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Old AgeNCT04142346

Breaking-up Sedentary Time and 2 Weeks Detraining

A study testing Sitting + moderate intensity breaks in people with Old Age, run by University of Lisbon at 1 site in Portugal.

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

Regularly interrupting sedentary behavior (SB) with activity breaks may attenuate postprandial glucose (PPG) excursions and improve glycemic control. The investigators aimed to determine the effect of interrupting 7 hours of prolonged sitting with brief bouts of moderate physical activity (PA) (alternating between… Read more about this study

Who is it for?
Ages 65 to 90 yearsHealthy volunteers can take part
Conditions the study is for
Old Age
What is being tested?
Sitting + moderate intensity breaks
Could I receive a placebo?
No, everyone receives an active treatment
How many people
14 participants
Where
1 sitePortugal
Study dates
1 Apr 2019to 31 Aug 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 65 to 90 years
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Men or women
  • 65 and 90 years-old
  • Physically active
  • Engaged in structured exercise at least twice a week for the past 6 months.

Who cannot join

  • Diagnosed with diabetes
  • Any type of physical limitation that would prevent them from practicing exercise

Trial locations and contacts

1 site in 1 country.

Portugal1 site
  • Faculty of Human Kinetics, University of Lisbon

    Cruz Quebrada

Other trials in Portugal

About this study

Official title: Postprandial Glucose Responses in Trained Older Adults: Effects of Breaking-up Sedentary Time and 2 Weeks Detraining

Regularly interrupting sedentary behavior (SB) with activity breaks may attenuate postprandial glucose (PPG) excursions and improve glycemic control. The investigators aimed to determine the effect of interrupting 7 hours of prolonged sitting with brief bouts of moderate physical activity (PA) (alternating between up/down stairs and sit/stand up from the chair) on postprandial glucose (PPG) responses in comparison with uninterrupted sitting. In addition, the investigators aimed to examine the effects of 2 weeks of detraining (DT) on PPG on both protocols. Non-diabetic, trained older adults (n = 15) will be recruited for a randomized crossover trial with two treatments performed in two different training conditions: 1) uninterrupted sitting protocol (CON); 2) seated with 2-minutes bouts of moderate PA every 30 minutes (INT). Both protocols will be performed in a trained condition and after 2 weeks of DT. In the early morning of each trial, participants will do an oral glucose tolerance test (OGTT) and 2 blood samples will be collected (fasting and after 2 hours); 2.5 hours after, participants will begin the protocol and two standardized meals will be provided (0 hours and at 3 hours). An iPro2 continuous glucose monitoring (CGM) system will record the average interstitial glucose concentration every 5 minutes. Positive incremental area under the curve (iAUC) and total area under the curve (pAUC) for glucose as well as mean glucose (MG) will be calculated using Matlab. Differences between both protocols and between the two different moments will be examined using generalized estimation equation (GEE), adjusting for sex and age (CI 95%).

Read the detailed description

Participants will be recruited to take part in a randomized crossover trial using media advertisements and group events within the Lisbon Metropolitan Area. In order to be part of this intervention, the participants will have to be men or women aged between 65 and 90 years-old, physically active, and engaged in structured exercise at least twice a week for the past 6 months. People who have diabetes or any type of physical limitation that would prevent them from performing exercise will be excluded. Power and sample size calculations (G-Power 3.1.9.2) were based on an effect size of 0.78 for the glucose iAUC, a power of 0.80, and a significance of 0.05. The calculation yielded a sample size of 15 participants. This study was approved by the Ethics Committee of the Faculty of Human Kinetics (approval number: 06/2019) and conducted in accordance with the Declaration of Helsinki and with the Convention on Human Rights and Biomedicine. Written informed consents were obtained from all participants.

Participants will be followed in a randomized crossover trial undertaken at Faculty of Human Kinetics between April and August 2019. Participants will attend the laboratory on twelve separate occasions: visit 1 (day 1), baseline assessments for body composition; visit 2 (day 2), cardiorespiratory fitness assessment; visit 3 (day 3), OGTT and the first randomized experimental protocol; visit 4 (day 4), follow-up OGTT; visit 5 (4-6 days after the first experimental protocol), OGTT and the remaining experimental protocol; visit 6 (day following the previous experimental protocol), follow-up OGTT. An additional 6 visits will be performed following the same rational, after a 2-week period of detraining, where participants will be instructed to refrain from structured exercise and reduce their physical activity. The follow-up assessments for body composition and cardiorespiratory fitness will be accomplished after the protocols. Experimental protocol order will be randomized at baseline and on the follow-up period after the detraining process by a third party using a computer-generated list of random numbers (block randomization with balanced block sizes).

On the morning of each intervention day, participants will arrive at the laboratory at 8:00 a.m., after a 10h fast. For 48h prior to intervention day, participants will be asked to refrain from structured moderate-to-vigorous physical activity (MVPA), caffeine and alcohol consumption. Each intervention day will have a total duration of 9.5h and will start with an oral glucose tolerance test. After a baseline blood collection, participants will be instructed to drink an oral glucose drink of 75g dissolved in water (200 ml). Two hours after, another blood sample will be drawn.

At 10:30 a.m., a mixed standard meal (breakfast) will be given to the participants, marking the begging of the 7 hour protocol. The same standard meal will be provided at 1:30 p.m. (lunch). The 200-ml meal will consist of 303 kcal, 42g carbohydrate, 10g fat and 11.2g protein, vitamins and minerals (Nestle Health Science - Resource Energy). The participants will be encouraged to consume the entire meal within 5 minutes. The protocols performed will be: 1) uninterrupted sitting: participants will remain seated throughout 7 hours (SIT); 2) Sitting + moderate intensity breaks: participants will be instructed to sit throughout 7 hours, while interrupting the sitting position every 30 minutes to perform 2 minutes of moderate-intensity physical activity. The breaks will consist of walk up and down the stairs and squats. Each person will perform these exercises alternately. During the protocol, participants will be allowed to go to the bathroom in a wheelchair and al-libitum water will be granted. The following morning after the protocol, the OGTT will be repeated.

Conditions
Old Age
Being tested
Sitting + moderate intensity breaks
Keywords
sitting time, physical inactivity, breaks, glycemic control, continuous glucose monitoring, older adults
Medical subject headings
Sedentary Behavior

What participants receive

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

  • Sitting + moderate intensity breaksBehavioural

    Participants will be followed in a randomized crossover trial undertaken at Faculty of Human Kinetics between April and August 2019. Participants will attend to the laboratory on twelve separate occasions: visit 1 (day 1), baseline assessments for body composition; visit 2 (day 2), cardiorespiratory fitness assessment; visit 3 (day 3), OGTT and the first randomized experimental protocol; visit 4 (day 4), follow-up OGTT; visit 5 (4-6 days after the first experimental protocol), OGTT and the remaining experimental protocol; visit 6 (day following the previous experimental protocol), follow-up OGTT. An additional 6 visits will be performed following the same rational, after a 2-week period of detraining, where participants will be instructed to refrain from structured exercise. The follow-up assessments for body composition and cardiorespiratory fitness will be accomplished after the protocols.

Study groups in NCT04142346
Study groupRoleWhat they receive
Uninterrupted sittingNo interventionParticipants remained seated throughout 7 hours. During the protocol, participants were allowed to go to the bathroom in a wheelchair and al-libitum water was granted.
Sitting + moderate intensity breaksExperimentalParticipants were instructed to sit throughout 7 hours, while interrupting the sitting position every 30 minutes to perform 2 minutes of moderate-intensity physical activity. The breaks consisted of walk up and down stairs and squats. Each person performed these exercise alternately. During the protocol, participants were allowed to go to the bathroom in a wheelchair and al-libitum water was granted.
Receives: Behavioral: Sitting + moderate intensity breaks

What is being measured

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

  1. Continuous glucose monitoring before and after 2-Weeks of detraining for each intervention protocol (prolonged sitting vs. breaking-up sitting)

    Immediately upon arrival at the laboratory and throughout 24h, a blood glucose monitor (iPro2 CGM with Enlite Sensors MiniMed; Medtronic, Northridge, California, USA) will be placed on the right side of the abdomen. Once inserted, CGM provides interstitial glucose values every 5 minutes. To calibrate the CGM, four capillary blood glucose samples (three in the laboratory and one at home) will be collected and measured using a glucometer (Contour Next One, Ascensia Diabetes Care, Basel, Switzerland).

    Measured: 1-month (2 measurement times, one for each protocol, including baseline and after detraining)

Secondary outcomes (12)
  1. Postural allocation

    To objectively monitor the experimental protocol, an Activpal (version 5.9.1.1, PAL Technologies, Glasgow, UK) will be attached to the skin on the middle anterior line of the right thigh and will be used continuously during the 7-hour protocol. Data will be collected at a predetermined 10 Hz and in 15 second epochs.

    Measured: 1-month (2 measurement times, one for each protocol, including baseline and after detraining)

  2. Body Composition

    A whole-body scan will be performed and the attenuation of X-rays (DXA) pulsed between 70 and 140 kilovolt synchronously with the line frequency for each pixel of the scanned image that was measured. Abdominal and gynoid body fat mass will be measured through partial analyses of the DXA scan, based on regions of interest (ROIs) set by default on the DXA settings. Following the protocol for DXA described by the manufacturer, a phantom with six fields of acrylic and aluminum of varying thickness and known absorptive properties will be scanned alongside each participant to serve as an external standard for the analyses of different tissue components. The same laboratory technician will position the participants, perform the scans and execute the analyses according to the operator's manual using the standard analysis protocol.

    Measured: 1-month (2 measurement times (one at baseline and after two weeks of detraining))

  3. Weight

    Participants weight will be measured using an electronic scale with stadiometer (Seca, Hamburg, Germany).

    Measured: 1-month (2 measurement times (one at baseline and after two weeks of detraining))

  4. Height

    Participants height will be measured using an electronic scale with stadiometer (Seca, Hamburg, Germany).

    Measured: 1-month (2 measurement times (one at baseline and after two weeks of detraining))

  5. Cardiorespiratory fitness (CRF)

    CRF will be determined using a Modified Bruce Protocol on a motorized treadmill to exhaustion (model Q-65, Quinton, Cardiac Science Corp; Bothell, Washington, USA). All graded tests will be monitored using a 12-lead electrocardiogram. Inspired and expired gases will be continuously analyzed (Quark RMR w/CPET, version 9.1, Cosmed, Rome, Italy). Peak oxygen will be determined as the highest 20 seconds average of the last minute.

    Measured: 1-month (2 measurement times (one at baseline and after two weeks of detraining))

  6. Objective Measures of Physical Activity

    Physical activity will be assessed by accelerometer (ActiGraph, GT3X model, Fort Walton Beach, FL), during participants free living and during the whole two weeks of detraining period. All participants will be asked to wear the device on the right hip. Data will be recorded in 60 second epochs and periods of at least 60 consecutive minutes of zero activity intensity counts will be considered as non-wear time.

    Measured: 1-month (2 measurement times (one week at baseline and during the two weeks of detraining))

  7. Objective Measures of Sedentary Time

    Sedentary time will be assessed by accelerometer (ActiGraph, CT3X model, Fort Walton Beach, FL), during participants free living and during the whole two weeks of detraining period. All participants will be asked to wear the device on the right hip. Data will be recorded in 60 second epochs and periods of at least 60 consecutive minutes of zero activity intensity counts will be considered as non-wear time.

    Measured: 1-month (2 measurement times (one week at baseline and during the two weeks of detraining))

  8. Upper limb muscle strength

    Muscle strength will be assessed on the upper limbs, using the bench press, under isometric conditions (Hyatt, Whitelaw, Bhat, Scott, \& Maxwell, 1990; Lovell, Cuneo, \& Gass, 2010). The assessment of maximal strength will be performed through a test of isometric supine (multipower, Technogym), with the elbow flexed and the shoulder joint creating an abduction of 90º.

    Measured: 1-month (2 measurement times (one at baseline and after two weeks of detraining))

  9. Lower limb muscle strength

    Muscle strength will be assessed on the lower limbs, using the leg press machine, under isometric conditions (Hyatt, Whitelaw, Bhat, Scott, \& Maxwell, 1990; Lovell, Cuneo, \& Gass, 2010). The assessment of the lower limbs will be performed through an isometric test of horizontal Leg Press (S0409, HBP), in which the participant has his thigh flexed and the knee joint creating an angle of 110º.

    Measured: 1-month (2 measurement times (one at baseline and after two weeks of detraining))

  10. Phase angle (PhA)

    The participants will perform bioimpedence analysis (single frequency, 50 kHz ± 1%, NutriLAB, Akern) in order to determine the PhA. The participants will be in a lying position, with legs apart from each other and arms apart from the trunk, so that the medial surface of the limbs will not touch the rest of the body (Selberg \& Selberg, 2002); 4 electrodes (2 in each limb) will be placed on the hand and foot of the dominant side, with a distance of 5 cm between both.

    Measured: 1-month (2 measurement times (one at baseline and after two weeks of detraining))

  11. Body Water

    The participants will perform bioimpedence analysis (single frequency, 50 kHz ± 1%, NutriLAB, Akern) in order to determine the body water compartments (total body water and extracellular water directly measured and calculated intracellular water). The participants will be in a lying position, with legs apart from each other and arms apart from the trunk, so that the medial surface of the limbs will not touch the rest of the body (Selberg \& Selberg, 2002); 4 electrodes (2 in each limb) will be placed on the hand and foot of the dominant side, with a distance of 5 cm between both.

    Measured: 1-month (2 measurement times (one at baseline and after two weeks of detraining))

  12. Oral Glucose Tolerance Test

    Baseline blood collection was drawn, and participants were instructed to drink an oral glucose drink of 75g glucose dissolved in water (200ml). Two hours after, another blood sample was collected.

    Measured: 1-month (4 measurement times, two for each protocol (in the morning of each protocol day and the day after), including baseline and after detraining)

Timeline

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

  1. First posted29 Oct 2019
  2. Study start1 Apr 2019
  3. Primary completion31 Aug 2019
  4. Study completion31 Aug 2019

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
Crossover
Masking
None (open label)
Enrolment
14 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04142346
Sponsor's protocol ID
CEIFMH6/2019
Status last verified
Oct 2019
First submitted
21 Oct 2019
Last updated
30 Oct 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Sitting + moderate intensity breaks in people with Old Age, run by University of Lisbon at 1 site in Portugal.

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 2 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 Oct 2019. 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 Portugal. 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?

Continuous glucose monitoring before and after 2-Weeks of detraining for each intervention protocol (prolonged sitting vs. breaking-up sitting) (time frame: 1-month (2 measurement times, one for each protocol, including baseline and after detraining)). 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 30 Oct 2019.

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