Exercise Effects on Sarco-Osteopenia in Older Men
Impact of Exercise on Sarco-osteopenia in Community Dwelling Men 70 Years and Older. A Randomized Controlled Trial
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
-
-
-
Erlangen, Germany, 91052
- Institute of Medical Physics, University of Erlangen-Nurnberg, Germany
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Sarcopenia according to Baumgartner et al.(SMI: > -2 SD* T-Score)
- Osteopenia at the lumbar spine or hip according to WHO (> -1 SD T-Score)
- community dwelling people
- able to transfer to our lab
Exclusion Criteria:
- secondary osteoporosis
- history of hip fracture
- medication/diseases that relevantly affect muscle/bone metabolism (last 2 years)
- alcohol abuses of more than 60 g/d ethanol
- cardio-vascular diseases that prevent exercise
- very low physical capacity that prevent exercise in a group setting
SD: Standard Deviation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: exercise and protein supplementation
Predominately resistance exercise training 2-3x week for 18 months; 1.5-1.7 g/kg/d total protein supplementation, Calcium and Vitamin-D-supplementation (i.e.
800 mg/800 IE/d)
|
3x week predominately resistance exercise for 18 months
Other Names:
|
|
No Intervention: control
Calcium and Vitamin-D-supplementation (i.e.
800 mg/800 IE/d)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lumbar spine Bone Mineral Density (QCT)
Time Frame: changes from baseline to 18 months
|
Lumbar spine Bone Mineral Density as determined by Quantitative Computed Tomography
|
changes from baseline to 18 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lumbar spine Bone Mineral Density (DXA)
Time Frame: changes from baseline to 12 and 18 months
|
Lumbar spine Bone Mineral Density as determined by dual-energy x-ray absorptiometry (DXA)
|
changes from baseline to 12 and 18 months
|
|
Femoral Neck Bone Mineral Density
Time Frame: changes from baseline to 12 and 18 months
|
Total hip Bone Mineral Density as determined by dual-energy x-ray absorptiometry (DXA)
|
changes from baseline to 12 and 18 months
|
|
Skeletal muscle mass index
Time Frame: changes from baseline to 6, 12 and 18 months
|
Skeletal muscle mass as defined fat and bone free mass of the limbs as determined by DXA divided by square height
|
changes from baseline to 6, 12 and 18 months
|
|
Gait velocity
Time Frame: changes from baseline to 6, 12 and 18 months
|
Habitual gait speed over 10 m
|
changes from baseline to 6, 12 and 18 months
|
|
Hand-grip strength
Time Frame: changes from baseline to 6, 12 and 18 months
|
Maximum hand-grip strength of the dominant and non-dominant hand as assessed by a Jamar dynamometer
|
changes from baseline to 6, 12 and 18 months
|
|
Hip and leg extensor strength
Time Frame: changes from baseline to 6, 12 and 18 months
|
Maximum dynamic hip and leg extensor strength as determined by a isokinetic leg press
|
changes from baseline to 6, 12 and 18 months
|
|
Muscle Density at the calf, thigh and para-vertebral site
Time Frame: changes from baseline to 6 and 12 months
|
Muscle Density at the calf, thigh and para-vertebral site as assessed by MRI
|
changes from baseline to 6 and 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Klaus Engelke, PhD, Institute of Medical Physics, University of Erlangen-Nurnberg, Germany
Publications and helpful links
General Publications
- Kemmler W, Bebenek M, Kohl M, von Stengel S. Exercise and fractures in postmenopausal women. Final results of the controlled Erlangen Fitness and Osteoporosis Prevention Study (EFOPS). Osteoporos Int. 2015 Oct;26(10):2491-9. doi: 10.1007/s00198-015-3165-3. Epub 2015 May 12.
- Kemmler W, von Stengel S. Bone: High-intensity exercise to prevent fractures - risk or gain? Nat Rev Endocrinol. 2018 Jan;14(1):6-8. doi: 10.1038/nrendo.2017.148. Epub 2017 Nov 10. No abstract available.
- Kemmler W, von Stengel S, Kohl M. Exercise frequency and bone mineral density development in exercising postmenopausal osteopenic women. Is there a critical dose of exercise for affecting bone? Results of the Erlangen Fitness and Osteoporosis Prevention Study. Bone. 2016 Aug;89:1-6. doi: 10.1016/j.bone.2016.04.019. Epub 2016 Apr 21.
- Kemmler W, Kohl M, von Stengel S, Schoene D. Effect of high-intensity resistance exercise on cardiometabolic health in older men with osteosarcopenia: the randomised controlled Franconian Osteopenia and Sarcopenia Trial (FrOST). BMJ Open Sport Exerc Med. 2020 Dec 24;6(1):e000846. doi: 10.1136/bmjsem-2020-000846. eCollection 2020.
- Kemmler W, Kohl M, Frohlich M, Schoene D, von Stengel S. Detraining effects after 18 months of high intensity resistance training on osteosarcopenia in older men-Six-month follow-up of the randomized controlled Franconian Osteopenia and Sarcopenia Trial (FrOST). Bone. 2021 Jan;142:115772. doi: 10.1016/j.bone.2020.115772. Epub 2020 Nov 26.
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- FROST
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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