- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04712955
Bloodflow Restricted Exercise in Healthy Ageing
The overall objective of this study is to investigate the efficacy of low-intensity blood flow restricted resistance exercise (BFRRE) to promote health beneficial skeletal muscle adaptations and augment muscle function in a healthy older population. This objective will be achieved by in-dept evaluation of skeletal muscle cellular and functional characteristics prior to and after an intervention period comprising 6 weeks of BFRRE or non-exercise control intervention in healthy older subjects. A special focus is placed on the ability of BFRRE to stimulate skeletal muscle protein synthesis and augment muscle stem cell function.
Furthermore, recent findings suggests that similar exercise interventions in a population of patients with heart failure (HF) does not stimulate the desired adaptations. In accordance, we aim to compare the adaptive response to BFRRE amongst HF patients and the enrolled age-matched healthy individuals from the present investigation.
The findings of the current study will expand our understanding of how low-intensity resistance exercise alternatives might be viable in promoting muscle anabolism to combat the loss of muscle mass observed with ageing as well as the potential anabolic resistance accompanying HF diagnosis.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Aarhus, Denmark, 8000
- University of Aarhus
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Able to understand the written and spoken information and to give informed consent for inclusion.
- Age between 45 and 80 years
- Able to sit in a knee extension machine
- Able to deliver muscle biopsies
- Able to train 3 times per week during a 6-week period
Exclusion Criteria:
- Known history of cardiac disease
- Habitual exercise with high intensity > 2 times pr. week within the past 6 months
- Pregnancy
- Diabetes mellitus
- Peripheral neuropathy
- Dialysis treatment
- Severe peripheral arterial disease
- Concomitant acute life threatening medical condition
- Intracranial aneurisms, arteriovenous malformation, cerebral neoplasm or abscess
- Severe arterial hypertension (≥ 180/≥ 110 mmHg) or moderate arterial hypertension (160-179/100-109) despite medical treatment
- Moderate or severe chronic obstructive pulmonary disease
- Decreased kidney function - eGFR < 60 ml/min
Study Plan
How is the study designed?
Design Details
- Primary Purpose: OTHER
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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ACTIVE_COMPARATOR: Bloodflow restricted exercise
Healthy subjects undergoing low intensity blood flow restricted resistance exercise (BFRRE) conducted as 4 sets of bilateral knee extensions at 30% of 1RM until voluntary fatigue.
The sets are intercepted by 30 seconds of rest (during rest the cuff's are still inflated).
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Low-intensity bloodflow restricted resistance exercise is conducted as traditional knee extension exercise with a load corresponding to 30% of 1 repetition maximum (RM), with concurrent partial occlusion of the circulation by means of inflatable pneumatic cuffs wrapped around the proximal part of the thighs.
Cuffs are inflated to a pressure corresponding to 50% of the arterial occlusion pressure, which only compromises venous but not arterial blood flow.
Other Names:
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NO_INTERVENTION: Non-exercise control
No intervention.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Subfractional muscle protein synthesis rates
Time Frame: 6 weeks
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Myofibrillar protein synthesis rate
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6 weeks
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Subfractional muscle protein synthesis rates
Time Frame: 6 weeks
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Mitochondrial protein synthesis rate
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6 weeks
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Segmental muscle mass of lower extremity
Time Frame: 6 weeks
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Dual Energi X-ray Absorption (DEXA)
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6 weeks
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Muscle fibre cross sectional area (CSA)
Time Frame: 6 weeks
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Histological examination of muscle biopsies
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6 weeks
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Muscle stem cell function
Time Frame: 6 weeks
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Time to first division
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6 weeks
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Muscle stem cell function
Time Frame: 6 weeks
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Proliferative capacity
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6 weeks
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Muscle stem cell function
Time Frame: 6 weeks
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Differentiation capacity
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6 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Maximal Voluntary Contraction (MVC)
Time Frame: 6 weeks
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Isometric muscle function
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6 weeks
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1 repetition maximum
Time Frame: 6 weeks
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Dynamic muscle strength
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6 weeks
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Muscle strength-endurance capacity
Time Frame: 6 weeks
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Local muscle endurance
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6 weeks
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Kristian Vissing, PhD, University of Aarhus
Publications and helpful links
General Publications
- Groennebaek T, Jespersen NR, Jakobsgaard JE, Sieljacks P, Wang J, Rindom E, Musci RV, Botker HE, Hamilton KL, Miller BF, de Paoli FV, Vissing K. Skeletal Muscle Mitochondrial Protein Synthesis and Respiration Increase With Low-Load Blood Flow Restricted as Well as High-Load Resistance Training. Front Physiol. 2018 Dec 17;9:1796. doi: 10.3389/fphys.2018.01796. eCollection 2018.
- Sieljacks P, Wang J, Groennebaek T, Rindom E, Jakobsgaard JE, Herskind J, Gravholt A, Moller AB, Musci RV, de Paoli FV, Hamilton KL, Miller BF, Vissing K. Six Weeks of Low-Load Blood Flow Restricted and High-Load Resistance Exercise Training Produce Similar Increases in Cumulative Myofibrillar Protein Synthesis and Ribosomal Biogenesis in Healthy Males. Front Physiol. 2019 May 29;10:649. doi: 10.3389/fphys.2019.00649. eCollection 2019.
- Groennebaek T, Sieljacks P, Nielsen R, Pryds K, Jespersen NR, Wang J, Carlsen CR, Schmidt MR, de Paoli FV, Miller BF, Vissing K, Botker HE. Effect of Blood Flow Restricted Resistance Exercise and Remote Ischemic Conditioning on Functional Capacity and Myocellular Adaptations in Patients With Heart Failure. Circ Heart Fail. 2019 Dec;12(12):e006427. doi: 10.1161/CIRCHEARTFAILURE.119.006427. Epub 2019 Dec 13.
Study record dates
Study Major Dates
Study Start (ANTICIPATED)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 190824010610
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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