Impact of Postprandial 'Exercise Snacks' on Protein and Glucose Metabolism Following a Period of Step Reduction in Older Adults

Not Applicable

Recruiting

• Conditions: Inactivity, Physical; Muscular Atrophy; Neuromuscular Manifestations; Atrophy; Healthy Aging; Aging; Nervous System Diseases; Sarcopenia; Neurologic Manifestations; Pathological Conditions, Anatomical
• Interventions: Behavioral: Metabolic Trial; Behavioral: 15 sit-to-stands with calf raises

• Registration Number: NCT05810272
• Lead Sponsor: University of Toronto

Brief Summary

The purpose of this study is to assess the impact of 3-days reduced physical activity (\<1500 steps/day) with/without 'exercise snacks' (15 chair stands with calf raises every 30 min) on skeletal muscle metabolic health.

Detailed Description

Many adults gradually lose muscle size, strength, and function after the age of 50. These losses are believed to occur faster with periods of reduced activity (e.g., lower step counts or physical movement when sick or injured) and can be difficult to regain by merely returning to a previously normal activity status. Such periods of reduced activity can also impair the body's ability to use the nutrients in the food consumed (e.g., proteins and carbohydrates), which increases the risk of frailty, type 2 diabetes, and ultimately a reduced quality of life. It is important to identify strategies to prevent these losses in muscle size, strength, and function especially during periods of reduced activity.

Recently, our laboratory has found that performing repeated bodyweight chair squats (repeated sit-to-stands with a calf raise) during a single day of reduced activity improves the muscle's ability to use carbohydrates and proteins, which may be a viable strategy to offset the negative effects of step reduction on muscle health.

In this study, the investigators will assess whether completing bodyweight chair squats at regular intervals (i.e., 'exercise snacks') reduces the negative effects of step reduction on carbohydrate and protein metabolism following a meal. The investigators will determine the impact of 'exercise snacks' (15 chair stands with calf raises every 30 min) compared to seated rest on protein and carbohydrate metabolism following three days of step reduction. The investigators will also assess how these responses compare to those seen following three days of normal (i.e., habitual) activity.

Study Timeline

• Study First Submitted: 2023-02-21
• Study First Submitted QC: 2023-03-30
• Study Start: 2023-04-01
• Study First Posted: 2023-04-12
• Status Verified: 2023-07
• Last Update Submitted: 2023-07-11
• Last Update Posted: 2023-07-13
• Primary Completion: 2024-03-01
• Study Completion: 2024-08-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• Healthy older (age: 60-80 y) adults
• BMI between normal to overweight (18.5-29.9 kg/m2)

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Exclusion Criteria

• Regular use of nonsteroidal anti-inflammatory drugs (with the exception of daily low-dose aspirin)
• Alcohol consumption during the study period
• Use of anticoagulants
• Use of a walker, cane, or assistive walking device
• Current or recently remised cancer
• Infectious or gastrointestinal disease
• Inability to comply with study protocol (e.g., >1,500 steps/day during Step-Reduction Phase)
• Regular tobacco use
• Self-reported illicit drug use (e.g. growth hormone, testosterone, etc.)
• Diagnosed chronic illness (e.g. type 2 diabetes, heart disease, thyroid disease)
• Hormonal Replacement Therapy

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Step-Reduction	Metabolic Trial	Participants will undergo three days of reduced physical activity (\<1,500 steps/day) prior to a metabolic trial to establish their anabolic response to a protein-carbohydrate meal.
Habitual Activity	Metabolic Trial	Following three days of habitual activity, a metabolic trial will be completed wherein participants (10M/10F) will be assessed for their anabolic response to a protein-carbohydrate meal.
Step-Reduction	15 sit-to-stands with calf raises	Participants will undergo three days of reduced physical activity (\<1,500 steps/day) prior to a metabolic trial to establish their anabolic response to a protein-carbohydrate meal.

Primary Outcome Measures

Name	Time	Method
Myofibrillar protein synthesis rates	5 Hours	Myofibrillar protein synthesis rates assessed by incorporation of oral stable isotope tracer in both arms.

Secondary Outcome Measures

Name	Time	Method
Whole-body protein turnover	5 Hours	Whole-body protein turnover assessed by oral stable isotope tracers in both arms.
Amino acid oxidation and net protein balance	5 Hours	Amino acid oxidation and net protein balance assessed by oral tracers in both arms. Net protein balance is derived from the difference between amino acid intake (known) and total amino acid oxidation over the 5h measurement period.
Postprandial insulin area under the curve (AUC) to mixed macronutrient breakfast	5 Hours postprandial	The plasma insulin concentration measured by enzyme-linked immunosorbent assay (ELISA) area under the curve (AUC) will be quantified using the trapezoidal rule.
Postprandial glucose area under the curve (AUC) to mixed macronutrient breakfast	5 hours postprandial	The plasma glucose concentration measured by hexokinase method area under the curve (AUC) will be quantified using the trapezoidal rule.

Trial Locations

Locations (1)

Goldring Center for High Performance Sport; 🇨🇦 Toronto, Ontario, Canada