Influence of High Intensity Exercise on Insulin Resistance, Muscle Contractile Properties, Aerobic Capacity and Body Composition in Multiple Sclerosis
Rehabilitation in MS: Influence of High Intensity Exercise on Insulin Resistance, Muscle Contractile Properties, Aerobic Capacity and Body Composition in Multiple Sclerosis
The purpose of this study is to investigate the effects of a combined training programme and a high intensity interval training programme on insulin resistance, muscle strength/ muscle contractile properties, aerobic capacity and body composition in MS patients.
It is assumed that the the above mentioned clinical parameters will improve due to physical exercise.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Diepenbeek, Belgium, 3590
- REVAL
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosed MS according to the McDonald criteria
- Expanded Disability Status Scale (EDSS) between 0.5 and 6
- Be able to train 5 times in 2 weeks at the University
Exclusion Criteria:
- Comorbidities like cardiovascular-, respiratory-, orthopaedic or metabolic diseases (like diabetes type 2)
- Having had an relapse in a period of 3 months prior to the start of the intervention period
- Having an relapse during the intervention period
- Pregnancy and other contra indications for physical activity
- Mental disorders
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Combined exercise
12 weeks combined exercise programme (supervised)
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Other Names:
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Experimental: High intensity interval training
12 weeks high intensity interval exercise programme (supervised)
|
Other Names:
|
|
No Intervention: Control
sedentary/habitual lifestyle
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
insulin sensitivity (insulin profile)
Time Frame: change from baseline to 12 weeks
|
glucose and insulin concentration measurements in blood
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change from baseline to 12 weeks
|
|
muscle contractile properties
Time Frame: from baseline to 12 weeks
|
measurements of cross sectional area and fiber distribution in muscle fibers of the m.
vastus lateralis + measurements of enzymatic reactions, ATP, glycogen, ...
|
from baseline to 12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
muscle strength of knee extensor/flexor
Time Frame: change from baseline to 12 weeks
|
by means of an isokinetic dynamometer the muscle strength and endurance will be measured
|
change from baseline to 12 weeks
|
|
aerobic capacity
Time Frame: change from baseline to 12 weeks
|
by means of a submaximal endurance test (ergometer)
|
change from baseline to 12 weeks
|
|
cytokine profile
Time Frame: change from baseline to 12 weeks
|
measurements of blood cytokine levels
|
change from baseline to 12 weeks
|
|
Self-reported measures
Time Frame: Change from baseline to 12 weeks
|
The self-reported measures contains some questionnaires
|
Change from baseline to 12 weeks
|
|
body composition
Time Frame: Change from baseline to 12 weeks
|
Weight, body fat% and lean tissue% will be assessed by means of a DEXA scan
|
Change from baseline to 12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Inez Wens, M.Sc., Reval/Biomed, Hasselt University
- Study Chair: Bert Opt Eijnde, Ph.D, Reval/Biomed, Hasselt University
Publications and helpful links
General Publications
- Wens I, Dalgas U, Vandenabeele F, Grevendonk L, Verboven K, Hansen D, Eijnde BO. High Intensity Exercise in Multiple Sclerosis: Effects on Muscle Contractile Characteristics and Exercise Capacity, a Randomised Controlled Trial. PLoS One. 2015 Sep 29;10(9):e0133697. doi: 10.1371/journal.pone.0133697. eCollection 2015.
- Hansen D, Wens I, Vandenabeele F, Verboven K, Eijnde BO. Altered signaling for mitochondrial and myofibrillar biogenesis in skeletal muscles of patients with multiple sclerosis. Transl Res. 2015 Jul;166(1):70-9. doi: 10.1016/j.trsl.2015.01.006. Epub 2015 Jan 20.
- Wens I, Dalgas U, Vandenabeele F, Krekels M, Grevendonk L, Eijnde BO. Multiple sclerosis affects skeletal muscle characteristics. PLoS One. 2014 Sep 29;9(9):e108158. doi: 10.1371/journal.pone.0108158. eCollection 2014.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Glucose Metabolism Disorders
- Metabolic Diseases
- Nervous System Diseases
- Immune System Diseases
- Demyelinating Autoimmune Diseases, CNS
- Autoimmune Diseases of the Nervous System
- Demyelinating Diseases
- Autoimmune Diseases
- Hyperinsulinism
- Multiple Sclerosis
- Sclerosis
- Insulin Resistance
Other Study ID Numbers
Other Study ID Numbers
- 13.20/reva13.02
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