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SedentaryNCT07189975

Eccentric Cycling : a Promising Training Modality for Sedentary People

A study testing High intensity eccentric cycling training, Moderate intensity eccentric cycling training and High intensity concentric cycling training in people with Sedentary and Deconditioning, run by University of Liege at 1 site in Belgium.

Completed

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

Official record
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Trial summary

The present study aims to compare the acute and training responses of (1) eccentric high intensity interval training (EI), (2)work-matched continuous eccentric training (EC), and (3) concentric high intensity interval training (CI), all performed on cycle ergometers. Read more about this study

Who is it for?
Ages 55 to 75 yearsHealthy volunteers can take part
What is being tested?
High intensity eccentric cycling training, Moderate intensity eccentric cycling training and High intensity concentric cycling training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
45 participants
Where
1 siteBelgium
Study dates
20 Apr 2024to 15 Jan 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 55 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Sedentary people (less than 3 hours of physical activity a week)
  • No smoker

Who cannot join

  • Pain or injury in the 6 previous months in the lower limbes
  • Presenting an uncontrolled chronic condition
  • Presenting cardiovascular issues

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Liege University

    Liège, 4000

Other trials in Belgium

About this study

Official title: Effects and Comparison of Eccentric Cycling Trainings Versus Concentric Cycling Training on Muscular and Functional Capacities in Sedentary People

The present study aims to compare the acute and training responses of (1) eccentric high intensity interval training (EI), (2)work-matched continuous eccentric training (EC), and (3) concentric high intensity interval training (CI), all performed on cycle ergometers. The variables of interest include ratings of perceived exertion (RPE), cognitive demand (Fat), heart rate (HR), maximal oxygen consumption (VO₂max), maximal aerobic power (MAP), and various functional and health-related parameters.

It is hypothesized that eccentric interval training will produce comparable or superior improvements in functional outcomes relative to concentric interval training, but at a lower metabolic and perceptual cost. Furthermore, eccentric interval training is expected to yield greater physiological benefits than continuous eccentric training for a similar perceived and metabolic load.

Read more

Forty-three sedentary healthy adults (23 men and 20 women) were recruited for this study based on predefined inclusion and exclusion criteria. Participants were randomly (stratified randomization) allocated into one of three training groups.

Participants attended the laboratory on 28 occasions over a 14-week period, with two sessions per week.

Participants in the EI and EC groups trained using an eccentric ergometer, while the CI group trained on a concentric ergometer. Baseline and post-intervention assessments were conducted during weeks 1 and 14, respectively. These included a maximal incremental cycling test to determine VO₂ peak and concentric MAP, followed by six functional performance assessments.

Read the detailed description

The present study aims to compare the acute and training responses of (1) eccentric HIIT, (2)work-matched continuous eccentric training, and (3) concentric HIIT, all performed on cycle ergometers. The variables of interest include ratings of perceived exertion (RPE), cognitive demand (Fat), heart rate (HR), maximal oxygen consumption (VO₂max), maximal aerobic power (MAP), and various functional and health-related parameters.

It is hypothesized that eccentric HIIT will produce comparable or superior improvements in functional outcomes relative to concentric HIIT, but at a lower metabolic and perceptual cost. Furthermore, eccentric HIIT is expected to yield greater physiological benefits than continuous eccentric training for a similar perceived and metabolic load.

Forty-three healthy adults (23 men and 20 women) were recruited for this study based on predefined inclusion and exclusion criteria. Participants were randomly (stratified randomization) allocated into one of three training groups:

  • Eccentric Interval Group (EI): n = 15 (8 men, 7 women); age = 62.6 ± 3.9 years old (yo)
  • Eccentric Continuous Group (EC): n = 15 (8 men, 7 women); age = 61.6 ± 6.3 yo
  • Concentric Interval Group (CI): n = 13 (7 men, 6 women); age = 60.5 ± 5.1 yo All participants were unaccustomed to eccentric cycling and engaged in no more than 2 hours of recreational physical activity per week. Individuals with recent lower limb injuries or chronic medical conditions were excluded. Prior to participation, all individuals were fully informed of the study procedures, potential risks, and provided written informed consent. The study protocol received ethical approval from the Ethics Committee of the University of Liège (Ref. 2023/72), and all procedures conformed to the Declaration of Helsinki.

Participants in the EI and EC groups trained using an eccentric ergometer, while the CI group trained on a concentric ergometer. Baseline and post-intervention assessments were conducted during weeks 1 and 14, respectively. These included a maximal incremental cycling test to determine VO₂peak and concentric MAP (cMAP), followed by six functional performance assessments.

The training protocol consisted of three consecutive 4-week phases:

  1. Familiarization Phase (Weeks 2-5)
  2. Initial Training Phase (Weeks 6-9)
  3. Progressive Training Phase (Weeks 10-13) with increased training intensity.

At the first and final visits, participants underwent a concentric incremental cycling test to determine VO₂peak and cMAP. The test began with a standardized 2-minute warm-up at 30 watts (W) and a cadence of 60 revolutions per minute (rpm). The workload was then increased every minute by 15 W for women and 20 W for men until volitional exhaustion.

Participants were instructed to maintain a cadence above 60 rpm and were verbally encouraged throughout the test.

The 12-week training intervention was structured into three consecutive phases: (1) familiarization, (2) initial training, and (3) progressive training. All participants completed two supervised sessions per week, either on a recumbent eccentric ergometer (Cyclus 2, RBM Elektronik-Automation GmbH, Germany) or a seated concentric cycle ergometer (Technogym, Italy), depending on group allocation.

  1. Phase 1 (T1) - Familiarization (Weeks 2-5) During the familiarization phase, all groups completed work-matched sessions adapted to their respective contraction modality (eccentric or concentric cycling). Based on the findings of Lipski et al., a conversion ratio of 1.5 was used to estimate eccentric MAP (eMAP) from cMAP, such that 100% eMAP was considered equivalent to 150% of cMAP. Training intensity and duration were progressively increased across the four weeks. Participants began with 5 minutes of cycling at 30% of their cMAP and progressed to 30 minutes by the end of the phase.
  2. Phase 2 (T2) - Initial Training (Weeks 6-9) In the second phase, all groups trained at an intensity equivalent to 80% of their modality-specific MAP for 30 minutes per session:
  • EI Group: 10 x 2' training/1' rest at 120% of cMAP (~80% of eMAP)
  • EC Group: 30' at 80% of cMAP
  • CI Group: 10 x 2' training/1' rest at 80% of cMAP
  1. Phase 3 (T3) - Progressive Training (Weeks 10-13)

Training intensity was further increased to 90% of each group's modality-specific MAP:

  • EI Group: 10 x 2' training/1' rest at 135% of cMAP (~90% of eMAP)
  • EC Group: 30' at 90% of cMAP
  • CI Group: 10 x 2' training/1' rest at 90% of cMAP This progressive overload aimed to enhance aerobic capacity and muscular adaptations in a contraction-specific manner. All sessions remained isocaloric and time-matched across groups to allow for valid comparisons.

Heart rate, rating of perceived exertion, cognitive demand / fatigue and muscle soreness were monitored during each training session.

A battery of six functional tests was performed pre- and post-intervention to evaluate intra-group improvements and inter-group differences. All tests were administered by the same trained evaluator to minimize inter-rater variability. Standardized instructions and verbal encouragement were provided to ensure consistency across participants. These tests include : maximal isometric force, handgrip strength, balance, ten times sit-to-stand time, timed up and go and six-minute walking test.

Being tested
High intensity eccentric cycling training, Moderate intensity eccentric cycling training, High intensity concentric cycling training
Keywords
Eccentric cycling, Sedentarity, Elderly, Physical deconditioning, Training modality, Rehabilitation, Eccentric training
Medical subject headings
Sedentary Behavior

What participants receive

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

  • High intensity eccentric cycling trainingOther

    This intervention is a high intensity interval training using an eccentric ergocycle

  • Moderate intensity eccentric cycling trainingOther

    This intervention is a moderate intensity continuous training using an eccentric ergocycle

  • High intensity concentric cycling trainingOther

    This intervention is a high intensity interval training using a concentric ergocycle

Study groups in NCT07189975
Study groupRoleWhat they receive
Eccentric IntervalExperimentalParticipants in this arm had to follow a high intensity interval training using an eccentric ergocycle
Receives: Other: High intensity eccentric cycling training
Eccentric continuousExperimentalParticipants in this arm had to follow a moderate intensity continuous training using an eccentric ergocycle
Receives: Other: Moderate intensity eccentric cycling training
Concentric intervalExperimentalParticipants in this arm had to follow a high intensity interval training using a concentric ergocycle
Receives: Other: High intensity concentric cycling training

What is being measured

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

  1. Maximal Isometric Force

    Maximal isometric knee extensors strength of the dominant leg was assessed using a MicroFET2 handheld dynamometer (Hoggan Scientific, USA) secured to an immovable frame. Participants were seated with hips at 85° and knees at 90° flexion. After a warm-up involving five minutes of low-intensity cycling and three submaximal isometric contractions (50-90% effort), participants completed five maximal voluntary contractions, each lasting five seconds with 30 seconds of rest between efforts. The highest recorded value was retained for analysis and expressed in newton-meters (Nm).

    Measured: At enrollment and at the end of treatment at 14 weeks

  2. Maximal Aerobic Power

    At the first and final visits, participants underwent a concentric incremental cycling test to determine their maximal aerobic power (expressed in watt (W)). The test began with a standardized 2-minute warm-up at 30 W and a cadence of 60 revolutions per minute (rpm). The workload was then increased every minute by 15 W for women and 20 W for men until volitional exhaustion. The higher value was recorded as their MAP.

    Participants were instructed to maintain a cadence above 60 rpm and were verbally encouraged throughout the test.

    Measured: At the begining and the end of study (week 1 and 14)

  3. Peak oxygen consumption

    At the first and final visits, participants underwent a concentric incremental cycling test to determine VO₂ peak (expressed in mililiters per minute per kilogram (mL/min/kg)). The test began with a standardized 2-minute warm-up at 30 watts (W) and a cadence of 60 revolutions per minute (rpm). The workload was then increased every minute by 15 W for women and 20 W for men until volitional exhaustion. The higher value of VO₂ was recorded as their VO₂ peak.

    Participants were instructed to maintain a cadence above 60 rpm and were verbally encouraged throughout the test.

    Measured: At the begining and the end of the study (week 1 and 14)

  4. Weight

    Study participants were weighed during their first session of participation. This measurement was taken on a Tanita balance and is expressed in kilograms (kg).

    Measured: At the begining and the end of the study (week 1 and 14)

  5. Height

    Participants were measured during their first session of participation in the study. This measurement was taken using a wall-mounted height gauge and is expressed in meters (m).

    Measured: At the begining and the end of the study (week 1 and 14)

  6. Body mass index

    The body mass index (BMI) of the participants was calculated based on their previously measured weight and height. The following formula was used: weight (kg)/height (m)², and BMI is expressed in kg/m^2

    Measured: At the begining and the end of the study (week 1 and 14)

  7. Body fat index

    The body fat percentage of each participant was measured using Tanita scales and expressed as a percentage (%).

    Measured: At the begining and the end of the study (week 1 and 14)

Secondary outcomes (5)
  1. Handgrip strength

    Handgrip strength of the dominant hand was measured using a handheld isometric dynamometer (Takei Hand Grip Dynamometer, Japan). Participants performed three maximal grip trials, with 30 seconds of rest between each trial. During testing, the arm was kept extended along the body without any auxiliary movements. The best value was retained and expressed in kilograms (kg).

    Measured: At week 1 and week 14

  2. Balance error scoring system

    Static balance was assessed using the BESS protocol, which includes three stance positions (double-leg, single-leg, and tandem) performed on both firm and foam surfaces. Each position was held for 20 seconds with eyes closed and hands on hips. Errors, such as opening eyes, lifting hands or losing balance were counted, with a maximum of 10 errors per trial.

    Measured: Week 1 and 14

  3. Ten times sit to stand test

    Functional lower limb strength and mobility were assessed via the TTSST. Participants began seated with arms crossed over their chest and were instructed to stand up and sit down 10 times as quickly as possible. The test started with a countdown and was timed using a stopwatch. Participants performed 3 trials and the best values was retained for analysis and expressed in seconds (s).

    Measured: Week 1 and 14

  4. Timed up and go

    Mobility and dynamic balance were assessed using the TUAG test. Participants rose from a seated position, walked three meters, turned 180°, returned to the chair, and sat down, performing a second 180° turn. The time to complete the sequence was recorded with a stopwatch. Participants performed 3 trials and the best values was retained for analysis and expressed in seconds (s).

    Measured: Week 1 and 14

  5. Six-minute walking test

    Aerobic endurance was evaluated via the 6MWT. Participants were instructed to walk as far as possible in six minutes along a 30-meter indoor track, turning around two cones at either end. HR and RPE were monitored throughout the test. The total distance covered was expressed in meters (m).

    Measured: Week 1 and 14

Timeline

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

  1. First posted24 Sep 2025
  2. Study start20 Apr 2024
  3. Primary completion15 Jan 2025
  4. Study completion15 Jan 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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07189975
Sponsor's protocol ID
B7072023000019 - 2023/72
Status last verified
Sep 2025
First submitted
25 Aug 2025
Last updated
24 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Vandenbroeck B, Kaux JF, Schleich F, Monseur J, Hody S. Interval eccentric cycling : a promising training modality for sedentary people. Eur J Appl Physiol. 2026 Jul 15. doi: 10.1007/s00421-026-06345-z. Online ahead of print.

    PubMed 42455306

Questions about this trial

What is this clinical trial studying?

A study testing High intensity eccentric cycling training, Moderate intensity eccentric cycling training and High intensity concentric cycling training in people with Sedentary and Deconditioning, run by University of Liege at 1 site in Belgium.

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 2 inclusion and 3 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 24 Sep 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 Belgium. 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?

Maximal Isometric Force (time frame: At enrollment and at the end of treatment at 14 weeks). The study lists 7 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 NCT07189975, which also lists 1 linked publication.

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 24 Sep 2025.

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