SALTO_GyV: Evaluation of the Improvement of Autonomic Nervous System by a Physical Rehabilitation Program Adapted to Adulthood After Chemotherapy or Radiotherapy in Childhood
Study Details
Study Description
Brief Summary
Survival rate of childhood cancers is now reaching 80%. However, early or late complications related to surgery, chemotherapy and radiotherapy remain high and greatly increase the risk of late mortality.
Health of individuals is closely correlated to the stability of the autonomic nervous system (ANS), a key system for maintaining homeostasis in any living species. Efficient computer tools allowed the opportunity to assess the intrinsic autonomic regulation of the ANS either directly or at a later time by an analysis of the heart rate variability (HRV). These tools have become very powerful predictors of cardiovascular morbidity and neurological aging. Physical endurance training improves both maximal aerobic capacity and ANS activity.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The main objective of this study is to evaluate improvement of ANS parameters after 6 months of adapted physical activity in adults treated for childhood cancer in Rhône-alpes region in France who have deregulation ANS or autonomic imbalance.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Young adult survivors of childhood cancer Adults treated for childhood cancer in Rhône-Alpes region in France between 1987 and 1992 with deregulation ANS or autonomic imbalance. |
Other: Adapted physical activity
The adapted physical activity is done by Education Physique et Gymnastique Volontaire (EPGV) centres.
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Outcome Measures
Primary Outcome Measures
- Autonomic nervous system activity [At 6 months]
The autonomic nervous system activity is classified in sympatho-vagal equilibrium as "normal", "altered" or "severely abnormal". For this classification, we need the values obtained for some temporal indices (Standard Deviation NN intervals (SDNN), Root Mean Square of Successive Differences (RMSSD)) and frequencies (Ptot, High Frequency (HF), Low Frequency (LF) , Very-Low Frequency (VLF), ratio LF / HF) compared to validated standards for the age (mean +/- standard deviation).
Secondary Outcome Measures
- Daily activity questionnaire [At 6 months]
- Quality of Life Questionnaire [At 6 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Included in the SALTO_SNA study (NCT01574196)
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Alteration of the autonomic nervous system activity or deregulation of the sympatho-vagal balance
Exclusion Criteria:
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Written consent form
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Left ventricular dysfunction
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CHU de SAINT-ETIENNE | Saint-etienne | France | 42000 |
Sponsors and Collaborators
- Centre Hospitalier Universitaire de Saint Etienne
Investigators
- Principal Investigator: Claire BERGER, MD, CHU de SAINT-ETIENNE
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1208137
- 2012-A01220-43