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Heart FailureNCT06796582

Reliability of Multiple-Repetition-Maximum Tests in Patients With Cardiovascular Disease or Risk Factors

An observational study of Heart Failure and Coronary Heart Disease (CHD), run by Technical University of Munich at 1 site in Germany.

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Trial summary

Exercise training is a cornerstone in the prevention and rehabilitation of cardiovascular disease. While research has primarily focused on endurance training, resistance training becomes more and more important. Read more about this study

Who is it for?
Ages 50 years and older
How many people
50 participants
Where
1 siteGermany
Study dates
14 Jul 2025to Feb 2027
Phase
Observational

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 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who visit the outpatient clinic for Preventive Sports Medicine and Sports Cardiology at the TUM University Hospital, Munich, Germany

Who may be able to join

  • Age ≥ 50 years
  • At least one of the following cardiovascular diseases / risk factors:
  • Heart failure
  • Coronary heart disease
  • Atrial fibrillation
  • Arterial hypertension
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  • Type 2 diabetes mellitus
  • Clinically stable for ≥ 4 weeks
  • Medical clearance to perform resistance training / strength testing
  • Signed written informed consent

Who cannot join

  • Pregnancy
  • Acute infection
  • Chronic joint inflammation
  • Knee, hip, ankle, wrist, elbow or shoulder pain
  • Known osteoporosis (T-value ≤ -2.5)
  • Uncontrolled hypertension (≥160 mmHG systolic / ≥100 mmHG diastolic)
  • Known cerebral or thoracic aneurysm

Trial locations and contacts

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

Stephan Mueller, Dr rer nat contact

+49 (0)89 289 24494

stephan.mueller@mri.tum.de

Germany1 site, 1 recruiting
  • Department for Preventive Sports Medicine and Sports Cardiology, TUM Klinikum Rechts der Isar, Technical University of Munich

    München, 80809

    Stephan Mueller, Dr. rer. nat., +49 (0)89 289 24494, stephan.mueller@mri.tum.de

    Recruiting

Other trials in Germany

About this study

Official title: Agreement of the Estimated 1-Repetition-Maximum Between Two Multiple-Repetition-Maximum Tests With Different Weight in Patients With Cardiovascular Disease or Risk Factors

Exercise training is a cornerstone in the prevention and rehabilitation of cardiovascular disease. While research has primarily focused on endurance training, resistance training becomes more and more important. The gold standard to prescribe resistance training intensity or monitor longitudinal changes is the 1-Repetition-Maximum (1-RM) test. However, particularly for unexperienced individuals, this test may not be recommendable due to the high load and an increased risk of injuries. Alternatively, there are several published formulas to estimate the 1-RM based on a multiple-repetition-maximum (or repetition-to-failure) test. However, these formulas have been primarily tested in healthy individuals. Moreover, the reliability of the 1-RM estimation based on two tests with different submaximal weight is unknown. Therefore, the present study evaluates the agreement of the 1-RM estimation (based on different formulas) between two Multiple-RM tests with different weight in 50 patients with cardiovascular disease (heart failure, coronary heart disease, atrial fibrillation) or cardiovascular risk factors (type 2 diabetes, arterial hypertension).

Keywords
resistance training, cardiovascular disease, cardiovascular risk factors, muscle strength
Medical subject headings
Heart Failure, Coronary Disease, Atrial Fibrillation, Diabetes Mellitus, Hypertension, Cardiovascular Diseases

What is being measured

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

  1. Estimated 1-Repetition-Maximum

    The estimated 1-Repetition-Maximums based on two Multiple-Repetition-Maximum tests with different weight will be compared using Bland-Altman plots. Acceptable Limits of Agreement are defined as +/- 10%. The comparisons will be performed using different published formulas to evaluate, which formula(s) may be recommended in patients with cardiovascular disease / risk factors. The study will be performed on the following resistance training machines: leg press and chest press

    Measured: cross-sectional study (day 1)

Secondary outcomes (2)
  1. Number of repetitions required to perform a valid Multiple-Repetition-Maximum test

    The Multiple-Repetition-Maximum test is considered valid if muscular failure occurs after completion of 2-10 repetitions. This is based on the evidence that (most) published formulas become less precise if >10 repetitions can be performed.

    Measured: cross-sectional (day 1)

  2. Adverse Events

    any adverse events that occur in relation to the Multiple-Repetition-Maximum Tests will be documented

    Measured: cross-sectional (day 1)

Timeline

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

  1. First posted28 Jan 2025
  2. Study start14 Jul 2025
  3. Primary completionFeb 2027 (estimated)
  4. Study completionFeb 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Case only
Time perspective
Cross-sectional
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06796582
Sponsor's protocol ID
2025-27-S-CB
Status last verified
Oct 2026
First submitted
22 Jan 2025
Last updated
22 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Data sharing will depend on the possibility to anonymize the requested data set and must be approved by the data security department of the TUM University Hospital

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