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Chronic Heart FailureNCT06036615

The Effect of Exercise Training and Detraining on Frailty and Fall Risk in Patients With Chronic Heart Failure

A study testing Exercise Intervention in people with Chronic Heart Failure, run by Aristotle University Of Thessaloniki at 1 site in Greece.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Chronic Heart Failure (CHF) is the endpoint for some cardiac and respiratory conditions as well as ageing affecting 1-2% of the global adult population. CHF requires a costly treatment, frequent hospitalizations due its severe complications leading CHF eventually to a frequent cause of morbidity and mortality… Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Chronic Heart Failure
What is being tested?
Exercise Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteGreece
Study dates
1 Oct 2023to 15 Dec 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

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 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age > 18 yrs. of either gender
  • Confirmed diagnosis (by echocardiography) of HF reduced or preserved left ventricular ejection fraction (HFrEF/ΗFpEF)
  • Symptomatic New York Heart Association (NYHA) class II-III

Who cannot join

  • Acute Myocardial Infarction (<4 weeks)
  • Severe valvular diseases
  • Potentially malignant arrhythmias
  • Νeurological, or orthopedic limitations/non- ambulant status
  • Cognitive disorders
  • Poor regulation of comorbidities
Show all 10Show fewer
  • Already participating in organized exercise programs
  • Current pregnancy
  • NYHA function class IV
  • Inability/unwillingness to give informed consent

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Evangelia Kouidi, Professor contact

+302310992189

kouidi@phed.auth.gr

Andriana Teloudi, PhDc contact

teloudia@phed.auth.gr

Greece1 site, 1 recruiting
  • Sports Medicine Laboratory, Aristotle University of Thessaloniki

    Thessaloniki, Thermi, 57001

    Evangelia Kouidi, Professor, +302310992189, kouidi@phed.auth.gr

    Recruiting

Other trials in Greece

About this study

Official title: The Effect of Exercise Training Intervention and Detraining on Frailty and Fall Risk in Patients With Chronic Heart Failure.

Chronic Heart Failure (CHF) is the endpoint for some cardiac and respiratory conditions as well as ageing affecting 1-2% of the global adult population. CHF requires a costly treatment, frequent hospitalizations due its severe complications leading CHF eventually to a frequent cause of morbidity and mortality worldwide. Another common complication of CHF is frailty. Frailty is a complex clinical syndrome associated with CHF, resulting from multiple organ impairment; physiological reserves decrease and vulnerability to stressors increase. Up to 79% of PwCHF are frail leading to reduced functional capacity, quality of life (QoL), and psychological well-being in CHF, and it is an independent predictor of mortality in cardiovascular disease.

The role of cardiac rehabilitation (CR) programs for PwCHF in preventing frailty has recently draw the attention of the scientific world. Exercise constitutes a unique effective and feasible non-pharmacological treatment for frailty in CHF as it offers such benefits that are irreplaceable by medical treatment, with no side effects, and cost-effective treatment. However, there are no studies examining the effect of training and detraining on muscle strength and balance, fall prevention and fear of falling in PwCHF.

The aim of this randomized controlled trial is to examine whether a 6-month combined aerobic, strengthening and flexibility-mobility CR program and a 3-month de-training period will affect frailty and fall risk in PwCHF. One hundred participants will be randomly allocated into two groups: Group A (Exercise Group) will receive 3 sessions per week for 6 months and Group B(Control Group) will continue their usual physical activity, without participating in organized exercise programs.After the intervention for Group A' will follow a 3- month de-training period and Group B' will continue their normal physical activity. Prior to the group random allocation, part of our assessments at baseline and after 6 (Evaluation A') and 10 months (Evaluation B'), will include demographics and clinical history, physical examination, ECG and echocardiogram, patients' ability to perform daily activities, functional tests, static balance tests, body composition analysis and 24-h heart rhythm holter monitoring. Moreover, we will use questionnaires assessing the QoL of people with CHF, depression, anxiety, sleep quality, cognitive function, fear of falling, physical activity, and sedentary behaviour.

Keywords
Chronic Heart Failure, Cardiac Rehabilitation, Exercise
Medical subject headings
Motor Activity

What participants receive

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

  • Exercise InterventionOther

    Patients that will be randomly assigned to this group will be invited to attend up to 72 exercise sessions (3 sessions per week) for 24 weeks (6 months) following a combined aerobic, strengthening and mobility-flexibility exercise program. After the exercise intervention, the will follow a 3-month de-training period, continuing their normal physical activity.

Study groups in NCT06036615
Study groupRoleWhat they receive
Group AExperimentalExercise Group, 6- month combined aerobic, strengthening, mobility- flexibility exercise intervention, 3- month de-training period
Receives: Other: Exercise Intervention
Group BNo interventionControl Group, 10- month normal physical activity, without participating in organized sports activities, no intervention

What is being measured

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

  1. Left Ventricular Systolic Function

    Evaluation of Left Ventricular Ejection Fraction

    Measured: Baseline

  2. Left Ventricular Systolic Function

    Evaluation of Left Ventricular Ejection Fraction

    Measured: Evaluation A', 6- months

  3. Left Ventricular Systolic Function

    Evaluation of Left Ventricular Ejection Fraction

    Measured: Evaluation B', 3 months after evaluation A'

  4. Cardiac Autonomic Nervous System Function

    Evaluation of Cardiac Autonomic Nervous System Function through 24-h Heart Rhythm Holter Monitor measurement

    Measured: Baseline

  5. Cardiac Autonomic Nervous System Function

    Evaluation of Cardiac Autonomic Nervous System Function through 24-h Heart Rhythm Holter Monitor measurement

    Measured: Evaluation A', 6- months

  6. Cardiac Autonomic Nervous System Function

    Evaluation of Cardiac Autonomic Nervous System Function through 24-h Heart Rhythm Holter Monitor measurement

    Measured: Evaluation B', 3 months

  7. Body Composition Analysis

    Evaluation of Body Composition Analysis

    Measured: Baseline

  8. Body Composition Analysis

    Evaluation of Body Composition Analysis

    Measured: Evaluation A', 3- months

  9. Body Composition Analysis

    Evaluation of Body Composition Analysis

    Measured: Evaluation B', 3 months after evaluation A'

  10. Six- Minute Walking Test

    Estimation of aerobic capacity through six minutes walking test

    Measured: Baseline

  11. Six- Minute Walking Test

    Estimation of aerobic capacity through six minutes walking test

    Measured: Evaluation A', 6- months

  12. Six- Minute Walking Test

    Estimation of aerobic capacity through six minutes walking test

    Measured: Evaluation B', 3 months after evaluation A'

  13. Timed- Up-and-Go Test

    Evaluation of functional capacity using Timed- Up-and-Go Test

    Measured: Baseline

  14. Timed- Up-and-Go Test

    Evaluation of functional capacity using Timed- Up-and-Go Test

    Measured: Evaluation A', 6- months

  15. Timed- Up-and-Go Test

    Evaluation of functional capacity and mobility using Timed- Up-and-Go Test

    Measured: Evaluation B', 3 months after evaluation A'

  16. 4m-Walking Test

    Evaluation of functional capacity and mobility using 4m-Walking Test

    Measured: Baseline

  17. 4m-Walking Test

    Evaluation of functional capacity and mobility using 4m-Walking Test

    Measured: Evaluation A', 6- months

  18. 4m-Walking Test

    Evaluation of functional capacity and mobility using 4m-Walking Test

    Measured: Evaluation B', 3 months after evaluation A'

  19. 30-second Sit-to-Stand (STS)Test

    Evaluation of functional capacity and mobility using 30-second STS

    Measured: Baseline

  20. 30-second Sit-to-Stand (STS)Test

    Evaluation of functional capacity and mobility using 30-second STS

    Measured: Evaluation A', 6- months

  21. 30-second Sit-to-Stand (STS)Test

    Evaluation of functional capacity and mobility using 30-second STS

    Measured: Evaluation B', 3 months after evaluation A'

  22. 5 Sit-to-Stand (5-STS)Test

    Evaluation of functional capacity and mobility using 5 Sit-to-Stand

    Measured: Baseline

  23. 5 Sit-to-Stand (5-STS)Test

    Evaluation of functional capacity and mobility using 5 Sit-to-Stand

    Measured: Evaluation A', 6- months

  24. 5 Sit-to-Stand (5-STS)Test

    Evaluation of functional capacity and mobility using 5 Sit-to-Stand

    Measured: Evaluation B', 3 months after evaluation A'

  25. mini-BEST Balance Test

    Evaluation of balance using mini-BEST Balance Test

    Measured: Baseline

  26. mini-BEST Balance Test

    Evaluation of balance using mini-BEST Balance Test

    Measured: Evaluation A', 6- months

  27. mini-BEST Balance Test

    Evaluation of balance using mini-BEST Balance Test

    Measured: Evaluation B', 3 months after evaluation A'

  28. Berg Balance Scale Test

    Evaluation of balance using Berg Balance Scale Test

    Measured: Baseline

  29. Berg Balance Scale Test

    Evaluation of balance using Berg Balance Scale Test

    Measured: Evaluation A', 6- months

  30. Berg Balance Scale Test

    Evaluation of balance using Berg Balance Scale Test

    Measured: Evaluation B', 3 months after evaluation A'

  31. Functional Gait Assessment Test

    Evaluation of Functional Gait using Functional Gait Assessement Test

    Measured: Baseline

  32. Functional Gait Assessment Test

    Evaluation of Functional Gait using Functional Gait Assessement Test

    Measured: Evaluation A', 6- months

  33. Functional Gait Assessment Test

    Evaluation of Functional Gait using Functional Gait Assessement Test

    Measured: Evaluation B', 3 months after evaluation A'

  34. Static Balance Test using 3D Balance Force Plate

    Evaluation of Static Balance Test using 3D Balance Force Plate

    Measured: Baseline

  35. Static Balance Test using 3D Balance Force Plate

    Evaluation of Static Balance Test using 3D Balance Force Plate

    Measured: Evaluation A', 6- months

  36. Static Balance Test using 3D Balance Force Plate

    Evaluation of Static Balance Test using 3D Balance Force Plate

    Measured: Evaluation B', 3 months after evaluation A'

  37. Handgrip Strength

    Evaluation of Handgrip Strength

    Measured: Baseline

  38. Handgrip Strength

    Evaluation of Handgrip Strength

    Measured: Evaluation A', 6- months

  39. Handgrip Strength

    Evaluation of Handgrip Strength

    Measured: Evaluation B', 3 months after evaluation A'

  40. Strength of Upper and Lower Extremities

    Evaluation of Strength of Upper and Lower Extremities

    Measured: Baseline

  41. Strength of Upper and Lower Extremities

    Evaluation of Strength of Upper and Lower Extremities

    Measured: Evaluation A', 6- months

  42. Strength of Upper and Lower Extremities

    Evaluation of Strength of Upper and Lower Extremities

    Measured: Evaluation B', 3 months after evaluation A'

  43. Isometric Pulling in a Semi-Squat Position

    Evaluation of Isometric Pulling in a Semi-Squat Position

    Measured: Baseline

  44. Isometric Pulling in a Semi-Squat Position

    Evaluation of Isometric Pulling in a Semi-Squat Position

    Measured: Evaluation A', 6- months

  45. Isometric Pulling in a Semi-Squat Position

    Evaluation of Isometric Pulling in a Semi-Squat Position

    Measured: Evaluation B', 3 months after evaluation A'

  46. 30- second Arm Curl Test

    Evaluation using Arm Curl Test

    Measured: Baseline

  47. 30- second Arm Curl Test

    Evaluation using Arm Curl Test

    Measured: Evaluation A', 6- months

  48. 30- second Arm Curl Test

    Evaluation using Arm Curl Test

    Measured: Evaluation B', 3 months after evaluation A'

  49. Sit-and-Reach Test

    Evaluation of mobility-flexibility using Sit-and-Reach Test

    Measured: Baseline

  50. Sit-and-Reach Test

    Evaluation of mobility-flexibility using Sit-and-Reach Test

    Measured: Evaluation A', 6- months

  51. Sit-and-Reach Test

    Evaluation of mobility-flexibility using Sit-and-Reach Test

    Measured: Evaluation B', 3 months after evaluation A'

  52. Back Scratch Test

    Evaluation of mobility using Back Scratch Test

    Measured: Baseline

  53. Back Scratch Test

    Evaluation of mobility using Back Scratch Test

    Measured: Evaluation A', 6- months

  54. Back Scratch Test

    Evaluation of mobility using Back Scratch Test

    Measured: Evaluation B', 3 months after evaluation A'

  55. SF-36

    Assessment of Quality of Life using SF-36

    Measured: Baseline

  56. SF-36

    Assessment of Quality of Life using SF-36

    Measured: Evaluation A', 6- months

  57. SF-36

    Assessment of Quality of Life using SF-36

    Measured: Evaluation B', 3 months after evaluation A'

  58. I-PAQ

    Assessment of Physical Activity using I-PAQ

    Measured: Baseline

  59. I-PAQ

    Assessment of Physical Activity using I-PAQ

    Measured: Evaluation A', 6- months

  60. I-PAQ

    Assessment of Physical Activity using I-PAQ

    Measured: Evaluation B', 3 months after evaluation A'

  61. Beck Depression Inventory

    Assessment of Depression using Beck Depression Inventory

    Measured: Baseline

  62. Beck Depression Inventory

    Assessment of Depression using Beck Depression Inventory

    Measured: Evaluation A', 6- months

  63. Beck Depression Inventory

    Assessment of Depression using Beck Depression Inventory

    Measured: Evaluation B', 3 months after evaluation A'

  64. Falls Efficacy Scale (FES-I)

    Assessment of fear of falling using Falls Efficacy Scale

    Measured: Baseline

  65. Falls Efficacy Scale (FES-I)

    Evaluation of fear of falling using Falls Efficacy Scale

    Measured: Evaluation A', 6- months

  66. Falls Efficacy Scale (FES-I)

    Assessment of fear of falling using Falls Efficacy Scale

    Measured: Evaluation B', 3 months after evaluation A'

  67. Activities-specific Balance Confidence (ABC) Scale

    Assessment of Balance Confidence using ABC

    Measured: Baseline

  68. Activities-specific Balance Confidence (ABC) Scale

    Assessment of Balance Confidence using ABC

    Measured: Evaluation A', 6- months

  69. Activities-specific Balance Confidence (ABC) Scale

    Assessment of Balance Confidence using ABC

    Measured: Evaluation B', 3 months after evaluation A'

  70. Minnesota Living with Heart Failure (MLHFQ)

    Assessment of health-related quality of life using MLHFQ

    Measured: Baseline

  71. Minnesota Living with Heart Failure (MLHFQ)

    Assessment of health-related quality of life using MLHFQ

    Measured: Evaluation A', 6- months

  72. Minnesota Living with Heart Failure (MLHFQ)

    Assessment of health-related quality of life using MLHFQ

    Measured: Evaluation B', 3 months after evaluation A'

  73. Pittsburgh Sleep Quality Index (PSQI)

    Assessment of Sleep Quality using PSQI

    Measured: Baseline

  74. Pittsburgh Sleep Quality Index (PSQI)

    Assessment of Sleep Quality using PSQI

    Measured: Evaluation A', 6- months

  75. Pittsburgh Sleep Quality Index (PSQI)

    Assessment of Sleep Quality using PSQI

    Measured: Evaluation B', 3 months after evaluation A'

  76. Intrinsic Motivation Inventory (IMI)

    Assessment of Intrinsic Motivation using IMI

    Measured: Baseline

  77. Intrinsic Motivation Inventory (IMI)

    Assessment of Intrinsic Motivation using IMI

    Measured: Evaluation A', 6- months

  78. Intrinsic Motivation Inventory (IMI)

    Assessment of Intrinsic Motivation using IMI

    Measured: Evaluation B', 3 months after evaluation A'

  79. Hamilton Rating Scale for Depression (HRSD) and Hamilton Anxiety Rating Scale (HARS)

    Assessment of Depression and Anxiety using HRSD and HARS

    Measured: Baseline

  80. Hamilton Rating Scale for Depression (HRSD) and Hamilton Anxiety Rating Scale (HARS)

    Assessment of Depression and Anxiety using HRSD and HARS

    Measured: Evaluation A', 6- months

  81. Hamilton Rating Scale for Depression (HRSD) and Hamilton Anxiety Rating Scale (HARS)

    Assessment of Depression and Anxiety using HRSD and HARS

    Measured: Evaluation B', 3 months after evaluation A'

  82. Montreal Cognitive Assessment Test (MOCA)

    Assessment of cognitive function using MOCA

    Measured: Baseline

  83. Montreal Cognitive Assessment Test (MOCA)

    Assessment of cognitive function using MOCA

    Measured: Evaluation A', 6- months

  84. Montreal Cognitive Assessment Test (MOCA)

    Assessment of cognitive function using MOCA

    Measured: Evaluation B', 3 months after evaluation A'

  85. Falls

    Assessment of the number of weekly falls

    Measured: Baseline

  86. Falls

    Assessment of the number of weekly falls

    Measured: Evaluation A', 6- months

  87. Falls

    Assessment of the number of weekly falls

    Measured: Evaluation B', 3 months after evaluation A'

  88. Evaluation of Physical Activity and Sleep Quality using a wearable device

    Evaluation of Physical Activity and Sleep Quality using a wearable device

    Measured: Baseline

  89. Evaluation of Physical Activity and Sleep Quality using a wearable device

    Evaluation of Physical Activity and Sleep Quality using a wearable device

    Measured: Evaluation A', 6- months

  90. Evaluation of Physical Activity and Sleep Quality using a wearable device

    Evaluation of Physical Activity and Sleep Quality using a wearable device

    Measured: Evaluation B', 3 months after evaluation A'

  91. Foot Preference Questionnaire (FPQ)

    Assessment of Foot Preference during static balance or activities using FPQ

    Measured: Baseline

  92. Foot Preference Questionnaire (FPQ)

    Assessment of Foot Preference during static balance or activities using FPQ

    Measured: Evaluation A', 6- months

  93. Foot Preference Questionnaire (FPQ)

    Assessment of Foot Preference during static balance or activities using FPQ

    Measured: Evaluation B', 3 months after evaluation A'

  94. Fear of Falling and Activity Restriction (SAFE)

    Assessement of Fear of Falling and Activity Restriction (SAFE)

    Measured: Baseline

  95. Fear of Falling and Activity Restriction (SAFE)

    Assessment of Fear of Falling and Activity Restriction (SAFE)

    Measured: Evaluation A', 6- months

  96. Fear of Falling and Activity Restriction (SAFE)

    Assessment of Fear of Falling and Activity Restriction (SAFE)

    Measured: Evaluation B', 3 months after evaluation A'

  97. Trail Making Test

    Assessment of visual attention and task switching using Trail Making Test

    Measured: Baseline

  98. Trail Making Test

    Assessment of visual attention and task switching using Trail Making Test

    Measured: Evaluation A', 6- months

  99. Trail Making Test

    Assessment of visual attention and task switching using Trail Making Test

    Measured: Evaluation B', 3 months after evaluation A'

Timeline

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

  1. First posted14 Sep 2023
  2. Study start1 Oct 2023
  3. Primary completion30 Sep 2025 (estimated)
  4. Study completion15 Dec 2025 (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
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06036615
Sponsor's protocol ID
110/2022
Status last verified
Aug 2025
First submitted
7 Sep 2023
Last updated
11 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Exercise Intervention in people with Chronic Heart Failure, run by Aristotle University Of Thessaloniki at 1 site in Greece.

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 3 inclusion and 10 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: looking for participants now, as of the sponsor's last update on 11 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Greece. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

This study is still under way. Results are not available in the source record yet.

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

Contact Evangelia Kouidi, Professor (+302310992189, kouidi@phed.auth.gr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Left Ventricular Systolic Function (time frame: Baseline). The study lists 99 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 Aug 2025.

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