Exercise is Medicine. How Exercise Signals Health Responses
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 41
- 试验地点
- 2
- 主要终点
- Change in plasma myokine concentration
研究概览
简要总结
The purpose of this research is to determine the blood signals that promote health and well-being in response to exercise at different intensities.
详细描述
Most studies find a dose-response relationship between exercise participation and all-cause mortality. In contrast, physical inactivity and consequent overweight or obese status is associated with a cadre of health consequences. Frequently, comorbidities of obesity are mechanistically linked via chronic low grade inflammation stemming from increases in adiposity. Although exercise is known to combat obesity and obesity related disease states, the mechanisms of action are not fully understood. Therefore, the investigators propose the following study in an attempt to elucidate anti- and pro-inflammatory endocrine responses to exercise. Initial studies in animal models have provided evidence that exercise induces long-term anti-inflammatory effects, potentially via myokine signaling following skeletal muscle activation. Humans are an ideal study population as the investigators can prescribe multiple exercise protocols that mimic human behavior, and control exercise intensity to meet recommendations. Also, humans allow the investigators to collect larger plasma samples and therefore measure more circulating proteins of interest over multiple time-points. Finally, the investigators can select individuals that exercise at different frequencies, allowing the investigators to analyze the differences in endocrine responses to exercise over differing levels of fitness. In summary, a human model will allow for a much better understanding of the human condition.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •No tobacco use
- •Not pregnant, lactating, or planning to become pregnant in the next 6 months
- •Regular menses for the past 6 months
- •No use of hormone replacement for metabolic conditions (use of hormonal contraceptives are not exclusionary)
- •No physical limitations
- •Has the ability to safely perform exercise
排除标准
- •Has no major health problems
- •Cannot have known cardiovascular (cardiac, peripheral vascular, cerebrovascular), pulmonary (COPD, interstitial lung disease, cystic fibrosis) or metabolic (diabetes, thyroid disorders, renal or liver disease) disease
结局指标
主要结局
Change in plasma myokine concentration
时间窗: Pre-exercise, 0, 30, 60, 90 minutes post-exercise
Blood samples collected during exercise will be analyzed for the concentration of plasma myokines including Brain Derived Neurotropic Factor (BDNF), Secreted Protein Acidic and Rich in Cysteine (SPARC), Leukemia Inhibitory Factor (LIF), Interleukin (IL) 15, IL-6, Myostatin, Irisin, Follistatin-like 1 (FSTL-1), Fibroblast Growth Factor 21 (FGF-21), IL-4, IL-7 receptor agonist (ra), IL-7, beta-aminoisobutyric acid (BAIBA), IL-1ra, Growth Differentiation Factor (GDF) 8, Insulin-Like Growth Factor-1 (IGF1).
次要结局
- Preference for intense physical activity and tolerance for exercise discomfort(Week 0)
- Change in plasma adipokine concentration(Pre-exercise, 0, 30, 60, 90 minutes post-exercise)
- Relative reinforcing value (RRV) of exercise(Week 0)
- Change in plasma cytokine concentration(Pre-exercise, 0, 30, 60, 90 minutes post-exercise)
- Minutes of physical activity, as assessed by activity tracker(Week 0)
- Fat-free lean mass as assessed by DXA scans(Week 0)
- Usual modes of sedentary behavior(Week 0)
- Fat mass as assessed by dual energy x-ray absorptiometry (DXA) scans(Week 0)
