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临床试验/NCT03258346
NCT03258346已完成不适用

Reversing Muscle Loss With Exercise Training and Daily Consumption of Pomegranate Juice

University of Texas at Austin2 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2017年11月7日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
40
试验地点
2
主要终点
Change in muscle volume

研究概览

简要总结

A research study regarding the body's response to several weeks of training using short sprints and pomegranate juice supplementation

详细描述

The investigators have shown that chronic pomegranate juice consumption in both young untrained and weight-trained men partially protects muscles against the damage done from performing high intensity eccentric contractions and that it accelerates recovery of function. Clearly, skeletal muscle is a target for some of the healthful molecules in pomegranate juice. However, the most widespread and serious ailment to strike skeletal muscle is sarcopenia (e.g.; loss of muscle mass and becoming 'frail') with age due predominantly to a loss of 'fast-twitch' muscle fibers. Since adults rarely sprint or exert maximal force or power, they rarely use their fast-twitch muscle fibers, which thus degenerate greatly with age. Usually, about one-half of a person's muscle fibers are fast-twitch. It is the investigators' hypothesis that the combination of power exercise training and pomegranate juice supplementation (POM) over 10 weeks, will elicit greater improvements in maximal muscular power and functional physical abilities compared to power training with a placebo. The investigators also will identify changes in size and composition of leg muscles (MRI) and of the whole body (DEXA). The investigators simple logic is that muscles deteriorate with age because they are 'turned-off' and that exercise training can turn them 'back-on', but in order for the muscle fibers to fully repair when turned 'back-on' with exercise, they might benefit from agents known to foster repair, such as the natural polyphenols in pomegranate juice. It has recently been found that polyphenols are metabolized into urolithins which improve muscle cell function due to increased mitophagy. The investigators aim to determine if power training and pomegranate juice have additive effects in promoting improvements of muscle function and mass in men and women age 50-70 y.

A second purpose is to include a cardio-metabolic exercise training stimulus into the workout without compromising the efficacy of the power training. One feature of cardio-metabolic training is an increase in muscle mitochondria and oxygen utilization which might improve muscle fiber repair. The 'power training' will consist of maximal effort 4 sec sprints on a cycle ergometer with no added resistance with the only load being that of the inertia of the flywheel as the subject accelerates from 0 to their maximal RPM's while cycling (100-150 RPM)('inertial load ergometer'; ILE). The power training will be accomplished by having the subject complete 15-30 sprints in a 15 min period. During the training bouts, initially the subjects will rest 56 s between sprints (week 1- complete 15 sprints in each15 min bout), and then 41 s between sprints (weeks 2-5 and complete 20 sprints) and finally 26 s between sprints (weeks 6-10 and complete 30 sprints). The shorter rest periods (41 s and 26 s) will result in incomplete recovery of the cardio-respiratory system and thus the oxygen consumption and heart rate will average 50-70% of maximal values, which is a similar intensity as jogging, but without the jarring of foot strike.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Double (Participant, Investigator)

盲法说明

Pomegranate juice will be administered in double blind placebo controlled method. Coding will be established by POM Wonderful, LLC.

入排标准

年龄范围
50 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 50-70 year old male and females

排除标准

  • not currently exercising regularly
  • meets criteria for MRI scanning at Imaging Research Center at UT Austin
  • history of heart disease
  • knee/hip joint problems
  • determination by the physician monitoring pre inclusion stress test

研究组 & 干预措施

Exercise and Pomegranate Juice

Experimental

Exercise training with daily consumption of pomegranate juice containing polyphenols

干预措施: Inertial Load Cycling Training (Other)

Exercise and Pomegranate Juice

Experimental

Exercise training with daily consumption of pomegranate juice containing polyphenols

干预措施: Pomegranate Juice (Dietary Supplement)

Exercise and Placebo

Placebo Comparator

Exercise training with daily consumption of pomegranate juice with polyphenols removed

干预措施: Inertial Load Cycling Training (Other)

Exercise and Placebo

Placebo Comparator

Exercise training with daily consumption of pomegranate juice with polyphenols removed

干预措施: Placebo (Dietary Supplement)

结局指标

主要结局

Change in muscle volume

时间窗: Baseline to 11 weeks

Volume of the thigh musculature as determined by MRI analysis.

Change in muscle fatigue

时间窗: Baseline to 11 weeks

Muscle aerobic stress as measured by near infrared spectroscopy

Change in maximal power production

时间窗: Baseline to 11 weeks

The ability to produce power as determined on the cycle ergometer and measured in watts

Change in aerobic capacity

时间窗: Baseline to 11 weeks

VO2 Max on a cycle ergometer

Change in anaerobic capacity

时间窗: Baseline to 11 weeks

The percent of maximal aerobic capacity that a subject can exercise at while not building up blood lactate

Change in body composition

时间窗: Baseline to 11 weeks

Fat and fat free regional and total mass as measured by dual x-ray absorptiometry

Change in sarcopenia obesity

时间窗: Baseline to 11 weeks

Intermuscular adipose tissue infiltration as measured by MRI

次要结局

  • Change in urolithins(Baseline, 2 hrs after consuming first pomegranate or placebo supplement)
  • Change in Microbiome(Baseline, week 10 and week 15)
  • Change in isokinetic torque(Baseline to 11 weeks)
  • Change in cardiovascular risk factors(Baseline to 11 weeks)
  • Change in maximal isometric strength(Baseline to 11 weeks)
  • Change in functional tests of living(Baseline to 11 weeks)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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