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Completed

NCT Number: NCT07473440

AEROBIC ADAPTATION AND BIOMARKER RESPONSES IN COMBAT ATHLETES

This randomized controlled study investigates the effects of sport-specific training on aerobic adaptation and circulating biomarker responses in trained combat athletes. Exercise induces systemic physiological adaptations through signaling molecules known as exerkines, including myokines and adipokines, which mediate communication between skeletal muscle and other metabolic organs.

Forty trained male kickboxers are randomly assigned to either an experimental training group or a control group. The experimental group performs an eight-week sport-specific conditioning program in addition to regular technical training, while the control group maintains their usual training routine.

Aerobic capacity is assessed using maximal oxygen uptake (VO₂max). Blood samples are collected before and after the intervention to determine circulating levels of exercise-responsive biomarkers, including myostatin, irisin, apelin, brain-derived neurotrophic factor (BDNF), fibroblast growth factor-21 (FGF21), and adiponectin.

The primary objective of the study is to evaluate whether changes in circulating biomarker responses are associated with improvements in aerobic performance. The findings may provide insight into the molecular mechanisms underlying exercise-induced physiological adaptation in combat athletes.

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Key information

Age range

18 year–25 year

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Adiyaman University Faculty of Sport Sciences

Adıyaman, Adıyaman Province, 02200, Turkey (Türkiye)

About this study

Physical exercise induces complex physiological adaptations that involve coordinated responses across multiple organ systems. In recent years, increasing attention has been directed toward circulating signaling molecules collectively referred to as exerkines. These molecules include myokines and adipokines that are released during or after exercise and contribute to communication between skeletal muscle, adipose tissue, the liver, and the central nervous system. Through these signaling pathways, exercise influences metabolic regulation, mitochondrial remodeling, inflammation, and tissue adaptation.

Combat sports such as kickboxing require repeated high-intensity efforts interspersed with short recovery periods. These demands place substantial stress on both anaerobic and aerobic energy systems. Consequently, aerobic capacity plays an essential role in maintaining performance and supporting recovery during repeated bouts of high-intensity activity.

Although improvements in aerobic performance following structured training programs are well documented, less is known about the molecular mechanisms that accompany these adaptations in combat sport athletes. Emerging evidence suggests that exercise-responsive biomarkers such as myostatin, irisin, apelin, brain-derived neurotrophic factor (BDNF), fibroblast growth factor-21 (FGF21), and adiponectin may play important roles in regulating metabolic adaptation and muscle remodeling.

The present randomized controlled trial aims to investigate whether coordinated changes in circulating myokine-adipokine responses are associated with improvements in aerobic capacity in trained combat athletes. Forty elite male kickboxers are randomly assigned to either an experimental training group or a control group. The intervention group performs an eight-week sport-specific conditioning program three times per week in addition to regular technical training, whereas the control group maintains their habitual training routine.

Aerobic capacity is assessed using maximal oxygen uptake (VO₂max) measured during a graded treadmill exercise test with respiratory gas analysis. Venous blood samples are collected under fasting conditions before and after the intervention to evaluate circulating biomarker responses. Biomarkers are analyzed using enzyme-linked immunosorbent assay (ELISA) techniques.

The primary outcome of the study is the change in VO₂max following the training intervention. Secondary outcomes include changes in circulating concentrations of myostatin, irisin, apelin, BDNF, FGF21, and adiponectin. The study also examines associations between biomarker changes and aerobic performance adaptation.

This study may contribute to a better understanding of the physiological mechanisms underlying exercise-induced adaptation and provide insight into how circulating biomarker responses may reflect training responsiveness in combat sport athletes.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male combat sport athletes aged between 18 and 25 years
  • Minimum five years of competitive kickboxing experience
  • Regular participation in training at least five days per week
  • Currently competing at the national level

Exclusion criteria

  • Musculoskeletal injury within the previous six months
  • Cardiovascular or metabolic disease
  • Use of medications or supplements that may affect metabolic or hormonal responses
  • Participation in additional structured conditioning programs during the study period

Treatment and study plan

SPORT-SPECIFIC CONDITIONING PROGRAM

Behavioral

PARTICIPANTS PERFORMED AN EIGHT-WEEK SPORT-SPECIFIC CONDITIONING PROGRAM DESIGNED TO IMPROVE AEROBIC CAPACITY. TRAINING SESSIONS WERE CONDUCTED THREE TIMES PER WEEK AND CONSISTED OF REPEATED HIGH-INTENSITY INTERVALS INTERSPERSED WITH SHORT RECOVERY PERIODS, REFLECTING THE PHYSIOLOGICAL DEMANDS OF COMBAT SPORTS.

Primary outcomes

  1. VO₂max

    Time frame: Baseline and after 8 weeks

Secondary outcomes

  1. Myostatin

    Time frame: Baseline and after 8 weeks

  2. Irisin

    Time frame: Baseline and after 8 weeks

  3. Apelin

    Time frame: Baseline and after 8 weeks

  4. BDNF

    Time frame: Baseline and after 8 weeks

  5. FGF21

    Time frame: Baseline and after 8 weeks

  6. Adiponectin

    Time frame: Baseline and after 8 weeks

Sponsors and collaborators

Lead sponsor

Adiyaman University

Other

Registry information

Official study title

MYOSTATIN REDUCTION WITHIN THE MYOKINE-ADIPOKINE NETWORK PREDICTS AEROBIC ADAPTATION AFTER HIGH-INTENSITY INTERVAL TRAINING IN COMBAT ATHLETES

Acronym: AERO-BIO

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Mar 16, 2026
Registry last updated
Mar 16, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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