Hemodynamic Effects During Land vs Water Exercise for Older Adults With Orthostatic Hypotension

Orthostatic Hypotension Clinical Trial

Official title:

Hemodynamic Effects During Land vs Water Exercise for Older Adults With Orthostatic Hypotension

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05233865
• Other study ID #: STUDY00001869
• Status: Completed
• Phase: N/A
• Start date: October 19, 2021
• Est. completion date: February 10, 2023

Study information

• Verified date: February 2023
• Source: University of Texas at Austin
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of the study is to understand how blood pressure, heart rate, and symptoms of low blood pressure (such as dizziness or nausea) are affected by positional changes and exercise when on land or in the water for people who tend to experience orthostatic hypotension.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 25
• Est. completion date: February 10, 2023
• Est. primary completion date: February 10, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Self-report of dizziness upon standing (from sit or supine position) or known diagnosis of orthostatic hypotension
• Able to stand independently for 3-5 consecutive minutes
• Able to walk independently (with or without an assistive devise)
• Medically stable for last month
• Score of 3 or greater on Mini-Cog (standardized outcome measure to detect dementia)
• Full coronavirus vaccination

Exclusion Criteria:

• Diagnosis of dementia
• Contraindication for pool exercise (such as infected open wounds, fecal incontinence, diarrhea.)

Related Conditions & MeSH terms

• Hypotension
• Hypotension, Orthostatic
• Orthostatic Hypotension

Intervention

Behavioral:
• Water exercise
Participants will be asked to sit and stand multiple times (before, immediately after, and 2 hours after a 15-minute walking session). The walking session will consist of 3 minutes of walking at a light intensity followed by 9 min of walking at a moderate intensity and a 3-minute cool down walking at a light intensity. This walking session will occur in a pool.
• Land exercise
Participants will be asked to sit and stand multiple times (before, immediately after, and 2 hours after a 15-minute walking session). The walking session will consist of 3 minutes of walking at a light intensity followed by 9 min of walking at a moderate intensity and a 3-minute cool down walking at a light intensity. This walking session will occur on land.

Locations

Country	Name	City	State
United States	Cardiovascular Aging Research Laboratory at UT Austin	Austin	Texas

Sponsors (1)

Lead Sponsor	Collaborator
University of Texas at Austin

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Systolic blood pressure (mmHg)	Blood pressure will be taken with an automated blood pressure device	<1 minute upon standing
Primary	Diastolic blood pressure (mmHg)	Blood pressure will be taken with an automated blood pressure device	<1 minute upon standing
Primary	Self-reported orthostatic hypotension symptoms	A self-reported instrument assessing symptoms from low blood pressure experienced upon standing or after prolonged upright activities. Possible scores range from 0 (no symptoms) to 10 (worse possible symptoms)	2 minutes