The Impact of Biological Mechanisms of Aging on Response Variability to Resistance Training in Older Adults
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Progressive Resistance Training, Health Education.
- Кому может быть актуально
- Состояния в реестре: Aging, Mobility Disability. Базовые параметры: от 65 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
The Impact of Biological Mechanisms of Aging on Response Variability to Resistance Training in Older Adults (BRIO): A Randomized, Placebo-controlled Trial of Progressive Resistance Training in Older Adults.
Обзор
To critically examine biological, clinical, and behavioral modulators of progressive resistance training-associated exercise response heterogeneity in physical function and whole-body metabolism in older adults.
Вмешательства
- Другое Progressive Resistance Training
3 times a week - Другое Health Education
once a week
Первичные конечные точки
- Precisely define the variability in changes in physical function [Срок оценки: baseline, 6 months]
- Precisely define the variability in changes in blood glucose concentrations in response to a meal tolerance test [Срок оценки: baseline, 6 months]
Вторичные конечные точки (7)
- Precisely define the variability in changes in skeletal muscle size. [Срок оценки: baseline, 6 months]
- Precisely define the variability in changes in skeletal muscle strength. [Срок оценки: baseline, 6 months]
- Precisely define the variability in changes in six-minute walk distance. [Срок оценки: baseline, 6 months]
- Precisely define the variability in insulin secretion in response to a mixed meal tolerance test. [Срок оценки: baseline, 6 months]
- Precisely define the variability in changes in the percentage of glycated hemoglobin in the blood. [Срок оценки: baseline, 6 months]
- Precisely define the variability in changes in blood lipids. [Срок оценки: baseline, 6 months]
- Precisely define the variability in changes in waist-to-hip ratio. [Срок оценки: baseline, 6 months]
Критерии участия
Критерии включения
- aged greater than or equal to 65 years
- sedentary (Community Healthy Activities Model Program for Seniors physical activity questionnaire to identify and exclude persons engaged in regular (125 min/week or more) moderate intensity physical activity
- at risk for mobility disability score of less than or equal to 10 (but greater than 3) on the SPPB
- willing to be randomized into HE or PRT
- willing to be transported or transport themselves to the clinical sites for the intervention and assessments
Критерии исключения
- unwillingness to provide informed consent
- participation in lifestyle or pharmacologic intervention trial or structured program of exercise training in the past 6 months
- an SPPB score of less than or equal to 3
- osteoarthritis or condition with joint pain limiting daily life activities
- significant weight loss or gain (7.5% of body weight) in past six months
- current anti-coagulant or anti-platelet therapy (Coumadin, Eliquis, Pradaxa, Xarelto, heparin, Lovenox, Plavix)
- clinically significant abnormality in any of the screening laboratory values, including those identified as outside of the "normal limits', that are deemed to be of concern for participation in the study by the study physician
- acute or terminal illness
- Mini Mental State Exam (MMSE) <23
- myocardial infarction in the previous 6 months or other symptomatic coronary artery disease
- New York Heart Association Class III or IV congestive heart failure
- serious conduction disorder (e.g., 3rd degree heart block), uncontrolled arrhythmia, or new Q waves or ST-segment depressions (>3 mm) on ECG
- chronic obstructive pulmonary disease requiring oxygen therapy
- upper or lower extremity fracture in the previous 6 months
- uncontrolled hypertension (150/90 mm Hg)
- neuromuscular diseases and/or drugs which affect neuromuscular function
- current use of anabolic steroids, growth hormone, replacement androgen therapy, anti-androgen therapy
- allergy to lidocaine
- presence of significant liver or renal disease (eGFR < 45 mL/min)
- diagnosis of type I diabetes mellitus or insulin requiring type 2 diabetes mellitus
- HbA1c > 7%
- BMI <21 or >35 for men or >40 for women
- excessive alcohol intake (>14 alcoholic beverages per wk.)
- current tobacco use
- current participation in any interventional clinical trial
- current use of weight loss medications
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Двойное слепое
- Основная цель
- Фундаментальное исследование
Центры проведения
США · 2 центра
- Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University — Boston
- Mayo Clinic — Rochester
Идентификаторы
NCT: NCT06940037 · 24-010008 · R01AG089150