MedPath

Study of Inactivity on Metabolism of Elderly Muscles

Phase 1
Completed
Conditions
Sarcopenia
Interventions
Behavioral: Step reduction
Registration Number
NCT01818609
Lead Sponsor
McMaster University
Brief Summary

Skeletal muscle mass declines with inactivity (casting is a good example) and increases with activity (such as weightlifting). Whether muscle mass increases or decreases, is determined by whether more new proteins within muscle are made than are broken down. The investigators know that feeding protein increases the synthesis of new proteins but that the response of older muscles to protein feeding is blunted compared with the young. This resistance of the elderly to muscle building stimuli may be the primary reason that muscle mass is lost in aging. The investigators also know that periods of muscle disuse such as casting result in a person's muscle shrinking due, the investigators believe, to a lower rate of synthesis of new muscle proteins. Age-related muscle loss begins around 50 years old and proceeds at approximately 1% for every year after. Elderly persons would likely fare well with advancing age if their muscle loss were simply linear; however, a rate of muscle loss of 1% annually is a 'population view' and does not represent what occurs during short periods of muscle disuse (i.e. during hospitalization or illness), which occur with increasing frequency in elderly persons. During periods of disuse, the resistance of elderly muscles to protein nutrition may be worsened. The investigators will measure how quickly new proteins are made at rest and after protein feeding in elderly men, before and after a 14 day period of reduced activity brought on by having people reduce their daily step count.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Male or Female
  • Aged 60 to 80 years old
  • Non-smoker Generally healthy and can tolerate the resistance exercise and protein drink
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Exclusion Criteria
  • Allergies to whey protein
  • Health problems such as: heart disease, rheumatoid arthritis of the knee joint, diabetes, poor lung function, uncontrolled hypertension, or any health conditions that might put participants at risks for this study
  • Failed an exercise stress test
  • Taking metformin and/or other medications for the control of blood glucose even though one might not be classified as diabetic
  • Taking prescribed blood thinners such as warfarin and heparin but excluding aspirin
  • Taking medications for lung and kidney conditions but excluding medication for asthma that is under control
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Step ReductionStep reductionStep reduction: * Take less than 1500 steps/d * No disease
Primary Outcome Measures
NameTimeMethod
Fractional synthetic rate (FSR) of myofibrillar muscle proteinover 5h

rate of making new muscle proteins

Secondary Outcome Measures
NameTimeMethod
Intramuscular signalling protein statusover 5h

phosphorylation of key signalling proteins

Insulin sensitivity via blood samplingover 5h

measure of insulin concentration

Blood amino acid concentrationsover 5h

concentration of amino acids in blood

Trial Locations

Locations (1)

McMaster University

🇨🇦

Hamilton, Ontario, Canada

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