Adults
Conditions
Keywords
Adults
Brief summary
Acute Intermittent Hypoxia (AIH) is a rehab approach attributed to serotonin. AIH signaling also occurs via adenosine, and the pathways inhibit each other. Increased neural adenosine in aging may stymie AIH plasticity. The hypothesis is pre-treatment with adenosine 2A receptor inhibition (A2AI) enhances AIH effects on motor plasticity in unaffected adults. AIH exposures will be paired with A2AI or placebo, with a 4-week washout. Primary outcome measures include inspiratory and grip strength.
Interventions
Participants will receive 20 mg istradefylline active treatment, followed by acute intermittent hypoxia
Participants will receive a methylcellulose capsule identical in appearance to the active treatment, followed by acute intermittent hypoxia
Short periods (\~1 minute) of breathing lower-oxygen gas, separated by periods (\~1 minute) of breathing normal oxygen air.
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged 40-79 years Non-smokers Ambulatory in the community Do not require assistance to complete activities of daily living
Exclusion criteria
* Restrictive or obstructive lung conditions Pregnancy Active respiratory infections Use of antibiotics in the last 4 weeks Symptomatic cardiac disease BMI \>35 kg/m2 Seizure disorder or progressive neurological condition Uses positive pressure mechanical ventilation when awake and upright, or oxygen assistance at any time
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximal Inspiratory Pressure | From enrollment to a 3-week follow-up. | Most negative pressure generated during a maximal inspiratory effort. |
| Maximal grip force | From enrollment to a 3-week follow up. | Highest tension generated by the flexor muscles of the hand during a maximal grip. |