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CTRI Number  CTRI/2024/12/078746 [Registered on: 30/12/2024] Trial Registered Prospectively
Last Modified On: 10/09/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of Exercise on heart rate variability and sleep in patients with Chronic Obstructive Pulmonary Disease (COPD) 
Scientific Title of Study   Effect of Exercise on Heart Rate Variability, Cardiopulmonary Functions & Sleep Parameters in Indian COPD Patients 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Deepika Singla 
Designation  Assistant Professor 
Affiliation  Jamia Hamdard 
Address  Department of Physiotherapy Jamia Hamdard Mehrauli - Badarpur Rd, near Batra Hospital, Block D, Hamdard Nagar, New Delhi

South
DELHI
110062
India 
Phone  8586976427  
Fax    
Email  dpkasingla@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Deepika Singla 
Designation  Assistant Professor 
Affiliation  Jamia Hamdard 
Address  Department of Physiotherapy Jamia Hamdard Mehrauli - Badarpur Rd, near Batra Hospital, Block D, Hamdard Nagar, New Delhi

South
DELHI
110062
India 
Phone  8586976427  
Fax    
Email  dpkasingla@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Deepika Singla 
Designation  Assistant Professor 
Affiliation  Jamia Hamdard 
Address  Department of Physiotherapy Jamia Hamdard Mehrauli - Badarpur Rd, near Batra Hospital, Block D, Hamdard Nagar, New Delhi

South
DELHI
110062
India 
Phone  8586976427  
Fax    
Email  dpkasingla@gmail.com  
 
Source of Monetary or Material Support  
ICMR 
 
Primary Sponsor  
Name  ICMR 
Address  Ansari Nagar, New Delhi - 110029 
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
Jamia Hamdard  Hamdard Nagar, New Delhi-110062 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Deepika Singla  Jamia Hamdard  Room N0. 501, 5th floor, Department of Physiotherapy, School of Nursing Sciences and Allied Health
South
DELHI 
8586976427

dpkasingla@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Jamia Hamdard Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J449||Chronic obstructive pulmonary disease, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  control group  Self-paced walking: 30 mins, 2-3 times/week Breathing exercise: Deep breathing exercises, 2-3 times/week 
Intervention  Experimental group  Endurance training (Cycle ergometer and treadmill walking): 20-60 min/session, 3-5 times/week Resistance training (Leg press & Bench press): 8-12 RM, 2-3 days/week Respiratory muscle training: 10-14 min/session, 2-3 times/week 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Patients with COPD of at least 6 months duration
Clinical diagnosis of COPD according to the GOLD 1 (FEV 1 greater than or equal to 80%) and GOLD 2 (FEV 1 greater than or equal to 50% but less than 80%) criteria 
 
ExclusionCriteria 
Details  Co-morbidities such as neurological diseases, musculoskeletal diseases, unstable cardiac disease, or cancer
Left ventricular EF less than 40%
Peripheral oxygen saturation less than 90% during the 6-minute walk test
DOE (dyspnea on exertion) and fatigue NYHA class 3: symptoms at mild exertion
Uncontrolled hypertension or diabetes
Psychiatric disorders such as anxiety or cognitive impairment
Need for regular oxygen therapy
Recent hospitalization
Exacerbation of the disease in the past month
Involved in regular physical activity
Participation in other rehabilitation, relaxation, and meditation programs, such as Yoga. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Heart Rate Variability
Cardiopulmonary functions
Sleep parameters 
On Day 1
After 8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Body mass index
Fat mass/fat-free mass
Waist-to-hip ratio
Quality of life
Rating of perceived exertion
Hand grip strength
10 RM Bench press
10 RM Leg press 
On Day 1
After 8 weeks 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/01/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
People with chronic obstructive pulmonary disease (COPD) experience abnormality in heart rate variability, cardiopulmonary functions, and sleep. Early diagnosis and treatment are needed to slow the progression of symptoms and reduce flare-ups. The beneficial effect of exercise can be seen in patients with COPD. However, the impact of exercise training on heart rate variability, cardiopulmonary functions, and sleep parameters remains unclear. This research will focus on the exercise treatment protocol for patient with COPD and the effect of this exercise training on heart rate variability, cardiopulmonary functions & sleep parameters in patients with COPD. 
 
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