Bronchiectasis Clinical Trial
Official title:
A Pilot Study of Pulmonary Rehabilitation Program (PRP) Versus PRP Plus Nutritional Supplementation in Patients With Bronchiectasis: a Randomized Controlled Trial
The effect of Pulmonary Rehabilitation in patients with bronchiectasis (BC) is not
sufficiently studied. The aim of this study is to assess the clinical and biological
response of a Pulmonary Rehabilitation Program (PRP) for 12 weeks in BC vs PRP plus
hyperproteic oral nutritional supplement enriched with beta-hydroxy-beta-methylbutyrate
(HMB).
Methods: single center randomized controlled trial, parallel treatment design: Participants
will be randomized assigned either will receive (n=14) PRP for 60 minutes, two supervised
sessions per week in the hospital and one unsupervised session at home vs PRP (n=14) plus
ONS (one can per day).
Outcome assessments will be performed at baseline, 12 weeks and 24 weeks:
1.- effort capacity –cardiopulmonary exercise test-, 2.- body composition
(anthropometry, lean body mass by dual energy X-ray absorptiometry and bioimpedance, phase
angle), 3.- peripheral muscle strength (dynamometry and respiratory -PEM (maximum expiratory
pressure)and PIM (minimum expiratory pressure)-), 4.- spirometry, 5.- respiratory symptoms
(bronchorrhea, dyspnoea, exacerbations),6.- level of physical activity (IPAQ questionnaire
plus objective physical activity (WGT3X)), 7.- quality of life (QOL-B-Spain) ,
8.-psychological symptoms (HASD) and 9.- biological markers of inflammation (leptin,
adiponectin, interleukin-6, tumor necrosis factor-alpha, ultrasensitive C-reactive protein,
GPR55 (G protein-coupled receptor 55) RNAm (messenger ribonucleic acid) expression in white
blood cells) and oxidation (total antioxidant capacity, superoxide dismutase activity,
8-iso-prostaglandin F2a, Thiobarbituric acid reactive substances).
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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