- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03720015
Concurrent Training and Nutritional Management in Cancer
November 27, 2018 updated by: Luis Berlanga, Universidad Francisco de Vitoria
Concurrent Training and Nutritional Management Prevent Body Weight Loss During Radiotherapy in a Young Adult With Head and Neck Cancer: A Case Control Study
A case control study with before-after design.
A concurrent training and a nutritional management intervention was offered by a patient with head and neck cancer, in order to compare outcomes related to strength and endurance performance and to body composition
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Cancer causes important public health problems around the world and it is one of the most frequent cause of death overall.
Among non-pharmacological treatment, physical exercise has shown improvements in different types of cancer and patients, but it is important to define the optimal dose.
Our aim is to determine the effects of a concurrent training program and a nutritional management developed during radiotherapy treatment on physical performance and body composition.
A patient with an oral cavity cancer will develop three sessions per week of concurrent training: resistance training included 9 standard exercises involving major muscle groups (4x8-12 RM), and cardiovascular training included a High-Intensity Interval Training (HIIT).
Nutritional management will include a diet controlling macronutrients (~4g/kg/day for carbohidrates, ~2g/kg/day for proteins, and ~1g/kg/day for fats), along with some nutritional supplements such as beta-hydroxybeta-methylbutyrate (HMB), arginine, glutamine, omega-3 fish oil concentrate, and BCAA's during training sessions.
Intervention took place during radiotherapy period (7 weeks).
We expect that body composition will remain invariable, and 1RM will increased.
VO2max is expected to be almost the same, but intensity tolerated at maximum VO2max could be higher.
If our results confirm that, we could conclude that a combination between resistance exercise and HIIT along with a nutritional management developed during radiotherapy could be effective to prevent muscle mass loss and muscle function decrease in a young patient with oral cavity cancer.
Study Type
Interventional
Enrollment (Actual)
1
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Madrid
-
Pozuelo De Alarcón, Madrid, Spain, 28223
- Francisco de Vitoria University (UFV)
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
32 years to 34 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Male
Description
This is a case control study
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Concurrent training
Three sessions per week of concurrent training during radiotherapy period.
Each session will begin with warm-up (5-min cardiovascular activity at low-moderate intensity, joint mobility and one set of resistance exercises circuit at 30-40% 1RM).
Resistance training will follow the warm-up, including 9 standard exercises involving major muscle groups of the lower and upper body: vertical bench press, parallel bar dip for triceps, seated rowing, standing dumbbell curl for biceps, leg press, deadlift and shoulder press.
All these exercises will be realized following circuit training with 4 sets of 8-12 repetitions, using a training load of 70-80% RM.
When patient will able to complete more than 12 repetitions, load will be increased progressively 10%.
Cardiovascular training will be completed 20-30 min after resistance training, and it will include High-Intensity Interval Training (HIIT) of 3 min near to the second ventilatory threshold and 2 min near to the first ventilatory threshold.
|
Physical exercise controlled program supervised by an accredited exercise specialist
|
Experimental: Nutritional management
Prescribed diet controlling macronutrients according to patient body weight (~4g/kg/day for carbohidrates, ~2g/kg/day for proteins, and ~1g/kg/day for fats).
Patient will take one single dosage per day of probiotics (Arkoprobiotics® Defenses), 1 or 2 capsules of omega-3 fish oil concentrate (Solgar®, 600-1200mg depending on fat sources intake during the day), and a combine ingestion of 3g beta-hydroxybeta-methylbutyrate (HMB), 14g arginine, and 14g glutamine (HSN Raw Series®, all pure ingredients and making the ingestion adding each of them individually in a solution with 300-400 ml of water).
During concurrent training sessions, between resistance exercise and HIIT, patient will also take 6g of BCAA's (HSN Raw Series®, 2:1:1) along with a banana.
Additionally, patient could take whey isolated protein (Amix® IsoPrime CFM) to meet with some of the prescribed proteins intakes.
|
Nutritional management controlled by a PhD clinical and sport nutrition specialist
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Body weight in kilograms (kg)
Time Frame: 8 weeks
|
8 weeks
|
Total fat in percentage (%)
Time Frame: 8 weeks
|
8 weeks
|
Lean body mass in percentage (%)
Time Frame: 8 weeks
|
8 weeks
|
Visceral adipose tissue in cm2
Time Frame: 8 weeks
|
8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
1 repetition maximal (1RM) for upper-body in kilograms (kg)
Time Frame: 8 weeks
|
Test will be performed in vertical bench press
|
8 weeks
|
1 repetition maximal (1RM) for lower-body in kilograms (kg)
Time Frame: 8 weeks
|
Test will be performed in leg press
|
8 weeks
|
Maximal oxygen uptake (VO2max) in ml/kg/min
Time Frame: 8 weeks
|
Test will be performed in a cycloergometer
|
8 weeks
|
Power at VO2max in watts (W)
Time Frame: 8 weeks
|
Test will be performed in a cycloergometer
|
8 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 20, 2017
Primary Completion (Actual)
July 24, 2017
Study Completion (Actual)
September 17, 2017
Study Registration Dates
First Submitted
October 16, 2018
First Submitted That Met QC Criteria
October 24, 2018
First Posted (Actual)
October 25, 2018
Study Record Updates
Last Update Posted (Actual)
November 29, 2018
Last Update Submitted That Met QC Criteria
November 27, 2018
Last Verified
November 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 0003
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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