A Randomised, Double-blind, Study to Investigate the Effects of Creatine Supplementation on Muscle Energetics and Cognitive Function in Young Healthy Male Athletes and an Ageing Population Using Phosphorus-31 Magnetic Resonance Spectroscopy (31P MRS) and Functional Magnetic Resonance Imaging (fMRI)
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- PCr Concentration (at rest)
研究概览
简要总结
This study will examine the impact of creatine supplementation on muscle function and cognitive performance in young and older subjects.
详细描述
This is a randomised, double-blind study of the effects of creatine supplementation on muscle energetics and cognitive function, using 31P-MRS and fMRI. 31P-MRS data will be acquired continuously during exercise phase and in the post-exercise metabolic recovery phase. Participants will undergo a fMRI scan of the brain to record changes in the blood oxygen level dependent (BOLD) signal during a series of cognitive tests. In addition, participants will undergo a resting state BOLD scan and a structural MRI scan for localization of brain regions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy volunteer: Group 1: male; Group 2: male or female.
- •Aged 18-35 years (Group 1), or 50-70 years (Group 2).
- •Dietary protein intake at or near the current recommended daily amount (0.75 to 0.85 g protein/kg/day).
- •Participation in regular physical activity (aerobic and resistance training) 2-3 times a week for at least 6 months before the study starts (Group 1 only).
- •Willingness to maintain a stable lifestyle throughout the study.
排除标准
- •Clinically relevant abnormal history, physical findings, ECG, or laboratory values at the pre-trial screening assessment that could interfere with the objectives of the trial or the safety of the volunteer.
- •Presence of acute or chronic illness or history of chronic illness sufficient to invalidate the volunteer's participation in the trial or make it unnecessarily hazardous.
- •Impaired endocrine, thyroid, hepatic, respiratory, neurological, or renal function, diabetes mellitus, cardiovascular disease, coagulation disorder, autoimmune disease, phenylketonuria, hyperlipidaemia, or history of any psychotic mental illness.
- •Any impairment affecting mobility and muscle metabolism of the lower limbs (such as arthritis).
- •Surgery (eg stomach bypass) or medical condition that might affect absorption of supplements.
- •Inability to complete the structured exercise program.
- •Blood pressure and heart rate in seated position at the screening examination outside the ranges 90-140 mm Hg systolic, 40-90 mm Hg diastolic; heart rate 35-100 beats/min (Group 1) or 40-100 beats/min (Group 2).
- •Metal implants that may affect the MRI scan, eg gold tooth or other metal dental devices (normal dental fillings are allowed), pacemaker, mechanical heart valve, replacement joint, shrapnel. If any metal in the body is identified, the investigators will make a decision, as to whether the subject should participate in the study.
- •History of claustrophobia or subject feels unable to lie still on their back for a period of 90 mins in the MRI scanner, or subject unable to perform the required muscle exercise in the MRI scanner.
研究组 & 干预措施
Placebo Group
Whey protein (30 g) and bulking agent powder (5 g) shaken with 250-300 ml water in a blender bottle, and the full shake to be taken twice a day for 14 days.
干预措施: Placebo (Drug)
Creatine Group
Whey protein (30 g) and creatine supplement (5 g) shaken with 250-300 ml water in a blender bottle, and the full shake to be taken twice a day for 14 days.
干预措施: Creatine (Drug)
结局指标
主要结局
PCr Concentration (at rest)
时间窗: Baseline to Day 3, 7 and 14
Change in PCr concentration (at rest), as measured by 31P- MRS on the calf. Static MRS will be acquired at rest up to 2 min.
次要结局
- PCr concentration during recovery(Baseline to Day 3, 7, and 14)
- Change in PCr from rest to recovery(Baseline to Day 3, 7, and 14)
- PCr recovery rate (PCr(T1/2))(Baseline to Day 3, 7 and 14)
- ADP recovery rate (ADP (T1/2))(Baseline to Day 3, 7 and 14)
- pH at the end of pedal test, or at the time of voluntary cessation (Post-pedal test pH)(Baseline to Day 3, 7 and 14)
- Lowest pH measured during pedal test or recovery (Minimum pH)(Baseline to Day 3, 7 and 14)
- BOLD signal in the brain(Baseline to Day 14)
- Cognitive function(Baseline to Day 14)