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Precision Exercise to Improve Outcomes in Sepsis

Sepsis

The goal of this interventional clinical research study is to assess the efficacy of a 12-week precision exercise training intervention to improve exercise tolerance in sepsis survivors.

The main question it aims to answer is does a 12-week precision exercise training program improve constant load exercise time in sepsis survivors?

Participants will:

* Answer questionnaires related to patient reported outcomes and give a blood sample
* Perform a constant load exercise test
* Complete 12-weeks (3 x per week, 36 session in total) of precision exercise training consisting of individualized, nonlinear periodized strength and aerobic exercise training.

Researchers will compare the exercise group to an attention control group of sepsis survivors who do not receive exercise training but instead undergo usual care procedures and receive general lifestyle advice 1x per week.

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Participation Requirements

  • Sex:

    ALL

  • Eligible Ages:

    19 and up

Participation Criteria

Inclusion Criteria:

* Signed informed consent
* At least 19 years of age
* ≥60 days prior to study enrollment, known or suspected infection that includes at least two of the following clinical criteria that together constitute a new bedside clinical score termed quickSOFA (qSOFA): respiratory rate \>22breaths/min, altered mentation, or systolic blood pressure \<100mmHg.
* Cardiorespiratory fitness \<80% of age and sex-predicted norms
* Can commit to attending 3 exercise sessions a week for 12-weeks

Exclusion Criteria:

* Unable to provide informed consent
* On supplemental oxygen
* Known previous cardiac or cerebral vascular events in the past 90 days
* Diabetes
* Autoimmune diseases or on daily immunomodulatory drugs
* Obstructive sleep apnea
* Uncontrolled hypertension
* Known pregnancy/ intending to get pregnant within 28 days of enrolling in the study or breastfeeding
* Desaturation during exercise SpO2\<85%
* Cardiovascular contraindication or musculoskeletal limitations to exercise as assessed during the cardiopulmonary exercise test

Study Location

St. Paul's Hospital - Centre for Heart Lung Innovation
St. Paul's Hospital - Centre for Heart Lung Innovation
Vancouver, British Columbia
Canada

Contact Study Team

Backup Contact

John Boyd, MD

[email protected]
604-682-2344
Primary Contact

Graeme Koelwyn, PhD

[email protected]
604-682-2344
Backup Contact

Neil Eves, PhD

Backup Contact

Graeme Koelwyn, PhD

Backup Contact

John Boyd, MD

Study Sponsored By
University of British Columbia
Participants Required
More Information
Study ID: NCT05784740