About this trial
Peripheral artery disease (PAD) leads to higher mortality rates and strains healthcare systems due to increased costs. It causes leg pain during walking due to reduced blood flow. Nitric oxide (NO) deficiency contributes to vascular issues in PAD, with few effective treatments available. Passive calf muscle stretching boosts NO levels, vascular health, and walking ability in PAD patients. However, the inflammatory processes underlying these improvements are unclear. This study aims to track inflammatory markers and cardiovascular changes during 12 weeks of passive stretching. Additionally, combining stretching with dietary nitrate could further enhance walking capacity by reducing reactive oxygen species. The study will monitor inflammation, vascular function, and oxidative capacity to understand the effects on functional ability in PAD patients. This research is crucial for improving physical function and addressing exercise intolerance in PAD.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Calf Plantar flexion
DeviceDaily passive calf stretching
Dietary nitrate
Dietary supplementWeekday 140 ml dietary nitrate consumption two hours prior to passive stretching
Treatment groups
Trial outcomes
Primary outcomes
Functional capacity
6-minute walking distance will be assessed prior to an at various time points during the 12-week study
Secondary outcomes
Inflammatory markers
Blood and calf muscle biopsy will be used to assess various inflammatory markers pre/post treatment.
Vascular function
Large vessel (flow-mediated vasodilation) and small vessel (Near-infrared spectroscopy on the calf) will be measured prior to and at various time points during the 12-week study.
Sponsors and contacts
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