Skip to main content
OpenTrials
Completed

NCT Number: NCT03951857

Effect of Aging & Obesity With Exercise Intervention

Obesity leads to a vicious circle that increases intramuscular fat, insulin resistance, promotes muscular dysfunction resulting in increased muscle fat accumulation. The study of muscle function and intramyocellular lipids is insufficient for obesity. Particularly, the study of mechanisms in muscle function and intramyocellular lipids is few nationally and internationally.

Completed

Looking for future studies?

Notify Me

Key information

Age range

20 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, 463-707, South Korea

About this study

This study is prospective study. The goal of this study is

  • To examine the distribution and contractile properties (cross-sectional area, maximal force, specific force, maximal shortening velocity) of single muscle fiber sex/Myosin heavy chain (MHC) type-related differences, by extracting a single muscle fiber from the vastus lateralis in young men and women.
  • To examine the effects of intramyocellular lipids on physical activity ability, muscle dysfunction, and metabolic disorders in relation to aging and obesity.
  • To examine the effects of intramyocellular lipids on physical activity ability, muscular dysfunction, and metabolic disorders after 12 weeks resistance exercise intervention.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Young men: Age (20-35 yrs), BMI (19-23 Kg/m2)
  • Young women: Age (20-35 yrs), BMI (19-23 Kg/m2)
  • Elderly women: Age (65-80 yrs), BMI (19-23 Kg/m2)
  • Elderly obese women: Age (65-80 yrs), BMI ( >25 Kg/m2)
  • Subjects who can agree voluntarily.

Exclusion criteria

  • Acute coronary syndrome.
  • Uncontrolled hypertension.
  • Subjects who took drugs which can affects neuromuscular system.
  • Severely impaired cognition
  • Subjects who cannot agree voluntarily

Treatment and study plan

Resistance exercise with a gym stick

Other

Exercise intervention: The resistance exercise intervention is performed with a gym stick for 3 times a week for 12 weeks. Exercise load is gradually increased by the number of times the band is wound and the speed of motion by dividing into three stages in 1-4 weeks (1st stage), 5-8 weeks (2nd stage) and 9-12 weeks (3rd stage).

Other names: Exercise training

Primary outcomes

  1. Total droplet area

    Time frame: Before intervention / after 12weeks intervention

    Change from baseline total droplet area to 12 weeks after initial assessment. Total droplet area is determined by Oil-red-O staining. After staining, the total area (µm2) is analyzed to compare the change after intervention from baseline.

  2. Number of lipid droplets

    Time frame: Before intervention / after 12weeks intervention

    Change from baseline number of lipid droplets to 12 weeks after initial assessment.

    Number of lipid droplets determined by Oil-red-O staining. After staining, number of lipid droplets is analyzed to compare the change after intervention from baseline.

  3. Single muscle fiber cross-sectional area (CSA)

    Time frame: Before intervention / after 12weeks intervention

    Change from baseline CSA to 12 weeks after initial assessment. Chemically skinned vastus lateralis muscle fiber CSA (µm2) is measured by 3 dimensional microscopy. after analysis, CSA is compared the change after intervention from baseline.

  4. Single muscle fiber maximal force (Po)

    Time frame: Before intervention / after 12weeks intervention

    Change from baseline Po to 12 weeks after initial assessment. Chemically skinned vastus lateralis muscle fiber Po (mN) is measured by slack test procedure. after measurement, Po is analyzed to compare the change after intervention from baseline.

  5. Single muscle fiber specific force (SF)

    Time frame: Before intervention / after 12weeks intervention

    Change from baseline SF to 12 weeks after initial assessment. Chemically skinned vastus lateralis muscle fiber SF (kN/m2) is Po (kN) normalized by cross-sectional area (m2). SF is analyzed to compare the change after intervention from baseline.

  6. Single muscle fiber maximal shortening velocity (Vo)

    Time frame: Before intervention / after 12weeks intervention

    Change from baseline Vo to 12 weeks after initial assessment. Chemically skinned vastus lateralis muscle fiber Vo (FL/s) is measured by slack test procedure. The time required to take up the imposed slack was measured from the onset of the length step to the beginning of the tension redevelopment . For each amplitude of length, the fiber was reextended while relaxed to minimize nonuniformity of sarcomere length. A straight line was presented to a plot of length vs. time, using least-squares regression, and the slope of the line divided by the segment length was recorded as Vo for that fiber.

    Vo is analyzed to compare the change after intervention from baseline.

  7. Single muscle fiber MHC type distribution

    Time frame: Before intervention / after 12weeks intervention

    Change from baseline fiber type distribution to 12 weeks after initial assessment.

    The MHC composition of single fibers was determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE).

    MHC type distribution is analyzed to compare the change after intervention from baseline.

Secondary outcomes

  1. Hand grip strength

    Time frame: Before intervention / after 12weeks intervention

    Change from baseline hand grip strength to 12 weeks after initial assessment. Participants are tested while they were seated, their arms are against their sides, their elbows are flexed 90 degrees. Hand grip Strength is measured in kilograms (kg) using a hand-grip dynamometer. The maximum value from either hand is used for analysis.

  2. Isokinetic knee extension strength

    Time frame: Before intervention / after 12weeks intervention

    Change from baseline Knee extension strength to 12 weeks after initial assessment.

    Isokinetic knee extension strength is measured in as peak torque achieved on an isokinetic dynamometer (BTE Primus, BTE tech, MD, USA) at 60° per second.

Sponsors and collaborators

Lead sponsor

Seoul National University Bundang Hospital

Other

Collaborators

  • National Research Foundation of Korea

Registry information

Official study title

Biphasic and Combined Effect of Aging & Obesity With Development of Effective Exercise Intervention Protocol

Important dates

Study start
2016
Primary completion
2020
Study completion
2020
First posted
May 15, 2019
Registry last updated
Mar 11, 2020

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.

Published trials that share one or more normalized conditions with this study.