AzTrials
AzTrials

ObesityNCT02853279

Physical Activity and Intermittent Exercise Training for Cardiovascular and Cognitive Gain in Obese Women

A study testing Interval exercise training and Continuous exercise training (CON) in people with Obesity and Cognitive Ability, General, run by University of Leeds at 2 sites in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

One hundred participants from a combination of (a) local advertisements and/or (b) those whose details are held on a research database (of previous volunteers indicating willingness to be contacted about future studies) will be sought to volunteer for this study. Read more about this study

Who is it for?
Ages 35 to 50 years, women onlyHealthy volunteers can take part
What is being tested?
Interval exercise training and Continuous exercise training (CON)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
2 sitesUnited Kingdom
Study dates
Jun 2011to Jun 2014
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 35 to 50 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Sedentary women (exercise ≤2 day per week)
  • Pre-menopausal (age 35- 50 years)
  • BMI of ≥30 kg/m2
  • Able to give informed consent .
  • Non-smokers
  • Vision sufficiently good to complete the cognitive testing (using glasses and/or lenses).

Who cannot join

  • Male
  • BMI < 30 kg/m2
  • Clinically diagnosed with type 1 or type 2 diabetes
  • Resting/exercise ECG indicating significant ischemia, recent myocardial infarction or other acute cardiac event or other exercise related ECG abnormalities.
  • Unstable angina.
  • Uncontrolled hypertension.
Show all 14Show fewer
  • Uncontrolled cardiac dysrhythmias
  • The use of antidepressant, antianxiety, or thyroid medication.
  • Dementia
  • Neurological disorder
  • Previous stroke or Transient Ischaemic Attack (TIA)
  • Musculoskeletal impairment or injury
  • Medication that has a direct effect on the brain and is likely to influence cognitive function.
  • Current smokers or those who have given up in the previous 6 months

Trial locations and contacts

2 sites in 1 country.

United Kingdom2 sites
  • Centre for Sports and Exercise Sciences, University of Leeds

    Leeds, West Yorkshire, LS2 9JT

  • Human Appetite Research Unit

    Leeds, West Yorkshire, LS2 9JT

Other trials in United Kingdom

About this study

Official title: The Effect of (i) Physical Activity and (ii) Continuous Versus Intermittent Exercise Training Upon Cardiovascular and Cognitive Function in Obese Women

One hundred participants from a combination of (a) local advertisements and/or (b) those whose details are held on a research database (of previous volunteers indicating willingness to be contacted about future studies) will be sought to volunteer for this study. Written informed consent will be gained following greater than 48 hours for the purpose of reading the Participant Information sheets. The study will then involve two stages (i) recruiting participants for a cross sectional analysis of the relationship between physical activity levels and cardiovascular and cognitive function, and (ii) a longer exercise training study in a subsample of these volunteers (i.e. participants who volunteer to exercise train). Participants for stage 1 will then visit the laboratory in the University on three occasions (over a three week period) to be assessed for body composition, exercise tolerance, current physical activity levels, cognitive function and arterial and cardiac health. Each visit will last for 60 - 90 minutes. Participants will then be provided with an accelerometer to wear for a period of one week in order to assess movement counts and sedentary behaviour. Stage 2 will include only those participants who have volunteered for the exercise training component (approx 60). These participants will then be randomly divided into two groups. Both groups will exercise three times per week for 12 weeks duration. Group 1 will exercise in a traditional manner at a moderate intensity, whilst the second group will exercise at a heavy intensity but in short bursts. Both groups will complete the same amount of work but in two differing modes. Both groups will attend the laboratory twice per week for supervised exercise sessions and also perform one home based 30 minute brisk walk per week. All participants will be re-examined at 12 weeks.

Read the detailed description

The study will involve two stages (i) recruiting participants for a cross sectional analysis of the relationship between physical activity levels and cardiovascular and cognitive function, and (ii) a longer exercise training study in a subsample of these volunteers. 100 participants for stage 1 will visit the laboratory in the University on three occasions (within a three week period) to be assessed for anthropometric outcomes, body composition, exercise tolerance, cognitive function and arterial and cardiac health. Each visit will last for 60 - 90 minutes. Participants will then be provided with an accelerometer to wear for a period of one week in order to assess movement counts and sedentary behaviour. Stage 2 will include only those participants who are happy to continue into the exercise training phase. These participants will then be matched for age and BMI and then randomly (on matched pairs) allocated to one of two groups. Both groups will exercise three times per week for 12 weeks duration. Group 1 will exercise in a traditional manner undertaking continuous exercise, whilst the Group 2 will exercise at a heavy intensity but in short bursts (interval exercise). Both groups will complete the same amount of work but in two differing modes. Both groups will attend the laboratory twice per week for supervised exercise sessions and also perform one home based 30 minute brisk walk per week. All participants will be re-examined at 12 weeks.

Recruitment of participants

One hundred participants from a combination of (a) local advertisements and/or (b) those whose details are held on a research database (of previous volunteers indicating willingness to be contacted about future studies) will be sought to volunteer for this study. Participants will be contacted via email/telephone/letter to provide information regarding this study. All volunteers interested in participating will be contacted to provide general information during a preliminary telephone screening interview. This will be used to check main inclusion and exclusion criteria. The women who fit these criteria will be sent the participant information sheet to read carefully and if still interested invited to attend the first laboratory visit for a screening session. Participants have greater than 48 hours to assess the participant information sheet before they attend this first visit when, if eligible, they will be asked to provide written informed consent.

Laboratory Visits

Visit 1

During this visit the study and all procedures will be explained in detail to all participants, and written informed consent will be taken. A thorough medical history will be obtained and participants will be asked to complete a Recruitment Information Questionnaire (RIQ) to confirm all inclusion/ exclusion criteria. Participants will complete the National Adult Reading Test (NART) which estimates premorbid intelligence levels.

Participants will also complete a Physical Activity Readiness Questionnaire (PAR-Q) which will be reviewed to determine whether participants are fit to continue with the study. Simple measures of body weight, height and waist circumference will be taken. Participants will complete a practice version of the cognitive test battery to demonstrate the tests, ensure participants understand how to perform the tests correctly and assess compliance (effort).

Participants will complete a cycling test on a stationary bicycle under the supervision of the investigator and a medic.

Visit 2

The second visit will involve several measures of arterial health which requires participants to attend in a 12 hour fasted state. Blood vessel function will be assessed using a blood pressure cuff around the lower arm for a period of 5 minutes. Cardiac structure and function will be assessed using two-dimensional (2D) echocardiography. Vascular function will be assessed using ultrasound and applanation tonometry. All procedures are non-invasive. Percentages of body fat and muscle mass will be measured using bioimpedance.

A 60ml blood sample will be taken which will be used to asses endothelial progenitor cell number and function, insulin sensitivity, cholesterol levels and is part of the assessment for health of the arteries and vascular system.

Visit 3

On the third visit a cognitive function test will be completed, which requires participants to attend in a 12 hour fasted state.

Participants will perform a 45 minute battery of cognitive tests. Following the cognitive tests, participants will be asked to complete a cognitive test evaluation questionnaire to assess both subjective and objective cognition.

At the end of the third laboratory visit all participants will be provided with an ActiHeart accelerometer (Actigraph, Pensacola, USA) to wear for a period of one week in order to assess movement counts and sedentary behaviour. At the end of the seven days the accelerometer is given back to or collected by the team and the data downloaded.

The three baseline laboratory visits plus the seven days using the ActiHeart accelerometer all come under stage 1 of the study. Participants will be asked to continue into the exercise training stage (stage 2), and willing volunteers will move through to the second stage of the experiment. All measures will be repeated at 12 weeks (78 hours to 5 days following cessation of the last exercise training session).

Being tested
Interval exercise training, Continuous exercise training (CON)
Medical subject headings
Obesity, Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Interval exercise trainingBehavioural

    Interval exercise sessions (INT) involving work:recovery ratios of 40 s at 70% delta work-rate followed by 80 s active recovery at 20 W. 70% delta (∆) is 70% of the difference between work rate peak (WRpeak) and work rate at the lactate threshold (WRLT) calculated as:

    70%∆ =0.7(〖WR〗_peak- 〖WR〗_LT )+ 〖WR〗_LT

    Where WR is work rate, LT is lactate threshold)

    Each session was for 30 min and this was undertaken twice per week for 12 weeks. One home based exercise session was incorporated per week.

  • Continuous exercise training (CON)Behavioural

    Exercise sessions involved cycling at 20%∆ work-rate peak for the duration of the session. This work-rate was chosen so that all participants in the group would be exercising in the heavy-intensity domain. To enable participants in the CON exercise group to complete the same amount of work (kJ) as the participants in the INT exercise group, the amount of work that would be completed if the CON participants completed an INT exercise session was calculated. Participants exercised for 26 min (varying to match interval group) twice per week for 12 weeks.

Study groups in NCT02853279
Study groupRoleWhat they receive
Interval exercise trainingExperimentalSupervised exercise training undertaking interval exercise twice per week for 30 min each visit over 12 weeks.
Receives: Behavioral: Interval exercise training
Continuous exercise trainingActive comparatorSupervised exercise training undertaking continuous exercise twice per week for 30 min each visit over 12 weeks.
Receives: Behavioral: Continuous exercise training (CON)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximal oxygen uptake (CPX)

    Maximal oxygen uptake assessed during a ramp incremental cycle ergometry test.

    Measured: Change at 12 weeks

  2. Flow mediated dilatation

    Percentage change in brachial artery diameter following cuff occlusion using doppler ultrasound.

    Measured: Change at 12 weeks

Secondary outcomes (19)
  1. Lactate threshold

    Lactate threshold estimated from pulmonary gas exchange criteria

    Measured: Baseline and 12 weeks

  2. Blood borne (plasma) inflammatory marker

    high sensitivity C reactive protein

    Measured: Baseline and 12 weeks

  3. Work rate peak

    The peak work rate achieved during the maximal oxygen uptake assessment

    Measured: Baseline and 12 weeks

  4. Circulating angiogenic cell number

    CD34+CD45dimKDR+ via Flow cytometry

    Measured: Baseline and 12 weeks

  5. Circulating cytokines

    vascular endothelial growth factor

    Measured: Baseline and 12 weeks

  6. Circulating cytokines

    stromal derived factor 1

    Measured: Baseline and 12 weeks

  7. Arterial stiffness

    Doppler assessed and Sphygmacor assessed changes in stiffness via pulse wave velocity

    Measured: Baseline and 12 weeks

  8. Cognitive function (Visual spatial learning scale)

    Measured: Baseline and 12 weeks

  9. Cognitive function (Tower of Hanoi)

    Measured: Baseline and 12 weeks

  10. Cognitive function (Grooved peg board)

    Measured: Baseline and 12 weeks

  11. Cognitive function (Visual verbal learning scale)

    Measured: Baseline and 12 weeks

  12. Cognitive function (Bakan test))

    Measured: Baseline and 12 weeks

  13. Cognitive function (Corsi block tapping)

    Measured: Baseline and 12 weeks

  14. Physical activity level

    Accelerometer assessed physical activity (Actiheart) worn on the hip

    Measured: Baseline and 12 weeks

  15. Blood pressure

    Blood pressure

    Measured: Baseline and 12 weeks

  16. Body composition

    Bioelectrical impedence analysis (BIOSTAT) assessment of fat mass

    Measured: Baseline and 12 weeks

  17. Cardiac function (echocardiography)

    Measured: Baseline and 12 weeks

  18. Cardiac structure (echocardiography)

    Measured: Baseline and 12 weeks

  19. Adhesion of cultured angiogenic cells to vascular smooth muscle cells

    Number of cells adhering

    Measured: Baseline and 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Aug 2016 (estimated)
  2. Study startJun 2011
  3. Primary completionJun 2014
  4. Study completionJun 2014

Resources

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02853279
Sponsor's protocol ID
BIOSCI 10-021
Status last verified
Jul 2016
First submitted
11 Jul 2016
Last updated
2 Aug 2016
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Interval exercise training and Continuous exercise training (CON) in people with Obesity and Cognitive Ability, General, run by University of Leeds at 2 sites in United Kingdom.

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 14 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 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United Kingdom. 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?

Maximal oxygen uptake (CPX) (time frame: Change at 12 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 2016; AzTrials last refreshed its copy on 31 Oct 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in