Knee-extensor training to improve leg blood flow and exercise ability in Veterans with HFpEF

Mechanisms of Impaired Skeletal Muscle Blood Flow and Exercise Intolerance in Veterans with Heart Failure with Preserved Ejection Fraction: Efficacy of Knee Extensor Training

NIH-funded research Iowa City VA Medical Center · NIH-11092698

This will try a knee-extensor exercise program to help Veterans with HFpEF improve leg blood flow and exercise endurance.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionIowa City VA Medical Center NIH-funded
Lab location1 site (Iowa City, United States)
Project IDNIH-11092698 on NIH RePORTER

What this research studies

You would have tests of leg blood flow, muscle oxygen delivery, autonomic function, and exercise capacity before and after a period of focused knee-extensor training. The research team will use exercise tests and measurements of microvascular function to understand why people with HFpEF have trouble with activity. Participants will take part in a supervised knee-extensor exercise program designed to boost blood flow to the lower limbs. Investigators will compare biological and functional measurements from before and after training to see if the exercises restore vascular control and reduce exercise intolerance.

Who could benefit from this research

Good fit: Ideal participants are Veterans diagnosed with heart failure with preserved ejection fraction who have exercise intolerance and can attend supervised exercise sessions at the VA center.

Not a fit: Patients with reduced ejection fraction, unstable heart failure, recent cardiac events, or who cannot participate in supervised leg exercise are unlikely to benefit from this program.

Why it matters

Potential benefit: If successful, the program could increase walking and daily activity tolerance and improve quality of life for Veterans with HFpEF.

How similar studies have performed: Prior research shows localized muscle training can improve exercise capacity in some heart-failure groups, but applying this approach specifically to HFpEF and measuring microvascular mechanisms is relatively new.

Where this research is happening

Iowa City, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.