ClinicalTrials.gg
RecruitingNCT06743269Updated Jul 9, 2026

Time-Efficient Inspiratory Muscle Strength Training for Reducing Sympathetic Activity and Improving Sleep in Midlife Women

An interventional study of High-Resistance Inspiratory Muscle Strength Training and Low-Resistance Inspiratory Muscle Strength Training in Menopause, Hot Flashes and Blood Pressure Regulation, sponsored by Mayo Clinic. Recruiting at 1 site in United States. Open to female participants aged 45 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-09.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Started Mar 2025; still recruiting 1 year 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
45 Years to 60 Years
Sex
Female
01

Study summary

The purpose of this research is to understand how training the muscles used for breathing (inhalation) affects menopausal hot flashes, sympathetic nerve activity and sleep.

02

Conditions studied

  • Menopause
  • Hot Flashes
  • Blood Pressure Regulation

Browse trials for

Keywords

  • menopause
  • blood pressure
  • inspiratory training
  • hot flashes
03

In context

Hot Flashes

339 studies on the registry are indexed under Hot Flashes; 56 are open to participants now.

This study's planned enrollment of 30 is below the median of 90 across 306 interventional studies indexed under Hot Flashes.

Browse Hot Flashes studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,269 studies on the registry; 672 are open to participants now.

Of its 452 completed or terminated interventional studies of FDA-regulated products, 321 (71%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
45 Years to 60 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Females aged 45-60 with hot flashes.
  • Participants will be recruited from Rochester, MN and surrounding areas.
  • Non-smokers.
  • \< 40kg/m\^2.
  • No history of cardiovascular disease, except for hypertension.

Exclusion criteria

Exclusion Criteria:

  • Detailed medical and social histories will be collected. To allow for ecological validity, participants will not be excluded for use of menopausal hormone therapy or medications affecting cardiovascular function so long as they have been on a consistent regimen for ≥3 months and during the study period. This approach to medications is consistent with recent work in this area.
  • Participants will be screened for to inspiratory muscle strength training including, a history of spontaneous pneumothorax, collapsed lung that has not healed fully, a perforated eardrum that has not healed fully, and/or any other condition of the eardrum.
  • Additional exclusion criteria will include the use of sleep aids (i.e., prescription, melatonin, doxylamine, valerian root, etc.).
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    High-Resistance Inspiratory Muscle Strength Training Group

    Subjects will partake in 5 sets of 6 inspiratory maneuvers (total: 30 maneuvers/session) 6 days a week for 6 weeks using the POWERbreathe K3 device to monitor adherence.

    Behavioral: High-Resistance Inspiratory Muscle Strength Training · Device: POWERbreathe K3 device

  • Active comparator
    Low-Resistance Inspiratory Muscle Strength Training Group

    Subjects will partake in 5 sets of 6 inspiratory maneuvers (total: 30 maneuvers/session) 6 days a week for 6 weeks using the POWERbreathe K3 device to monitor adherence.

    Behavioral: Low-Resistance Inspiratory Muscle Strength Training · Device: POWERbreathe K3 device

Interventions

  • BehavioralHigh-Resistance Inspiratory Muscle Strength Training

    Performs inspiratory maneuvers at 55% maximal inspiratory pressure (PIMAX) during week 1, 65% PIMAX during week 2, and 75% PIMAX during weeks 3-6.

  • BehavioralLow-Resistance Inspiratory Muscle Strength Training

    Performs inspiratory maneuvers at 15% maximal inspiratory pressure (PIMAX) for all 6 weeks.

  • DevicePOWERbreathe K3 device

    Inspiratory muscle training device

06

What researchers measure

Primary outcomes

  1. Change in blood pressure

    Measured in millimeters of mercury (mm Hg)

    Time frame: Baseline, 6 weeks

  2. Change in Muscle Sympathetic Nerve Activity (MSNA) burst frequency

    Measured by microneurography reported in burst per minute

    Time frame: Baseline, 6 weeks

  3. Change in Muscle Sympathetic Nerve Activity (MSNA) burst incidence

    Number of bursts recorded via microneurography

    Time frame: Baseline, 6 weeks

Secondary outcomes

  1. Change in Hot Flash Frequency

    Number of hot flashes indicated through self-reporting

    Time frame: Baseline, 6 weeks

  2. Chang in sleep duration

    Measured by actigraphy data defined as recorded number of minutes in sleep

    Time frame: Baseline, 6 weeks

  3. Change in wake after sleep onset

    Measured by actigraphy data defined as number of minutes from sleep onset to waking

    Time frame: Baseline, 6 weeks

  4. Change in Pittsburgh Sleep Quality Index

    The Pittsburgh Sleep Quality Index measures the severity of sleep disturbances. Possible scores range from 0 to 21 with higher scores indicating a worse outcome/more severe symptoms of sleep disturbance.

    Time frame: Baseline, 6 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06743269
Lead sponsor
Mayo Clinic
Responsible party
Sarah E. Baker, Ph.D. (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Dec 19, 2024
Start date
Mar 27, 2025
Primary completion
Jan 1, 2027 (estimated)
Completion
Jan 2027 (estimated)
Last update
Jul 9, 2026

Study contacts

Pamela Engrav
Contact
engrav.pamela@mayo.edu
(507) 255-6938
Nancy Meyer
Contact
meyer.nancy2@mayo.edu
507-255-0913
Sarah Baker, PhD
principal investigator · Mayo Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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