Coronary Artery Disease Clinical Trial
Official title:
Exercise Training in Patients With Coronary Heart Disease and Type 2 Diabetes
Diabetes mellitus (DM) is an important risk factor in the development of cardiovascular
disease, and people with type 2 diabetes have a two- to four-fold increased risk for
cardiovascular morbidity and mortality. Physical activity is a well established therapeutic
modality for type 2 diabetes. In patients with coronary artery disease (CAD), several
clinical trials have shown reduced mortality and reduced progression of atherosclerosis with
lifestyle intervention including physical activity. But few studies have investigated the
effect of physical training in patients suffering from both diseases.
The aim of this study is to investigate the effect of one year of organized physical
exercise in patients with both coronary heart disease and type 2 diabetes on glucometabolic
state and progression of atherosclerosis.
The project is a randomized, controlled, open study on physical exercise. 136 patients will
be randomized at inclusion to a physical exercise group or a control group, the latter with
"normal" follow-up and not discouraged form physical activity. The intervention period will
be 12 months, and the physical training program will be developed and conducted in
collaboration with Norwegian School of Sport Sciences. The inclusion of patients started
summer 2010, the exercise program begins in September 2010 and the practical issues of the
study is planned to end during spring 2012.
The main hypothesis is that physical exercise improves the glucometabolic state and reduces
progression of atherosclerosis in patients with coronary heart disease and type 2 diabetes,
and secondary that physical exercise induces favourable changes in cardiovascular risk
factors, use of medication, and co-morbidity associated with diabetes.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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