Heart Failure, Type 2 Diabetes
Conditions
Keywords
exercise, aerobic exercise
Brief summary
The purpose of this study is to understand the differences in how patients with heart failure respond to exercise training compared to patients with heart failure and type 2 diabetes.
Detailed description
The investigators will measure exercise capacity in patients with heart failure or heart failure plus type 2 diabetes prior to and following a 12-week exercise training program (5d/wk, 30 min/d, 60-75% VO2max) to determine whether improvements in exercise capacity in response to exercise training are mitigated in patients with combined heart failure plus type 2 diabetes.
Interventions
12 weeks of supervised aerobic exercise training
Sponsors
Study design
Eligibility
Inclusion criteria
* ≥50 yr of age * New York Heart Association class II-III CHF and ejection fraction ≤35% * receiving optimal medical therapy * sedentary (≤ 30 min/wk structured physical activity). * Half of volunteers (n=30) will have a diagnosis of type 2 diabetes (CHF+T2D).
Exclusion criteria
* smoking * changes in medication ≤6 wk prior to enrollment * major cardiovascular event or procedure ≤6 wk prior to enrollment * foot ulcers * advanced neuropathy * co-morbidities or other limitations that may interfere with or prevent volunteers from safely completing the exercise training * fixed rate pacemaker * type 1 diabetes mellitus
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| exercise capacity | baseline, 12 weeks | measured as peak oxygen consumption as well as treadmill time to exhaustion, also known as cardiopulmonary fitness |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| flow-mediated dilation | baseline, 12 weeks | brachial artery flow-mediated dilation |
| nitrite flux during exercise | baseline, 12 weeks | changes in plasma nitrite during exercise |
Countries
United States