Neural Control of Kidney Blood Flow During Exercise in African American Adults
African American (AA) adults have a greater prevalence of developing cardiovascular and renal disease (CVRD) than White (W) adults. Elevated sympathetic nervous system activity is associated with increased incidence of CVRD. Physical exertion, such as exercise, acutely increases sympathetic nervous system activity directed towards the kidneys, resulting in renal vasoconstriction and reduced renal blood flow (RBF). However, the acute renal vasoconstrictor response to any sympathetic nervous system activation has not been investigated to date in AA adults. During sympathetic nervous system activation such as exercise, sympathetic outflow to the kidneys in AA adults might be exaggerated, contributing to greater renal vasoconstriction and a larger reduction in RBF. Over time, this exaggerated neurovascular response to sympathetic activation could have a negative cumulative effect on the kidneys, which could be a contributing factor to the greater incidence of CVRD in this population. Therefore, this study aims to examine the renal vasoconstrictor response to sympathetic stressors in healthy AA adults prior to development of CVRD to test the hypotheses that the renal vasoconstrictor response to acute dynamic exercise, as well as a cold pressor and mental stress tests, is exaggerated in healthy young AA compared to W adults. To test these hypotheses, the investigators will measure RBF and blood pressure at rest and during cycling exercise and a cold pressor and mental stress tests to calculate renal vascular resistance responses to these acute interventions. Using the highly innovative approach of Doppler ultrasound to measure RBF during exercise and non-exercise sympathetic stressors non-invasively and with high temporal resolution will enable us to assess the renal vasoconstrictor response to sympathetic stressors in healthy AA adults prior to development of CVRD, so the underlying integrative physiological responses to sympathetic activation in AA adults can be understood. Findings from this study in this understudied yet clinically significant area will contribute to the ultimate goal of creating and implementing treatment strategies to reduce the risk of developing CVRD in AA adults.
Conditions:
🦠 Acute Exercise
🗓️ Study Start (Actual)
August 2024
🗓️ Primary Completion (Estimated)
September 2025
✅ Study Completion (Estimated)
September 2025
👥 Enrollment (Estimated)
32
🔬 Study Type
INTERVENTIONAL
📊 Phase
NA
Locations:
📍
Boston, Massachusetts, United States
Description
Inclusion Criteria:
- * Self-report as either African American or White racial identity
- * Born in United States
- * Both biological parents identify as same racial identity as participant
- * Recreationally active (participating in physical activity for at least 20 minutes per day, at least three times per week, but not training for competitive events)
- * Fluent in English
Exclusion Criteria:
- * Hispanic or Latino
- * Females who are pregnant or lactating
- * Cardiovascular or renal disease
- * Hypertension (blood pressure of more than or equal to 130/80 mmHg)
- * Diabetes
- * Obesity (body mass index of more than or equal to 30 kg/m2)
- * Smoker/Tobacco user
- * Acute medical conditions
- * Taking prescribed medications with exception of birth control pills
Ages Eligible for Study:
18 Years to 35 Years (ADULT)
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Yes
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported
results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before
being posted on the public website.
Study Registration Dates
- First Submitted
4 June 2019
- First Submitted that Met QC Criteria
6 June 2019
- First Posted
11 June 2019
Study Record Updates
- Last Update Submitted that Met QC Criteria
22 July 2024
- Last Update Posted
23 July 2024
- Last Verified
July 2024