AzTrials
AzTrials

ObesityDSWNCT06574854

Effects of Descending Stair Walking

A study testing DSW and ASW in people with Obesity, run by Universiti Sains Malaysia at 1 site in Malaysia.

Completed

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

Official record
Search all trials

Trial summary

The global rise in the prevalence of physical inactivity is major public health concern. Lifestyle-related activities, such as stairs walking, has important public health implications and may represent an alternative approach for those who have difficulty adhering to conventional exercise programs. Read more about this study

Who is it for?
Ages 18 to 50 years, women onlyHealthy volunteers can take part
Conditions the study is for
Obesity
What is being tested?
DSW and ASW
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteMalaysia
Study dates
1 May 2023to 15 Mar 2025
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 50 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Women
  • age 18-50-year-old
  • BMI 25.0 - 39.9 kg/m2,
  • body fat percentage > 30%
  • no lower limb orthopaedic injuries
  • sedentary lifestyle (regular exercise <1 h per week).

Who cannot join

  • smokers
  • taking supplements or medication known to affect REE (such as oral contraceptives),
  • severe medical conditions affecting their physical or mental health
  • individuals with implanted medical device
  • suffer from alcohol or drug abuse and
  • trying to conceive/ pregnant or breastfeeding

Trial locations and contacts

1 site in 1 country.

Malaysia1 site
  • Wellness Hub Timur Laut, Pulau Pinang

    Ayer Itam, Pulau Pinang, 11500

Other trials in Malaysia

About this study

Official title: Effects of Descending Stair Walking on Cardiometabolic Adaptations Among Obese, Untrained Women

The global rise in the prevalence of physical inactivity is major public health concern. Lifestyle-related activities, such as stairs walking, has important public health implications and may represent an alternative approach for those who have difficulty adhering to conventional exercise programs. This two-armed, parallel-group, randomized controlled trial (RCT) aims to assess and compare the effects between the descending stair walking (DSW) and ascending stair walking (ASW) on cardiometabolic health markers, cardiopulmonary capacity, body composition and muscular strength.

This RCT will recruit 16 obese inactive and sedentary females will be randomized using permuted block randomization into two arms: intervention arm, DSW and active comparator arm: ASW in a 1:1 allocation ratio. The participants in the DSW and ASW arms will undergo twice a week stair walking intervention session for 8 weeks. The exercise volume will be gradually increased over 8 weeks by increasing the number of repetitions by two every week for both arms. Borg's scale of perceived exertion (RPE) and visual analogue scale (VAS) will be used to assess subjective intensity of stair walking and pain intensity immediately after each repetition. Assessments will be carried out through two time points, pre-intervention assessment (T0) and immediately after completion of the intervention at 8 weeks (T1). During each assessment, the primary outcome to be assessed includes the cardiometabolic health markers and cardiopulmonary capacity, while the secondary outcomes to be assessed are the body composition and muscular strength. Whereas during the intervention, continuous heart rate and gas consumption will be monitored at week 1 (W1), week 4 (W4) and week 8 (W8) to monitor the intensity of the exercise.

Read the detailed description

1.2 Research Objectives

1.2.1 General Objective (i) The study compares the impact of the 8-week descending stair walking (DSW) and ascending stair walking (ASW) on cardiometabolic health in obese, untrained women.

1.2.2 Specific Objective

To compare the effect of DSW \& ASW on:

(i) cardiometabolic health (fasting plasma glucose, lipid profile, renal profile, cardiorespiratory fitness, resting blood pressure, resting energy expenditure, resting heart rate) (ii) body composition (fat mass, lean body mass, waist circumference, hip circumference, thigh circumference) (iii) muscular fitness \& functional capacity (back and leg strength \& 6-min walking test)

1.3 Research Design This randomized controlled trial (RCT) is a single-centre, two-armed, parallel-group.

1.4 Research Location This RCT is expected to run for 1 year in the Wellness Hub Timur Laut, Klinik Kesihatan Jalan Angsana Pulau Pinang. Wellness Hub Timur Laut is located in the primary healthcare facility of the Ministry of Health and receives approximately 1,000 clients annually for health screening.

1.5 Sampling Method The sampling method used in this study for recruitment of participants is by purposive sampling. Overweight \& obese clients of Wellness Hub Jalan Angsana, Klinik Kesihatan Jalan Angsana Pulau Pinang

1.6 Sample Size Calculation The sample size is estimated based on an effect size of 1.91, an α-level of 0.05, and a power (1-β) of 0.08. A priori sample size analysis (G∗Power 3.1; Düsseldorf, Germany) indicated that 6 participants/ group were necessary. Considering a possible dropout rate of 50%, a sample size of 12 participants/ group is anticipated making it a total of 24 participants.

1.7 Data Collection Procedure Permission to conduct the study in Wellness Hub Timur Laut (WHTL), Pulau Pinang, will be sought. Clients will be recruited from WHLA after agreeing to participate in the study.

1.7.1 Data Collection Technique The researcher will interview and assess participants face-to-face at baseline and 8th weeks and the end of the intervention. Participants will be randomly assigned to the stair-walking intervention. At baseline, a background information questionnaire will be used to obtain respondents' sociodemographic characteristics, occupation, health problems and health-related fitness as part of wellness hub health screening. Body composition, metabolic risk factors and selected physical fitness will be assessed before and after the 8th week of intervention.

1.7.2 Daily Energy Balance Monitoring A logbook will be provided for all participants to record daily calorie intake and physical activity. Two weekdays and one-weekend food logs will be retrieved from the logbook, and the total weekly calorie intake and macronutrients will be calculated using Nutritionist Pro software.

1.7.3 Stair Walking Intervention All participants must complete progressive exercise training using stairs in WHLA over 8 weeks, twice a week. The participants in the DSW arm will ride an elevator from level 1 to level 6, eliminating the concentric impact of walking upstairs. Whereas for the ASW arm, participants will ride an elevator from level 6 to level 1 to eliminate the eccentric impact of walking downstairs. The number of stairs from the first to the sixth floor was 120 (five floors, 24 stairs per floor), and the height of each stair was 18 cm. The walking tempo is approximately 1s per step, thus to descend or ascend 120 stairs, it takes about 2 min 30 sec including steps at the landing. The exercise volume will be gradually increased over 8 weeks by increasing the number of repetitions by two repetitions weekly for both arms (first week, 2 repetitions/ session; 8th week, 16 repetitions/ session; 1 repetition,120 stairs).

This protocol assumes that symptoms of muscle damage, such as delayed-onset muscle soreness (DOMS) and prolonged decreases in muscle function, would be minimal after any sessions. It took approximately 5 min to perform one repetition, including the time used for waiting for and riding on an elevator, and the time taken to perform 16 repetitions was approximately 80 min. Lower limb stretching exercises will be included in the workout's general warming-up and cooling-down phases. Over the 16 sessions, each participant will walk up or down 720 floors, thus 17,424 stairs.

Conditions
Obesity
Being tested
DSW, ASW
Keywords
body composition, cardiometabolic, stair walking, obesity
Medical subject headings
Obesity

What participants receive

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

  • DSWOther

    Also called Eccentric Training

    Descending Stair Walking

  • ASWOther

    Also called Concentric Training

    Ascending Stair Walking

Study groups in NCT06574854
Study groupRoleWhat they receive
DSWExperimentalDescending Stair Walking
Receives: Other: DSW
ASWActive comparatorAscending Stair Walking
Receives: Other: ASW

What is being measured

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

  1. Total Cholesterol

    Changes in Total Cholesterol (mmol/L) from baseline

    Measured: 8 weeks

  2. Low-Density Lipoprotein Cholesterol

    Changes in Low-Density Lipoprotein Cholesterol (mmol/L) from baseline

    Measured: 8 weeks

  3. High-Density Lipoprotein Cholesterol

    Changes in High-Density Lipoprotein Cholesterol (mmol/L) from baseline

    Measured: 8 weeks

  4. Trigliceride

    Changes in Trigliceride (mmol/L) from baseline

    Measured: 8 weeks

  5. Fasting Plasma Glucose

    Changes in Fasting Plasma Glucose (mmol/L) from baseline

    Measured: 8 weeks

  6. Resting Heart Rate

    Changes in Resting Heart Rate (beat.min) from baseline

    Measured: 8 weeks

  7. Resting Blood Pressure

    Changes in Resting Diastolic and Systolic Blood Pressure (mm/Hg) from baseline

    Measured: 8 weeks

  8. Resting Energy Expenditure

    Changes in Resting Energy Expenditure (kcal/day) from baseline

    Measured: 8 weeks

  9. Alanine Aminotransferase

    Changes in Alanine Aminotransferase (U/L) from baseline

    Measured: 8 weeks

  10. Alanine Aspartate transaminase

    Changes in Alanine Aspartate transaminase (U/L) from baseline

    Measured: 8 weeks

  11. Resting energy oxidation

    Changes in fat and charbohydrate oxidation from baseline

    Measured: 8 weeks

Secondary outcomes (9)
  1. Body Mass

    Changes in body mass (kg)from baseline

    Measured: 8 weeks

  2. Body Mass Index (BMI)

    Changes in BMI (kg/m2)from baseline

    Measured: 8 weeks

  3. Percentage body fat

    Changes in percentage body fat (%) from baseline

    Measured: 8 weeks

  4. Lean Body Mass

    Changes in lean body mass (kg) from baseline

    Measured: 8 weeks

  5. Waist Circumference

    Changes in waist circumference (cm) from baseline

    Measured: 8 weeks

  6. Hip Circumference

    Changes in hip circumference (cm) from baseline

    Measured: 8 weeks

  7. Isometric Muscular Strength

    Changes in back \& leg isometric (kg) from baseline

    Measured: 8 weeks

  8. Cardiorespiratory Capacity-6 Minute Walking Test

    Changes in distance (m) covered from baseline

    Measured: 8 weeks

  9. Training substrate oxidation

    Changes in substrate oxidation from week 1 to 8

    Measured: 8 weeks

Timeline

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

  1. First posted28 Aug 2024
  2. Study start1 May 2023
  3. Primary completion1 Mar 2025
  4. Study completion15 Mar 2025

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06574854
Sponsor's protocol ID
USM/JEPeM/PP/23070582
Acronym
DSW
Status last verified
Feb 2026
First submitted
14 Aug 2024
Last updated
5 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Chen TC, Hsieh CC, Tseng KW, Ho CC, Nosaka K. Effects of Descending Stair Walking on Health and Fitness of Elderly Obese Women. Med Sci Sports Exerc. 2017 Aug;49(8):1614-1622. doi: 10.1249/MSS.0000000000001267.

    PubMed 28291022
  • Regnersgaard S, Knudsen AK, Lindskov FO, Mratinkovic M, Pressel E, Ingersen A, Dela F. Down stair walking: A simple method to increase muscle mass and performance in 65+ year healthy people. Eur J Sport Sci. 2022 Feb;22(2):279-288. doi: 10.1080/17461391.2020.1856936. Epub 2021 Apr 24.

    PubMed 33241972
  • Chen TC, Huang TH, Tseng WC, Tseng KW, Hsieh CC, Chen MY, Chou TY, Huang YC, Chen HL, Nosaka K. Changes in plasma C1q, apelin and adropin concentrations in older adults after descending and ascending stair walking intervention. Sci Rep. 2021 Sep 3;11(1):17644. doi: 10.1038/s41598-021-96631-x.

    PubMed 34480035
  • Theodorou AA, Panayiotou G, Paschalis V, Nikolaidis MG, Kyparos A, Mademli L, Grivas GV, Vrabas IS. Stair descending exercise increases muscle strength in elderly males with chronic heart failure. BMC Res Notes. 2013 Mar 8;6:87. doi: 10.1186/1756-0500-6-87.

    PubMed 23510560
  • Chow BC, Li S, Zhu X, Jiao J, Quach B, Baker JS, Zhang H. Effects of descending or ascending stair exercise on body composition, insulin sensitivity, and inflammatory markers in young Chinese women with obesity: A randomized controlled trial. J Sports Sci. 2021 Mar;39(5):496-502. doi: 10.1080/02640414.2020.1829362. Epub 2020 Oct 4.

    PubMed 33012244
  • Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR Jr, Tudor-Locke C, Greer JL, Vezina J, Whitt-Glover MC, Leon AS. 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011 Aug;43(8):1575-81. doi: 10.1249/MSS.0b013e31821ece12.

    PubMed 21681120
  • Bassett DR, Vachon JA, Kirkland AO, Howley ET, Duncan GE, Johnson KR. Energy cost of stair climbing and descending on the college alumnus questionnaire. Med Sci Sports Exerc. 1997 Sep;29(9):1250-4. doi: 10.1097/00005768-199709000-00019.

    PubMed 9309638
  • Paschalis V, Theodorou AA, Panayiotou G, Kyparos A, Patikas D, Grivas GV, Nikolaidis MG, Vrabas IS. Stair descending exercise using a novel automatic escalator: effects on muscle performance and health-related parameters. PLoS One. 2013;8(2):e56218. doi: 10.1371/journal.pone.0056218. Epub 2013 Feb 21.

    PubMed 23437093
  • Chen TC, Tseng WC, Huang GL, Chen HL, Tseng KW, Nosaka K. Superior Effects of Eccentric to Concentric Knee Extensor Resistance Training on Physical Fitness, Insulin Sensitivity and Lipid Profiles of Elderly Men. Front Physiol. 2017 Apr 10;8:209. doi: 10.3389/fphys.2017.00209. eCollection 2017.

    PubMed 28443029
  • Ansari M, Hardcastle S, Myers S, Williams AD. The Health and Functional Benefits of Eccentric versus Concentric Exercise Training: A Systematic Review and Meta-Analysis. J Sports Sci Med. 2023 Jun 1;22(2):288-309. doi: 10.52082/jssm.2023.288. eCollection 2023 Jun.

    PubMed 37293426
  • Touron J, Maisonnave L, Rigaudiere JP, Montaurier C, De Antonio M, Perrault H, Richard R, Capel F. Eccentric and concentric exercises induce different adaptions in adipose tissue biology. J Physiol Biochem. 2023 May;79(2):441-450. doi: 10.1007/s13105-023-00956-2. Epub 2023 Mar 24.

    PubMed 36961725

Questions about this trial

What is this clinical trial studying?

A study testing DSW and ASW in people with Obesity, run by Universiti Sains Malaysia at 1 site in Malaysia.

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 6 inclusion and 6 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 5 Feb 2026. 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 Malaysia. 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?

Total Cholesterol (time frame: 8 weeks). The study lists 11 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 NCT06574854, 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 5 Feb 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in