Physical Activity, Takayasu Arteritis
Conditions
Keywords
Takayasus's arteritis, Physical exercises, Rheumatic diseases, Systemic vasculitis
Brief summary
Takayasu's arteritis is a primary systemic vasculitis that affects large vessels and their main branches. The objectives of the present study were to assess: a) the aerobic capacity (CA); b) security of the acute strength exercise session; c) correlation between CA, as well as strength exercise session, with demographic, clinical, therapeutic, comorbid parameters, and presence and degree of vascular damage; d) serum levels of the cytokines
Detailed description
Takayasu's arteritis (TA) is a primary systemic vasculitis that affects large vessels and their main branches. It mainly affects young women. Blood vessel inflammation may result in stenosis, occlusions, ectasias and/or aneurysms and, consequently, difference of blood pressure between limbs and vascular claudication. Aerobic capacity (CA) is the measure of oxygen uptake, transport and use by the body, characterizing the individual's ability to perform activity. It is also a tool that can predict cardiovascular diseases. Our group has been a pioneer in demonstrating that CA is decreased in the small sample of the young women with TA. In addition, the safety and efficacy of aerobic exercises in this sample of patients were shown, as well as the influence of these sessions on the pro-inflammatory and angiogenic serum levels of the cytokines. However, due to the small samples, it was not possible to correlate CA with clinical and laboratory parameters and also with the presence of vascular damage. Moreover, to date, no studies have evaluated securityof an acute strength exercise session in TA.Therefore, thes objectives of the present study were to evaluate: a) the CA; b) security of the acute strength exercise session; c) correlation between CA, as well as strength exercise session, with demographic, clinical, therapeutic, comorbid parameters, and presence and degree of vascular damage; d) serum levels of the cytokine.
Interventions
OTHERCombined acute physical exercises (strength and aerobic)
Patients will be submmitted to combined acute physical exercises (strength and aerobic)
Sponsors
University of Sao Paulo
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Classification criteria of Takayasu's arteritis * Sedentarism
Exclusion criteria
* Peripherical arterial diseases * Non-controlled cardiovascular diseases * Neurological diseases * Patients with walking problem
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Security of acute session of combined physical exercises | One week before the exercises | Acute aerobic with strength muscle test exercise |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Laboratory analysis (Serum levels of the protein C-reactive) | Twice (within 1 week before and until 30 minutes after acute combined physical exercises) | Protein C-reactive (\< 5 mg/dL or not) will be analyzed to evaluate degree of disease activity |
| Indian Takayasu's Arteritis Activity Score (ITAS 2010) | Twice (within 1 week before and until 30 minutes after acute combined physical exercises) | Analyzing TA disease activity. Questionnaire with 44 items with 33 features arising from the cardiovascular system. Seven key items are weighted to score 2 and all others score 1 only. Activity was defined as ITAS 2010 score of ≥ 2 YES items |
| Cardiopulmonary test | Once (within 1 week before acute combined physical exercises) | Patients will undertake a maximal graded exercise test on a treadmill, with increments in velocity and grade at every minute until volitional exhaustion (VO2) (mL/kg/minutes). VO2peak will be considered as the average of the final 30 seconds of the test. |
| Laboratory analysis (Erythrocyte rate sedimentation) | Twice (within 1 week before and until 30 minutes after acute combined physical exercises) | Erythrocyte rate sedimentation (reference: \< 20 mm/ first hour) will be analyzed to evaluate degree of disease activity |
| Healthy Assessment Questionnaire (HAQ) | Twice (within 1 week before and until 30 minutes after acute combined physical exercises) | Especific questionnaire to assess the quality of life. Pontuaction: 0.00 (best) - 3.00 (worst). |
| Strength muscle tests 2 | Twice (within 1 week before and until 30 minutes after acute combined physical exercises) | The dynamic 1 maximum repetition for the leg-press press exercises. The value of maximum repetition depending on each patient (unit: Newton). |
| Strength muscle tests 3 | Twice (within 1 week before and until 30 minutes after acute combined physical exercises) | The dynamic 1 maximum repetition for the arm curl (with the dominant arm). The value of maximum repetition depending on each patient (unit: Newton). |
| Strength muscle tests 4 | Twice (within 1 week before and until 30 minutes after acute combined physical exercises) | Isometric strength (assessed by handgrip, with the dominant arm) will be assessed. The value of maximum strenght will depend on each patient (unit: Newton). |
| Strength muscle tests 1 | Twice (within 1 week before and until 30 minutes after acute combined physical exercises) | The dynamic 1 maximum repetition for the bench-press exercises. The value of maximum repetition depending on each patient (unit: Newton). |
Countries
Brazil
Outcome results
None listed