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ExerciseNCT03995693

Fuel Selection During Eccentric Cycling With Glucose Ingestion

A study testing Solution ingestion, Constant load arm cranking and Expired gas sampling in people with Exercise and Damage Muscle, run by Université de Montréal at 1 site in Canada.

Completed

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

Official record
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Trial summary

This study compares fuel selection during eccentric and concentric cycling, with (placebo) or without glucose ingestion during exercise. After a 2-week familiarization and habituation with the ergometers, subjects will complete four experimental conditions in a randomized order: concentric with placebo, eccentric with… Read more about this study

Who is it for?
Ages 18 to 45 years, men onlyHealthy volunteers can take part
Conditions the study is for
Exercise, Damage Muscle, Nutrition
What is being tested?
Solution ingestion, Constant load arm cranking and Expired gas sampling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
75 participants
Where
1 siteCanada
Study dates
1 Aug 2019to 1 Dec 2021
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 18 to 45 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Low alcohol consumption (<3 drinks/week)
  • Non-smokers
  • Not regularly taking medication for a known pathology
  • Regularly practices endurance sports (cycling, running, etc.)

Who cannot join

  • Intolerant to glucose (according to WHO standards)
  • Musculoskeletal injury or illness affecting exercise performance
  • Failure to respect protocol guidelines (diet, exercise prior to experimentation, etc.)

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Centre d'éducation physique et sportive de l'Université de Montréal (CEPSUM)

    Montreal, Quebec, H3C 3J7

Other trials in Canada

About this study

Official title: Fuel Selection During Eccentric Cycling: Comparison With Concentric Cycling and the Effect of Glucose Ingestion During Exercise

This study compares fuel selection during eccentric and concentric cycling, with (placebo) or without glucose ingestion during exercise. After a 2-week familiarization and habituation with the ergometers, subjects will complete four experimental conditions in a randomized order: concentric with placebo, eccentric with placebo, concentric with glucose, eccentric with glucose.

Read the detailed description

Cycling on a cycle ergometer typically requires repeated concentric muscle contractions to push on the pedals and produce mechanical work. An eccentric cycling ergometer has a motor that rotates the cranks with a predetermined torque, the cyclist needs to resist to the movement of the cranks. This leads to eccentric muscle contractions, the work is thus produced while the muscle is lengthening (negative work). This mode of exercise is known to produce a lower oxygen consumption (energy cost) for the same mechanical power output and also leads to muscle damage which can interfere with fuel selection.

Being tested
Solution ingestion, Constant load arm cranking, Expired gas sampling, Indirect respiratory calorimetry, Blood sampling
Keywords
eccentric exercise, 13C-glucose, exercise mode
Medical subject headings
Motor Activity

What participants receive

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

  • Solution ingestionDietary supplement

    Two ingestion modalities will be attributed (participant is blinded) in random order: a placebo and a glucose solution. The placebo contains water and a non-caloric sweetener (stevia) in order to reproduce the taste of the glucose solution. The glucose solution contains 6% glucose per volume, labelled with 13C. Both solutions will be administered in 8 doses: a bolus (333 mL) at rest, 30 minutes before the start of exercise, 167 mL immediately before exercise, 167 mL every 15 minutes during arm cranking, 125 mL immediately before concentric or eccentric pedalling and at 15 and 25 minutes of this last exercise period. In total, 1250 mL of solution will be administered during the experimental protocol.

  • Constant load arm crankingBehavioural

    The participants will perform 45 minutes of arm cranking on a specialized ergometer at a power output corresponding to 30% of their concentric cycling VO2max, previously measured.

  • Expired gas samplingProcedure or surgery

    Subjects will be asked, twice, to provide a forced expiration into a 10 mL plastic tube in order to collect a sample expired gases. This procedure will be done immediately before blood sampling and ingestion of the solution.

  • Indirect respiratory calorimetryProcedure or surgery

    A mouthpiece and nose plug will be placed on the subject and expired gases will be analyzed by a metabolic cart during 3 minutes. This procedure will be done immediately before expired gas collection, blood sampling and ingestion of the solution.

  • Blood samplingProcedure or surgery

    A catheter will be inserted in an antecubital vein and a saline solution will be continuously perfused to maintain vein open. 10 mL of blood will be collected immediately before ingesting the solution for a total of 80 mL.

  • Measure of maximal voluntary contraction force productionBehavioural

    Maximal voluntary bilateral knee extensions (3 trials of 3-4 seconds each) will be performed on a chair equipped with force sensors to measure peak force production. These measurements will be done before the first ingestion, immediately before exercise, during the transition between arm cranking and concentric or eccentric cycling, and at the end of the exercise protocol.

  • Measure of muscle electrical activity (EMG)Diagnostic test

    Surface electrodes will be placed on the biceps and quadriceps to measure EMG throughout the exercise protocol.

  • Measure of central and cutaneous temperaturesDiagnostic test

    Wireless sensors will be placed on the skin of the arm, chest, back, abdomen, thigh and calf using adhesive tape. A wireless thermometric pill will be ingested the morning of the experiment. These will allow the measurement of skin and central temperatures throughout the exercise protocol.

  • Measure of perceived exertion, pain perception and affective responseDiagnostic test

    100 points scales (CR100) will be used to measure perceived exertion and pain perception immediately before ingesting the gas sampling. At the same time, affective responses will be assessed using the "Feeling scale".

  • Measure of sweat and urine productionProcedure or surgery

    Sweat production and sampling will be performed by measuring body weight before and after exercise, after voiding the bladder. Mass loss through the urine and gases will be accounted for in order to compute sweat production. A sweat sample will be collected using a cotton gauze placed into a plastic collector affixed in the upper back of the participants. A urine sample will be taken from the urine collected at the end of the exercise period. Urine and sweat volumes along with respective urea concentrations will be used to compute protein oxidation during exercise.

Study groups in NCT03995693
Study groupRoleWhat they receive
Concentric cycling with placebo ingestionExperimentalParticipants will complete 45 minutes of arm cranking at an intensity corresponding to 30% of the concentric cycling VO2max, followed by 35 minutes of CONCENTRIC cycling on a recumbent ergometer at the same VO2. A PLACEBO solution (water with a non-caloric sweetener) will be ingested 30 min prior to starting exercise and every 15 min thereafter, until the exercise is completed. Indirect respiratory calorimetry, expired gas sampling, blood sampling will occur will be performed 4 minutes before each ingestion.
Receives: Dietary Supplement: Solution ingestion; Behavioral: Constant load arm cranking; Procedure: Expired gas sampling; Procedure: Indirect respiratory calorimetry; Procedure: Blood sampling; Behavioral: Measure of maximal voluntary contraction force production; Diagnostic Test: Measure of muscle electrical activity (EMG); Diagnostic Test: Measure of central and cutaneous temperatures; Diagnostic Test: Measure of perceived exertion, pain perception and affective response; Procedure: Measure of sweat and urine production
Concentric cycling with glucose ingestionExperimentalParticipants will complete 45 minutes of arm cranking at an intensity corresponding to 30% of the concentric cycling VO2max, followed by 35 minutes of concentric cycling on a recumbent ergometer at the same VO2. A GLUCOSE solution (glucose with a trace amount of 13C) will be ingested 30 min prior to starting exercise and every 15 min thereafter, until the exercise is completed. Indirect respiratory calorimetry, expired gas sampling, blood sampling will occur will be performed 4 minutes before each ingestion.
Receives: Dietary Supplement: Solution ingestion; Behavioral: Constant load arm cranking; Procedure: Expired gas sampling; Procedure: Indirect respiratory calorimetry; Procedure: Blood sampling; Behavioral: Measure of maximal voluntary contraction force production; Diagnostic Test: Measure of muscle electrical activity (EMG); Diagnostic Test: Measure of central and cutaneous temperatures; Diagnostic Test: Measure of perceived exertion, pain perception and affective response; Procedure: Measure of sweat and urine production
Eccentric cycling with placebo ingestionExperimentalParticipants will complete 45 minutes of arm cranking at an intensity corresponding to 30% of the concentric cycling VO2max, followed by 35 minutes of ECCENTRIC cycling on a recumbent ergometer at the same VO2. A PLACEBO solution (water with a non-caloric sweetener) will be ingested 30 min prior to starting exercise and every 15 min thereafter, until the exercise is completed. Indirect respiratory calorimetry, expired gas sampling, blood sampling will occur will be performed 4 minutes before each ingestion.
Receives: Dietary Supplement: Solution ingestion; Behavioral: Constant load arm cranking; Procedure: Expired gas sampling; Procedure: Indirect respiratory calorimetry; Procedure: Blood sampling; Behavioral: Measure of maximal voluntary contraction force production; Diagnostic Test: Measure of muscle electrical activity (EMG); Diagnostic Test: Measure of central and cutaneous temperatures; Diagnostic Test: Measure of perceived exertion, pain perception and affective response; Procedure: Measure of sweat and urine production
Eccentric cycling with glucose ingestionExperimentalParticipants will complete 45 minutes of arm cranking at an intensity corresponding to 30% of the concentric cycling VO2max, followed by 35 minutes of ECCENTRIC cycling on a recumbent ergometer at the same VO2. A GLUCOSE solution (glucose with a trace amount of 13C) will be ingested 30 min prior to starting exercise and every 15 min thereafter, until the exercise is completed. Indirect respiratory calorimetry, expired gas sampling, blood sampling will occur will be performed 4 minutes before each ingestion.
Receives: Dietary Supplement: Solution ingestion; Behavioral: Constant load arm cranking; Procedure: Expired gas sampling; Procedure: Indirect respiratory calorimetry; Procedure: Blood sampling; Behavioral: Measure of maximal voluntary contraction force production; Diagnostic Test: Measure of muscle electrical activity (EMG); Diagnostic Test: Measure of central and cutaneous temperatures; Diagnostic Test: Measure of perceived exertion, pain perception and affective response; Procedure: Measure of sweat and urine production

What is being measured

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

  1. Exogenous glucose oxidation

    Measured by indirect respiratory calorimetry combined with tracer techniques.

    Measured: Average over the 35 minutes of eccentric or concentric exercise

  2. Maximal voluntary force production

    Measured using isometric bilateral knee extensions

    Measured: Change between baseline and end of exercise

  3. Central and skin temperature

    Measured using a thermometric pill and skin-surface electrodes

    Measured: Average over the 35 minutes of eccentric or concentric exercise

  4. Perceived exertion

    Measured using a Category Ratio scale on 100 points (CR100), 0 signifies no exertion and 100 being maximal effort.

    Measured: Average over the 35 minutes of eccentric or concentric exercise

Secondary outcomes (7)
  1. Blood insulin concentration

    Blood is sampled using a venous catheter over about 60 seconds. Following centrifugation to extract the plasma, a small sample is used to measure insulin concentration.

    Measured: For 0 minutes corresponds to the beginning of exercise, at -31, -1, 14, 29, 44, 49, 59 and 69 minutes

  2. Blood glucose concentration

    Blood is sampled using a venous catheter over about 60 seconds. Following centrifugation to extract the plasma, a small sample is used to measure glucose concentration.

    Measured: For 0 minutes corresponds to the beginning of exercise, at -31, -1, 14, 29, 44, 49, 59 and 69 minutes

  3. Blood free-fatty acid concentration

    Blood is sampled using a venous catheter over about 60 seconds. Following centrifugation to extract the plasma, a small sample is used to measure free-fatty acid concentration.

    Measured: For 0 minutes corresponds to the beginning of exercise, at -31, -1, 14, 29, 44, 49, 59 and 69 minutes

  4. Blood lactate concentration

    Blood is sampled using a venous catheter over about 60 seconds. Following centrifugation to extract the plasma, a small sample is used to measure lactate concentration.

    Measured: For 0 minutes corresponds to the beginning of exercise, at -31, -1, 14, 29, 44, 49, 59 and 69 minutes

  5. Total carbohydrate, fat and protein oxidation

    Measured by indirect respiratory calorimetry corrected for urea excretion in sweat and urine

    Measured: Average over the 35 minutes of eccentric or concentric exercise

  6. Pain perception: VAS

    Visual analogue pain scale of 25 cm, relative distance converted to score on 100 points. Higher values correspond to greater pain sensation.

    Measured: Average over the 35 minutes of eccentric or concentric exercise

  7. Affective response

    Feeling scale, ranging from -5 to +5, reporting the mood (Hardy \& Rejeski, 1989). -5 corresponds to very bad and +5 to very good.

    Measured: Average over the 35 minutes of eccentric or concentric exercise

Timeline

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

  1. First posted24 Jun 2019
  2. Study start1 Aug 2019
  3. Primary completion1 Dec 2021
  4. Study completion1 Dec 2021

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
Basic science
Allocation
Randomised
Intervention model
Sequential
Masking
Single blind
Who is masked
Participant
Enrolment
75 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03995693
Sponsor's protocol ID
eccentric-exogenous
Status last verified
May 2022
First submitted
24 May 2019
Last updated
17 May 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Solution ingestion, Constant load arm cranking and Expired gas sampling in people with Exercise and Damage Muscle, run by Université de Montréal at 1 site in Canada.

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 4 inclusion and 3 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 17 May 2022. 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 Canada. 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?

Exogenous glucose oxidation (time frame: Average over the 35 minutes of eccentric or concentric exercise). 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?
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 17 May 2022; AzTrials last refreshed its copy on 29 Oct 2026.

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