Metabolic SyndromeNCT03107741
Effectiveness of Tai Chi Training on Metabolic Syndrome
A study testing Conventional Exercise and Tai Chi in people with Metabolic Syndrome, run by Angus Yu at 2 sites in Hong Kong.
Trial summary
Metabolic syndrome (MetS) is a serious public health problem in Hong Kong and worldwide. Older adults, the age group with the highest prevalence of MetS, may prefer specific exercise modalities that are suitable for their regular participation to manage MetS. Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Metabolic Syndrome
- What is being tested?
- Conventional Exercise and Tai Chi
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 543 participants
- Where
- 2 sitesHong Kong
- Study dates
- Feb 2016to Feb 2019
- 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 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Ethnic Chinese
- Abdominal Obese: Meeting the defined criteria of International Diabetes Federation (IDF) and National Cholesterol Education Program (NCEP) for abdominal obesity using Asian-specific cut off (waist circumference ≥ 90 cm for male; ≥ 80 cm for female)
Who cannot join
- Regularly practice moderate-intensity exercise or tai chi (>3 times a week of >30-min/ session)
- Serious medical and somatic condition that prevent participation in generic fitness/Tai Chi exercise
- Serious chronic diseases known to affect mobility (eg. Neurological diseases, musculoskeletal disorder and autoimmune diseases)
- Under treatment for serious chronic diseases (eg. Cancer treatment)
Trial locations and contacts
2 sites in 1 country.
Hong Kong2 sites
The Hong Kong Polytechnic University
Hong Kong, 852
The University of Hong Kong
Hong Kong, 852
About this study
Official title: Effectiveness of Tai Chi Training to Alleviate Metabolic Syndrome in Abdominal Obese Older Adults: A Randomized Controlled Trial
Metabolic syndrome (MetS) is a serious public health problem in Hong Kong and worldwide. Older adults, the age group with the highest prevalence of MetS, may prefer specific exercise modalities that are suitable for their regular participation to manage MetS. This project aims to evaluate the effectiveness of Tai Chi, a very suitable exercise for older adults, to alleviate MetS in older population
Read the detailed description
PURPOSE/OBJECTIVE: Metabolic syndrome (MetS) is a serious public health problem in Hong Kong and worldwide. Older adults, the age by specific exercise modalities that are suitable for regular participation. This project aims to evaluate the effectiveness of Tai Chi to alleviate MetS in older population.
DESIGN \& METHODS: This study is a three-arm assesscer blinded randomized controlled trial. Older adults aged 50 years or above with abdominal obesity will be randomly assigned to passive control, active control and Tai Chi groups. Subjects assigned to Tai Chi and active control groups will receive a 12-week intervention of Tai Chi and generic fitness, respectively. No intervention will be given to the passive control group. Outcome measures including waist circumference, blood pressure, blood glucose, triglyceride and high density lipoprotein-cholesterol will be assessed at baseline, post-intervention and follow-up (6 months after the end of intervention) assessments in all groups.
HYPOTHESES: We hypothesize that: 1) improvements of waist circumference and other indicators of MetS are found in Tai Chi group but not in passive control group and 2) improvements of waist circumference and other indicators of MetS are more profound in Tai Chi group than active control group.
- Conditions
- Metabolic Syndrome
- Being tested
- Conventional Exercise, Tai Chi
- Keywords
- Metabolic Syndrome, Waist circumference, Blood pressure, Triglyceride, HDL cholesterol
- Medical subject headings
- Metabolic Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Conventional ExerciseOther
Subjects in this group will receive three 1-hour conventional exercise training sections per week for 12 weeks
Tai ChiOther
Subjects in this group will receive three 1-hour tai chi training sections per week for 12 weeks
| Study group | Role | What they receive |
|---|---|---|
| Passive Control | No intervention | Subjects in this group will not receive any intervention. |
| Conventional Exercise | Placebo comparator | Subjects in this group will receive three 1-hour conventional exercise training sections per week for 12 weeks Receives: Other: Conventional Exercise |
| Tai Chi | Active comparator | Subjects in this group will receive three 1-hour tai chi training sections per week for 12 weeks Receives: Other: Tai Chi |
What is being measured
The primary outcome is the main question the study is designed to answer.
Waist circumference
Waist circumference will be measured midway between the lowest rib and the superior border of the iliac crest using an inelastic measuring tape on the bare skin to the nearest 0.1 cm. Measurement will be performed at the end of normal expiration.
Measured: Immediately after completion of the 12-week intervention
Waist circumference
Waist circumference will be measured midway between the lowest rib and the superior border of the iliac crest using an inelastic measuring tape on the bare skin to the nearest 0.1 cm. Measurement will be performed at the end of normal expiration.
Measured: 6 months after the completion of intervention
Secondary outcomes (8)
Remission of central obesity
The percentage of subjects that no longer diagnosed with central obesity according to the criterion of International Diabetes Federation (IDF) and National Cholesterol Education Program (NCEP) for abdominal obesity using Asian-specific cut off (waist circumference ≥ 90 cm for male; ≥ 80 cm for female).
Measured: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Blood triglyceride
Biochemical measurements will be performed in venous blood samples collected after overnight fast. Subjects will come to our laboratory after an overnight (≥ 8 hours) fasting. Subjects will sit in a quiet environment for 15 minutes prior to blood collection. Venous blood will be drawn from an antecubital vein in the forearm by a licensed phlebotomist. The level of blood triglyceride will be measured by an accredited medical laboratory.
Measured: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
High density lipoprotein-cholesterol
Biochemical measurements will be performed in venous blood samples collected after overnight fast. Subjects will come to our laboratory after an overnight (≥ 8 hours) fasting. Subjects will sit in a quiet environment for 15 minutes prior to blood collection. Venous blood will be drawn from an antecubital vein in the forearm by a licensed phlebotomist. The level of HDL-cholesterol will be measured by an accredited medical laboratory.
Measured: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Fasting blood glucose
Biochemical measurements will be performed in venous blood samples collected after overnight fast. Subjects will come to our laboratory after an overnight (≥ 8 hours) fasting. Subjects will sit in a quiet environment for 15 minutes prior to blood collection. Venous blood will be drawn from an antecubital vein in the forearm by a licensed phlebotomist. The level of blood glucose will be measured by an accredited medical laboratory.
Measured: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Systolic blood pressure
Blood pressure measurement will be measured on the right arm after a 5-minute seated rest using the Datascope Accutorr Plus BP Monitor. Systolic and diastolic blood pressure will be obtained over brachial artery region with the arm supported at heart level using appropriate sized cuff. The average of two measurements taken within one minute interval will be recorded for analysis.
Measured: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Diastolic blood pressure
Blood pressure measurement will be measured on the right arm after a 5-minute seated rest using the Datascope Accutorr Plus BP Monitor. Systolic and diastolic blood pressure will be obtained over brachial artery region with the arm supported at heart level using appropriate sized cuff. The average of two measurements taken within one minute interval will be recorded for analysis.
Measured: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Bodyweight
A calibrated electronic digital weighing scale with a capacity from 0.05kg to 150kg (± 0.05kg accuracy) will be used to weigh the subjects.
Measured: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Body mass index
A calibrated electronic digital weighing scale with a capacity from 0.05kg to 150kg (± 0.05kg accuracy) will be used to weigh the subjects. A stadiometer (Holtain Ltd., UK) with 200 cm limit and ± 0.01 cm accuracy will be used to measure body height. The BMI will be calculated from the body weight and height.
Measured: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Apr 2017
- Study startFeb 2016
- Primary completionMay 2018
- Study completionFeb 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Metabolic SyndromeStudies of the same condition, open and under way.
- 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 543 participants (actual)
Sponsor and investigators
- Lead sponsor
- Angus Yu
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Angus Yu, The Hong Kong Polytechnic University
- Investigators
- Parco MF Siu, PhD, Principal investigator, The University of Hong Kong
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03107741
- Sponsor's protocol ID
- Tai Chi and Metabolic Syndrome
- Status last verified
- Sep 2020
- First submitted
- 5 Apr 2017
- Last updated
- 30 Sep 2020
- Results posted
- No
Publications
Siu PM, Yu AP, Chin EC, Yu DS, Hui SS, Woo J, Fong DY, Wei GX, Irwin MR. Effects of Tai Chi or Conventional Exercise on Central Obesity in Middle-Aged and Older Adults : A Three-Group Randomized Controlled Trial. Ann Intern Med. 2021 Aug;174(8):1050-1057. doi: 10.7326/M20-7014. Epub 2021 Jun 1.
PubMed 34058100
Study at a glance
From the registry record, last updated by the sponsor on 30 Sep 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Tai Chi Training to Alleviate Metabolic Syndrome in Abdominal Obese Older Adults: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT03107741
- Acronym / sponsor ID
- Tai Chi and Metabolic Syndrome
- Conditions
- Metabolic Syndrome
- Keywords
- Metabolic Syndrome, Waist circumference, Blood pressure, Triglyceride, HDL cholesterol
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 543 participants (actual)
- Lead sponsor
- Angus YuUniversity, hospital or other
- Study start
- Feb 2016 (actual)
- Primary completion
- May 2018 (actual)
- Study completion
- Feb 2019 (actual)
- First posted
- 11 Apr 2017 (actual)
- 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.
Metabolic syndrome (MetS) is a serious public health problem in Hong Kong and worldwide. Older adults, the age group with the highest prevalence of MetS, may prefer specific exercise modalities that are suitable for their regular participation to manage MetS. This project aims to evaluate the effectiveness of Tai Chi, a very suitable exercise for older adults, to alleviate MetS in older population
Detailed description
PURPOSE/OBJECTIVE: Metabolic syndrome (MetS) is a serious public health problem in Hong Kong and worldwide. Older adults, the age by specific exercise modalities that are suitable for regular participation. This project aims to evaluate the effectiveness of Tai Chi to alleviate MetS in older population.
DESIGN \& METHODS: This study is a three-arm assesscer blinded randomized controlled trial. Older adults aged 50 years or above with abdominal obesity will be randomly assigned to passive control, active control and Tai Chi groups. Subjects assigned to Tai Chi and active control groups will receive a 12-week intervention of Tai Chi and generic fitness, respectively. No intervention will be given to the passive control group. Outcome measures including waist circumference, blood pressure, blood glucose, triglyceride and high density lipoprotein-cholesterol will be assessed at baseline, post-intervention and follow-up (6 months after the end of intervention) assessments in all groups.
HYPOTHESES: We hypothesize that: 1) improvements of waist circumference and other indicators of MetS are found in Tai Chi group but not in passive control group and 2) improvements of waist circumference and other indicators of MetS are more profound in Tai Chi group than active control group.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Passive Control | No intervention | –Subjects in this group will not receive any intervention. |
| Conventional Exercise | Placebo comparator | Other: Conventional ExerciseSubjects in this group will receive three 1-hour conventional exercise training sections per week for 12 weeks |
| Tai Chi | Active comparator | Other: Tai ChiSubjects in this group will receive three 1-hour tai chi training sections per week for 12 weeks |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Ethnic Chinese
- Abdominal Obese: Meeting the defined criteria of International Diabetes Federation (IDF) and National Cholesterol Education Program (NCEP) for abdominal obesity using Asian-specific cut off (waist circumference ≥ 90 cm for male; ≥ 80 cm for female)
Key exclusion criteria (4 listed)
- Regularly practice moderate-intensity exercise or tai chi (>3 times a week of >30-min/ session)
- Serious medical and somatic condition that prevent participation in generic fitness/Tai Chi exercise
- Serious chronic diseases known to affect mobility (eg. Neurological diseases, musculoskeletal disorder and autoimmune diseases)
- Under treatment for serious chronic diseases (eg. Cancer treatment)
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 |
|---|---|---|
| Conventional ExerciseSubjects in this group will receive three 1-hour conventional exercise training sections per week for 12 weeks | Other | Conventional Exercise |
| Tai ChiSubjects in this group will receive three 1-hour tai chi training sections per week for 12 weeks | Other | Tai Chi |
Primary outcome
Waist circumference
Time frame: Immediately after completion of the 12-week intervention
Waist circumference will be measured midway between the lowest rib and the superior border of the iliac crest using an inelastic measuring tape on the bare skin to the nearest 0.1 cm. Measurement will be performed at the end of normal expiration.
Waist circumference
Time frame: 6 months after the completion of intervention
Waist circumference will be measured midway between the lowest rib and the superior border of the iliac crest using an inelastic measuring tape on the bare skin to the nearest 0.1 cm. Measurement will be performed at the end of normal expiration.
8 secondary outcomes
Remission of central obesity
Time frame: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Blood triglyceride
Time frame: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
High density lipoprotein-cholesterol
Time frame: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Fasting blood glucose
Time frame: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Systolic blood pressure
Time frame: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Diastolic blood pressure
Time frame: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Bodyweight
Time frame: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
Body mass index
Time frame: Immediately after completion of the 12-week intervention and 6 months after the completion of intervention
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 30 Sep 2020.
- Derived from this study: PubMed 34058100Siu PM, Yu AP, Chin EC, Yu DS, Hui SS, Woo J, Fong DY, Wei GX, Irwin MR. Effects of Tai Chi or Conventional Exercise on Central Obesity in Middle-Aged and Older Adults : A Three-Group Randomized Controlled Trial. Ann Intern Med. 2021 Aug;174(8):1050-1057. doi: 10.7326/M20-7014. Epub 2021 Jun 1.
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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.
Parco MF Siu, PhD principal investigator
The University of Hong Kong
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Conventional Exercise and Tai Chi in people with Metabolic Syndrome, run by Angus Yu at 2 sites in Hong Kong.
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 2 inclusion and 4 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 30 Sep 2020. 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 Hong Kong. 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. Some participants in this study may receive a placebo. 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?
Waist circumference (time frame: Immediately after completion of the 12-week intervention). 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?
On the ClinicalTrials.gov record for NCT03107741, which also lists 1 linked publication.
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 30 Sep 2020.