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Primary DysmenorrheaNCT04665661

Aerobic Exercise for Primary Dysmenorrhea

A study testing High-intensity aerobic training in people with Primary Dysmenorrhea, run by The Hong Kong Polytechnic University.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Primary dysmenorrhea is common and can result in significant disability for many women, causing a high degree of discomfort and reduced quality of life (QoL). Our preliminary studies suggested that high-intensity aerobic training (HIAT) for 30 minutes, three times a week at 70%-85% of maximum heart rate was effective… Read more about this study

Who is it for?
Ages 18 to 24 years, women only
Conditions the study is for
Primary Dysmenorrhea
What is being tested?
High-intensity aerobic training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
130 participants
Where
No sites listed yet
Study dates
1 Sep 2021to 31 Aug 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 24 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • women in the age group of 18-24 years old;
  • non-pregnant;
  • having regular menstrual cycles with cycle lengths between 24 and 30 days;
  • experiencing an average menstrual pain intensity equal to or greater than 5 on a 0-10 Numerical Rating Scale; and
  • scoring low (< 600 metabolic equivalent tasks [MET]/week) on the short-form of the International Physical Activity Questionnaire.

Who cannot join

  • women using oral contraceptive pills, hormonal therapy, or intrauterine devices;
  • women using over-the counter analgesics during menstruation to treat dysmenorrhea-associated pain and experience no pain relief with those analgesics; and
  • women participating in any formal exercise programme

Trial locations and contacts

No sites are listed yet.

About this study

Official title: Aerobic Exercise for Primary Dysmenorrhea: A Mixed-methods Study and Economic Evaluation

Primary dysmenorrhea is common and can result in significant disability for many women, causing a high degree of discomfort and reduced quality of life (QoL). Our preliminary studies suggested that high-intensity aerobic training (HIAT) for 30 minutes, three times a week at 70%-85% of maximum heart rate was effective for decreasing pain and improving QoL in women suffering from primary dysmenorrhea. However, to date, no studies have evaluated the beneficial effects of HIAT on academic performance and absenteeism or the cost-effectiveness of HIAT for women with primary dysmenorrhea. Furthermore, the mechanisms underlying aerobic exercise-induced analgesia in primary dysmenorrhea remain unclear.

Here, we propose a study to address this important knowledge gap by investigating the effects of HIAT on absenteeism and academic performance among university students with primary dysmenorrhea and examine the physiological mechanisms underlying aerobic exercise-induced analgesia by conducting a fully powered, randomised, controlled crossover trial. We also propose to conduct an economic evaluation to determine the cost-effectiveness of HIAT compared with a wait-listed control group receiving usual care, according to the societal and healthcare perspectives of Hong Kong. The results of this cutting-edge research will be important for clinicians, researchers, policymakers, and women with primary dysmenorrhea. The knowledge gained from the proposed study will be useful for researchers when designing future studies to identify the mediators of pain interventions for clinical improvements, which could themselves be the target of future interventions. The findings of the proposed study will inform decision-makers regarding the extent to which existing or standard and potential interventions can improve population health (effectiveness) and the resources required to implement these interventions (costs).

Read the detailed description

Objectives: (1): To evaluate the effectiveness of high-intensity aerobic training (HIAT) on pain intensity, absenteeism, and academic performance among university students with primary dysmenorrhea. (2): To investigate the physiological mechanism(s) underlying aerobic exercise-induced analgesia in women with primary dysmenorrhea. (3) Compare the cost-effectiveness of HIAT against that for usual care to treat pain associated with primary dysmenorrhea.

Design and subjects: A mixed-methods study, including a cross-over RCT, and semi-structured focus groups, alongside economic evaluation, will be conducted using 130 women with primary dysmenorrhea.

Interventions: Women will randomly allocated into high-intensity aerobic training (HIAT) or wait-list control (WLC) groups. Participants in the HIAT group will receive supervised treadmill training for the first 12 weeks of the trial. Following a four-week washout period the cross-over period will begin during Week 16, and the participants initially randomised to the WLC group will receive the HIAT regimen from Weeks 14-28. Participants initially randomized to HIAT group will be instructed not to engage in exercise during the remainder of the study period (i.e. Weeks 14-28).

Outcome measures: Pain intensity, absenteeism from university, academic performance, concentration, dysmenorrhea daily diary, and salivary progesterone and prostaglandin F2-alpha levels in saliva. The EQ-5D-3L will be used to determine the QoL for the HIAT and WLC groups.

Data analysis plan: A preliminary test using the independent samples t-test and a two-sided Student's unpaired t-test will be performed to rule out carryover effects and identify the within-participant differences in outcome variables between the study periods, respectively. Treatment effects will be evaluated using an ANOVA with a mixed-effects model considering the longitudinal repeated measures, including the effects of time within each study group and the interaction between time and intervention. The mediation effects will be assessed using the Sobel test. The EQ-5D responses will be converted into utility scores to estimate the gain or loss of quality-adjusted life-years (QUALYs). The seemingly unrelated regression (SUR) analyses will be used to estimate the total cost differences (ΔC) and effect differences (ΔE). Qualitative data will be analysed using the process of thematic analysis.

Being tested
High-intensity aerobic training, Wait-list control
Keywords
Dysmenorrhea, Primary dysmenorrhea, Pain, Absenteeism, Academic performance
Medical subject headings
Dysmenorrhea, Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • High-intensity aerobic trainingBehavioural

    Women will perform treadmill-based aerobic exercise for three days a week, at 70%-85% of MHR for 30 minutes and perceived exertion of 14-16, based on the Borg RPE scale. This range39 is considered to represent HIAT. Aerobic training will be preceded by warm-up exercises for 10 minutes and followed by cool-down exercises for 10 minutes, at a perceived exertion of 11.0 (Borg RPE).

  • Wait-list controlBehavioural

    Women in the wait-list control group will be instructed to continue with their usual activities and manage their pain as normal (i.e., with analgesics).

Study groups in NCT04665661
Study groupRoleWhat they receive
High-intensity aerobic training (HIAT)ExperimentalWomen will perform treadmill-based aerobic exercise for three days a week, at 70%-85% of MHR for 30 minutes and perceived exertion of 14-16, based on the Borg RPE scale. This range39 is considered to represent HIAT. Aerobic training will be preceded by warm-up exercises for 10 minutes and followed by cool-down exercises for 10 minutes, at a perceived exertion of 11.0 (Borg RPE).
Receives: Behavioral: High-intensity aerobic training; Behavioral: Wait-list control
Wait-list control (WLC)Active comparatorWomen in the wait-list control group will be instructed to continue with their usual activities and manage their pain as normal (i.e., with analgesics).
Receives: Behavioral: High-intensity aerobic training; Behavioral: Wait-list control

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain intensity

    Average pain intensity during the last 24 hours during menstruation will be assessed using the 0-10 Numeric Rating Scale, with 0 representing 'No pain' and 10 representing 'Worst imaginable pain'. Higher scores indicate greater pain severity

    Measured: Pre-intervention (baseline, 0 week)

  2. Pain intensity

    Average pain intensity during the last 24 hours during menstruation will be assessed using the 0-10 Numeric Rating Scale, with 0 representing 'No pain' and 10 representing 'Worst imaginable pain'. Higher scores indicate greater pain severity

    Measured: Post-intervention at 12 weeks

  3. Pain intensity

    Average pain intensity during the last 24 hours during menstruation will be assessed using the 0-10 Numeric Rating Scale, with 0 representing 'No pain' and 10 representing 'Worst imaginable pain'. Higher scores indicate greater pain severity

    Measured: Post-intervention at 28 weeks

  4. Absenteeism from university

    A prospective electronic diary will be provided for each participant to record university absenteeism.

    Measured: Pre-intervention (baseline, 0 week)

  5. Absenteeism from university

    A prospective electronic diary will be provided for each participant to record university absenteeism.

    Measured: Post-intervention at 12 weeks

  6. Absenteeism from university

    A prospective electronic diary will be provided for each participant to record university absenteeism.

    Measured: Post-intervention at 28 weeks

  7. Academic performance

    Academic performance will be measured using the self-reported 20-item academic performance questionnaire, which was developed to measure the impacts of menstrual symptoms on academic performance. Greater scores indicate greater severity of primary dysmenorrhea

    Measured: Pre-intervention (baseline, 0 week)

  8. Academic performance

    Academic performance will be measured using the self-reported 20-item academic performance questionnaire, which was developed to measure the impacts of menstrual symptoms on academic performance. Greater scores indicate greater severity of primary dysmenorrhea

    Measured: Post-intervention at 12 weeks

  9. Academic performance

    Academic performance will be measured using the self-reported 20-item academic performance questionnaire, which was developed to measure the impacts of menstrual symptoms on academic performance. Greater scores indicate greater severity of primary dysmenorrhea

    Measured: Post-intervention at 28 weeks

  10. Progesterone levels

    Salivary levels of progesterone.

    Measured: Pre-intervention (baseline, 0 week)

  11. Progesterone levels

    Salivary levels of progesterone.

    Measured: Post-intervention at 12 weeks

  12. Progesterone levels

    Salivary levels of progesterone.

    Measured: Post-intervention at 28 weeks

  13. Prostaglandin F2-alpha levels

    Salivary levels of prostaglandin F2-alpha

    Measured: Pre-intervention (baseline, 0 week)

  14. Prostaglandin F2-alpha levels

    Salivary levels of prostaglandin F2-alpha

    Measured: Post-intervention at 12 weeks

  15. Prostaglandin F2-alpha levels

    Salivary levels of prostaglandin F2-alpha

    Measured: Post-intervention at 28 weeks

Secondary outcomes (8)
  1. Concentration

    The 0-10 visual analogue scale will be used to measure the impact of dysmenorrhea on concentration, with 0 representing 'No difficulty concentrating' and 10 representing 'Maximum difficulty concentrating'.

    Measured: Pre-intervention (baseline, 0 week)

  2. Concentration

    The 0-10 visual analogue scale will be used to measure the impact of dysmenorrhea on concentration, with 0 representing 'No difficulty concentrating' and 10 representing 'Maximum difficulty concentrating'.

    Measured: Post-intervention at 12 weeks

  3. Concentration

    The 0-10 visual analogue scale will be used to measure the impact of dysmenorrhea on concentration, with 0 representing 'No difficulty concentrating' and 10 representing 'Maximum difficulty concentrating'.

    Measured: Post-intervention at 28 weeks

  4. Dysmenorrhea daily diary

    dysmenorrhea. A higher score indicates worse pain.

    Measured: Pre-intervention (baseline, 0 week)

  5. Dysmenorrhea daily diary

    The Dysmenorrhea daily diary is a questionnaire to measure the severity of dysmenorrhea. A higher score indicates worse pain.

    Measured: Post-intervention at 12 weeks

  6. Dysmenorrhea daily diary

    dysmenorrhea. A higher score indicates worse pain.

    Measured: Post-intervention at 28 weeks

  7. 3-level version of EuroQol 5-Dimension

    The 3-level version of EuroQol 5-Dimension will be used to determine the quality of life. A higher score indicates better quality of life.

    Measured: 12 weeks

  8. Cost-diary

    An electronic diary will be used to record cost expenditures in Hong Kong Dollars and work absenteeism

    Measured: 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Dec 2020
  2. Study start1 Sep 2021 (estimated)
  3. Primary completion31 Aug 2024 (estimated)
  4. Study completion31 Aug 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Triple blind
Who is masked
Care provider, Investigator, Outcomes assessor
Enrolment
130 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04665661
Sponsor's protocol ID
APD
Status last verified
Nov 2020
First submitted
25 Nov 2020
Last updated
11 Dec 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing High-intensity aerobic training in people with Primary Dysmenorrhea, run by The Hong Kong Polytechnic University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 11 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Priya Kannan, PhD (3400 ext. 3277, priya.kannan@polyu.edu.hk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain intensity (time frame: Pre-intervention (baseline, 0 week)). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Dec 2020.

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