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Breast Cancer FemalePOWER HealthNCT06336070

Metabolic Flexibility and Autonomic Control After Muscle Power vs Metabolic Power Training in Postmenopausal Oncological Women: the POWER Health Study

A study testing HIIT program (8 weeks) and MPI program (8 weeks) in people with Breast Cancer Female and Cardiometabolic Syndrome, run by University of Valencia at 1 site in Spain.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

POWER Health is a randomized clinical trial with a two-arm parallel design whose objectives are 1) to study metabolic flexibility and autonomic function (both capacities that describe cardiovascular health) in a sample of postmenopausal oncological women vs postmenopausal untreated controls (CT); and 2) to analyze the… Read more about this study

Who is it for?
Ages 35 to 75 years, women only
What is being tested?
HIIT program (8 weeks) and MPI program (8 weeks)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
56 participants
Where
1 siteSpain
Study dates
1 Jan 2024to 31 Dec 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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 35 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients diagnosed of relapse free-cancer (RFC) or patients not diagnosed of any cancer at least the last 15 years (CG)
  • Aged between 35 and 75 years
  • Diagnostic of breast cancer (i.e., including ductal carcinoma, invasive carcinoma, triple negative; RFC) or physiological menopause (CG)
  • Not participating in a nutritional/dietary intervention
  • Not being physically active (i.e., not to be participating in any physical exercise program in the last 3 months, or performing less than 600 metabolic equivalents (METS)/week of moderate-vigorous physical activity).
  • To be capable and willing to provide informed consent
  • Not to suffer from any specific condition that may impede testing of the study hypothesis or make it unsafe to engage in the exercise intervention (i.e., determined by the research staff).

Who cannot join

  • Medical contraindication for being engaged in an exercise.
  • Additional surgery planned within the intervention
  • Consuming usually betablocker or any drugs alterning nervous system functioning
  • History of another primary invasive cancer (RFC) or suffer a serious chronic illness (CG)
  • To present any of the following cardiac conditions: (i) myocardial infarction or coronary revascularization procedure within prior 3 months, (ii) uncontrolled hypertension (i.e., systolic ≥180 mmHg or diastolic ≥100 mmHg), (iii) uncontrolled arrhythmias (iv) valvular disease clinically significant, (v) decompensated heart failure or (vi) to suffer from known aortic aneurysm.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Cristina Blasco Lafarga, Tenured Professor contact

64372 ext. 9638

m.cristina.blasco@uv.es

Spain1 site, 1 recruiting
  • Faculty of Physical Activity and Sport Sciences

    Valencia, Valencia, 46010

    Cristina Blasco Lafarga, PhD, 64372 ext. 9638, m.cristina.blasco@uv.es

    Jordi Monferrer-Marín, Predoctoral student

    Recruiting

Other trials in Spain

About this study

Official title: Postmenopausal Oncological Women Exercising for Recover Their Health. Associations and Changes in Metabolic Flexibility and Autonomic Control After Two Training Programs (Muscle Power vs Metabolic Power): the POWER Health Study

POWER Health is a randomized clinical trial with a two-arm parallel design whose objectives are 1) to study metabolic flexibility and autonomic function (both capacities that describe cardiovascular health) in a sample of postmenopausal oncological women vs postmenopausal untreated controls (CT); and 2) to analyze the impact of two different 8-week physical exercise supervised interventions: HIIT training vs strength training focused on muscle power, on both cardiovascular capacities in these populations.

Read the detailed description

Nowadays, breast cancer is the most common type of cancer worldwide, accounting for 30% of all cancers in Spanish women in 2023. Cancer is also the second leading cause of death in developed countries, following cardiovascular diseases, with which it shares a close relationship. Additionally, we know that the incidence of breast cancer increases with age, experiencing a rise after menopause. However, lifestyle and physical exercise are known to improve the prevention, prognosis, and survival of this disease, as well as enhance quality of life in these patients. Indeed, recent studies have highlighted the relevance of cardiovascular health in this oncological process, as well as the potential of physical exercise interventions to improve cardiovascular health following the disease.

POWER Health is a randomized clinical trial aimed at studying metabolic flexibility and autonomic health in a population of breast cancer recurrence-free women (RFC) compared to postmenopausal untreated controls (CT), along with the implementation of two supervised exercise interventions in both populations. These interventions will last for 8 weeks, one involving HIIT exercise focused on improving metabolic power (MPI), and the other one involving strength exercise focused on enhancing muscular power, with the hypothesis of better metabolic flexibility and autonomic function, and consequently, better cardiovascular health.

POWER health is a mixed method design: cross-sectional \& longitudinal study. Given the feasibility and simple application of POWER Health, this clinical trial will contribute to the prevention and improvement of the health of postmenopausal women, with an important clinical and economic impact, not only in the scientific community but also in clinical practice.

Being tested
HIIT program (8 weeks), MPI program (8 weeks)
Keywords
Metabolic Flexibility, Heart Rate Variability, Muscle Power, Resting metabolic Rate, Lactate, High Intensity Interval Training, Strength Training, Breast Cancer, Ageing, Menopause, Female, Exercise Training
Medical subject headings
Metabolic Syndrome, Lipid Metabolism Disorders, Primary Dysautonomias, Breast Neoplasms

What participants receive

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

  • HIIT program (8 weeks)Behavioural

    Metabolic Power Training: A High Intensity Interval Training (HIIT) intervention, 3 times per week (30 min session) during 8 weeks with professional supervision and intensities adapted and modified during the intervention period.

  • MPI program (8 weeks)Behavioural

    Muscle Power Intervention (MPI), 2 times per week (45 min session) during 8 weeks with professional supervision and intensities adapted and modified during the intervention period.

Study groups in NCT06336070
Study groupRoleWhat they receive
Exercise groupExperimentalTwo cohorts of both healthy postmenopausal women and women free of postmenopausal breast cancer recurrence. Each of the groups will be split into two different exercise programmes. Both programmes, High Intensity Interval Training (HIIT) programme (metabolic power training) and Muscle Power Intervention (MPI) programme will consist of 8 weeks.
Receives: Behavioral: HIIT program (8 weeks); Behavioral: MPI program (8 weeks)
Control groupNo interventionTwo cohorts of both healthy postmenopausal women and women free of postmenopausal breast cancer recurrence.

What is being measured

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

  1. Fat oxidation during incremental test

    Fat oxidation rates calculated from VO2 and VCO2 values collected by indirect calorimetry (COSMED K5 portable metabolic analyzer, Rome, Italy) and after applying Frayn's stoichiometric formulae, during an incremental test from 0.45 W/kg with 0.15W/kg each 4-min step

    Measured: Preintervention (only this one in cross-sectional study) and Postintervention (8 weeks after)

  2. Detrended Fluctuation Analysis

    Non-linear mathematical variable that allows collecting physiological information and vagal activity of the organism, analysed in 2-minute intervals by Kubios Scientific software (Kuopio, Finland), during the incremental test

    Measured: Preintervention and Postintervention (8 weeks after)

Secondary outcomes (29)
  1. Weight

    Weight measured with a scale (kg)

    Measured: Preintervention and Postintervention (8 weeks after)

  2. Height

    Height measured with a stadiometer (cm)

    Measured: Preintervention and Postintervention (8 weeks after)

  3. Calf, waist and hip circumferences.

    Calf, waist and hip circumferences will be assessed with an anthropometric tape measure (cm)

    Measured: Preintervention and Postintervention (8 weeks after)

  4. Lean mass

    Body composition assessment will be obtained by bioimpedance (Tanita DC-430 MA S; Tokyo, Japan; kg)

    Measured: Preintervention and Postintervention (8 weeks after)

  5. Fat-free mass

    Body composition assessment will be obtained by bioimpedance (Tanita DC-430 MA S; Tokyo, Japan; kg)

    Measured: Preintervention and Postintervention (8 weeks after)

  6. Visceral adipose tissue

    Body composition assessment will be obtained by bioimpedance (Tanita DC-430 MA S; Tokyo, Japan; kg)

    Measured: Preintervention and Postintervention (8 weeks after)

  7. Bone Mass

    Body composition assessment will be obtained by bioimpedance (Tanita DC-430 MA S; Tokyo, Japan; kg)

    Measured: Preintervention and Postintervention (8 weeks after)

  8. Fat mass

    Body composition assessment will be obtained by bioimpedance (Tanita DC-430 MA S; Tokyo, Japan; kg)

    Measured: Preintervention and Postintervention (8 weeks after)

  9. Blood Pressure

    The investigators will also assess systolic and diastolic blood pressure in the left (whenever possible) arm at rest.

    Measured: Preintervention and Postintervention (8 weeks after)

  10. Oxygen Saturation

    The investigators will also assess oxygen saturation in middle finger of the right hand at rest.

    Measured: Preintervention and Postintervention (8 weeks after)

  11. Sarcopenia

    The SARC-F will be used to evaluate the risk of sarcopenia

    Measured: Preintervention and Postintervention (8 weeks after)

  12. Physical activity and sedentariness

    The International Physical Activity Questionnaire (IPAQ) will be used to evaluate the current physical activity level of the participants. Minimum value = 0 min/day of physical activity // Maximum value = 1440 min/day of physical activity. Higher scores imply a more physically active pattern.

    Measured: Preintervention and Postintervention (8 weeks after)

  13. Lactate

    Lactate assessment will be obtained by lactate analyzer (Lactate Scout Sport SensLab GmbH, Leipzig, Germany)

    Measured: Preintervention and Postintervention (8 weeks after)

  14. Rating Perceived Exertion

    The Rating Perceived Exertion (RPE) of Borg scale will be used to obtain the perceived effort. Minimum value: 1 // Maximum value: 10. Higher scores mean a worse outcome.

    Measured: Preintervention and Postintervention (8 weeks after)

  15. Visual Analogue Scale of Pain

    The Visual Analogue Scale of Pain (VAS) scale will be used to obtain the local pain assessment. Minimum value: 1 // Maximum value: 10. Higher scores mean a worse outcome.

    Measured: Preintervention and Postintervention (8 weeks after)

  16. Cadence

    Cadence will be monitorized by the smart roller Saris H3 (CycleOps Hammer Direct Drive Trainer, Saris, Madison, USA).

    Measured: Preintervention and Postintervention (8 weeks after)

  17. Mechanical Power

    Power will be monitorized by the smart roller Saris H3 (CycleOps Hammer Direct Drive Trainer, Saris, Madison, USA).

    Measured: Preintervention and Postintervention (8 weeks after)

  18. Muscle Power 5STS

    Power will be calculated by Power Frail App (Toledo, Spain)

    Measured: Preintervention and Postintervention (8 weeks after)

  19. Basal metabolic rate

    Metabolic rate will be registered by indirect calorimetry (COSMED K5 portable metabolic analyzer, Rome, Italy) in baseline conditions

    Measured: Preintervention and Postintervention (8 weeks after)

  20. Respiratory exheange ratio at rest

    Resting exchange ratio will be registered by indirect calorimetry (COSMED K5 portable metabolic analyzer, Rome, Italy) in baseline conditions

    Measured: Preintervention and Postintervention (8 weeks after)

  21. Fat oxidation at rest

    Fat oxidation will be registered by indirect calorimetry (COSMED K5 portable metabolic analyzer, Rome, Italy) in baseline conditions

    Measured: Preintervention and Postintervention (8 weeks after)

  22. Carbohydrate oxidation at rest

    Carbohydrate will be registered by indirect calorimetry (COSMED K5 portable metabolic analyzer, Rome, Italy) in baseline conditions

    Measured: Preintervention and Postintervention (8 weeks after)

  23. Carbohydrate oxidation during incremental test

    Carbohydrate oxidation rates will be calculated from VO2 and VCO2 values collected by indirect calorimetry (COSMED K5 portable metabolic analyzer, Rome, Italy) and after applying Frayn's stoichiometric formulae, during an incremental test from 0.45 W/kg with 0.15W/kg each 4-min step

    Measured: Preintervention and Postintervention (8 weeks after)

  24. Energy expenditure during incremental test

    Energy expenditure rate will be calculated will be collected by indirect calorimetry (COSMED K5 portable metabolic analyzer, Rome, Italy) during an incremental test

    Measured: Preintervention and Postintervention (8 weeks after)

  25. FATmax intensity

    FATmax will be calculated will be collected by indirect calorimetry (COSMED K5 portable metabolic analyzer, Rome, Italy) during an incremental test

    Measured: Preintervention and Postintervention (8 weeks after)

  26. VO2peak

    VO2peak will be calculated will be collected by indirect calorimetry (COSMED K5 portable metabolic analyzer, Rome, Italy) during an incremental test

    Measured: Preintervention and Postintervention (8 weeks after)

  27. Sample Entropy

    Non-linear mathematical variable that allows collecting physiological information and parasympathetic activity of the organism, analysed in 3-minute intervals by Kubios Scientific software (Kuopio, Finland), during the incremental test

    Measured: Preintervention and Postintervention (8 weeks after)

  28. SD1/SD2 ratio

    Linear mathematical variable that allows collecting physiological information and parasympathetic activity of the organism, analysed in 2-minute intervals by Kubios Scientific software (Kuopio, Finland), during the incremental test

    Measured: Preintervention and Postintervention (8 weeks after)

  29. The root mean square of successive differences between normal heartbeats (RMSSD)

    Linear mathematical variable that allows collecting physiological information and parasympathetic activity of the organism, analysed in 2-minute intervals by Kubios Scientific software (Kuopio, Finland), during the incremental test

    Measured: Preintervention and Postintervention (8 weeks after)

Timeline

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

  1. First posted28 Mar 2024
  2. Study start1 Jan 2024
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2028 (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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
56 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06336070
Sponsor's protocol ID
2024-FIS-3251696
Other IDs
CIACIF/2022/368
Acronym
POWER Health
Status last verified
Apr 2024
First submitted
14 Mar 2024
Last updated
4 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Monferrer-Marin J, Roldan A, Monteagudo P, Chulvi-Medrano I, Blasco-Lafarga C. Impact of Ageing on Female Metabolic Flexibility: A Cross-Sectional Pilot Study in over-60 Active Women. Sports Med Open. 2022 Jul 30;8(1):97. doi: 10.1186/s40798-022-00487-y.

    PubMed 35907092
  • Blasco-Lafarga C, Monferrer-Marin J, Roldan A, Monteagudo P, Chulvi-Medrano I. Metabolic Flexibility and Mechanical Efficiency in Women Over-60. Front Physiol. 2022 Apr 6;13:869534. doi: 10.3389/fphys.2022.869534. eCollection 2022.

    PubMed 35464093
  • Frandsen J, Amaro-Gahete FJ, Landgrebe A, Dela F, Ruiz JR, Helge JW, Larsen S. The influence of age, sex and cardiorespiratory fitness on maximal fat oxidation rate. Appl Physiol Nutr Metab. 2021 Oct;46(10):1241-1247. doi: 10.1139/apnm-2021-0080. Epub 2021 Apr 13.

    PubMed 33848440
  • Gonzalez-Acedo A, Plaza-Florido A, Amaro-Gahete FJ, Sacha J, Alcantara JMA. Associations between heart rate variability and maximal fat oxidation in two different cohorts of healthy sedentary adults. Nutr Metab Cardiovasc Dis. 2022 Oct;32(10):2338-2347. doi: 10.1016/j.numecd.2022.06.015. Epub 2022 Jun 22.

    PubMed 35977864
  • Smith RL, Soeters MR, Wust RCI, Houtkooper RH. Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease. Endocr Rev. 2018 Aug 1;39(4):489-517. doi: 10.1210/er.2017-00211.

    PubMed 29697773
  • Sogaard D, Lund MT, Scheuer CM, Dehlbaek MS, Dideriksen SG, Abildskov CV, Christensen KK, Dohlmann TL, Larsen S, Vigelso AH, Dela F, Helge JW. High-intensity interval training improves insulin sensitivity in older individuals. Acta Physiol (Oxf). 2018 Apr;222(4):e13009. doi: 10.1111/apha.13009. Epub 2017 Dec 19.

    PubMed 29197155
  • Formighieri C, Muller DC, Saez de Asteasu ML, Mello A, Teodoro JL, Boeno F, Grazioli R, Cunha GDS, Pietta-Dias C, Izquierdo M, Pinto RS, Cadore EL. Interindividual variability of adaptations following either traditional strength or power training combined to endurance training in older men: A secondary analysis of a randomized clinical trial. Exp Gerontol. 2022 Nov;169:111984. doi: 10.1016/j.exger.2022.111984. Epub 2022 Oct 19.

    PubMed 36270544
  • Mugele H, Freitag N, Wilhelmi J, Yang Y, Cheng S, Bloch W, Schumann M. High-intensity interval training in the therapy and aftercare of cancer patients: a systematic review with meta-analysis. J Cancer Surviv. 2019 Apr;13(2):205-223. doi: 10.1007/s11764-019-00743-3. Epub 2019 Feb 26.

    PubMed 30806875
  • Toohey K, Pumpa K, McKune A, Cooke J, Welvaert M, Northey J, Quinlan C, Semple S. The impact of high-intensity interval training exercise on breast cancer survivors: a pilot study to explore fitness, cardiac regulation and biomarkers of the stress systems. BMC Cancer. 2020 Aug 20;20(1):787. doi: 10.1186/s12885-020-07295-1.

    PubMed 32819304
  • Matsubara Y, Kiyohara H, Teratani T, Mikami Y, Kanai T. Organ and brain crosstalk: The liver-brain axis in gastrointestinal, liver, and pancreatic diseases. Neuropharmacology. 2022 Mar 1;205:108915. doi: 10.1016/j.neuropharm.2021.108915. Epub 2021 Dec 15.

    PubMed 34919906
  • Monferrer-Marin J, Roldan A, Helge JW, Blasco-Lafarga C. Vagal Activity and Fat Oxidation Basal Correlates in Older Active Postmenopausal Women: A Cross-Sectional Study. Sports Med Open. 2026 Mar 12;12(1):29. doi: 10.1186/s40798-026-01004-1.

    PubMed 41820730

Questions about this trial

What is this clinical trial studying?

A study testing HIIT program (8 weeks) and MPI program (8 weeks) in people with Breast Cancer Female and Cardiometabolic Syndrome, run by University of Valencia at 1 site in Spain.

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 7 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 4 Apr 2024. 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 Spain. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Cristina Blasco Lafarga, Tenured Professor (64372 ext. 9638, m.cristina.blasco@uv.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fat oxidation during incremental test (time frame: Preintervention (only this one in cross-sectional study) and Postintervention (8 weeks after)). The study lists 2 primary outcomes in all. 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 NCT06336070, which also lists 11 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 4 Apr 2024.

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