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Bone Mineral ContentKOMO-BONENCT03201302

The KOMOtini BONE Study: Evaluation of the Osteogenic Potential of Sports

A study testing School physical education class, Taekwondo and Martial arts in people with Bone Mineral Content and Bone Density, run by Ioannis G. Fatouros at 1 site in Greece.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Bone mass develops throughout childhood and adolescence until a peak bone mass is achieved during early adulthood. Fracture risk later in life can be predicted at a large extent by peak bone mass. Occurence of sarcopenia and osteoporosis (i.e. Read more about this study

Who is it for?
Ages 8 to 12 yearsHealthy volunteers can take part
What is being tested?
School physical education class, Taekwondo and Martial arts
Could I receive a placebo?
No, everyone receives an active treatment
How many people
335 participants
Where
1 siteGreece
Study dates
Apr 2013to Dec 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 8 to 12 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • were 8-12 years and pre-pubertal
  • were healthy and had no prior bone fractures or related surgical operation
  • had not been involved in organized sport activities previously
  • their body fat was <30%, e) had no history of growth irregularities
  • were not receiving agents or drugs that affect bone tissue (e.g. Gonadotropin-Releasing Hormone (GnRH) agonists, antiresorptive, bisphosphonates, etc.)

Who cannot join

  • had prior bone fractures or related surgical operation
  • had been involved in organized sport activities previously
  • their body fat was >30%
  • had history of growth irregularities
  • were receiving agents or drugs that affect bone tissue (e.g. GnRH agonists, antiresorptive, bisphosphonates, etc.)
  • missed more than 10% of training sessions

Trial locations and contacts

1 site in 1 country.

Greece1 site
  • Laboratory of Physical Education and Sports, Democritus University of Thrace, School of Physical Education & Sports Sciences

    Komotini, 69100

Other trials in Greece

About this study

Official title: The KOMOtini BONE Study: Evaluation of Sports-Related Osteogenic Potential in School-Aged Children

Bone mass develops throughout childhood and adolescence until a peak bone mass is achieved during early adulthood. Fracture risk later in life can be predicted at a large extent by peak bone mass. Occurence of sarcopenia and osteoporosis (i.e. loss of mone mass) during late adulthood has been strongly associated with the degree of bone mineralization during early life. Nearly 50% of total bone mineral content (BMC) reached during adulthood is obtained during pre-adolescence rendering this period critical for skeletal health and is considered as an optimal period for bone/skeletal growth since during this time bones are more adaptable to osteogenic stimuli such as exercise-induced mechanical loading. Organized sport activities and/or nutrition appear to affect profoundly bone mineral density (BMD), BMC, bone geometry, and overall skeletal health during preadolescence offering an effective type of prevention of osteoporosis, a condition very difficult to treat later in life. Evidence suggest that some modes of exercise activities may be more effective (osteogenic) for bone development due to the magnitude and type of mechanical strain placed on long bones causing them to be more dense. Weight-bearing activities (e.g. running, jumping etc.) are believed to be more osteogenic than non-weight bearing activities. However, more research is required in order to determine: i) whether weight-bearing activities are more osteogenic than non weight -bearing activities during childhood and ii) the osteogenic potential of a large number of sport activities used by school-children as compared to a control treatment of no participation in organized sport activities. The present trial attempted to compare a large number of different sport activities in respect to their osteogenic potential based on training variables that are thought to affect osteogenesis while at the same time allows direct comparison of exercise modes that are entirely different. Therefore, the goal of this investigation was to determine the osteogenic potential of a large number of exercise training activities in boys and girls of 8-12 years of age during an entire primary school season.

Read the detailed description

Healthy, previously untrained, pre-pubertal boys and girls (N=335) were assigned to 16 different groups: 1) physical education, i.e. children participated only school in physical education classes (control group), 2) football (soccer) training, 3) basketball training, 4) volleyball training, 5) wrestling training, 6) martial arts training, 7) tennis training, 8) track and field training, 9) taekwondo training, 10) rhythmic gymnastics training, 11) artistic gymnastics training, 12) dance training, 13) swimming training, 14) climbing training, 15) two weight-bearing training modes, and 16) one weight-bearing and one non-weight bearing activity. Exercise training was performed three times per week for nine months and each training session had a 60-minute duration (except for the physical education classes at school in the control group). Anthropometric measurements (body height, body mass, and length and circumferences of various body segments), blood sampling, measurements of body composition (using dual X-ray energy absorptiometry or DEXA and skinfold calibers), bone measurements (bone density and bone mineral content at lumbar spine, both hips, both wrists and whole body using DEXA), and performance (cardiorespiratory fitness, muscle strength, muscle power, flexibility and motor ability) were performed at baseline and after the completion of a 9-month training intervention. Nutritional intake and habitual physical activity were measured at baseline, mid-training and post-training (using diet recalls and accelerometry, respectively). Intensity and volume of training was measured once every three months using heart rate monitoring, accelerometry, Global Positioning System (GPS) devices and jump measurement. Furthermore, two other studies were also performed as a part of this project: a) assessment of physical activity during physical education classes for primary school (using accelerometry, GPS instrumentation and jump measurement) and b) a smaller number of participants in the football, track and field, swimming and tennis training groups provided blood samples before and after a training session at baseline.

Being tested
School physical education class, Taekwondo, Martial arts, Climbing, Volleyball
Keywords
bone, childhood, pre-adolescence, bone turnover markers, sclerostin, sports, physical activity, nutrition
Medical subject headings
Sclerosteosis, Motor Activity

What participants receive

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

  • School physical education classOther

    Children participated only in school physical education classes only.

  • TaekwondoOther

    Children participated only in taekwondo training only.

  • Martial artsOther

    Children participated only in martial arts training only.

  • ClimbingOther

    Children participated only in climbing training only.

  • VolleyballOther

    Children participated only in volleyball training only.

  • Artistic gymnasticsOther

    Children participated only in artistic gymnastics training only.

  • SwimmingOther

    Children participated only in swimming training only.

  • DanceOther

    Children participated only in dance training only.

  • BasketballOther

    Children participated only in basketball training only.

  • WrestlingOther

    Children participated only in wrestling training only.

  • Football (soccer)Other

    Children participated only in football (soccer) training only.

  • Rhythmic gymnasticsOther

    Children participated only in rhythmic gymnastics training only.

  • Track and fieldOther

    Children participated only in track and field training only.

  • TennisOther

    Children participated only in tennis training only.

  • Combination of activities 1Other

    Children participated in two weight-bearing activities.

  • Combination of activities 2Other

    Children participated in one weight-bearing activity and in one non weight-bearing activity.

Study groups in NCT03201302
Study groupRoleWhat they receive
School physical education classExperimentalChildren who participated only in their school physical activity classes only for the entire school year.
Receives: Other: School physical education class
TaekwondoExperimentalChildren who participated in organized Taekwondo training for the entire school year.
Receives: Other: Taekwondo
Martial artsExperimentalChildren who participated in organized Martial arts training for the entire school year.
Receives: Other: Martial arts
ClimbingExperimentalChildren who participated in organized climbing training for the entire school year.
Receives: Other: Climbing
VolleyballExperimentalChildren who participated in organized volleyball training for the entire school year.
Receives: Other: Volleyball
Artistic gymnasticsExperimentalChildren who participated in organized artistic gymnastics training for the entire school year.
Receives: Other: Artistic gymnastics
SwimmingExperimentalChildren who participated in organized swimming training for the entire school year.
Receives: Other: Swimming
DanceExperimentalChildren who participated in organized dance training for the entire school year.
Receives: Other: Dance
BasketballExperimentalChildren who participated in organized basketball training for the entire school year.
Receives: Other: Basketball
WrestlingExperimentalChildren who participated in organized wrestling training for the entire school year.
Receives: Other: Wrestling
Football (soccer)ExperimentalChildren who participated in organized football (soccer) training for the entire school year.
Receives: Other: Football (soccer)
Rhythmic gymnasticsExperimentalChildren who participated in organized rhythmic gymnastics training for the entire school year.
Receives: Other: Rhythmic gymnastics
Track and fieldExperimentalChildren who participated in organized track and field training for the entire school year.
Receives: Other: Track and field
TennisExperimentalChildren who participated in organized tennis training for the entire school year.
Receives: Other: Tennis
Combination of activities 1ExperimentalChildren who participated in two different weight-bearing activities for the entire school year.
Receives: Other: Combination of activities 1
Combination of activities 2ExperimentalChildren who participated in one weight-bearing and in one non weight-bearing activity for the entire school year.
Receives: Other: Combination of activities 2

What is being measured

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

  1. Changes in bone mineral content

    Using a whole body, hip (left and right), lumbar spine, and wrist (left and right) scans performed by a dual-energy x-ray absorptiometry scanner.

    Measured: At baseline and 9 months.

  2. Changes in bone density

    Using a whole body, hip (left and right), lumbar spine, and wrist (left and right) scans performed by a dual-energy x-ray absorptiometry scanner.

    Measured: At baseline and 9 months.

  3. Changes in area of different regions and sub-regions

    Using a whole body, hip (left and right), lumbar spine, and wrist (left and right) scans performed by a dual-energy x-ray absorptiometry scanner.

    Measured: At baseline and 9 months.

  4. Changes in bone resorption

    By measuring blood levels of sclerostin, calcium, phosphorus, magnesium, creatinine, alkaline phosphatase (ALP), vitamin D (if budget allows), serum procollagen type 1 aminoterminal propeptide (P1NP, if budget allows) and isomer of the Carboxy-terminal telopeptide of type 1 collagen (CTX-1, if budget allows).

    Measured: At baseline and 9 months.

  5. Changes in cardiorespiratory performance

    Using a shuttle run test

    Measured: At baseline and 9 months.

  6. Changes in muscle power performance of the lower limbs

    Using long jump test, standing long jump test, countermovement jump test and the Abalakov jump.

    Measured: At baseline and 9 months.

  7. Changes in flexibility performance

    Using the sit and reach test

    Measured: At baseline and 9 months.

  8. Changes in muscle strength

    Using handgrip dynamometry (left and right arm)

    Measured: At baseline and immediately after the completion of training.

  9. Changes in motor performance

    Using a standard motor ability test battery

    Measured: At baseline and 9 months.

  10. Changes in stature (cm)

    Measured: At baseline and 9 months.

  11. Changes in seated height (cm)

    Measured: At baseline and 9 months.

  12. Changes in body mass (kg)

    Measured: At baseline and 9 months.

  13. Changes in body mass index (BMI)

    Calculated as body mass (kg) divided by the height (m) squared.

    Measured: At baseline and 9 months.

  14. Changes in arm span

    Measured: At baseline and 9 months.

  15. Changes in tibia length

    Measured: At baseline and 9 months.

  16. Changes in biacromial length

    Measured: At baseline and 9 months.

  17. Changes in chest width

    Measured: At baseline and 9 months.

  18. Changes in waist circumference

    Measured: At baseline and 9 months.

  19. Changes in hip circumference

    Measured: At baseline and 9 months.

  20. Changes in forearm length

    Measured: At baseline and 9 months.

  21. Changes in hand length

    Measured: At baseline and 9 months.

  22. Changes in body fat mass

    Body composition was measured using a dual-energy x-ray absorptiometry scanner (DEXA). DEXA instrumentation allowed the measurement of regional (legs, arms, trunk) weight, body fat (%), and fat mass (kg).

    Measured: At baseline and 9 months.

  23. Changes in lean body mass

    Body composition was measured using a dual-energy x-ray absorptiometry scanner (DEXA). DEXA instrumentation allowed the measurement of regional (legs, arms) weight, lean mass (kg).

    Measured: At baseline and 9 months.

Secondary outcomes (5)
  1. Changes in sexual maturation

    Sexual maturation was assessed using the Tanner scale with stages of sexual maturation, orchidometer for boys. Potentially sexual maturation will be assessed also using measurement of hormonal concentration in the blood (if budget allows).

    Measured: At baseline and 9 months.

  2. Changes in diet intake

    Food intake was measured using diet recalls. Participants and their parents were instructed how to record the type and the quantity of solid and liquid foods consumed daily. Daily caloric intake as well daily intake of all nutrients was estimated using a nutritional software.

    Measured: At baseline, after 4,5 months of training and after 9 months of training.

  3. Changes in habitual physical activity

    Daily habitual physical activity was measured using an accelerometer.

    Measured: At baseline, after 4,5 months of training and after 9 months of training.

  4. Changes in training intensity

    Training intensity was measured in two consecutive training sessions for each sport activity at three time points during the intervention. Training intensity was assessed using the following: a) heart rate responses using heart rate monitors, b) accelerometry (except for swimming), c) GPS instrumentation (global positioning system) for outdoor activities only.

    Measured: At baseline, after 4,5 months of training and after 9 months of training.

  5. Changes in training volume

    Training volume was measured in two consecutive training sessions for each sport activity at three time points during the intervention. Training volume was measured using the following: a) total distance covered using GPS instrumentation and accelerometry for outdoor activities, b) accelerometry for indoor activities, c) recording of total meters covered during a session for swimming and d) total vertical jump number.

    Measured: At baseline, after 4,5 months of training and after 9 months of training.

Timeline

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

  1. First posted28 Jun 2017
  2. Study startApr 2013
  3. Primary completionJun 2014
  4. Study completionDec 2017 (estimated)

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
335 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03201302
Sponsor's protocol ID
DUTH-UTH
Acronym
KOMO-BONE
Status last verified
Jun 2017
First submitted
2 Jan 2017
Last updated
28 Jun 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing School physical education class, Taekwondo and Martial arts in people with Bone Mineral Content and Bone Density, run by Ioannis G. Fatouros at 1 site in Greece.

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 5 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 28 Jun 2017. 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 Greece. 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?

Results are not available in the source record.

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?

Changes in bone mineral content (time frame: At baseline and 9 months.). The study lists 23 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 28 Jun 2017.

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