Characteristic and Real Intensity of Exercise in a Hospital-based Physical Activity Protocol for Patients With Chronic Disease

Study Overview
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Brief Summary
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The objective is to better characterize an adapted physical activity (APA) program within of the management of chronic diseases. In France, since 2016, medical doctors have been able to prescribe APA to their patients with chronic diseases but while there are indeed prescription recommendations, there is no clear characterization of the practical reality of APA programs. The interest of this work is to benefit from the experience of the Center of Sports Medicine and Adapted Physical Activities in Nancy (France) specifically dedicated to the prescription and the initiation of an APA program for of patients with a chronic disease. Thus, this work aims to determine the real intensity of the APA, the effectiveness of the assessment necessary for the dispensation of the APA and other parameters likely to modify the result of the treatment.

Official Title
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Characteristic and Real Intensity of Exercise in a Hospital-based Physical Activity Protocol for Patients With Chronic Disease

Conditions
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Physical Inactivity

Intervention / Treatment
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* Other: Heart Rate Recording


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - age greater than 18 years old, with the ability to perform a cardiopulmonary exercise test Exclusion Criteria: beta-blocker treatment.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No limitation of exercise performance capacities<br>normal maximal oxygen uptake (greater than or equal to 80% of the reference value) | Other: Heart Rate Recording<br>* During the APA session, HR was digitized at 1Hz (using custo guard, Custo Med GmbH). The ratio between the APA session HR and exercise test HRpeak was used to assess the intensity of effort.<br>|
| Limitation of exercise performance capacities<br>reduced maximal oxygen uptake (less than 80% of the reference value). | Other: Heart Rate Recording<br>* During the APA session, HR was digitized at 1Hz (using custo guard, Custo Med GmbH). The ratio between the APA session HR and exercise test HRpeak was used to assess the intensity of effort.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| evaluate the real intensity level of adapted physical activity (APA). | evaluate the real intensity level of exercise in a sample of patients with chronic disease involved in a hospital-based program of adapted physical activity (APA). | Heart rate mean during 1 hour in the first APA Session (cross-sectional monocentric study) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluate Six-Minute Walk Test (6-MWT) efficacity to determine physical activity capacities | evaluate Six-Minute Walk Test (6-MWT) efficacity to determine physical activity capacities for patients with chronic disease. | 6 minutes in the first APA Session (cross-sectional monocentric study) | 
| Evaluate sit-to-stand test (1 minute)) efficacity to determine physical activity capacities | Evaluate sit-to-stand test (1 minute)) efficacity to determine physical activity capacitiesfor patients with chronic disease. | 1 minute in the first APA Session (cross-sectional monocentric study) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adapted Physical activity, Chronic disease, exercise