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The Interaction and Regulation Mechanism of Different Exercise Patterns With Metabolic Syndrome and Related Metabolic Diseases

Not Applicable
Recruiting
Conditions
Metabolic Syndrome
Obesity
Interventions
Behavioral: Intermittent high intensity exercise training
Behavioral: Low intensity exercise training
Behavioral: Moderate intensity exercise training
Registration Number
NCT04984005
Lead Sponsor
Peking University Third Hospital
Brief Summary

In order to obtain suitable exercise intervention model for children and adolescents with obese or metabolic syndrome in China, we conduct a RCT to examine the effects of different intensity exercise intervention on weight, and other cardiometabolic risk factors among children and adolescents, we also test the effects of exercise interventions on multi-omics such as metabolomics, gut microbiome, genetics, and explore the potential mechanisms by which exercise interventions modulate cardiometabolic risk. This is a randomized controlled study. Children and adolescents with obesity or metabolic syndrome were randomly divided into three groups, including low intensity exercise training group, moderate and intermittent high intensity exercise training group. The investigators will obtain organ hydrodynamics indexes by abdominal ultrasound and computational fluid dynamics technology, and obtain the metabolic regulation mechanism of the body in response to exercise through the detection of metabolism related small molecules in blood and urine and the analysis of intestinal flora, so as to explore the potential value and mechanism of different exercise modes in the treatment of obesity and metabolic syndrome. At the same time, the behavior and self-consciousness of children and adolescents will be investigated to obtain the suitable exercise intervention model for Chinese children and adolescents with obesity and metabolic syndrome. In conclusion, this study aims to demonstrate which exercise mode can alleviate obesity or reverse metabolic diseases, analyze which factors can sense exercise, and explore the potential mechanisms through mutil-omic approach, so as to improve metabolic syndrome.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
366
Inclusion Criteria
  • Clinical diagnosis of overweight or obesity or metabolic syndrome;
  • Good academic performance in school;
  • Willing to sign informed consent.
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Exclusion Criteria
  • Clinical diagnosis of Cushing syndrome;
  • Pathological obesity such as Prader-Willi syndrome and obesity caused by drug factors;
  • Participated in other intervention studies within the previous three months;
  • participant or their guardian has obvious intellectual or mental abnormalities.
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intermittent high intensity exercise training groupIntermittent high intensity exercise training-
Low intensity exercise training groupLow intensity exercise training-
Moderate intensity exercise training groupModerate intensity exercise training-
Primary Outcome Measures
NameTimeMethod
Changes from Baseline Obesity Indicators after 3 months of exerciseBefore and after three months of exercise training

BMI in kg/m\^2

Changes from Baseline Body Fat Composition after 3 months of exerciseBefore and after three months of exercise training

Body fat composition (%)

Changes from Baseline Peak Metabolic Equivalent after 3 months of exerciseBefore and after three months of exercise training

Peak Metabolic Equivalent in MET

Changes from Baseline Blood Pressure after 3 months of exerciseBefore and after three months of exercise training

Blood pressure in mmHg

Changes from Baseline Sexual Hormones after 3 months of exerciseBefore and after three months of exercise training

Detection of hormone indicators related to growth and development

Changes from Baseline Triglyceride after 3 months of exerciseBefore and after three months of exercise training

Triglyceride in mmol/L

Changes from Baseline Serum High-density Lipoprotein Cholesterol after 3 months of exerciseBefore and after three months of exercise training

Serum High-density Lipoprotein Cholesterol in mmol/L

Changes from Baseline Serum Low-density Lipoprotein Cholesterol after 3 months of exerciseBefore and after three months of exercise training

Serum Low-density Lipoprotein Cholesterol in mmol/L

Changes from Baseline Fasting Blood Glucose after 3 months of exerciseBefore and after three months of exercise training

Fasting Blood Glucose in mmol/L

Changes from Baseline Total Serum Cholesterol after 3 months of exerciseBefore and after three months of exercise training

Total Serum Cholesterol in mmol/L

Secondary Outcome Measures
NameTimeMethod
Changes from Baseline Exercise Performance after 3 months of exerciseBefore and after three months of exercise training

VO2max/Kg in mL/min/Kg

Changes from Baseline Oxidative Stress Biomarkers after 3 months of exerciseBefore and after three months of exercise training

Oxidative Stress Biomarker MDA in nmol/mL

Changes from Baseline Hepatic Hemodynamic Index after 3 months of exerciseBefore and after three months of exercise training

wall shear stress in proper hepatic artery,Pa

Changes from Baseline Bone Mineral Density after 3 months of exerciseBefore and after three months of exercise training

Using ultrasound bone density instruments for detection

Changes from Baseline C-reactive protein after 3 months of exerciseBefore and after three months of exercise training

Inflammatory Biomarker C-reactive protein in mg/L

Changes from Baseline Serum Metabolomics after 3 months of exerciseBefore and after three months of exercise training

Metabolomics

Changes from Baseline Oral and Gut Microbiome after 3 months of exerciseBefore and after three months of exercise training

oral and gut microbiome

Changes from Baseline Viromics after 3 months of exerciseBefore and after three months of exercise training

viromics

Exome sequencing and genome sequencingAt baseline

genetics

Changes from Baseline Proteomics after 3 months of exerciseBefore and after three months of exercise training

proteomics

Changes from Baseline Volatile Organic Compounds in Breath after 3 months of exerciseBefore and after three months of exercise training

Collect exhaled gas and use mass spectrometry for small molecule detection

Changes from Baseline Attention performance after 3 months of exerciseBefore and after three months of exercise training

Attention Survey Questionnaire

Changes from Baseline Sleep Quality after 3 months of exerciseBefore and after three months of exercise training

Wearing a heart rate monitoring watch to collect data

Changes from Baseline Total Thyroid Hormone after 3 months of exerciseBefore and after three months of exercise training

Total Thyroid Hormone in nmol/L

Changes from Baseline Liver steatosis after 3 months of exerciseBefore and after three months of exercise training

Abdominal ultrasound evaluation of the presence of hepatic steatosis

Trial Locations

Locations (1)

Peking University Third Hospital

🇨🇳

Beijing, Beijing, China

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