/j.ccm.2019.02.011.
PMID: 31078218BACKGROUNDBourke SJ. Interstitial lung disease: progress and problems. Postgrad Med J. 2006 Aug;82(970):494-9. doi: 10.1136/pgmj.2006.046417.
PMID: 16891438BACKGROUNDShen Q, Guo T, Song M, Guo W, Zhang Y, Duan W, Peng Y, Ni S, Ouyang X, Peng H. Pain is a common problem in patients with ILD. Respir Res. 2020 Nov 11;21(1):297. doi: 10.1186/s12931-020-01564-0.
PMID: 33176795BACKGROUNDTomlinson OW, Markham L, Wollerton RL, Knight BA, Duckworth A, Gibbons MA, Scotton CJ, Williams CA. Validity and repeatability of cardiopulmonary exercise testing in interstitial lung disease. BMC Pulm Med. 2022 Dec 22;22(1):485. doi: 10.1186/s12890-022-02289-0.
PMID: 36550475BACKGROUNDDowman LM, McDonald CF, Hill CJ, Lee AL, Barker K, Boote C, Glaspole I, Goh NSL, Southcott AM, Burge AT, Gillies R, Martin A, Holland AE. The evidence of benefits of exercise training in interstitial lung disease: a randomised controlled trial. Thorax. 2017 Jul;72(7):610-619. doi: 10.1136/thoraxjnl-2016-208638. Epub 2017 Feb 17.
PMID: 28213592BACKGROUNDAntoniou KM, Margaritopoulos GA, Tomassetti S, Bonella F, Costabel U, Poletti V. Interstitial lung disease. Eur Respir Rev. 2014 Mar 1;23(131):40-54. doi: 10.1183/09059180.00009113.
PMID: 24591661BACKGROUNDBaydur A. Pulmonary physiology in interstitial lung disease: recent developments in diagnostic and prognostic implications. Curr Opin Pulm Med. 1996 Sep;2(5):370-5. doi: 10.1097/00063198-199609000-00005.
PMID: 9363170BACKGROUNDPanagiotou M, Church AC, Johnson MK, Peacock AJ. Pulmonary vascular and cardiac impairment in interstitial lung disease. Eur Respir Rev. 2017 Jan 17;26(143):160053. doi: 10.1183/16000617.0053-2016. Print 2017 Jan.
PMID: 28096284BACKGROUNDNishiyama O, Yamazaki R, Sano H, Iwanaga T, Higashimoto Y, Kume H, Tohda Y. Physical activity in daily life in patients with idiopathic pulmonary fibrosis. Respir Investig. 2018 Jan;56(1):57-63. doi: 10.1016/j.resinv.2017.09.004. Epub 2017 Oct 23.
PMID: 29325683BACKGROUNDMendes P, Wickerson L, Helm D, Janaudis-Ferreira T, Brooks D, Singer LG, Mathur S. Skeletal muscle atrophy in advanced interstitial lung disease. Respirology. 2015 Aug;20(6):953-9. doi: 10.1111/resp.12571. Epub 2015 Jun 17.
PMID: 26081374BACKGROUNDHarris-Eze AO, Sridhar G, Clemens RE, Zintel TA, Gallagher CG, Marciniuk DD. Role of hypoxemia and pulmonary mechanics in exercise limitation in interstitial lung disease. Am J Respir Crit Care Med. 1996 Oct;154(4 Pt 1):994-1001. doi: 10.1164/ajrccm.154.4.8887597.
PMID: 8887597BACKGROUNDBhambhani Y, Maikala R, Buckley S. Muscle oxygenation during incremental arm and leg exercise in men and women. Eur J Appl Physiol Occup Physiol. 1998 Oct;78(5):422-31. doi: 10.1007/s004210050441.
PMID: 9809843BACKGROUNDMolgat-Seon Y, Schaeffer MR, Ryerson CJ, Guenette JA. Cardiopulmonary Exercise Testing in Patients With Interstitial Lung Disease. Front Physiol. 2020 Jul 10;11:832. doi: 10.3389/fphys.2020.00832. eCollection 2020.
PMID: 32754054BACKGROUNDOrr JL, Williamson P, Anderson W, Ross R, McCafferty S, Fettes P. Cardiopulmonary exercise testing: arm crank vs cycle ergometry. Anaesthesia. 2013 May;68(5):497-501. doi: 10.1111/anae.12195.
PMID: 23573845BACKGROUNDFranssen FM, Wouters EF, Baarends EM, Akkermans MA, Schols AM. Arm mechanical efficiency and arm exercise capacity are relatively preserved in chronic obstructive pulmonary disease. Med Sci Sports Exerc. 2002 Oct;34(10):1570-6. doi: 10.1097/00005768-200210000-00007.
PMID: 12370557BACKGROUNDLollgen H, Leyk D. Exercise Testing in Sports Medicine. Dtsch Arztebl Int. 2018 Jun 15;115(24):409-416. doi: 10.3238/arztebl.2018.0409.
PMID: 29968559BACKGROUNDMiller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J; ATS/ERS Task Force. General considerations for lung function testing. Eur Respir J. 2005 Jul;26(1):153-61. doi: 10.1183/09031936.05.00034505. No abstract available.
PMID: 15994402BACKGROUNDJohnson JD, Theurer WM. A stepwise approach to the interpretation of pulmonary function tests. Am Fam Physician. 2014 Mar 1;89(5):359-66.
PMID: 24695507BACKGROUNDQuanjer PH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault JC. Lung volumes and forced ventilatory flows. Eur Respir J. 1993 Mar;6 Suppl 16:5-40. doi: 10.1183/09041950.005s1693. No abstract available.
PMID: 24576915BACKGROUNDSubudhi AW, Dimmen AC, Roach RC. Effects of acute hypoxia on cerebral and muscle oxygenation during incremental exercise. J Appl Physiol (1985). 2007 Jul;103(1):177-83. doi: 10.1152/japplphysiol.01460.2006. Epub 2007 Apr 12.
PMID: 17431082BACKGROUNDLusina SJ, Warburton DE, Hatfield NG, Sheel AW. Muscle deoxygenation of upper-limb muscles during progressive arm-cranking exercise. Appl Physiol Nutr Metab. 2008 Apr;33(2):231-8. doi: 10.1139/h07-156.
PMID: 18347677BACKGROUNDLee JA, Laurson KR. Validity of the SenseWear armband step count measure during controlled and free-living conditions. J Exerc Sci Fit. 2015 Jun;13(1):16-23. doi: 10.1016/j.jesf.2014.11.002. Epub 2015 Jan 29.
PMID: 29541094BACKGROUNDPatel SA, Benzo RP, Slivka WA, Sciurba FC. Activity monitoring and energy expenditure in COPD patients: a validation study. COPD. 2007 Jun;4(2):107-12. doi: 10.1080/15412550701246658.
PMID: 17530503BACKGROUNDRoss RM. ATS/ACCP statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med. 2003 May 15;167(10):1451; author reply 1451. doi: 10.1164/ajrccm.167.10.950. No abstract available.
PMID: 12738602BACKGROUNDPane C, Salzano A, Trinchillo A, Del Prete C, Casali C, Marcotulli C, Defazio G, Guardasole V, Vastarella R, Giallauria F, Puorro G, Marsili A, De Michele G, Filla A, Cittadini A, Sacca F. Safety and feasibility of upper limb cardiopulmonary exercise test in Friedreich ataxia. Eur J Prev Cardiol. 2022 Mar 25;29(3):445-451. doi: 10.1093/eurjpc/zwaa134.
PMID: 33624001BACKGROUNDAndrews AW, Thomas MW, Bohannon RW. Normative values for isometric muscle force measurements obtained with hand-held dynamometers. Phys Ther. 1996 Mar;76(3):248-59. doi: 10.1093/ptj/76.3.248.
PMID: 8602410BACKGROUNDBohannon RW. Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years. Arch Phys Med Rehabil. 1997 Jan;78(1):26-32. doi: 10.1016/s0003-9993(97)90005-8.
PMID: 9014953BACKGROUNDWilson RC, Jones PW. A comparison of the visual analogue scale and modified Borg scale for the measurement of dyspnoea during exercise. Clin Sci (Lond). 1989 Mar;76(3):277-82. doi: 10.1042/cs0760277.
PMID: 2924519BACKGROUNDMahler DA, Rosiello RA, Harver A, Lentine T, McGovern JF, Daubenspeck JA. Comparison of clinical dyspnea ratings and psychophysical measurements of respiratory sensation in obstructive airway disease. Am Rev Respir Dis. 1987 Jun;135(6):1229-33. doi: 10.1164/arrd.1987.135.6.1229.
PMID: 3592398BACKGROUNDKrupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989 Oct;46(10):1121-3. doi: 10.1001/archneur.1989.00520460115022.
PMID: 2803071BACKGROUNDGencay-Can A, Can SS. Validation of the Turkish version of the fatigue severity scale in patients with fibromyalgia. Rheumatol Int. 2012 Jan;32(1):27-31. doi: 10.1007/s00296-010-1558-3. Epub 2010 Jul 24.
PMID: 20658235BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Beyza Nur ÖYMEZ, Pt.
Gazi University
- PRINCIPAL INVESTIGATOR
Nilgün YILMAZ DEMİRCİ, Prof. Dr.
Gazi University
- STUDY DIRECTOR
Meral BOŞNAK GÜÇLÜ, Prof. Dr.
Gazi University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CROSSOVER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Study director, PT, PhD, Prof.Dr. Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Head of Cardiopulmonary Rehabilitation Clinic
Study Record Dates
First Submitted
November 15, 2023
First Posted
November 21, 2023
Study Start
November 25, 2023
Primary Completion
December 28, 2024
Study Completion
December 30, 2024
Last Updated
December 28, 2023
Record last verified: 2023-12
Data Sharing
- IPD Sharing
- Will not share