Molecular Networks Involved in the Adaptive Stress Response: The Hot Yoga Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Inflammatory biomarkers
研究概览
简要总结
This is a small intervention study which is aimed at characterizing what is known as the adaptive stress response (also know as "hormesis") in women aged 30-45 years. Participants will perform Bikram Yoga in a room heated to 104°F (40°C) which is often referred to as "Hot Yoga".
The hypothesis of this study is that a protective and health-promoting adaptive stress response can be induced in living humans by performing exercise in a hot environment. The primary question is:How does the body physiologically adapt to performing moderately vigorous exercise in a hot environment?
详细描述
This is a small scale intervention pilot study which is aimed at characterizing "hormesis" or the "adaptive stress response" in a small cadre (n = 28) of women aged 30-45 years performing moderately vigorous physical activity, Bikram Yoga, in a hot environment, simply referred to as "Hot Yoga". The primary question is:How does the body physiologically adapt to performing moderately vigorous exercise in a hot environment?
The hypothesis of this study which underlies the primary question is that a protective and health-promoting adaptive stress response can be induced in living humans through exposure to mild heat stress and moderately vigorous physical exercise while practicing hot yoga. The central premise is that a combination of environmental stressors during each hot yoga session will induce changes in molecular networks and metabolism that will enhance physical/mental health and physiological resilience.
Primary, secondary and tertiary study endpoints:
Characterize the physiological changes brought on by the adaptive stress response using an "omics" approach. Lipidomics and metabolomics will be used to identify changes in small molecule species found in circulating plasma that are associated with the physiological changes the investigators anticipate will occur with the adaptive stress response.
Characterize the adaptive stress response by measuring the changes in the inflammatory response using common inflammation biomarkers: C-reactive protein (CRP), Tumor Necrosis Factor Alpha (TNF-alpha), and Interleukin-6 (IL-6). A complete blood count (CBC) w/Differential assay will also be performed at baseline and after the last Hot Yoga practice to assess any changes in blood components (red blood cells [RBC], white blood cells [WBC], platelets, etc.) that may have occurred in response to the intervention. In addition, the investigators will use buffy coat to assay all WBCs and will perform both typing and counting of WBCs to assess changes relevant to the adaptive stress response. Finally, buffy coat will be used for DNA isolation to genotype for single nucleotide polymorphisms (SNPs) that are related to the adaptive stress response.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Healthy, non-menopausal women between the aged 30 to 45 years (≥30 years and ≤45 years)
- •Not pregnant/not planning to get pregnant during the study duration
- •Have not previously participated in hot yoga in the last 12-months
- •Able to give informed consent and be willing to participate for the entirety of the study
- •Agree not to take interfering medications (stated in 'Exclusion Criteria' section below) during the duration of the study
- •Agree to allow samples to be stored for future use
- •Pass the preliminary health screening
- •Answer no for every question on the Physical Activity Readiness Questionnaire (PAR-Q ) during preliminary screening
排除标准
- •Menopausal 2) Answered "Yes" to any question on the Physical Activity Readiness Questionnaire (PAR-Q) 3) Currently lactating 4) Currently pregnant or plan to get pregnant within the duration of the study 5) Has participated in hot yoga within the last 12-months 6) Used tobacco products (smoked, smokeless, electronic) within the last six months 7) Have diabetes, cancer, heart attack or vascular surgery within the past year, be diagnosed with heart disease, high blood pressure, history of stroke, atherosclerosis, asthma, multiple sclerosis or chronic joint disease 8) Have gallbladder disease or had gallbladder removed 9) Have any of the following health conditions:
- •fasting Triglycerides greater than 150 milligrams/deciliter
- •Blood pressure greater than 130/90
- •Body Mass Index equal to or greater than 30 or less than 19
- •Fasting glucose greater than 125 milligrams/deciliter.
- •Having a pacemaker or a defibrillator 10) Taking any of the following drugs:
- •Taking greater than 100 mg aspirin/day
- •Taking non-steroidal anti-inflammatory drugs or oral corticosteroids
- •Taking monteleukast-type of allergy medications
- •Use of statins, niacin or fibrates or other lipid lowering medications
结局指标
主要结局
Inflammatory biomarkers
时间窗: Assessed at baseline, Intervention week1, intervention midpoint (3 weeks), end of intervention (Week 6). end of study (Week 12; after washout)
cytokines and hsCRP
Blood Lipids
时间窗: Measured at Baseline, end of intervention (Week 6), and end of study (Week 12; after washout)
Lipid panel (milligrams per deciliter, mg/dL)
Fasting glucose/insulin
时间窗: Measured at Baseline, end of intervention (Week 6), and end of study (Week 12; after washout)
Comprehensive Metabolic Panel (milligrams per deciliter, mg/dL)
Immune cell phenotypes
时间窗: Measured at the Start of Intervention (Week1), intervention midpoint (Week 3), end of intervention (Week 6), and end of study (Week 12; after washout)
Percent Immune phenotypes
Hemoglobin A1C
时间窗: Measured at Baseline, end of intervention (Week 6), and end of study (Week 12; after washout)
Comprehensive Metabolic Panel (millimole per mole, mmol/mol)
次要结局
- Warwick-Edinburgh Mental Well-being Scale (WEMWBS) (Measures well-being)(Assessed at Baseline, Midpoint of Intervention (Week 3), End of Intervention (Week 6) and End of Study (Week 12))
- PROMIS (Patient Reported Outcomes Measurement Information System) - Global Health Scale (Measures well-being)(Assessed at Baseline, Midpoint of Intervention (Week 3), End of Intervention (Week 6) and End of Study (Week 12))
- Generalized Anxiety Disorder (GAD-7)(Assessed at Baseline, Midpoint of Intervention (Week 3), End of Intervention (Week 6) and End of Study (Week 12))
- Positive and Negative Affect Schedule (PANAS) (Measures Positive and Negative Mood)(Assessed at Baseline, Midpoint of Intervention (Week 3), End of Intervention (Week 6) and End of Study (Week 12))
- Patient Health Questionnaire (PHQ-9) (Measures depression)(Assessed at Baseline, Midpoint of Intervention (Week 3), End of Intervention (Week 6) and End of Study (Week 12))
- Perceived Stress Scale (PSS)(Assessed at Baseline, Midpoint of Intervention (Week 3), End of Intervention (Week 6) and End of Study (Week 12))
研究者
Floyd Chilton
Professor, Department of Nutritional Sciences Director, Precision Nutrition & Wellness Initiative Associate Director,The BIO5 Institute
University of Arizona