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OpenTrials
Completed

NCT Number: NCT03039556

Step-reduction in Older Men and Women

This study investigates the effects of two weeks of reduced daily ambulation and a subsequent return to normal physical activity on metabolic health of older adults.

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Key information

Age range

65 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Exercise Metabolism Research Laboratory, McMaster Univeristy

Hamilton, Ontario, L8S 4K1, Canada

About this study

Aging results in a progressive loss of muscle mass that is accelerated by periods of muscular disuse, common for older adults during hospitalization or convalescence from illness. Transient physical inactivity has been shown to cause muscular atrophy and impairments in insulin sensitivity in both younger and older adults. However, the recovery capacity of older adults after such physical inactivity remains unknown. This study aims to determine the impact of two weeks of daily step reduction to ≤1000 steps per day, an experimental model mimicking short-term physical inactivity, on glycemic control in older adults and further investigate whether older adults are able to recover from the consequences of this inactivity simply by returning to their habitual activity for 14 days.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Non-smoker

Exclusion criteria

  • Use of assistive walking devices
  • Chronic use of analgesic or anti-inflammatory drugs
  • History of neuromuscular problems or muscle and/or bone wasting disease
  • Acute or chronic illness including cardiac, pulmonary, liver or kidney abnormalities, uncontrolled hypertension, insulin or non-insulin dependent diabetes or other metabolic disorders
  • Daily use of statins, particularly simvastatin and atorvastatin
  • Use of medications known to affect protein metabolism
  • Normally complete fewer than 3000 steps per day

Treatment and study plan

Normal Daily Steps

Behavioral

Complete normal daily ambulation for one week

Step-Reduction

Behavioral

Reduce daily ambulation to fewer than 1000 steps per day for two weeks

Return to Normal Daily Steps

Behavioral

Increase daily ambulation to 100% of normal daily step-count for two weeks

Primary outcomes

  1. Change in Insulin Sensitivity

    Time frame: Measured at the end of each behavioural intervention (Week 1, Week 3, Week 5)

    Assessed via Matsuda ISI

Secondary outcomes

  1. Change in lean tissue mass

    Time frame: Measured at the end of each behavioural intervention (Week 1, Week 3, Week 5)

    Assessed via Dual Energy X-Ray Absorptiometry

  2. Change in Peak Isometric Maximal Voluntary Leg Extension Strength

    Time frame: Measured at the end of each behavioural intervention (Week 1, Week 3, Week 5)

    Assessed via muscle dynamometry

  3. Change in Muscle Protein Synthesis

    Time frame: Measured at the end of each behavioural intervention (Week 1, Week 3, Week 5)

    Obtained via vastus lateralis muscle biopsy

Sponsors and collaborators

Lead sponsor

McMaster University

Other

Collaborators

  • Canadian Diabetes Association

Registry information

Official study title

The Influence of Acute Physical Inactivity on Metabolic Function in Older Men and Women

Acronym: CDA-SR

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Feb 1, 2017
Registry last updated
Feb 1, 2017

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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