Effects of walking with blood flow restriction on intraocular pressure and ocular perfusion pressure

ISRCTN ISRCTN89170828
DOI https://doi.org/10.1186/ISRCTN89170828
Submission date
08/11/2022
Registration date
16/11/2022
Last edited
14/11/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Increased intraocular pressure (IOP) and decreased ocular perfusion pressure (OPP) are the main risk factors for the occurrence and development of glaucoma, a common eye condition in which the optic nerve, which connects the eye to the brain, becomes damaged. This study aimed to compare the effects of low-intensity walking with blood flow restriction and moderate-intensity continuous running on IOP and OPP.

Who can participate?
Healthy adult volunteers

What does the study involve?
Participants will be randomly assigned to perform 3 exercise tests:
1. 40% heart rate reserve (HRR) intensity walking (LOW group)
2. 40% HRR intensity walking with blood flow restriction belt of 60% maximum limb occlusive pressure (LOP) (L-BFR group)
3. 60% HRR intensity running (MCE group).
Blood pressure and IOP will be measured before exercise, immediately after exercise, and 5 and 10 minutes after exercise.

What are the possible benefits and risks of participating?
The study could provide potential exercise benefits for healthy people and has limited risks.

Where is the study run from?
Qingdao Haici Hospital (China)

When is the study starting and how long is it expected to run for?
June 2020 to December 2020

Who is funding the study?
1. Natural Science Foundation of Shandong Province (China)
2. Shandong Provincial Natural Science Foundation (China)

Who is the main contact?
Yinghao Li, zhengzhouliyinghao@163.com (China)

Contact information

Dr Yinghao Li
Principal Investigator

Zhengzhou Shengda University
Zhengzhou
451191
China

Phone +86 18203218267
Email zhengzhouliyinghao@163.com

Study information

Study designSingle-centre cross-sectional cohort study
Primary study designObservational
Secondary study designCross sectional study
Study setting(s)Hospital
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleEffects of low-intensity walking with blood flow restriction and moderate-intensity running on intraocular pressure and ocular perfusion pressure among healthy adults
Study acronymWALKING+BFR
Study objectivesLow-intensity walking with blood flow restriction was more conducive to improving the ocular perfusion pressure (OPP) level than moderate-intensity continuous running. This may be due to an increase in mean arterial pressure.
Ethics approval(s)Approved 07/06/2020, Qingdao Haici Hospital Ethics Committee (No. 4, Renmin Road, Qingdao, China; +86 0532-83777800; qdhaiciwenhua@163.com), ref: 2022-HYJ-475
Health condition(s) or problem(s) studiedHealthy adults
InterventionFirst, we measured baseline height, weight, resting heart rate, resting blood pressure, and maximum limb occlusive pressure (LOP), and then performed an incremental load test on the same day. The treadmill speed was set at 40% and 60% of the heart rate reserve (HRR) using the recorded incremental load test data. Then, subjects were randomly assigned to perform three exercises through a randomization lottery: 1) 40% HRR intensity walking (LOW group); 2) 40% HRR intensity walking with a 60% LOP blood flow restriction belt (L-BFR group); and, 3) moderate-intensity continuous running with 60% HRR intensity (MCE group). Exercises were carried out from 13:00-16:00 h after lunch. Stimulating drinks containing caffeine or alcohol were prohibited. There must be 72 h between the exercise tests. HR and Rating of Perceived Exertion (RPE) were recorded every 5 minutes from before exercise to 10 minutes after exercise; blood pressure and intraocular pressure (IOP) were tested before exercise, immediately, and 5 min and 10 min after exercise. All exercises and tests were performed at the Xinzheng Second People's Hospital. This study adopts a double-blind design, and neither the experimenter nor the participants know the purpose of the experiment in advance.
Each test required 5 min of warm-up activity. The LOW group performed 30 min of walking exercise on a treadmill with 40% HRR intensity. In the L-BFR group, based on the LOW group, a blood flow restriction cuff with 60% LOP pressure should be worn on the proximal end of the thigh, inflated before the exercise, and deflated immediately after the end of the 30-minute exercise. The MCE group performed 30 min of running exercise on a treadmill with 60% HRR intensity.
Intervention typeBehavioural
Primary outcome measureIntraocular pressure and ocular perfusion pressure measured using a non-contact jet tonometer at baseline (T0), immediately after exercise (30 min), and 5 and 10 minutes after exercise
Secondary outcome measures1. Heart rate measured using polar band at baseline (T0) and every 5 minutes until 40 minutes
2. Blood pressure measured using a non-contact jet tonometer at baseline (T0), immediately after exercise (30 min), and 5 and 10 minutes after exercise
Overall study start date01/06/2020
Completion date01/12/2020

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants16
Total final enrolment16
Key inclusion criteria1. Aged ≥ 18 years old
2. BMI <24kg/m2
3. No systematic training experience except for daily physical education
4. No bone, cardiovascular disease or other sports-related discomforts
5. A degree of myopia < 200 degrees
Key exclusion criteriaBone, cardiovascular disease or other sports-related discomforts
Date of first enrolment01/08/2020
Date of final enrolment20/08/2020

Locations

Countries of recruitment

  • China

Study participating centre

Qingdao Haici Hospital
No. 4 Renmin Road
Qingdao
266033
China

Sponsor information

Ocean University of China
University/education

No238 Songling road
Qingdao
266100
China

Phone +86 15203152687
Email haiyangyuwenbing@163.com
Website http://eweb.ouc.edu.cn/
ROR logo "ROR" https://ror.org/04rdtx186

Funders

Funder type

Government

Natural Science Foundation of Shandong Province
Government organisation / Local government
Alternative name(s)
Shandong Provincial Natural Science Foundation, Shandong Natural Science Foundation, Natural Science Foundation of Shandong, Shandong Province Natural Science Foundation, 山东省自然科学基金
Location
China
Natural Science Foundation of Shandong Province
Government organisation / Local government
Alternative name(s)
Shandong Provincial Natural Science Foundation, Shandong Natural Science Foundation, Natural Science Foundation of Shandong, Shandong Province Natural Science Foundation, 山东省自然科学基金
Location
China

Results and Publications

Intention to publish date01/01/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Yinghao Li, zhengzhouliyinghao@163.com. Anonymized intraocular pressure and ocular perfusion pressure data will be shared. Consent was required and obtained from participants.

Editorial Notes

14/11/2022: Trial's existence confirmed by the Biomedical Research Ethics Committee of Qingdao Haici Medical Group.