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N/A N=60 Randomized Supportive Care

Blood Flow Regulation in Individuals With Down Syndrome - Training Study

Down Syndrome

Enrolled (actual)
60
Serious AEs
0.0%
Results posted
Feb 2026
Primary outcome: Primary: Change From Baseline Work Capacity at 13 Weeks — -1.20; -0.18 change in ml/kg/min — p=0.660

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Combined exercise intervention (Behavioral); Usual care / Sham intervention (Behavioral)
Age
Adult · 18+ yrs
Sex
All
Sponsor
University of Nevada, Las Vegas
Primary completion
Aug 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline Work Capacity at 13 Weeks
-1.20; -0.18 0.660
SECONDARY
Change From Baseline Brachial Blood Flow at 13 Weeks
24.66; -15.87 0.196
SECONDARY
Change From Baseline Muscle Oxygenation at 13 Weeks
-5.27; 0.49 0.256
SECONDARY
Change From Baseline Cardiac Output (Aortic Blood Flow) at 13 Weeks
4.26; 0.84
SECONDARY
Change From Baseline Autonomic Cardiac Function at Rest at 13 Weeks
-7.40; 3.71 0.198
SECONDARY
Change From Baseline Autonomic Cardiac Function During Orthostasis at 13 Weeks
20.33; -4.43 0.043 sig
SECONDARY
Change From Baseline IL-6 at 13 Weeks
-0.75; 3.28 0.174
SECONDARY
Change From Baseline HDL at 13 Weeks
-3.67; -2.31 0.707
SECONDARY
Change From Baseline Superoxide Dismutase at 13 Weeks
-0.5510; -0.1576 0.571
SECONDARY
Change From Baseline Comfortable Walking Speed at 13 Weeks
5.49; 1.27 0.559
SECONDARY
Change From Baseline Fast Walking Speed at 13 Weeks
6.96; -1.93 0.306
SECONDARY
Change From Baseline Functional Reach at 13 Weeks
-0.82; 0.17 0.287
SECONDARY
Change From Baseline Timed Up and Go at 13 Weeks
-0.59; -0.34 0.725
SECONDARY
Change From Baseline Standing Balance at 13 Weeks
1.11; -3.39 0.163

Summary

Work capacity is an important predictor of declining health or physical function, and of mortality, and is commonly measured as peak oxygen consumption. Peak oxygen consumption is very low in individuals with Down syndrome, the most prevalent genetic cause of intellectual disability. Previous research suggests individuals with Down syndrome may experience a double disadvantage when they are exercising: they may not be able to increase cardiac output sufficiently and they may not be able to allocate adequate blood flow to the working muscles. The aim of this research proposal is therefore to investigate the responses in central and peripheral blood flow regulation and cardiac autonomic function to exercise training in individuals with DS. Additionally the effects of exercise on gait, balance and attitude towards exercise in individuals with DS are investigated.

Eligibility Criteria

Inclusion Criteria

  • generally healthy
  • sedentary (defined as being involved in less than 30 minutes of moderately-intense physical activity per day)
  • additionally for the participants with Down syndrome:
  • diagnosis of Down syndrome trisomy 21 and
  • normal thyroid function or stable thyroid function (and medications) for at least 6 mo.

Exclusion Criteria

  • congenital heart disease;
  • atherosclerotic or other vascular disease;
  • asthma or other pulmonary disease;
  • hypertension (defined BP >140/90 mmHg);
  • blood pressure below 90/60 mmHg;
  • history of pre-syncope or syncope;
  • diabetes (defined as Hba1c of >7.5% or use of glucose lowering medication);
  • severe obesity (defined as BMI >40);
  • medications affecting heart rate, blood pressure or arterial function;
  • anti-inflammatory medication including NSAIDS;
  • current smoking and
  • pregnancy.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04854122). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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