Metabolic FlexibilityNCT05282355
Astaxanthin Reduces Exercising Heart Rate.
A study testing Astaxanthin in people with Metabolic Flexibility, run by University of North Alabama at 1 site in United States.
Trial summary
Briefly, this study involved 2 trials: baseline (Trial 1) and post-astaxanthin intervention (Trial 2). Both trials included participants completing a graded exercise test while connected to a metabolic cart, to measure cardiorespiratory measures. Read more about this study
- Who is it for?
- Ages 18 to 45 yearsHealthy volunteers can take part
- Conditions the study is for
- Metabolic Flexibility
- What is being tested?
- Astaxanthin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 19 participants
- Where
- 1 siteUnited States
- Study dates
- 12 May 2021to 2 Jul 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
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Free of any cardiometabolic disease medication
- Classified as overweight - body fat % ≥ 20% (M) and ≥ 25% (F)
- Exclude dietary supplements for 2 weeks prior to start of study
Who cannot join
- If there is a chance of pregnancy
- body fat % < 20% (M) and < 25% (F)
Trial locations and contacts
1 site in 1 country.
United States1 site
University of North Alabama, Department of Kinesiology
Florence, Alabama, 35630
About this study
Official title: Astaxanthin Reduces Exercising Heart Rate by 7% in Overweight Individuals.
Briefly, this study involved 2 trials: baseline (Trial 1) and post-astaxanthin intervention (Trial 2). Both trials included participants completing a graded exercise test while connected to a metabolic cart, to measure cardiorespiratory measures. Between trials, participants were supplemented with either 12 mg of astaxanthin or placebo for 4 weeks. It was hypothesized astaxanthin supplementation would increase rates of fat oxidation, while decreasing carbohydrate oxidation and blood lactate accumulation.
Read the detailed description
METHODS
Experimental Design
The current study implemented a double-blind, between-subject study design with dependent variables examined at multiple timepoints across each trial. To best observe changes in our selected dependent variables, subjects reported to the laboratory on two separate occasions (i.e. pre-post) following 4 weeks of astaxanthin supplementation.
Subject Approval from the Institutional Review Board was granted before recruiting subjects (University of North Alabama, Institutional Review Board #: 20-21-071). Each subject completed a Physical Activity Readiness Questionnaire, a medical questionnaire, and provided their written and verbal consent to voluntarily participate in the present study. Inclusion criteria for each subject included the following: 1) between the ages of 18-45; 2) free of any cardiometabolic disease medication; 3) classified as overweight with a bodyfat percent of ≥ 20% for males and ≥ 25% for females; 4) and not currently pregnant or actively trying to become pregnant. Additionally, subjects eliminated all dietary supplements at least two weeks prior to the start of the study. Using G-Power software and changes to bodyfat as a primary dependent variable, we determined a priori that 20 subjects would be sufficient to achieve a desired power of 0.85, using a moderate-high effect size, and an alpha level set at 0.05. Although 46 individuals were recruited, only 21 fit the inclusion criteria and were randomized into either an astaxanthin or placebo group following their first visit. Due to two participants withdrawing from the study as a result of health concerns not related to the study procedures, 19 subjects were included in statistical analysis.
Preliminary Data During the first visit, subjects had their body composition assessed via bioelectrical impedance analysis as well as height, mass, and blood pressure by the same, trained investigator pre-post intervention. Following the collection of anthropometric data, subjects who met inclusion and exclusion criteria were then asked to attempt to maintain their current dietary habits for the duration of the intervention. Dietary intake was then recorded pre-post intervention via 3-day food logs which consisted of 2 weekdays and 1 weekend day (i.e. Thursday, Friday, Saturday) to better reflect typical intakes. Subjects met with the primary investigator and were instructed how to complete the food logs, regarding quantity size and liquid amount estimations. Total energy intake, carbohydrate, protein, and fats were analyzed for nutrient amounts using MyFitnessPal and were then used in statistical analysis.
Experimental Trials (Trials 1-2) Following the collection of preliminary data, subjects completed a graded exercise test on a cycle ergometer. Prior to the start of exercise, subjects donned a heart rate monitor, established seat height, and were then connected to a metabolic cart to record cardiorespiratory measures for the calculation of fat and carbohydrate oxidation rates. Following connection to the metabolic cart, subjects sat quietly for 5 min to collect resting oxidation rates ('rest'). Subjects then straddled the cycle ergometer and began pedaling at an initial 30 W (females) or 50 W (males) for 5 min (Stage 1). For each subsequent stage, resistance increased by 15 W and lasted for 5 min (Stages 2-5). Following completion of 5 stages (90 W total for females and 110 W total for males), resistance then increased by 15 W every minute, until volitional exhaustion was achieved and the subjects' volume of oxygen (VO2) peak was recorded. The present protocol was pilot tested (n = 6) prior to the initiation of the present study and determined by the investigative team as acceptable for non-exercising and overweight individuals to all complete with minimal fluctuation in heart rate (±2 bpm) during the last min of each stage.
During the last 30 s of each stage, subjects had their finger pricked (detailed further below) for the measurement of capillary lactate and glucose. Furthermore, heart rate and overall ratings of perceived exertion were recorded at the end of each stage. Due to the collection of oxidation rates, subjects were required to fast for 5 h and avoid alcohol consumption for 48 h prior to each trial. Subjects were also required to abstain from caffeine on the day of testing and avoid strenuous lower body exercise 48 h prior to each experimental trial.
Fat and Carbohydrate Oxidation Rate Measurements All cardiorespiratory measures were averaged from expired gas collected by the metabolic cart. The first 240 seconds of each stage were excluded and the remaining 60 seconds were recorded using breath-by-breath data and averaged in two, 30-second cycles. Stoichiometric equations were utilized when measuring total fat and carbohydrate oxidation rates (g · min-1). These equations assumed protein oxidation rates were negligible (~5%) and therefore, were ignored.
Fat oxidation (g ∙ min-1) = 1.67 VO2 (L ∙ min-1) - 1.67 VCO2 (L ∙ min-1) Carbohydrate oxidation (g ∙ min-1) = 4.55 VO2 (L ∙ min-1) - 3.21 VCO2 (L ∙ min-1)
Lactate and Glucose Concentration Measurement At the end of each stage during the graded exercise test, a sample of capillary blood was collected from the subjects' finger. The subjects had their finger wiped with an alcohol swab and then allowed to air dry prior to a prick with a self-withdrawing safety lancet. The first drop of blood was wiped away and the second drop of blood was analyzed using a Lactate Plus Meter Blood Analyzer. Additionally, capillary blood glucose concentrations were analyzed using a Precision Xtra Blood Glucose Analyzer
. Supplementation Schedule The supplementation intervention was scheduled following Trial 1 and took place for 4 weeks before subjects reported back to the laboratory for Trial 2. Subjects were randomly assigned to supplement with either 12 mg of encapsulated astaxanthin (astaxanthin and sunflower oil; 6 mg per capsule) or placebo (sunflower oil only) daily in the form of two gel capsules. Subjects were advised to ingest one capsule in the morning and one capsule at night. Both the astaxanthin and placebo pills were similar in appearance (red and oval shaped) and size and all supplements were provided by AstaReal.
- Conditions
- Metabolic Flexibility
- Being tested
- Astaxanthin, Placebo
- Keywords
- substrate oxidation, lactate, supplement
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AstaxanthinDietary supplement
Our aim was to examine the impact astaxanthin would have, if any, on markers of metabolic flexibility in overweight individuals in comparison to a placebo.
PlaceboDietary supplement
To have adequately test the effects of astaxanthin, we provided one group a placebo matched in appearance and taste.
| Study group | Role | What they receive |
|---|---|---|
| Astaxanthin | Experimental | The astaxanthin group received 12 mg/day of astaxanthin. Each capsule contained 6 mg of astaxanthin and sunflower oil, and each subject ingested one capsule in the morning and one in the evening. Receives: Dietary Supplement: Astaxanthin |
| Placebo | Placebo comparator | The placebo group ingested two capsules per day, one in the morning and one in the evening. Each capsule contained sunflower oil and mimicked the size and appearance of the astaxanthin supplement. Receives: Dietary Supplement: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes to substrate oxidation rates
Substrate oxidation rates reflect cellular utilization of carbohydrates and lipids at rest and during exercise. If changes exist from astaxanthin supplementation, they would manifest themselves likely via increases to rates of fat oxidation at all stages and a subsequent decrease in carbohydrate oxidation rates at each stage.
Measured: Up to 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Mar 2022
- Study start12 May 2021
- Primary completion2 Jul 2021
- Study completion2 Jul 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metabolic FlexibilityStudies 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 19 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of North Alabama
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05282355
- Sponsor's protocol ID
- AX2021
- Status last verified
- Mar 2022
- First submitted
- 21 Feb 2022
- Last updated
- 16 Mar 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Unless required, we do not plan on sharing our subjects data, even though the data is coded. Since this study is being registered post-completion, we did not make our subjects aware their data may be shared outside of our research team and therefore, we find this a potential conflict of ethical consideration for our subjects.
Study at a glance
From the registry record, last updated by the sponsor on 16 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Astaxanthin Reduces Exercising Heart Rate by 7% in Overweight Individuals.
- ClinicalTrials.gov ID
- NCT05282355
- Acronym / sponsor ID
- AX2021
- Conditions
- Metabolic Flexibility
- Keywords
- substrate oxidation, lactate, supplement
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 19 participants (actual)
- Lead sponsor
- University of North AlabamaUniversity, hospital or other
- Study start
- 12 May 2021 (actual)
- Primary completion
- 2 Jul 2021 (actual)
- Study completion
- 2 Jul 2021 (actual)
- First posted
- 16 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.
Briefly, this study involved 2 trials: baseline (Trial 1) and post-astaxanthin intervention (Trial 2). Both trials included participants completing a graded exercise test while connected to a metabolic cart, to measure cardiorespiratory measures. Between trials, participants were supplemented with either 12 mg of astaxanthin or placebo for 4 weeks. It was hypothesized astaxanthin supplementation would increase rates of fat oxidation, while decreasing carbohydrate oxidation and blood lactate accumulation.
Detailed description
METHODS
Experimental Design
The current study implemented a double-blind, between-subject study design with dependent variables examined at multiple timepoints across each trial. To best observe changes in our selected dependent variables, subjects reported to the laboratory on two separate occasions (i.e. pre-post) following 4 weeks of astaxanthin supplementation.
Subject Approval from the Institutional Review Board was granted before recruiting subjects (University of North Alabama, Institutional Review Board #: 20-21-071). Each subject completed a Physical Activity Readiness Questionnaire, a medical questionnaire, and provided their written and verbal consent to voluntarily participate in the present study. Inclusion criteria for each subject included the following: 1) between the ages of 18-45; 2) free of any cardiometabolic disease medication; 3) classified as overweight with a bodyfat percent of ≥ 20% for males and ≥ 25% for females; 4) and not currently pregnant or actively trying to become pregnant. Additionally, subjects eliminated all dietary supplements at least two weeks prior to the start of the study. Using G-Power software and changes to bodyfat as a primary dependent variable, we determined a priori that 20 subjects would be sufficient to achieve a desired power of 0.85, using a moderate-high effect size, and an alpha level set at 0.05. Although 46 individuals were recruited, only 21 fit the inclusion criteria and were randomized into either an astaxanthin or placebo group following their first visit. Due to two participants withdrawing from the study as a result of health concerns not related to the study procedures, 19 subjects were included in statistical analysis.
Preliminary Data During the first visit, subjects had their body composition assessed via bioelectrical impedance analysis as well as height, mass, and blood pressure by the same, trained investigator pre-post intervention. Following the collection of anthropometric data, subjects who met inclusion and exclusion criteria were then asked to attempt to maintain their current dietary habits for the duration of the intervention. Dietary intake was then recorded pre-post intervention via 3-day food logs which consisted of 2 weekdays and 1 weekend day (i.e. Thursday, Friday, Saturday) to better reflect typical intakes. Subjects met with the primary investigator and were instructed how to complete the food logs, regarding quantity size and liquid amount estimations. Total energy intake, carbohydrate, protein, and fats were analyzed for nutrient amounts using MyFitnessPal and were then used in statistical analysis.
Experimental Trials (Trials 1-2) Following the collection of preliminary data, subjects completed a graded exercise test on a cycle ergometer. Prior to the start of exercise, subjects donned a heart rate monitor, established seat height, and were then connected to a metabolic cart to record cardiorespiratory measures for the calculation of fat and carbohydrate oxidation rates. Following connection to the metabolic cart, subjects sat quietly for 5 min to collect resting oxidation rates ('rest'). Subjects then straddled the cycle ergometer and began pedaling at an initial 30 W (females) or 50 W (males) for 5 min (Stage 1). For each subsequent stage, resistance increased by 15 W and lasted for 5 min (Stages 2-5). Following completion of 5 stages (90 W total for females and 110 W total for males), resistance then increased by 15 W every minute, until volitional exhaustion was achieved and the subjects' volume of oxygen (VO2) peak was recorded. The present protocol was pilot tested (n = 6) prior to the initiation of the present study and determined by the investigative team as acceptable for non-exercising and overweight individuals to all complete with minimal fluctuation in heart rate (±2 bpm) during the last min of each stage.
During the last 30 s of each stage, subjects had their finger pricked (detailed further below) for the measurement of capillary lactate and glucose. Furthermore, heart rate and overall ratings of perceived exertion were recorded at the end of each stage. Due to the collection of oxidation rates, subjects were required to fast for 5 h and avoid alcohol consumption for 48 h prior to each trial. Subjects were also required to abstain from caffeine on the day of testing and avoid strenuous lower body exercise 48 h prior to each experimental trial.
Fat and Carbohydrate Oxidation Rate Measurements All cardiorespiratory measures were averaged from expired gas collected by the metabolic cart. The first 240 seconds of each stage were excluded and the remaining 60 seconds were recorded using breath-by-breath data and averaged in two, 30-second cycles. Stoichiometric equations were utilized when measuring total fat and carbohydrate oxidation rates (g · min-1). These equations assumed protein oxidation rates were negligible (~5%) and therefore, were ignored.
Fat oxidation (g ∙ min-1) = 1.67 VO2 (L ∙ min-1) - 1.67 VCO2 (L ∙ min-1) Carbohydrate oxidation (g ∙ min-1) = 4.55 VO2 (L ∙ min-1) - 3.21 VCO2 (L ∙ min-1)
Lactate and Glucose Concentration Measurement At the end of each stage during the graded exercise test, a sample of capillary blood was collected from the subjects' finger. The subjects had their finger wiped with an alcohol swab and then allowed to air dry prior to a prick with a self-withdrawing safety lancet. The first drop of blood was wiped away and the second drop of blood was analyzed using a Lactate Plus Meter Blood Analyzer. Additionally, capillary blood glucose concentrations were analyzed using a Precision Xtra Blood Glucose Analyzer
. Supplementation Schedule The supplementation intervention was scheduled following Trial 1 and took place for 4 weeks before subjects reported back to the laboratory for Trial 2. Subjects were randomly assigned to supplement with either 12 mg of encapsulated astaxanthin (astaxanthin and sunflower oil; 6 mg per capsule) or placebo (sunflower oil only) daily in the form of two gel capsules. Subjects were advised to ingest one capsule in the morning and one capsule at night. Both the astaxanthin and placebo pills were similar in appearance (red and oval shaped) and size and all supplements were provided by AstaReal.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Astaxanthin | Experimental | Dietary Supplement: AstaxanthinThe astaxanthin group received 12 mg/day of astaxanthin. Each capsule contained 6 mg of astaxanthin and sunflower oil, and each subject ingested one capsule in the morning and one in the evening. |
| Placebo | Placebo comparator | Dietary Supplement: PlaceboThe placebo group ingested two capsules per day, one in the morning and one in the evening. Each capsule contained sunflower oil and mimicked the size and appearance of the astaxanthin supplement. |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Free of any cardiometabolic disease medication
- Classified as overweight - body fat % ≥ 20% (M) and ≥ 25% (F)
- Exclude dietary supplements for 2 weeks prior to start of study
Key exclusion criteria (2 listed)
- If there is a chance of pregnancy
- body fat % < 20% (M) and < 25% (F)
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 |
|---|---|---|
| AstaxanthinOur aim was to examine the impact astaxanthin would have, if any, on markers of metabolic flexibility in overweight individuals in comparison to a placebo. | Dietary supplement | Astaxanthin |
| PlaceboTo have adequately test the effects of astaxanthin, we provided one group a placebo matched in appearance and taste. | Dietary supplement | Placebo |
Primary outcome
Changes to substrate oxidation rates
Time frame: Up to 4 weeks
Substrate oxidation rates reflect cellular utilization of carbohydrates and lipids at rest and during exercise. If changes exist from astaxanthin supplementation, they would manifest themselves likely via increases to rates of fat oxidation at all stages and a subsequent decrease in carbohydrate oxidation rates at each stage.
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 16 Mar 2022.
- Individual participant dataSharing planned: No. Unless required, we do not plan on sharing our subjects data, even though the data is coded. Since this study is being registered post-completion, we did not make our subjects aware their data may be shared outside of our research team and therefore, we find this a potential conflict of ethical consideration for our subjects.
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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 Astaxanthin in people with Metabolic Flexibility, run by University of North Alabama at 1 site in United States.
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 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 16 Mar 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 United States. 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?
Changes to substrate oxidation rates (time frame: Up to 4 weeks). 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 16 Mar 2022.