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Muscle Capillarization and Sarcopenia

Not Applicable
Completed
Conditions
Sarcopenia
Interventions
Other: Aerobic exercise training
Other: Strength training
Registration Number
NCT03984994
Lead Sponsor
Baltimore VA Medical Center
Brief Summary

Aging is associated with a loss of muscle mass, termed sarcopenia, that reduces mobility, decreases physical function and accelerates progression of other age-related disorders. This study is designed to determine whether increasing skeletal muscle capillarization through aerobic exercise will enhance muscular adaptations to strength training in older adults with sarcopenia.

Detailed Description

Sarcopenia, or the aging-related loss of muscle mass, affects a large number of older adults. The presence of sarcopenia is associated with physical disability, poor quality of life, and all-cause mortality, in part because sarcopenic adults have low muscle skeletal muscle capillarization and may lack the adequate perfusion needed to maintain muscle mass and function. This study will test the effects of increasing skeletal muscle capillarization through aerobic exercise training on responses to resistance training in older adults. Eligible participants will be randomized to one of two groups, resistance training preceded by aerobic exercise training (AEX-RT), or resistance training followed by aerobic exercise training (RT-AEX). Participants in the AEX-RT group will undergo 3 months of aerobic exercise training to increase skeletal muscle capillarization, followed by 3 months of resistance training. Participants in the RT-AEX group will undergo 3 months of resistance training, followed by 3 months of aerobic exercise training. Before and after the interventions, participants will undergo assessments of muscle size, strength, and capillarization, as well as assessments of physical function.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria
  • Body Mass Index = 18-32.5 kg/m2
  • Non-smoker
  • Presence of at least moderate sarcopenia (low muscle mass per unit body height)
Exclusion Criteria
  • Diagnosis of diabetes, cancer, pulmonary or renal disease
  • Physical impairment preventing exercise
  • Recent history of exercise training

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Aerobic exercise training followed by resistance trainingStrength trainingParticipants in this arm will undergo 3 months of aerobic exercise training, followed by 3 months of strength training
Resistance training followed by aerobic exercise trainingStrength trainingParticipants in this arm will undergo 3 months of strength training, followed by 3 months of aerobic exercise training
Aerobic exercise training followed by resistance trainingAerobic exercise trainingParticipants in this arm will undergo 3 months of aerobic exercise training, followed by 3 months of strength training
Resistance training followed by aerobic exercise trainingAerobic exercise trainingParticipants in this arm will undergo 3 months of strength training, followed by 3 months of aerobic exercise training
Primary Outcome Measures
NameTimeMethod
Skeletal muscle capillarization6 months

Change in the number of capillaries per unit of skeletal muscle tissue

Muscle volume6 months

Change in the size of the thigh muscles

Secondary Outcome Measures
NameTimeMethod
Muscle strength6 months

Change in the strength/force produced by skeletal muscles of the thigh

Skeletal muscle fiber size6 months

Change in the cross-sectional size of individual thigh skeletal muscle fibers

Trial Locations

Locations (2)

University of Maryland, Baltimore & Baltimore VA Medical Center

🇺🇸

Baltimore, Maryland, United States

University of Maryland

🇺🇸

College Park, Maryland, United States

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