About this trial
The purpose of this research is to understand how training the muscles used for breathing (inhalation) affects menopausal hot flashes, sympathetic nerve activity and sleep.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Females aged 45-60 with hot flashes.
Participants will be recruited from Rochester, MN and surrounding areas.
Non-smokers.
BMI < 40kg/m².
Disqualifiers
Detailed medical and social histories will be collected. To allow for ecological validity, participants will not be excluded for use of menopausal hormone therapy or medications affecting cardiovascular function so long as they have been on a consistent regimen for ≥3 months and during the study period. This approach to medications is consistent with recent work in this area.
Participants will be screened for contraindications to inspiratory muscle strength training including, a history of spontaneous pneumothorax, collapsed lung that has not healed fully, a perforated eardrum that has not healed fully, and/or any other condition of the eardrum.
Additional exclusion criteria will include the use of sleep aids (i.e., prescription, melatonin, doxylamine, valerian root, etc.).
Trial design
Parallel
Treatments tested in this trial
High-Resistance Inspiratory Muscle Strength Training
BehavioralPerforms inspiratory maneuvers at 55% maximal inspiratory pressure (PIMAX) during week 1, 65% PIMAX during week 2, and 75% PIMAX during weeks 3-6.
Low-Resistance Inspiratory Muscle Strength Training
BehavioralPerforms inspiratory maneuvers at 15% maximal inspiratory pressure (PIMAX) for all 6 weeks.
POWERbreathe K3 device
DeviceInspiratory muscle training device
Treatment groups
Trial outcomes
Primary outcomes
Change in blood pressure
Measured in millimeters of mercury (mm Hg)
Change in Muscle Sympathetic Nerve Activity (MSNA) burst frequency
Measured by microneurography reported in burst per minute
Change in Muscle Sympathetic Nerve Activity (MSNA) burst incidence
Number of bursts recorded via microneurography
Secondary outcomes
Change in Hot Flash Frequency
Number of hot flashes indicated through self-reporting
Chang in sleep duration
Measured by actigraphy data defined as recorded number of minutes in sleep
Change in wake after sleep onset
Measured by actigraphy data defined as number of minutes from sleep onset to waking
Change in Pittsburgh Sleep Quality Index
The Pittsburgh Sleep Quality Index measures the severity of sleep disturbances. Possible scores range from 0 to 21 with higher scores indicating a worse outcome/more severe symptoms of sleep disturbance.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Mayo Clinic
Lead sponsor
National Institute on Aging (NIA)
Collaborator