The Cognitive and spOrt Virtual EPIC Training Study for Cardiovascular Diseases (COVEPICARDIO)

University of Montreal

Status: Completed

Conditions: Cardiovascular Diseases

Treatments: Behavioral: Cognitive training; Behavioral: Physical exercise training

Study type: Interventional

Funder types: Other

Identifiers

NCT04661189

ICM 2020-2785

Details and patient eligibility

About

COVEPICARDIO trial is designed to document the effects of remote monitoring of physical exercise and home-based cognitive training on cognitive and physical functions in older adults with cardiovascular diseases.

Full description

Cardiac rehabilitation is a class I level A recommendation with clinical benefits that are now well documented. Due to the COVID-19 pandemic, accessibility to rehabilitation services and exercise training programs are limited. Quarantine measures can induce collateral damages to cardiovascular and psychological health, in particular in clinical population. Cardiovascular diseases (CVD) are associated with cognitive deficits and increased risk of dementia later in life. Specifically for CVD, physical inactivity and excessive sedentary lifestyle induced by confinement decrease cardiorespiratory capacity, increase the risk of acute events and rehospitalization. Maintaining a minimum of physical activity during a health crisis is fundamental. In this context, our team has developed an innovative program of exercise and cognitive training at home. Considering the added benefits of combining cognitive training to physical exercise to further enhance health and cognition in seniors with CVD, this project also addresses the added benefits of a multidomain intervention combining a home-based physical exercise intervention with a cognitive training.

Enrollment: 122 patients

Sex: All

Ages: 50 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged 50 and older
• Have access to internet
• Have access to a tablet (i.e., iPad or Android) or a computer
• Diagnostic of cardiovascular disease (stable chronic systolic or diastolic heart failure, atrial fibrillation, documented atherosclerotic disease).
• Able to do light to moderate aerobic exercice training
• With no contraindication to exercise training

Exclusion criteria

• Non-cardiopulmonary limitation to exercise (e.g., arthritis)
• Severe exercise intolerance
• Respiratory disease (e.g., asthma, COPD, COVID-19)
• Mini Mental Scale Examination (MMSE) telephone version lower than 19/23

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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122 participants in 2 patient groups

Multidomain intervention

Experimental group

Description:

The multidomain intervention will combine a remote monitoring of home-based cognitive training with physical exercise training for 6-month.

Treatment:

Behavioral: Physical exercise training

Behavioral: Cognitive training

Physical exercise intervention

Experimental group

Description:

The physical exercises intervention will include the remote monitoring of physical exercise training for 6-month.

Treatment:

Behavioral: Physical exercise training