- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT06193824
Otimização de Exercícios Excêntricos (OPTIMEX)
Caracterização da Resposta Endócrina ao Exercício: Impacto da Modalidade de Contração Muscular
Regular physical activity is an important public health lever and is recognised as an alternative in the management of certain long-term conditions. To achieve beneficial effects on the body, exercise recommendations are based on several parameters such as duration, intensity and continuous or intermittent nature of the activity. However, the mode of muscle contraction during exercise is generally little considered or poorly defined in these recommendations, which can lead to prescribing errors. In particular, the eccentric contraction modality, which can be found in actions designed to slow down movement (e.g. walking downhill), represents an interesting strategy, but its prescription modalities are still poorly understood.
The beneficial effects of physical activity are based in part on the release of molecules (myokines) by the skeletal muscles during exercise, which improve the functioning of the body. However, the effect of downhill walking on the release of myokines by the muscle has been little studied. The lack of knowledge of this effect is therefore an obstacle to the use of this exercise modality to try to optimise physical activity recommendations for health or performance improvement.
The aim of this study is therefore to better understand how downhill walking (eccentric muscle contraction) affects the production of molecules by muscles (myokines) during exercise.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
After being informed of the aims, nature and possible risks of the study, written informed consent will be obtained from the subjects.
Prior to enrolment, volunteers will undergo a medical evaluation that includes a review of personal and family medical history, any current medications, and a standard physical examination. Compliance with the inclusion/exclusion criteria will be checked during this examination.
After enrolment, subjects will perform a treadmill familiarization session.
Experimental days:
- Subjects will complete a 45-minute walking exercise on a negative gradient treadmill (6 km/h) in a randomised 2-way cross-over design with either a -10% or -20% gradient.
- Blood will be sampled immediately pre-exercise, 1-h and 24-h post-exercise for the analysis of muscle myokines.
- Exercise-induced muscle fatigue in lower limbs will be evaluated using squat and counter-movement jumps immediately before and post-exercise.
- Heart-rate variability will be measured during the eccentric exercise session.
- Thigh muscle volume will be measured immediately before and post-exercise.
- Exercise-induced myalgia at 24-, 48-, 72- and 96h will be assessed using a visual analogue scale.
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
-
-
-
Clermont-Ferrand, França
- Chu Clermont Ferrand
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-
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- Body Mass Index between 18.5 and 24.9 kg/m² (18.5 ≤ BMI ≤ 24.9)
- Non-smoker
- No treatment (background or at the time of the examination)
- Physical check up considered compatible with study participation (no bones, articular or muscular problems in lower limbs)
- Subjects considered healthy by investigator based on medical questioning and clinical examination
- Affiliation to the French Social Security system
- Person who has read and understood the research-related information, and signed the consent forms
Exclusion Criteria:
- Smoking
- Subjects with heart or respiratory failure
- Participants with lower extremity injury in the past three months
- Contraindication to the application of a magnetic field (wearing a pacemaker, presence of prosthetic material or ferromagnetic foreign bodies, presence of cochlear implants or ocular prosthetic material)
- Participant that does not wish to participate (refusal to sign the consent form)
- Patients under guardianship, trusteeship, deprived of liberty or safeguard of justice
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Prevenção
- Alocação: Randomizado
- Modelo Intervencional: Atribuição cruzada
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: downhill treadmill walking -10% gradient
The subjects will perform downhill walking at 6 km/h for 45 min on a treadmill (-10% incline) |
The subjects will perform downhill walking at 6 km/h for 45 min on a treadmill (-10% or -20% incline) |
|
Experimental: downhill treadmill walking -20% gradient
The subjects will perform downhill walking at 6 km/h for 45 min on a treadmill (-20% incline) |
The subjects will perform downhill walking at 6 km/h for 45 min on a treadmill (-10% or -20% incline) |
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Effect of eccentric exercise on myokine concentrations
Prazo: Blood sample at baseline (prior exercise), Hour 1 and Hour 24 post-exercise
|
Changes in systemic myokine levels following submaximal downhill treadmill exercise at different inclines, at the same speed and for the same duration. |
Blood sample at baseline (prior exercise), Hour 1 and Hour 24 post-exercise
|
|
Effect of treadmill inclination on myokine concentrations
Prazo: Blood sample at baseline (prior exercise), Hour 1 and Hour 24 post-exercise
|
Differences in systemic myokine levels concentrations following -10 and -20% gradient submaximal downhill treadmill exercises, at the same speed and for the same duration. |
Blood sample at baseline (prior exercise), Hour 1 and Hour 24 post-exercise
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Assessment of exercise-induced muscle fatigue in lower limbs
Prazo: Baseline (prior exercise) and 15 seconds post-exercise
|
squat jump |
Baseline (prior exercise) and 15 seconds post-exercise
|
|
Assessment of exercise-induced muscle fatigue in lower limbs
Prazo: Baseline (prior exercise) and 15 seconds post-exercise
|
counter-movement jump |
Baseline (prior exercise) and 15 seconds post-exercise
|
|
Assessment of autonomic nervous system function
Prazo: During treadmill exercise
|
Heart rate variability (HRV) analysis Temporal and spectral analyses of cardiac variability |
During treadmill exercise
|
|
Effect of treadmill exercise on muscle volume
Prazo: Baseline (prior exercise) and 15 seconds post-exercise
|
Measurement of thigh and calf circumferences |
Baseline (prior exercise) and 15 seconds post-exercise
|
|
Effect of treadmill exercise on muscle pain
Prazo: Baseline (prior exercise) and 15 seconds post-exercise
|
Measurement of muscle pain induced by a half-squat movement (self-measurement by the subject using a visual analogic scale, 0-10) |
Baseline (prior exercise) and 15 seconds post-exercise
|
|
Effect of treadmill exercise on delayed onset muscle soreness
Prazo: Baseline (prior exercise) and Hour 24, Hour 48, Hour 72, Hour 96 post-exercise
|
Measurement of muscle pain induced by eccentric exercise (self-measurement by the subject using a visual analogic scale, 0-10) |
Baseline (prior exercise) and Hour 24, Hour 48, Hour 72, Hour 96 post-exercise
|
Colaboradores e Investigadores
Patrocinador
Publicações e links úteis
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Outros números de identificação do estudo
- RBHP 2022 RANNOU
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