About this trial
The goal of this clinical trial is to determine whether an aerobic exercise program can reduce cardiovascular risk in patients with systemic inflammation, such as those with rheumatoid arthritis and chronic kidney disease.
The main questions this study aims to address are:
* Does an individualized aerobic exercise program reduce cardiovascular risk, as assessed arterial stiffness and endothelial function ? * What are the effects of this exercise program on inflammation and immunosenescence?
Researchers will compare an individualized aerobic exercise program with a therapeutic education program (consisting of educational phone calls only) and a control group with no intervention.
Participants will:
* Perform three physical activity sessions per week for six weeks (45-minute sessions at 60-80% of heart rate reserve); * Attend clinic visits at baseline, after the 6-week intervention, and at a 6-week follow-up after the intervention; * Undergo assessments including pulse wave velocity, hyperemic reactivity, and blood analyses.
Eligibility criteria
Qualifiers
Diagnosis of Chronic Kidney Disease (CKD) or Rheumatoid Arthritis (RA), with no other risk factors related to the disease.
Having a glomerular filtration rate between 45 and 20 ml/min/1.73 m², corresponding to stages III and IV not on dialysis for patients with CKD ; or have a DAS 28 score ≥ 2.6 points for patients with RA.
Have a medical certificate stating that there are no adverse reactions to physical activity.
Affiliation with a French social security scheme or beneficiary of such a scheme.
Disqualifiers
Unstabilised corticosteroid therapy and/or >10mg prednisone/day
Uncontrolled high blood pressure
Pregnant women
Impaired higher functions making it impossible to understand and adhere to an aerobic exercise program
Trial design
Treatments tested in this trial
- Aerobic exercise program
- Therapeutic education
Treatment groups
Sponsors and collaborators
Jérôme Bouchan
Lead sponsor
University of Franche-Comté
Sponsor institution
UMR1098, EFS BFC, BESANCON
Collaborator
Centre Hospitalier Universitaire de Besancon
Collaborator