Overweight and ObesityGO-ACTIWENCT01962259
Active Commuting To Improve Well-being and Health in Everyday Life
A study testing Physical activity in people with Overweight and Obesity, run by University of Copenhagen at 1 site in Denmark.
Trial summary
The aim of present randomized controlled trial is to evaluate the health effects of physical activity in transport and leisure time domains of everyday life and to develop durable physical activity regimens, i.e. to go from lifestyle intervention to daily lifestyle routine, in overweight individuals. Read more about this study
- Who is it for?
- Ages 20 to 45 yearsHealthy volunteers can take part
- Conditions the study is for
- Overweight and Obesity
- What is being tested?
- Physical activity
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 188 participants
- Where
- 1 siteDenmark
- Study dates
- Nov 2013to Jul 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 45 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Healthy
- No engagement in habitual structured physical activity
- Body mass index 25-35 kg/m2
- Body fat percentage >32% for women and >25% for men
- Maximum oxygen uptake (VO2max) <40 ml O2/kg/min for women and <45 ml O2/kg/min for men
- Ethnicity: Caucasian
Who cannot join
- Chronic use of medicine
- Smoking
- Fasting plasma glucose > 6,1 mmol/L
- Blood pressure > 140/90 mm Hg
- Abnormal resting and working ECG
- Parents or siblings with diagnosed type 2 diabetes
- For women: Follicle stimulating hormone (FSH) concentration > 35 milliunits/ml, pregnancy or planning of pregnancy within the coming year
Trial locations and contacts
1 site in 1 country.
Denmark1 site
University of Copenhagen, Department of Biomedical Sciences
Copenhagen, 2200
About this study
The aim of present randomized controlled trial is to evaluate the health effects of physical activity in transport and leisure time domains of everyday life and to develop durable physical activity regimens, i.e. to go from lifestyle intervention to daily lifestyle routine, in overweight individuals.
Subjects will be randomized to 1 of 4 groups. 1: Vigorous intensity leisure time physical activity, 2: Moderate intensity leisure time activity, 3: Active commuting by bicycle, or 4: a non-intervention control group
- Conditions
- Overweight and Obesity
- Being tested
- Physical activity
- Medical subject headings
- Overweight, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Physical activityBehavioural
| Study group | Role | What they receive |
|---|---|---|
| Vigorous intensity LTPA | Experimental | Leisure time physical activity (LTPA): Exercise intensity: 70% of maximal oxygen uptake (VO2 max); Energy expenditure: Females: 1600 kcal/week; Males: 2100 kcal/week Receives: Behavioral: Physical activity |
| Moderate intensity LTPA | Experimental | Leisure time physical activity (LTPA): Exercise intensity: 50% VO2 max; Energy expenditure: Females: 1600 kcal/week; Males: 2100 kcal/week Receives: Behavioral: Physical activity |
| Active commuting | Experimental | Bicycling to/from work/school/university. No requirements for exercise intensity; Energy expenditure: Females: 1600 kcal/week; Males: 2100 kcal/week; Avg distance per day Females 9-15 km; Males 11-17 km Receives: Behavioral: Physical activity |
| Control | No intervention | Receives no intervention. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Peripheral insulin sensitivity (glucose clearance ml/min/kg fat-free mass/nM insulin)
Measured using the hyper-insulinemic euglycaemic clamp
Measured: Change from baseline in peripheral insulin sensitivity at 3 months
Peripheral insulin sensitivity (glucose clearance ml/min/kg fat-free mass/nM insulin)
Measured using the hyper-insulinemic euglycaemic clamp
Measured: Change from baseline in peripheral insulin sensitivity at 6 months
Haemostatic balance
Blood coagulation measured by fasting levels of endogenous thrombin potential (nM x min)
Measured: Change from baseline in endogenous thrombin potential at 3 months
Haemostatic balance
Blood coagulation measured by fasting levels of endogenous thrombin potential (nM x min)
Measured: Change from baseline in endogenous thrombin potential at 6 months
Secondary outcomes (11)
Glycaemic control
Fasting plasma glucose, 1- and 2-hour plasma glucose and glucose area under the curve measured during an oral glucose tolerance test
Measured: Baseline, 3 and 6 months
Central insulin sensitivity
Fasting plasma insulin, homeostasis model assessment insulin resistance and measures of central insulin sensitivity derived from an oral glucose tolerance test
Measured: Baseline, 3 and 6 months
Maximal oxygen uptake (ml/O2/kg/min)
Measured using indirect calorimetry and an incremental bicycle protocol
Measured: Baseline, 3 and 6 months
Abdominal fat mass
Visceral intrabdominal and subcutaneous fat mass determined by magnetic resonance imaging
Measured: Baseline, 3 and 6 months
Metabolic syndrome
As measured by high density lipoprotein, triglycerides, waist circumference, blood pressure, mean arterial pressure, fasting glucose and composite metabolic syndrome scores
Measured: Baseline, 3 and 6 months
Haemostatic balance II
1: Coagulation: Fibrinogen, Tissue factor(TF), prothrombin fragment 1+2. 2: Fibrinolysis: Tissue type plasminogen activator(tPA:AG), Plasminogen activator inhibitor type 1(PAI-1:AG). 3: Endothelial cell function: von Willebrand factor(vWF), Tissue factor pathway inhibitor (TFPI). 4: Inflammation: C-Reactive protein.
Measured: Baseline, 3 and 6 months
Health related quality of life and other psycho-social outcomes
Measured using questionaries (SF-36), semi-structured interviews and observations
Measured: Baseline, 3 and 6 months
Anthropometry
Measured using dual x-ray absorptiometry, height, weight, waist and hip circumference, sagittal abdominal height
Measured: Baseline, 3 and 6 months
Sleep habits
Sleep duration and quality measured using accelerometers, logs and questionaires (Pittsburgh sleep quality index and Epworth sleepiness scale)
Measured: Baseline, 3 and 6 months
Skeletal muscle biopsy
Biochemical, proteomics, metabolomics, genomics and morphological analyses
Measured: Baseline, 3 and 6 months
Subcutaneous adipose tissue biopsy
Biochemical, proteomics, metabolomics, genomics and morphological analyses
Measured: Baseline, 3 and 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Oct 2013 (estimated)
- Study startNov 2013
- Primary completionJun 2016
- Study completionJul 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Overweight and ObesityStudies of the same condition, open and under way.
- More trials run by University of CopenhagenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 188 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Copenhagen
- Sponsor type
- University, hospital or other
- Collaborators
- Copenhagen University Hospital, Denmark
- Responsible party
- Principal investigator, Bente Merete Stallknecht, University of Copenhagen
- Investigators
- Bente M Stallknecht, MD,PHD,DMSc, Principal investigator, University of Copenhagen, Department of Biomedical Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01962259
- Sponsor's protocol ID
- ACTIWE-1
- Acronym
- GO-ACTIWE
- Status last verified
- Jul 2018
- First submitted
- 25 Sep 2013
- Last updated
- 2 Aug 2018
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Kern T, Blond MB, Hansen TH, Rosenkilde M, Quist JS, Gram AS, Ekstrom CT, Hansen T, Stallknecht B. Structured exercise alters the gut microbiota in humans with overweight and obesity-A randomized controlled trial. Int J Obes (Lond). 2020 Jan;44(1):125-135. doi: 10.1038/s41366-019-0440-y. Epub 2019 Aug 29.
PubMed 31467422Quist JS, Rosenkilde M, Gram AS, Blond MB, Holm-Petersen D, Hjorth MF, Stallknecht B, Sjodin A. Effects of Exercise Domain and Intensity on Sleep in Women and Men with Overweight and Obesity. J Obes. 2019 Apr 7;2019:2189034. doi: 10.1155/2019/2189034. eCollection 2019.
PubMed 31089425Blond MB, Rosenkilde M, Gram AS, Tindborg M, Christensen AN, Quist JS, Stallknecht BM. How does 6 months of active bike commuting or leisure-time exercise affect insulin sensitivity, cardiorespiratory fitness and intra-abdominal fat? A randomised controlled trial in individuals with overweight and obesity. Br J Sports Med. 2019 Sep;53(18):1183-1192. doi: 10.1136/bjsports-2018-100036. Epub 2019 Mar 16.
PubMed 30878970Quist JS, Rosenkilde M, Petersen MB, Gram AS, Sjodin A, Stallknecht B. Effects of active commuting and leisure-time exercise on fat loss in women and men with overweight and obesity: a randomized controlled trial. Int J Obes (Lond). 2018 Mar;42(3):469-478. doi: 10.1038/ijo.2017.253. Epub 2017 Oct 10.
PubMed 28993707Gram AS, Bladbjerg EM, Quist JS, Petersen MB, Rosenkilde M, Stallknecht B. Anti-inflammatory effects of active commuting and leisure time exercise in overweight and obese women and men: A randomized controlled trial. Atherosclerosis. 2017 Oct;265:318-324. doi: 10.1016/j.atherosclerosis.2017.06.923. Epub 2017 Jun 28.
PubMed 28679486
Study at a glance
From the registry record, last updated by the sponsor on 2 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Active Commuting To Improve Well-being and Health in Everyday Life
- ClinicalTrials.gov ID
- NCT01962259
- Acronym / sponsor ID
- GO-ACTIWE / ACTIWE-1
- Conditions
- Overweight and Obesity
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 188 participants (actual)
- Lead sponsor
- University of CopenhagenUniversity, hospital or other
- Collaborators
- Copenhagen University Hospital, Denmark
- Study start
- Nov 2013 (actual)
- Primary completion
- Jun 2016 (actual)
- Study completion
- Jul 2017 (actual)
- First posted
- 14 Oct 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of present randomized controlled trial is to evaluate the health effects of physical activity in transport and leisure time domains of everyday life and to develop durable physical activity regimens, i.e. to go from lifestyle intervention to daily lifestyle routine, in overweight individuals.
Subjects will be randomized to 1 of 4 groups. 1: Vigorous intensity leisure time physical activity, 2: Moderate intensity leisure time activity, 3: Active commuting by bicycle, or 4: a non-intervention control group
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Vigorous intensity LTPA | Experimental | Behavioral: Physical activityLeisure time physical activity (LTPA): Exercise intensity: 70% of maximal oxygen uptake (VO2 max); Energy expenditure: Females: 1600 kcal/week; Males: 2100 kcal/week |
| Moderate intensity LTPA | Experimental | Behavioral: Physical activityLeisure time physical activity (LTPA): Exercise intensity: 50% VO2 max; Energy expenditure: Females: 1600 kcal/week; Males: 2100 kcal/week |
| Active commuting | Experimental | Behavioral: Physical activityBicycling to/from work/school/university. No requirements for exercise intensity; Energy expenditure: Females: 1600 kcal/week; Males: 2100 kcal/week; Avg distance per day Females 9-15 km; Males 11-17 km |
| Control | No intervention | –Receives no intervention. |
Who may qualify
- Ages
- 20 to 45 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Healthy
- No engagement in habitual structured physical activity
- Body mass index 25-35 kg/m2
- Body fat percentage >32% for women and >25% for men
- Maximum oxygen uptake (VO2max) <40 ml O2/kg/min for women and <45 ml O2/kg/min for men
Key exclusion criteria (7 listed)
- Chronic use of medicine
- Smoking
- Fasting plasma glucose > 6,1 mmol/L
- Blood pressure > 140/90 mm Hg
- Abnormal resting and working ECG
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Physical activity | Behavioural | Active commuting, Moderate intensity LTPA, Vigorous intensity LTPA |
Primary outcome
Peripheral insulin sensitivity (glucose clearance ml/min/kg fat-free mass/nM insulin)
Time frame: Change from baseline in peripheral insulin sensitivity at 3 months
Measured using the hyper-insulinemic euglycaemic clamp
Peripheral insulin sensitivity (glucose clearance ml/min/kg fat-free mass/nM insulin)
Time frame: Change from baseline in peripheral insulin sensitivity at 6 months
Measured using the hyper-insulinemic euglycaemic clamp
Haemostatic balance
Time frame: Change from baseline in endogenous thrombin potential at 3 months
Blood coagulation measured by fasting levels of endogenous thrombin potential (nM x min)
Haemostatic balance
Time frame: Change from baseline in endogenous thrombin potential at 6 months
Blood coagulation measured by fasting levels of endogenous thrombin potential (nM x min)
11 secondary outcomes
Glycaemic control
Time frame: Baseline, 3 and 6 months
Central insulin sensitivity
Time frame: Baseline, 3 and 6 months
Maximal oxygen uptake (ml/O2/kg/min)
Time frame: Baseline, 3 and 6 months
Abdominal fat mass
Time frame: Baseline, 3 and 6 months
Metabolic syndrome
Time frame: Baseline, 3 and 6 months
Haemostatic balance II
Time frame: Baseline, 3 and 6 months
Health related quality of life and other psycho-social outcomes
Time frame: Baseline, 3 and 6 months
Anthropometry
Time frame: Baseline, 3 and 6 months
Sleep habits
Time frame: Baseline, 3 and 6 months
Skeletal muscle biopsy
Time frame: Baseline, 3 and 6 months
Subcutaneous adipose tissue biopsy
Time frame: Baseline, 3 and 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Aug 2018.
- Derived from this study: PubMed 31467422Kern T, Blond MB, Hansen TH, Rosenkilde M, Quist JS, Gram AS, Ekstrom CT, Hansen T, Stallknecht B. Structured exercise alters the gut microbiota in humans with overweight and obesity-A randomized controlled trial. Int J Obes (Lond). 2020 Jan;44(1):125-135. doi: 10.1038/s41366-019-0440-y. Epub 2019 Aug 29.
- Derived from this study: PubMed 31089425Quist JS, Rosenkilde M, Gram AS, Blond MB, Holm-Petersen D, Hjorth MF, Stallknecht B, Sjodin A. Effects of Exercise Domain and Intensity on Sleep in Women and Men with Overweight and Obesity. J Obes. 2019 Apr 7;2019:2189034. doi: 10.1155/2019/2189034. eCollection 2019.
- Derived from this study: PubMed 30878970Blond MB, Rosenkilde M, Gram AS, Tindborg M, Christensen AN, Quist JS, Stallknecht BM. How does 6 months of active bike commuting or leisure-time exercise affect insulin sensitivity, cardiorespiratory fitness and intra-abdominal fat? A randomised controlled trial in individuals with overweight and obesity. Br J Sports Med. 2019 Sep;53(18):1183-1192. doi: 10.1136/bjsports-2018-100036. Epub 2019 Mar 16.
- Derived from this study: PubMed 28993707Quist JS, Rosenkilde M, Petersen MB, Gram AS, Sjodin A, Stallknecht B. Effects of active commuting and leisure-time exercise on fat loss in women and men with overweight and obesity: a randomized controlled trial. Int J Obes (Lond). 2018 Mar;42(3):469-478. doi: 10.1038/ijo.2017.253. Epub 2017 Oct 10.
- Derived from this study: PubMed 28679486Gram AS, Bladbjerg EM, Quist JS, Petersen MB, Rosenkilde M, Stallknecht B. Anti-inflammatory effects of active commuting and leisure time exercise in overweight and obese women and men: A randomized controlled trial. Atherosclerosis. 2017 Oct;265:318-324. doi: 10.1016/j.atherosclerosis.2017.06.923. Epub 2017 Jun 28.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bente M Stallknecht, MD,PHD,DMSc principal investigator
University of Copenhagen, Department of Biomedical Sciences
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Physical activity in people with Overweight and Obesity, run by University of Copenhagen at 1 site in Denmark.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Peripheral insulin sensitivity (glucose clearance ml/min/kg fat-free mass/nM insulin) (time frame: Change from baseline in peripheral insulin sensitivity at 3 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01962259, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Aug 2018.