Active AMD Study to Improve Function in Veterans

Part of paid clinical trials in Decatur, Georgia.

Sponsor
VA Office of Research and Development
Study ID
NCT05932069
Status
Recruiting

Conditions

  • Age Related Macular Degeneration (AMD)

Eligibility Criteria

Sex
ALL
Age
65 Years - 89 Years
Healthy Volunteers
Not accepted

Interventions

  • SPIN — BEHAVIORAL
    Stationary cycling
  • Non-aerobic, stretching/balance intervention Control — BEHAVIORAL
    Balance and stretching exercise

Study Details

Age Related Macular Degeneration (AMD) is the leading cause of vision loss among Veterans aged 50 years and older. AMD also adversely affects mortality, physical and cognitive functioning, and activities of daily living. These debilitations negatively impact quality of life for US Veterans. Unfortunately, there are no cures and few treatments. With the increase in the aging Veteran population and the increasing prevalence of AMD, it is imperative to identify and implement strategies to limit the functional burden of AMD. To address this growing challenge, the investigators propose to test the impact of a proven exercise intervention, stationary bicycling (spinning), on visual and non-visual negative health outcomes in AMD. The work in several retinal degeneration mouse models shows that aerobic exercise significantly preserves retinal morphology and function and visual acuity. Even more exciting, the investigators' preliminary work with older Veterans with and without AMD suggests that spin cycling modestly but significantly benefits visual acuity in aged Veterans. Based on this work, the investigators propose to implement a 6-month synchronous, online group spin cycling program for Veterans with AMD, evaluating effects on physical, cognitive, and visual outcomes.

Key Dates

Start date
Mar 1, 2024
Status verified
Feb 2026
Primary completion
Aug 31, 2027
Completion
Aug 31, 2028

Study Design

Enrollment
70 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: SPIN
    Exercise 3 times a week on a stationary ergometer @ 50-80% of maximal heart rate reserve for 20 minutes to 45 minutes per session
  • Active Comparator: Non-aerobic, stretching/balance intervention Control
    For this arm of the intervention, randomized participants followed the same guidelines as the SPIN group but did not partake in aerobic exercise. To equalize contact/monitoring of the groups this group met for the same total duration time as the SPIN group; however, instead of aerobic exercise, progressive whole body stretching and toning exercises

Primary Outcome Measure

contrast sensitivity [ Time Frame: Change from Baseline contrast sensitivity at 6 months ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Atlanta VA Medical and Rehab Center, Decatur, GADecaturGeorgia30033-4004
Joe R Nocera, PhD
404-321-6111
Joe R. Nocera, PhD (PRINCIPAL_INVESTIGATOR)

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