Clinical trial NCT05593471: Low Versus High-intensity Exercises in Sarcopenia
Official title: Influences of High Versus Low-intensity Exercises in Post-COVID-19 Patients With Sarcopenia Secondary to Chronic Kidney Disease: Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Sarcopenia
Lead sponsor: University of Hail
Sponsor class: OTHER
First posted: 2022-10-25
Enrollment: 82
Sex: ALL
Minimum age (years): 30
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: this study aims to compare the effect of high-intensity resistance exercises measured using the 10-repetition maximum versus low-intensity aerobic exercises on muscle performance, physical function and quality of life in chronic kidney patients with sarcopenia who recently recovered from COVID-19 infection

Detailed description: Sarcopenia is a prevalent chronic disease caused by aging and is characterized by a reduction in muscle strength and mass (Barajas-Galindo et al., 2021), and consequently deterioration in physical function and quality of life (Gil et al., 2021; Tsekoura et al., 2017). Sarcopenia is associated with higher rates of stroke, frailty, (Bikbov et al., 2020; Go et al., 2004; Levin et al., 2013), and mortality (Ali \& Kunugi, 2021). Generally, there are numerous causes of sarcopenia, including chronic kidney diseases (CKD) (Souza et al., 2017), environmental factors, inflammatory mediator's activation, physical inactivity, mitochondrial dysfunction, hormonal changes, and loss of neural junctions (Walston, 2012).

Recently, Sarcopenia had great attention, especially among patients with CKD who already suffer from increased catabolism, higher protein wasting, and other metabolic disorders and decreased functional reserve. Additionality, the decline in physical function due to the deterioration of muscle mass, power, and strength could significantly decrease balance and increase the risk of falling in these populations (Moorthi \& Avin, 2017).

After the pandemic of COVID-19 and the mandatory quarantine of patients during the recovery period, CKD patients with sarcopenia who were infected with COVID-19 will be forced to assume a more sedentary lifestyle which consequently magnifies all health risks (Gérard et al., 2021; Gil et al., 2021) jeopardize subjects vitality (Morley et al., 2020; Mousa et al., 2021) and increasing prevalence of sarcopenia (Ali \& Kunugi, 2021).

Exercise has been proposed as one of the solutions for sarcopenia-associated symptoms. As per a recent systematic review (Barajas-Galindo et al., 2021), resistance exercises alone or with other forms of exercises could be beneficial especially in improving anthropometric parameters and muscle performance. Yet its specific effects on post-COVID-19 CKD patients who have sarcopenia need further investigation.

The aim of this study is to compare the effectiveness of high versus low-intensity exercises on muscle strength, and physical function in post-COVID-19 patients with sarcopenia secondary to CKD.

Eligibility criteria: Inclusion Criteria:

* Both sexes with age between 50 - 70 years old.
* CKD stages (3 and 4)
* Infected by COVID-19 and recovered (1 - 2 months)
* Score of 4 or more on SAR-QoL Questionnaire
* Patients having had a medical prescription for physical rehabilitation.

Exclusion Criteria:

* Patients infected again by -CoVID-19
* Any serious inflammatory, neurological, or cardiovascular diseases.
* Chronic chest disease.
* Chronic inflammatory orthopedic disorders and rheumatoid arthritis.
* Mental impairments.

Primary outcomes:
measure: Quality of life (SAR QoL) questionnaire used to assess the quality of life experienced by sarcopenia patients
timeFrame: 6 weeks
Secondary outcomes:
measure: Physical function:
timeFrame: 6 weeks
measure: Muscle power:
timeFrame: 6 weeks
measure: Muscle strength
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Hail
country: Saudi Arabia
facility: King Khalid Hospital
Study officials:
References: