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临床试验/NCT04107545
NCT04107545已完成不适用

Metabolic, Functional and Nutritional Responses to Weight Cycling in Athletes: The WAVE Study

University Hospital, Clermont-Ferrand2 个研究点 分布在 1 个国家目标入组 48 人开始时间: 2021年5月3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
发起方
入组人数
48
试验地点
2
主要终点
Change in Body temperature

研究概览

简要总结

Many elite athletes are submitted to frequent rapid weight loss periods to meet their competition weight category and then experience weight cycling (lowing and gaining weight regularly). This weight cycling induce severe temporary energetic and metabolic changes and when repeated over time can lead to permanent metabolic adaptations that might favor metabolic disorders, body weight gain and body composition changes (favoring fat mass). The exact effects of this weight cycling are not clear yet, especially in terms of metabolic, energetics, nutritional functional and psychological impacts. Better understand these adaptations and their variations during weight loss and weight gain in regular weight cycler is of main importance to prevent these athletes for future health issues.

The aim of the present project if to assess these metabolic, functional, energetic and nutritional adaptations during weight loss, weight stable and weight gain periods in athletes experiencing regular weight cycling.

详细描述

After an inclusion visit to ensure the eligibility of athletes to complete the entire study, each subject will perform 3 experimental sessions of 2 visits each : i) two visits during a period of maintenance of body weight (CON); ii) two visits during weight loss (WL); iii) two visits during a weight regain (WG). The order of the periods (maintenance, loss or weight gain) will depend on the dynamics of the weight variations of each athlete (endurance sport and weight class) during the season and will therefore be individualized.

All experiments will be conducted in the same way for the CON, WL or WG session.

Upon arrival, each subject will perform a resting metabolism with continuous measurement of heart rate variability (≈ 30 min). Then, from 8:30, blood and saliva samples will be taken (≈ 10 min). Then (≈ 8:45), they will perform anthropometric and body composition measurements (waist circumference, hip circumference, bioimpedance, DXA) (≈ 30 min). Following these measurements (≈ 9:15), the subjects will eat a standardized breakfast and the report to food will be evaluated thanks to the Leeds Foods Preference Questionnaire before and after the meal. They will then be asked (≈ 10h) to complete the Profile of Mood State Questionnaire to measure the athlete's psychological state. Participants will then perform a measurement of muscle function (≈ 10:30).

During the second visit, carried out between 1 and 5 days after the first visit, the maximum aerobic capacity of the athletes will be evaluated by mid-morning stress test.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Other
盲法
None

入排标准

年龄范围
18 Years 至 35 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Subjects aged 18 to 35 (inclusive),
  • exercising at least 4 sessions of endurance or weight-based sporting activities per week for a performance objective,
  • having variations of at least 5% of their weight body during the last 3 sporting seasons (a sporting season corresponds to a year during which alternates the periods of training, recovery and participation in official competitions).
  • Subject capable of providing informed consent to participate
  • Subject with a social security insurance.

排除标准

  • Medical or surgical history deemed by the investigator to be incompatible with the study.
  • Presence of chronic pathology.
  • Disorders of eating behavior.
  • Subjects born very prematurely defined as a pregnancy inferior to 28 weeks.
  • Subjects having used a treatment for a small stature (eg growth hormone).
  • For women: irregular menstruation (changes in menstrual cycles ≥ 6 days).
  • Sports subjects with a stable weight during the last three sporting seasons (weight variation <5%).
  • Take medication that can change body temperature.
  • Pregnant or lactating women.
  • Subjects with gastrointestinal complications and / or contraindications to ingestion of the capsule (eg diverticulosis, inflammatory bowel disease, gastrointestinal surgery ...).
  • Subjects needing MRI during ingestion of the capsule or having a pacemaker or other implanted electro-medical device.
  • Person under guardianship or not subject to a social security scheme.
  • Refusal to sign the information and consent leaflet.
  • Refusal of participation

研究组 & 干预措施

athletes

Experimental

48 elite athletes, 24 men and 24 women, experiencing regular weight cycling.

干预措施: athletes (Behavioral)

结局指标

主要结局

Change in Body temperature

时间窗: Day 1 , Day 60 , Day 90

body temperature will be assessed using the bodyCap temperature monitor that records body temperature for up to 48h. this will be assessed for 24h on the three different phase (i) period of maintenance of body weight (CON); ii) two visits during weight loss (WL); iii) two visits during a weight regain (WG).)

次要结局

  • Body fat free mass(Day 1 , Day 60 , Day 90)
  • Food reward(Day 1 , Day 60 , Day 90)
  • Measure of insulin mlUI/L(Day 1 , Day 60 , Day 90)
  • Measure of triglycerides g/L(Day 1 , Day 60 , Day 90)
  • Measure of cholesterol g/L(Day 1 , Day 60 , Day 90)
  • Body fat mass(Day 1 , Day 60 , Day 90)
  • Measure of LDL g/L(Day 1 , Day 60 , Day 90)
  • Measure of HDL g/L(Day 1 , Day 60 , Day 90)
  • Basal Metabolic rate(Day 1 , Day 60 , Day 90)
  • Cortisol(Day 1 , Day 60 , Day 90)
  • Measure of glucose g/L(Day 1 , Day 60 , Day 90)
  • Muscle strength(Day 1 , Day 60 , Day 90)
  • Psychological profile(Day 1 , Day 60 , Day 90)

研究者

发起方
University Hospital, Clermont-Ferrand
申办方类型
Other
责任方
Sponsor

研究点 (2)

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