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Completed

NCT Number: NCT06579898

The Effect of Progressive Resistance Exercise Training (PRET) on CVRF in Adults With ID.

Thanks to improved healthcare, the life expectancy of people with ID is increasing and is approaching that of the general population. Several studies have shown that most cardiovascular disease (CVRF) risk factors are as common or even more common in people with ID than in the general population. The guidelines of the American College of Sport Medicine (ACSM) state that a resistance training (RT) programme can can effectively reduce CVRF if performed at a high intensity. A secondary benefit of RT is the increase in muscle strength and muscle mass that can reduce and can improve the ability to perform activities of daily living (ADL), also two common problems in people with ID.

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Key information

About this study

This study has a repeated time series design with one study group. The study period will last one year and is divided into a 12-week baseline period, a 24-week intervention period (PRET programme), and a 12-week follow-up period. The PRET programme will take 24 weeks and consists of two sessions per week, with at least 48 hours between the sessions. The intervention will be led by experienced physiotherapists and physical activity instructors employed by the care providers. All instructors take part in a training prior to the study. In this training, the intervention protocol and exercises will be discussed and practiced ensuring that the intervention is delivered according to the protocol. Every session consists of seven exercises (RESID) to train all large muscle groups. The programme is in accordance with the ACSM guidelines and characterised by four mesocycles. Each mesocycle consists of six weeks of training. After each mesocycle the training intensity will increase gradually, and within each mesocycle the weights will be adjusted in a way that the intensity remains equal. Training intensity will be measured by the percentage of the heaviest load one can lift for one repetition (% of 1RM). In the first mesocycle, participants are introduced to the resistance exercises and familiarised to the training protocol. They will learn to perform the exercises safely and with good posture. During mesocycles 2, 3, and 4, the number of repetitions will be gradually decreased while the training intensity will be gradually increased until vigorous intensity is reached in the fourth mesocycle (80% of 1RM). The resting time between sets will depend on the training intensity and varies between 30 seconds and 2 minutes. The instructors will register attendance, training intensity, performed number of sets and repetitions, and the weights used for each exercise in a log.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • being 18 years or older;
  • living in a residential facility or receiving care from one of the participating care providers;
  • diagnosed with mild (IQ = 50-69) or moderate (IQ = 35-49) ID;
  • diagnosed with metabolic syndrome, or at least two of the following CVRF: hypertension, hypercholesterolemia, diabetes mellitus type 2, or obesity.
  • participants must be able to walk independently and able to follow instructions on posture and performance for good execution of the exercises

Exclusion criteria

not able to follow instructions or physical limitations interfering with participation in training programme

Treatment and study plan

Progressive resistance exercise training

Other

A 24-week progressive strength training programme (PRET). Divided into 4 mesocycles in which the intensity of training is built up from 60% 1RM- 80% 1RM. Training is carried out twice a week under the guidance of a physiotherapist or exercise instructor.

Primary outcomes

  1. Glycated Haemoglobin

    Time frame: through study completion, an average of 1 year

    mmol/mol, Outcome is measured with blood samples and analysed in a laboratory of ErasmusMC

  2. Systolic blood pressure

    Time frame: through study completion, an average of 1 year

    mm/Hg, Blood pressure is measured with a digital blood pressure device

  3. LDL cholesterol

    Time frame: through study completion, an average of 1 year

    mmol/L, Outcome is measured with blood samples and analysed in a laboratory of ErasmusMC

  4. Waist-hip ratio

    Time frame: through study completion, an average of 1 year

    cm, Waist-hip ratio is calculated after measuring waist circumference and hip circumference with a flexible tape measure.

Secondary outcomes

  1. Triglycerides

    Time frame: through study completion, an average of 1 year

    mmol/L, Outcome is measured with blood samples and analysed in a laboratory of ErasmusMC

  2. HDL cholesterol

    Time frame: through study completion, an average of 1 year

    mmol/L, Outcome is measured with blood samples and analysed in a laboratory of ErasmusMC

  3. Total cholesterol

    Time frame: through study completion, an average of 1 year

    mmol/L, Outcome is measured with blood samples and analysed in a laboratory of ErasmusMC

  4. Glucose

    Time frame: through study completion, an average of 1 year

    mmol/L, Outcome is measured with blood samples and analysed in a laboratory of ErasmusMC

  5. Muscle strength

    Time frame: through study completion, an average of 1 year

    kg, Muscle strength is measured with handgrip strength, 30 second chair stand and 5 times chair stand

  6. Muscle mass

    Time frame: through study completion, an average of 1 year

    kg, Muscle mass is measured with a bio electrical impedance device

  7. (I)ADL questionnaire

    Time frame: through study completion, an average of 1 year

    (I)ADL is measured with a questionnaire, which is filled in by proxy

  8. Fall incidents

    Time frame: through study completion, an average of 1 year

    Falls are reported during baseline and follow up with a calandar filled in by proxy

  9. ABC questionnaire

    Time frame: through study completion, an average of 1 year

    Behavioural issues is measured with the ABC questionnaire, which is filled in by proxy

Sponsors and collaborators

Lead sponsor

Erasmus Medical Center

Other

Registry information

Official study title

The Effect of Progressive Resistance Exercise Training (PRET) on Cardiovascular Risk Factors in Adults With ID.

Acronym: PRET

Important dates

Study start
2021
Primary completion
2024
Study completion
2024
First posted
Aug 30, 2024
Registry last updated
Aug 30, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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