Exercise and Inflammation
- Conditions
- Cardiovascular Disease
- Interventions
- Behavioral: aerobic trainingBehavioral: Wait list
- Registration Number
- NCT01335737
- Lead Sponsor
- New York State Psychiatric Institute
- Brief Summary
The purpose of this study is to test the hypothesis that aerobic exercise leads to attenuation of the inflammatory response to lipopolysaccharide (LPS) stimulation.
- Detailed Description
Aerobic exercise - the most widely recommended health behavior - is recognized to reduce the risk of coronary heart disease, so much so that consensus panels routinely include it as part of a cardioprotective regimen for healthy people, but the physiological or mechanistic basis of this protection is uncertain. Understanding the mechanisms has considerable public health significance because it will allow development and testing of targeted interventions to produce comparable cardioprotective effects more directly or in cases where aerobic exercise is not possible. This application proposes to test the hypothesis that aerobic training leads to attenuation of the inflammatory response to LPS stimulation and to examine the role played by exercise-induced increases in vagal activity, improvements in mood, and decreased expression of Toll Receptor 4 (TLR4), the cognate receptor for endotoxin expressed by monocytes.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 241
- Age 20-45 years old
- English-speaking
- Ambulatory
- BMI < 32
- Pre-menopausal (women only) with regular cycle lengths between 26-32 days
- "Average" fitness as determined by American Heart Association standards (VO2max < 43 ml/kg/min for men, < 37 ml/kg/min for women) VO2max test
- Use of anti-psychotic medications
- Current of past major depressive disorder, or total symptom score > 10
- BMI<18
- Heart disease
- Hypertension
- Diabetes mellitus
- Neurologic disease
- Smoking
- Individuals with ischemic heart disease, cardiac arrhythmias, peripheral vascular disease, orthopedic problems such as foot, leg, hip and spine problems,movement disorders, other neurological disorders affecting gait or balance, conditions or treatments associated with impaired thermoregulation, or other medical problems, for which aerobic training would be contraindicated.
- Use of any medication with autonomic effects
- Use of birth control medication
- Ischemic changes, abnormal blood pressure responses, significant ectopy
- Appears to be at high risk to be unable to adhere to study protocol
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description aerobic training aerobic training 12 weeks of aerobic training, 4 times/week wait list control Wait list wait list control condition, 12 weeks + 4 to parallel the deconditioning protocol in active intervention group
- Primary Outcome Measures
Name Time Method tumor necrosis factor (TNF-alpha) change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning TNF-alpha will be measured from whole blood samples stimulated with lipopolysaccharide
- Secondary Outcome Measures
Name Time Method cerebral blood volume (CBV) in the dentate gyrus change from before (pre) to after (post) 12 weeks of training Change in mood, including depressive symptomatology and negative affect change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning interleukin 1 (IL-1), IL-6, IL-8, IL-10 change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning these cytokines will be measured from whole blood samples stimulated with lipopolysaccharide
TLR-4 change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning TLR-4 will be measured from blood samples
Trial Locations
- Locations (1)
Columbia University Medical Center
🇺🇸New York, New York, United States