Prehabilitative Exercise - Can the Physiological Consequences of Immobilization be Prevented?
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Sarcopenia
- Sponsor
- Bispebjerg Hospital
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Quadriceps cross-sectional area
- Status
- Completed
- Last Updated
- 7 months ago
Overview
Brief Summary
This is a 10-week human study involving 24 younger (20-35 y) and 24 older (65-85 y) healthy individuals. All participants will undergo unilateral immobilization of a knee for 7-10 days, followed by 4 weeks of heavy resistance exercise training (HReT). Half of the participants (12 younger and 12 older) will also undergo 4 weeks HReT prior to the immobilization. Prehabilitative exercise may confer protective effects on subsequent immobilization, and the various underlying mechanisms involved
Investigators
Casper Soendenbroe
Postdoc
Bispebjerg Hospital
Eligibility Criteria
Inclusion Criteria
- •Age: Between 20-35 years old or between 65-85 years old.
- •BMI: Between 18.5 and 35 kg/m
- •Healthy and well, with normal dietary habits (not vegan).
Exclusion Criteria
- •More than one muscle biopsy previously taken from both vastus lateralis muscles.
- •Pregnancy.
- •Past or present substance or alcohol abuse.
- •Medical/surgical conditions that are assessed to affect protein synthesis or the participant's involvement in the trial.
- •Knee pain that could affect the completion of the training intervention.
- •High intake of supplements that increase the risk of bleeding during muscle biopsy (such as fish oil and ginger).
- •Participation in regular strength training within the past year.
- •Regular participation in structured sports.
- •Current use of blood-thinning medication.
- •Previous participation in trials involving oral intake of heavy water.
Outcomes
Primary Outcomes
Quadriceps cross-sectional area
Time Frame: From pre (week 0) to post immobilization (week 5)
Quadriceps cross-sectional area measured by MRI
Secondary Outcomes
- Brain structure(From pre (week 0) to post immobilization (week 5) and post retraining (week 10))
- Lean-body mass(From pre (week 0) to post immobilization (week 5) and post retraining (week 10))
- Muscle strength(From pre (week 0) to post immobilization (week 5) and post retraining (week 10))
- Muscle fiber size(From pre (week 0) to post immobilization (week 5) and post retraining (week 10))
- Denervated muscle fibers(From pre (week 0) to post immobilization (week 5) and post retraining (week 10))
- Muscle gene expression(From pre (week 0) to post immobilization (week 5) and post retraining (week 10))
- Tendon ultrastructure(From pre immobilization (week 4) to post immobilization (week 5))
- Muscle protein synthesis(From pre immobilization (week 4) to post immobilization (week 5))
- Tendon structure(From pre (week 0) to post immobilization (week 5))
- Balance(From pre (week 0) to post immobilization (week 5) and post retraining (week 10))
- Force variability(From pre (week 0) to post immobilization (week 5) and post retraining (week 10))
- Brain function(From pre (week 0) to post immobilization (week 5) and post retraining (week 10))