Exercise for Vision Impairment

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: VA Office of Research and Development

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether exercise can improve vision by examining blood markers, which are substances in the blood that indicate health changes. It includes two types of exercise: aerobic activities, such as walking or cycling, and balance training. Participants will exercise three times a week to determine if these activities provide sight-saving benefits. This study suits English-speaking adults who have been mostly inactive for the past three months and do not have severe diabetes or significant cognitive issues. As an unphased trial, participants contribute to groundbreaking research that may lead to new insights into vision health.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that aerobic exercise is generally safe and well-tolerated by people with vision impairments. Studies have found that activities like tai chi, yoga, and dance can be beneficial without causing significant harm. A review of several studies found that aerobic exercise helps improve balance and mobility in those with visual impairments, suggesting it is a safe option for many.

Although specific data on negative effects is limited, the regular use of aerobic exercise in various studies suggests it usually doesn't lead to serious side effects. It's important to note that the types of exercise in these studies, such as aerobic and balance training, are common activities known for being safe for most people.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores exercise as a way to help those with vision impairment, which is a departure from the standard medical or surgical interventions like glasses, contact lenses, or surgeries. The trial investigates aerobic and balance exercises, both of which are simple, non-invasive, and accessible methods that could improve vision indirectly by enhancing overall body coordination and eye-brain connection. This approach could be particularly beneficial as it avoids potential side effects associated with medications or surgical procedures, and empowers individuals to take an active role in managing their vision health.

What evidence suggests that this trial's treatments could be effective for vision impairment?

Research has shown that aerobic exercise, one of the treatments in this trial, can improve balance and movement in people with vision problems. A study that reviewed various research papers found that regular aerobic activities enhance these physical abilities, which are crucial for daily life. This type of exercise has improved both standing and moving balance in individuals with vision impairments, including children and teenagers. Additionally, there may be a connection between exercise and better eye health, suggesting that regular physical activity could help protect vision. Meanwhile, balance training, another treatment arm in this trial, has been studied less but is also believed to aid stability and coordination. These findings suggest that exercise could benefit those with vision impairments.26789

Who Is on the Research Team?

JH

Jeffrey H. Boatright, PhD

Principal Investigator

Atlanta VA Medical and Rehab Center, Decatur, GA

Are You a Good Fit for This Trial?

This trial is for English-speaking adults aged 18 to 89 who are mostly inactive, doing less than 120 minutes of aerobic exercise per week over the last three months. Participants should not have dementia (with an MMSE score of at least 24) and cannot join if they have severe diabetes requiring insulin or cognitive-executive function deficits (MoCA score below 26).

Inclusion Criteria

English speaking
You haven't been doing much aerobic exercise in the past 3 months, less than 2 hours per week.
You do not have dementia, as determined by a test score of 24 or higher on the Mini-Mental State Examination.

Exclusion Criteria

You have trouble with thinking and problem-solving tests (MoCA score less than 26).
I have severe diabetes and need insulin.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo a 12-week aerobic exercise regimen to assess visual outcomes and serum biomarkers

12 weeks
3 times a week

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Aerobic exercise
  • Balance exercise
Trial Overview The study is testing whether regular aerobic and balance exercises can improve vision in people with visual impairments. It will also look at changes in blood biomarkers to see if they can predict the benefits of exercise on vision.
How Is the Trial Designed?
2Treatment groups
Active Control
Placebo Group
Group I: Aerobic ExerciseActive Control1 Intervention
Group II: Balance TrainingPlacebo Group1 Intervention

Aerobic exercise is already approved in United States, European Union, Canada for the following indications:

🇺🇸
Approved in United States as Aerobic Exercise for:
🇪🇺
Approved in European Union as Aerobic Exercise for:
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Approved in Canada as Aerobic Exercise for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

VA Office of Research and Development

Lead Sponsor

Trials
1,691
Recruited
3,759,000+

Published Research Related to This Trial

Regular aerobic exercise significantly reduces the risk and mortality associated with coronary artery disease, likely due to its positive effects on blood lipid levels and blood pressure.
In addition to cardiovascular benefits, aerobic exercise also provides mental health advantages, such as reducing anxiety and depression, making it a valuable component in weight-loss programs and the management of conditions like diabetes and aging.
Health benefits of aerobic exercise.Mersy, DJ.[2019]
An 8-week progressive aerobic exercise program was found to be feasible and well tolerated by five individuals recovering from moderate to severe traumatic brain injury (TBI), indicating that aerobic exercise can be safely integrated into their rehabilitation.
Participants successfully adhered to both the aerobic exercise and cognitive training, although measuring exercise intensity was challenging due to poor correlations between heart rate reserve and perceived effort.
Feasibility of Aerobic Exercise in the Subacute Phase of Recovery From Traumatic Brain Injury: A Case Series.Morris, TP., Costa-Miserachs, D., Rodriguez-Rajo, P., et al.[2021]
A 3-month community-based aerobic exercise training program showed a trend toward improved cardiorespiratory fitness (CRF) in individuals with traumatic brain injury (TBI), with an 8% increase in VO2peak compared to a 4% decrease in a stretching and toning group, indicating potential efficacy of aerobic exercise for this population.
The study demonstrated that while it is feasible to conduct exercise training in community settings for TBI patients, only 50% of participants adhered to the program, highlighting the need for strategies to improve adherence in future trials.
A proof-of-concept trial of a community-based aerobic exercise program for individuals with traumatic brain injury.Ding, K., Tarumi, T., Tomoto, T., et al.[2021]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38059361/
Effects of aerobic exercise on balance and mobility in ...This meta-analysis aimed to assess the impact of aerobic exercise on the balance and mobility of visually impaired individuals and identify potential factors ...
Physical activity interventions for adults who are visually ...Physical activity interventions in individuals with visual impairment incorporating activities such as tai chi, Yoga and dance can have positive results.
Effects of aerobic exercise on balance and mobility in ...This meta-analysis aimed to assess the impact of aerobic exercise on the balance and mobility of visually impaired individuals and identify potential factors ...
Effects of exercise training programs on balance of blind ...Exercise training programs have a positive effect on static and dynamic balance in blind children and adolescents.
Physical activity, visual impairment, and eye disease - PMCThe current review will focus on the potential bidirectional association between physical activity (PA) and vision loss, particularly as associated with ...
Physical activity interventions for adults who are visually ...Physical activity interventions in individuals with visual impairment incorporating activities such as tai chi, Yoga and dance can have positive results.
The Outcome of Exercise for Adults and Older Adults with ...Objective: The proposed scoping review aims to allow a better understanding of current exercise outcomes for adults (including older adults) ...
Effects of two exercise programs on health-related fitness ...This study aimed to evaluate the effects of two exercise programs on health-related fitness, quality of life, and exercise enjoyment in people with visual ...
Access to exercise for people with visual impairments ...We examined how the UK national lockdown impacted access to exercise for people with blindness and visual impairment.
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