AzTrials
AzTrials

InsomniaON TIMENCT06613958

Older Adults Exercising On Time

A study testing Physical activity timing in people with Insomnia and Circadian Rhythm Disorders, run by Leiden University Medical Center at 1 site in Netherlands.

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

There are indications from epidemiological cohort studies and animal experiments that timing of physical activity (also referred as "chronoactivity"), irrespective of intensity, impacts health and disease. Read more about this study

Who is it for?
Ages 60 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Insomnia, Circadian Rhythm Disorders
What is being tested?
Physical activity timing
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteNetherlands
Study dates
2 May 2024to 27 Jun 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 60 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged between 60 and 80 years old
  • Retired
  • Long lasting sleep problems (as assessed by a the screening questionnaire administered telephonically and by the ISI which will be filled out during the screening visit)
  • Access to and ability to use a smart phone (Android or Apple)

Who cannot join

  • Currently employed or working
  • Extreme sleep chronotypes (measured by the Munich chronotype questionnaire)
  • Participation in any sort of fasting regimen (e.g. intermitted fasting or Ramadan)
  • Experienced recent (<6 months) adverse life events (e.g., death of partner)
  • Abnormal values in glucose metabolism, thyroid, liver or kidney function, or inflammation markers that after examination of the study doctor need immediate attention of a general practitioner or specialist.
  • Diagnosed clinical depression
Show all 13Show fewer
  • Diagnosed neurodegenerative diseases (e.g. dementia or Parkinson's disease)
  • Diagnosed sleep apnoea
  • Diagnosed restless legs syndrome
  • Use of beta-adrenergic blocking agents
  • Use of sleep medication*
  • Injuries or other severe physical conditions (such as active arthrosis) that inhibits physical activity
  • Travelled across time zones one week prior to start of study

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Leiden University Medical Center

    Leiden, South Holland, 2333ZA

Other trials in Netherlands

About this study

There are indications from epidemiological cohort studies and animal experiments that timing of physical activity (also referred as "chronoactivity"), irrespective of intensity, impacts health and disease. In view of the detrimental effects of circadian misalignment, the large group of older people suffering from sleep problems, and the seeming importance of chronoactivity, the investigators will perform a randomised cross-over study that aims to uncover the effect of timing of physical activity on insomnia severity and related(circadian) health parameters in older adults with self-reported sleep problems. Here, the investigators hypothesize that timing of physical activity has a beneficial impact on insomnia symptoms and on circadian rhythms of additional health parameters (e.g., metabolic, psychosocial) in older people. To study this research hypothesis, the investigators will examine the effect of physical activity timing on insomnia severity in older adults with self-reported sleep problems. In addition, the investigators will examine the effect of physical activity timing on exploratory rhythmic parameters of biological clock function, physiology and metabolism, mental health, behavioural factors, and immune and cell signalling functions. For this study, a two-armed randomised cross-over study, Dutch speaking older adults between 60 and 80 years old (male and female) and having sleep problems (insomnia severity index>10 points) from the general population in the Netherlands will be selected as participants for this study. Participants will perform one sedentary period and two period of increased physical activity with different daily patterns: 1)active morning; 2) active evening with a duration of 14 days each. In both active intervention arms, participants will follow an exercise program containing outdoor physical exercise sessions (Vitality Club) containing endurance and strength exercises, relative rest days of 30 minutes light intensity physical activity, and one Active@Home program; a 1-hour training session of various moderate to vigorous activities. The training sessions will be held either in the morning or evening (depending on the intervention arm) and will be one hour long. Study outcomes will be compared between the different intervention groups.

Being tested
Physical activity timing
Keywords
Chronoactivity, Sleep, Circadian rhythm, Exercise timing
Medical subject headings
Sleep Initiation and Maintenance Disorders, Chronobiology Disorders

What participants receive

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

  • Physical activity timingBehavioural

    Also called Active morning (exercise program from 10:00 - 11:00 in the morning), Active evening (exercise program from 19:30 - 20:30 in the evening), Sedentary period (no exercise)

    The investigators will compare our interventions to a 14-day period of sedentary behavior, during which the participant will refrain from any moderate to vigorous exercise. Next, participants will participate in two interventions consisting each of a 14-day physical activity regimen. The active morning and active evening interventions are equal in content. Both groups will be instructed to refrain from any moderate to vigorous exercise for the rest of the day. Per intervention, a total of eight Vitality Club training session comprising of a combination of aerobic endurance training and resistance exercise training will be given by a trained sports coach or physical therapist specialized in geriatric physical therapy. During the weekends, participants will be asked to perform a 'relative rest' session with some light activity during the training time window of the intervention arm.

Study groups in NCT06613958
Study groupRoleWhat they receive
Group 1OtherOrder of interventions: Sedentary - Active morning - Active Evening
Receives: Behavioral: Physical activity timing
Group 2OtherOrder of the interventions: Sedentary - Active Evening - Active Morning
Receives: Behavioral: Physical activity timing

What is being measured

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

  1. Insomnia severity

    Score on Insomnia Severity Index (ISI). Participants will be asked to fill out the ISI questionnaire (Dutch version) The ISI questionnaire consists of 7 questions and outcomes include: 'No clinically significant insomnia (0-7 points)', 'Subthreshold insomnia (8-14 points)', 'Moderate severity clinical insomnia (15-21 point), and 'Severe clinical insomnia (22-28 points)'.

    Measured: 4 times in total: at baseline T-3 (T= week), at T2 , T5, and at T8 (endline).

Secondary outcomes (16)
  1. Dim light melatonin onset (DLMO)

    Participants will be asked to perform/collect 7 buccal swabs in a time range of 5 hours prior to bedtime to 1 hour after bedtime to measure the melatonin pattern DLMO one evening at the end of each intervention. This measurement will be done according to the standard protocol from Chrono@Work (Groningen, The Netherlands) in dim light conditions. Participants will be carefully instructed beforehand on the procedure. Melatonin levels will be shown in Pg/ml

    Measured: 3 times in total: two weeks, five weeks and eight weeks after baseline.

  2. Ecological monitoring assessment

    During the measurement week, participants will be asked to fill out the eEMA questionnaire in the Leuven mPath app 4 times a day on set times (between 7-9 AM, 12-2 PM, 4-6 PM and 8-10 PM). Participants will receive a pop-up on their smartphones and will have a window of 2 hours to fill in the questionnaire. The questionnaire consists of multiple questions that gather information on current mood/feelings divided into multiple dimensions: positive affectivity, negative affectivity, energetic arousal and cognition. A visual analogue scale will be used to answer the questions. To minimize the burden of this repeated questionnaire, the time needed to fill out the questionnaire is limited to approximately 3 minutes.

    Measured: 3 periods in total of one week each: the second week, the fifth week and the eighth week.

  3. Sleep quality - sleep duration

    Objective sleep quality will be monitored with the Withings Sleep Analyzer (Withings, Issy-les-Moulineaux, France) . Prior to the study, the Withings Sleep Analyzer will be installed in the participants bed. A smart phone is required to set-up the device and the devices must be connected to a Wi-Fi to be able to send data to the cloud. After set-up no link to the smartphone is required. The device must be connected to power.

    Sleep duration, pattern of and duration spent in different sleep stages (deep, REM, and light sleep), sleep latency, sleep efficiency, and sleep regularity.

    Measured: 3 periods in total of 2 weeks each: weeks 1-2 , weeks 4-5, and weeks 7-8.

  4. Sleep quality - sleep latency

    Objective sleep quality will be monitored with the Withings Sleep Analyzer (Withings, Issy-les-Moulineaux, France) . Prior to the study, the Withings Sleep Analyzer will be installed in the participants bed. A smart phone is required to set-up the device and the devices must be connected to a Wi-Fi to be able to send data to the cloud. After set-up no link to the smartphone is required. The device must be connected to power.

    Sleep duration, pattern of and duration spent in different sleep stages (deep, REM, and light sleep), sleep latency, sleep efficiency, and sleep regularity.

    Measured: 3 periods in total of 2 weeks each: weeks 1-2 , weeks 4-5, and weeks 7-8.

  5. Sleep quality - sleep stages

    Objective sleep quality will be monitored with the Withings Sleep Analyzer (Withings, Issy-les-Moulineaux, France) . Prior to the study, the Withings Sleep Analyzer will be installed in the participants bed. A smart phone is required to set-up the device and the devices must be connected to a Wi-Fi to be able to send data to the cloud. After set-up no link to the smartphone is required. The device must be connected to power.

    Sleep duration, pattern of and duration spent in different sleep stages (deep, REM, and light sleep), sleep latency, sleep efficiency, and sleep regularity.

    Measured: 3 periods in total of 2 weeks each: weeks 1-2 , weeks 4-5, and weeks 7-8.

  6. Sleep quality - sleep efficiency

    Objective sleep quality will be monitored with the Withings Sleep Analyzer (Withings, Issy-les-Moulineaux, France) . Prior to the study, the Withings Sleep Analyzer will be installed in the participants bed. A smart phone is required to set-up the device and the devices must be connected to a Wi-Fi to be able to send data to the cloud. After set-up no link to the smartphone is required. The device must be connected to power.

    Sleep duration, pattern of and duration spent in different sleep stages (deep, REM, and light sleep), sleep latency, sleep efficiency, and sleep regularity.

    Measured: 3 periods in total of 2 weeks each: weeks 1-2 , weeks 4-5, and weeks 7-8.

  7. Sleep quality - sleep regularity

    Objective sleep quality will be monitored with the Withings Sleep Analyzer (Withings, Issy-les-Moulineaux, France) . Prior to the study, the Withings Sleep Analyzer will be installed in the participants bed. A smart phone is required to set-up the device and the devices must be connected to a Wi-Fi to be able to send data to the cloud. After set-up no link to the smartphone is required. The device must be connected to power.

    Sleep duration, pattern of and duration spent in different sleep stages (deep, REM, and light sleep), sleep latency, sleep efficiency, and sleep regularity.

    Measured: 3 periods in total of 2 weeks each: weeks 1-2 , weeks 4-5, and weeks 7-8.

  8. Biological assessment: clock gene expression

    Paxgene 1x 2.5 ml 7,5 ml RNA Gene expression clock genes (in batch)

    Measured: 4 times in total: at baseline (3 weeks before start of the study), at the second , fifth, and eighth week

  9. Biological assessment: metabolomics

    EDTA 1x 2 ml 6 ml plasma Metabolomics (in batch)

    Measured: 4 times in total: at baseline (3 weeks before start of the study), at the second , fifth, and eighth week

  10. Biological assessment: proteomics

    EDTA 1x 2 ml 6 ml plasma proteomics (in batch)

    Measured: 4 times in total: at baseline (3 weeks before start of the study), at the second , fifth, and eighth week

  11. Biological assessment: glucose metabolism

    EDTA 1x 2 ml 2 ml plasma HbA1c, Insulin, glucose,

    Measured: 4 times in total: at baseline (3 weeks before start of the study), at the second , fifth, and eighth week

  12. Biological assessment: biomarkers for inflammation, thyroid, kidney and liver function

    Serum 1x 3.5 ml 14 ml serum eGRF/creatinin, Hs-CRP, Gamma GT, ASAT, ALAT, TSH, ft4 (in batch)

    Measured: 4 times in total: at baseline (3 weeks before start of the study), at the second , fifth, and eighth week

  13. Food capturing

    Participants will log their daily food intake during each measurement week by using a food diary that will be distributed prior to the start of the study. Frequency and timing of food intake will be assessed.

    Measured: 3 periods in total of one week each: week two, week five, and at week eight.

  14. Heart rate

    Participants will wear the Corsano Cardiowatch 287-2 (Corsano Health, The Hague, the Netherlands) wrist band on their right wrist continuously during the study period. The wristband is multifunctional and is waterproof. Participants will wear the wrist band 24 hours a day. The HR is measured using a PPG (photoplethysmogram, i.e., optically obtained volumetric measurement) and ECG. The manufacturer supplies the algorithm for converting the PPG/ECG signals into a set of HR values. All data from the Cardiowatch is available real time and is transferred from the watch to the smartphone using a clinical trial app, developed by the provider, which allows the researcher to retrieve live vital sign data while conducting a blinded study.

    Measured: 3 periods in total of 2 weeks each: weeks 1-2 , weeks 4-5, and weeks 7-8.

  15. Heart rate variability

    Participants will wear the Corsano Cardiowatch 287-2 (Corsano Health, The Hague, the Netherlands) wrist band on their right wrist continuously during the study period. The wristband is multifunctional and is waterproof. Participants will wear the wrist band 24 hours a day. The HR is measured using a PPG (photoplethysmogram, i.e., optically obtained volumetric measurement) and ECG. The manufacturer supplies the algorithm for converting the PPG/ECG signals into a set of HR values. All data from the Cardiowatch is available real time and is transferred from the watch to the smartphone using a clinical trial app, developed by the provider, which allows the researcher to retrieve live vital sign data while conducting a blinded study.

    Measured: 3 periods in total of 2 weeks each: weeks 1-2 , weeks 4-5, and weeks 7-8.

  16. Core body temperature

    Core body temperature will be continuously measured by the Cardiowatch 287-2 in degrees Celcius. This parameter will be derived through an algorhythm of combined data from Heatflux sensor and PPG signal. Diurnal patterns of core body temperature as well as the time of lowest daily temperature will be derived from this data.

    Measured: 3 periods in total of 2 weeks each: weeks 1-2 , weeks 4-5, and weeks 7-8.

Timeline

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

  1. First posted26 Sep 2024
  2. Study start2 May 2024
  3. Primary completion27 Jun 2024
  4. Study completion27 Jun 2024

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
Model description
The investigators will perform a randomized two-armed cross-over study. Both groups will start with the sedentary period. Depending on the intervention arm, participants will then undergo the active morning intervention or active evening intervention first, followed by the other intervention. There will be a total of two washout periods both lasting 7 days, one between the sedentary period and first intervention and one between the first and second intervention to prevent or minimize 'carry over' of previous intervention effect. The two interventions and the sedentary period will last 14 days each and contain a 'calibration period' (7 days) and a 'measurement week' (7 days). The total study duration will be 8 weeks and the study will largely take place at the participants' home except for the training sessions (Vitality Clubs) that will take place at an outdoor sports facility in the municipality of Leiden and the study site visits which will take place in the LUMC.
Masking
None (open label)
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06613958
Sponsor's protocol ID
NL82335.058.22
Acronym
ON TIME
Status last verified
Sep 2024
First submitted
12 Mar 2024
Last updated
26 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Physical activity timing in people with Insomnia and Circadian Rhythm Disorders, run by Leiden University Medical Center at 1 site in Netherlands.

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 13 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 26 Sep 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 Netherlands. 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?

Insomnia severity (time frame: 4 times in total: at baseline T-3 (T= week), at T2 , T5, and at T8 (endline).). 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 26 Sep 2024.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in
Older Adults Exercising On Time (NCT06613958) | AzTrials