Cardiovascular DiseasesNCT05279014
Fasted Exercise and LDL-C
A study testing Meal timing in people with Cardiovascular Diseases, run by University of Bath at 1 site in United Kingdom.
Trial summary
Cardiovascular disease (CVD) is the leading cause of death in the UK and worldwide with low density lipoprotein cholesterol (LDL-C) being one of the most important modifiable risk factors. Read more about this study
- Who is it for?
- Ages 25 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- Cardiovascular Diseases
- What is being tested?
- Meal timing
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 29 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 30 Mar 2022to 30 Aug 2024
- 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 25 to 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Age 18-65 years
- Body mass index 20-40kg/m2
- Physically inactive (exercise for less than 150 minutes per week)
Who cannot join
- Weight instability (>5kg change in body mass over last 6 months)
- Diagnosis of diabetes or CVD
- Pregnant or lactating
- Any medical condition or medication that could introduce bias into the study (eg. lipid disorders, lipid or glucose metabolism altering medications eg statins)
Trial locations and contacts
1 site in 1 country.
United Kingdom1 site
Department for Health, University of Bath
Bath, Bath, BA2 7AY
About this study
Official title: The Effect of Fasted Exercise on LDL-cholesterol in Men and Women
Cardiovascular disease (CVD) is the leading cause of death in the UK and worldwide with low density lipoprotein cholesterol (LDL-C) being one of the most important modifiable risk factors. Physical activity is inexpensive and research shows that it consistently improves high density lipoprotein and triglyceride concentrations. However, fails to improve LDL-C concentrations. Preliminary research suggests fasted exercise could potentially improve LDL-C concentrations. The majority of research in these areas have also mostly been done in males with the results generalised to females. As it is known that lipid metabolism and CVD risk is different between sexes it is possible that the response to fasted exercise may also be different between sexes. This aim of this study is to assess the effect of physical activity performed before or after a meal on plasma LDL-C concentrations in men and women and explore sex differences. The study will also assess the effect of fasted exercise on other CVD risk factors.
- Conditions
- Cardiovascular Diseases
- Being tested
- Meal timing
- Medical subject headings
- Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Meal timingOther
A high-carbohydrate (1 g/kg body mass) meal to be consumed either 1.5-3 hours before or immediately after exercise. Those consuming the meal after exercise will have fasted for at least 8 hours before exercise.
| Study group | Role | What they receive |
|---|---|---|
| Exercise in a fed-state | Active comparator | 12-weeks of exercise training, 50-minutes, 3 days per week performed 1.5-3 hours after a high-carbohydrate meal (1 g/kg body mass). Receives: Other: Meal timing |
| Exercise in a fasted-state | Experimental | 12-weeks of exercise training, 50-minutes, 3 days per week performed after at least an 8-hour fast. A high-carbohydrate meal (1 g/kg body mass) will be consumed after exercise. Receives: Other: Meal timing |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in fasting plasma LDL-C concentrations at week 12
Fasting plasma LDL-cholesterol concentrations (mmol/L)
Measured: Baseline and week 12
Secondary outcomes (21)
Change in fasting plasma LDL-C concentrations at week 4
Fasting plasma LDL-cholesterol concentrations (mmol/L)
Measured: Baseline and week 4
Change in fasting plasma HDL-C concentrations at week 12
Fasting plasma HDL-cholesterol concentrations (mmol/L)
Measured: Baseline and week 12
Change in fasting plasma HDL-C concentrations at week 4
Fasting plasma HDL-cholesterol concentrations (mmol/L)
Measured: Baseline and week 4
Change in fasting plasma total cholesterol concentrations at week 12
Fasting plasma total cholesterol concentrations (mmol/L)
Measured: Baseline and week 12
Change in fasting plasma total cholesterol concentrations at week 4
Fasting plasma total cholesterol concentrations (mmol/L)
Measured: Baseline and week 4
Change in fasting plasma apolipoprotein B concentrations at week 12
Fasting plasma apolipoprotein B concentrations (mmol/L)
Measured: Baseline and week 12
Change in fasting plasma apolipoprotein B concentrations at week 4
Fasting plasma apolipoprotein B concentrations (mmol/L)
Measured: Baseline and week 4
Change in fasting plasma triglyceride concentrations at week 12
Fasting plasma triglyceride concentrations (mmol/L)
Measured: Baseline and week 12
Change in fasting plasma triglyceride concentrations at week 4
Fasting plasma triglyceride concentrations (mmol/L)
Measured: Baseline and week 4
Change in fasting plasma C-reactive protein concentrations at week 12
Fasting plasma C-reactive protein concentrations (mg/L)
Measured: Baseline and week 12
Change in fasting plasma C-reactive protein concentrations at week 4
Fasting plasma C-reactive protein concentrations (mg/L)
Measured: Baseline and week 4
Change in fasting plasma glucose concentrations at week 12
Fasting plasma glucose concentrations (mmol/L)
Measured: Baseline and week 12
Change in fasting plasma glucose concentrations at week 4
Fasting plasma glucose concentrations (mmol/L)
Measured: Baseline and week 4
Change in fasting plasma insulin concentrations at week 12
Fasting plasma insulin concentrations (mmol/L)
Measured: Baseline and week 12
Change in fasting plasma insulin concentrations at week 4
Fasting plasma insulin concentrations (mmol/L)
Measured: Baseline and week 4
Change in fasting plasma non-esterified fatty acid concentrations at week 12
Fasting plasma non-esterified fatty acid concentrations (mmol/L)
Measured: Baseline and week 12
Change in fasting plasma non-esterified fatty acid concentrations at week 4
Fasting plasma non-esterified fatty acid concentrations (mmol/L)
Measured: Baseline and week 4
Change in 7-day mean interstitial glucose concentration at week 12
Mean interstitial glucose concentration (mmol/L) measured by continuous glucose monitor over a 7-day period
Measured: Baseline and week 12
Change in 7-day standard deviation of interstitial glucose concentration at week 12
Standard deviation of interstitial glucose concentration (mmol/L) measured by continuous glucose monitor over a 7-day period
Measured: Baseline and Week 12
Change in 7-day coefficient of variation for interstitial glucose concentration at week 12
Coefficient of variation for interstitial glucose concentration (%) measured by continuous glucose monitor over a 7-day period
Measured: Baseline and week 12.
Change in 7-day mean amplitude of glycaemic excursions for interstitial glucose at week 12
Mean amplitude of glycaemic excursions for interstitial glucose (mmol/L) measured by continuous glucose monitor over a 7-day period
Measured: Baseline and week 12.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Mar 2022
- Study start30 Mar 2022
- Primary completion13 Aug 2024
- Study completion30 Aug 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Cardiovascular DiseasesStudies 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
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 29 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Bath
- Sponsor type
- University, hospital or other
- Collaborators
- King's College London, Zoe Global Limited
- Responsible party
- Principal investigator, Louise Bradshaw, University of Bath
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05279014
- Sponsor's protocol ID
- EIRA1-7137
- Status last verified
- Mar 2025
- First submitted
- 16 Feb 2022
- Last updated
- 27 Mar 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Edinburgh RM, Bradley HE, Abdullah NF, Robinson SL, Chrzanowski-Smith OJ, Walhin JP, Joanisse S, Manolopoulos KN, Philp A, Hengist A, Chabowski A, Brodsky FM, Koumanov F, Betts JA, Thompson D, Wallis GA, Gonzalez JT. Lipid Metabolism Links Nutrient-Exercise Timing to Insulin Sensitivity in Men Classified as Overweight or Obese. J Clin Endocrinol Metab. 2020 Mar 1;105(3):660-76. doi: 10.1210/clinem/dgz104.
PubMed 31628477Edinburgh RM, Koumanov F, Gonzalez JT. Impact of pre-exercise feeding status on metabolic adaptations to endurance-type exercise training. J Physiol. 2022 Mar;600(6):1327-1338. doi: 10.1113/JP280748. Epub 2021 Jan 27.
PubMed 33428210
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Fasted Exercise on LDL-cholesterol in Men and Women
- ClinicalTrials.gov ID
- NCT05279014
- Acronym / sponsor ID
- EIRA1-7137
- Conditions
- Cardiovascular Diseases
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 29 participants (actual)
- Lead sponsor
- University of BathUniversity, hospital or other
- Collaborators
- King's College London, Zoe Global Limited
- Study start
- 30 Mar 2022 (actual)
- Primary completion
- 13 Aug 2024 (actual)
- Study completion
- 30 Aug 2024 (actual)
- First posted
- 15 Mar 2022 (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.
Cardiovascular disease (CVD) is the leading cause of death in the UK and worldwide with low density lipoprotein cholesterol (LDL-C) being one of the most important modifiable risk factors. Physical activity is inexpensive and research shows that it consistently improves high density lipoprotein and triglyceride concentrations. However, fails to improve LDL-C concentrations. Preliminary research suggests fasted exercise could potentially improve LDL-C concentrations. The majority of research in these areas have also mostly been done in males with the results generalised to females. As it is known that lipid metabolism and CVD risk is different between sexes it is possible that the response to fasted exercise may also be different between sexes. This aim of this study is to assess the effect of physical activity performed before or after a meal on plasma LDL-C concentrations in men and women and explore sex differences. The study will also assess the effect of fasted exercise on other CVD risk factors.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Exercise in a fed-state | Active comparator | Other: Meal timing12-weeks of exercise training, 50-minutes, 3 days per week performed 1.5-3 hours after a high-carbohydrate meal (1 g/kg body mass). |
| Exercise in a fasted-state | Experimental | Other: Meal timing12-weeks of exercise training, 50-minutes, 3 days per week performed after at least an 8-hour fast. A high-carbohydrate meal (1 g/kg body mass) will be consumed after exercise. |
Who may qualify
- Ages
- 25 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Age 18-65 years
- Body mass index 20-40kg/m2
- Physically inactive (exercise for less than 150 minutes per week)
Key exclusion criteria (4 listed)
- Weight instability (>5kg change in body mass over last 6 months)
- Diagnosis of diabetes or CVD
- Pregnant or lactating
- Any medical condition or medication that could introduce bias into the study (eg. lipid disorders, lipid or glucose metabolism altering medications eg statins)
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 |
|---|---|---|
| Meal timingA high-carbohydrate (1 g/kg body mass) meal to be consumed either 1.5-3 hours before or immediately after exercise. Those consuming the meal after exercise will have fasted for at least 8 hours before exercise. | Other | Exercise in a fasted-state, Exercise in a fed-state |
Primary outcome
Change in fasting plasma LDL-C concentrations at week 12
Time frame: Baseline and week 12
Fasting plasma LDL-cholesterol concentrations (mmol/L)
21 secondary outcomes
Change in fasting plasma LDL-C concentrations at week 4
Time frame: Baseline and week 4
Change in fasting plasma HDL-C concentrations at week 12
Time frame: Baseline and week 12
Change in fasting plasma HDL-C concentrations at week 4
Time frame: Baseline and week 4
Change in fasting plasma total cholesterol concentrations at week 12
Time frame: Baseline and week 12
Change in fasting plasma total cholesterol concentrations at week 4
Time frame: Baseline and week 4
Change in fasting plasma apolipoprotein B concentrations at week 12
Time frame: Baseline and week 12
Change in fasting plasma apolipoprotein B concentrations at week 4
Time frame: Baseline and week 4
Change in fasting plasma triglyceride concentrations at week 12
Time frame: Baseline and week 12
Change in fasting plasma triglyceride concentrations at week 4
Time frame: Baseline and week 4
Change in fasting plasma C-reactive protein concentrations at week 12
Time frame: Baseline and week 12
Change in fasting plasma C-reactive protein concentrations at week 4
Time frame: Baseline and week 4
Change in fasting plasma glucose concentrations at week 12
Time frame: Baseline and week 12
Change in fasting plasma glucose concentrations at week 4
Time frame: Baseline and week 4
Change in fasting plasma insulin concentrations at week 12
Time frame: Baseline and week 12
Change in fasting plasma insulin concentrations at week 4
Time frame: Baseline and week 4
Change in fasting plasma non-esterified fatty acid concentrations at week 12
Time frame: Baseline and week 12
Change in fasting plasma non-esterified fatty acid concentrations at week 4
Time frame: Baseline and week 4
Change in 7-day mean interstitial glucose concentration at week 12
Time frame: Baseline and week 12
Change in 7-day standard deviation of interstitial glucose concentration at week 12
Time frame: Baseline and Week 12
Change in 7-day coefficient of variation for interstitial glucose concentration at week 12
Time frame: Baseline and week 12.
Change in 7-day mean amplitude of glycaemic excursions for interstitial glucose at week 12
Time frame: Baseline and week 12.
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 27 Mar 2025.
- Background: PubMed 31628477Edinburgh RM, Bradley HE, Abdullah NF, Robinson SL, Chrzanowski-Smith OJ, Walhin JP, Joanisse S, Manolopoulos KN, Philp A, Hengist A, Chabowski A, Brodsky FM, Koumanov F, Betts JA, Thompson D, Wallis GA, Gonzalez JT. Lipid Metabolism Links Nutrient-Exercise Timing to Insulin Sensitivity in Men Classified as Overweight or Obese. J Clin Endocrinol Metab. 2020 Mar 1;105(3):660-76. doi: 10.1210/clinem/dgz104.
- Background: PubMed 33428210Edinburgh RM, Koumanov F, Gonzalez JT. Impact of pre-exercise feeding status on metabolic adaptations to endurance-type exercise training. J Physiol. 2022 Mar;600(6):1327-1338. doi: 10.1113/JP280748. Epub 2021 Jan 27.
- Individual participant dataSharing planned: Undecided
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Meal timing in people with Cardiovascular Diseases, run by University of Bath at 1 site 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 3 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 27 Mar 2025. 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 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?
Change in fasting plasma LDL-C concentrations at week 12 (time frame: Baseline and week 12). 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 NCT05279014, which also lists 2 linked publications.
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 27 Mar 2025.