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EXerCise wEight Loss (EXCEL)

Primary Purpose

Overweight and Obesity

Status
Recruiting
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Resistance exercise training + weight loss group
Weight loss only group (WL)
Sponsored by
University of Glasgow
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Overweight and Obesity

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Obesity or overweight (BMI ≥ 25kg/m2). Passing the Physical Activity Readiness Questionnaire (PAR-q+) Exclusion Criteria: Currently take part in more than 1.5 hours of structured exercise per week. Having recently (<6 months) taken part in any resistance exercise training, taking any medications known to affect weight loss. Actively engaged in a weight loss programme, having lost more than 2kg weight in the last 6 months. Any other reason which would limit ability to perform the exercises and outcome measurements safely.

Sites / Locations

  • Stuart Robert GrayRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Resistance exercise training + weight loss group (RT+WL)

Weight loss only group (WL)

Arm Description

Participants (WL-RT) will be provided with a resistance exercise booklet containing instructions for exercises and links to demonstration videos. A demonstration and explanation of the exercises will be given at the beginning of the intervention, alongside a discussion of the principles of the programme such as starting level and progression. We will ask participants to perform the resistance exercises for 12-week period. Participants will be asked to perform exercises 3 times a week (3 sets reaching the RPE scale between 8 - 10 out of 10 (4-6 out of 10 in the first week)) for the intervention period. The exercises will include press-ups, band lateral raises, band seated low row, squat, lunge and calf raise.

All participants (WL and WL-RT) will be provided with vouchers to access the weight watchers weight loss programme for a 12-week period. Weight Watchers is a commercially available programme and participants will set an initial goal to lose 5kg of body mass. If 5kg weight loss is achieved then the participant can chose further weight loss goals, as long as it would result in a body mass in the weight watchers healthy weight range (https://www.weightwatchers.com/uk/weight-loss/programme/tools/healthy-weight-chart).This plan works on the basis of an individualised points plan that can then be used by the participant to select foods/meals to consume throughout the day.

Outcomes

Primary Outcome Measures

Change in whole body lean mass
whole body lean mass measured via bio-electrical impedance

Secondary Outcome Measures

Change in whole body fat mass
whole body fat mass measured via bio-electrical impedance
Change in body mass
body mass measured on scales
Change in vastus lateralis muscle thickness
Muscle thickness of the vastus lateralis muscle measured via ultrasound
Change in knee extensor maximal isometric torque
Knee extensor maximal isometric torque measured during a maximal voluntary contraction
Change in grip strength
Grip strength measured with a hand held dynamometer
Change in functional physical abilities
A 30-second sit-to-stand test measured functional abilities

Full Information

First Posted
January 18, 2023
Last Updated
May 8, 2023
Sponsor
University of Glasgow
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1. Study Identification

Unique Protocol Identification Number
NCT05702840
Brief Title
EXerCise wEight Loss
Acronym
EXCEL
Official Title
The Effects of a Home-based Resistance Training Programme on Body Composition and Muscle Function During Weight Loss in People With Overweight or Obesity: a Randomised Controlled Pilot Trial
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 1, 2023 (Actual)
Primary Completion Date
February 1, 2024 (Anticipated)
Study Completion Date
February 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Glasgow

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The overall aim of this study is to investigate the effects of home-based resistance exercise programme on changes in body composition and strength during weight loss, in people living with obesity or overweight.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Overweight and Obesity

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Randomised controlled pilot trial with two groups, resistance exercise + weight loss group and weight loss only group.
Masking
Outcomes Assessor
Masking Description
Members of the research team that perform measurements are blinded to group allocation.
Allocation
Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Resistance exercise training + weight loss group (RT+WL)
Arm Type
Experimental
Arm Description
Participants (WL-RT) will be provided with a resistance exercise booklet containing instructions for exercises and links to demonstration videos. A demonstration and explanation of the exercises will be given at the beginning of the intervention, alongside a discussion of the principles of the programme such as starting level and progression. We will ask participants to perform the resistance exercises for 12-week period. Participants will be asked to perform exercises 3 times a week (3 sets reaching the RPE scale between 8 - 10 out of 10 (4-6 out of 10 in the first week)) for the intervention period. The exercises will include press-ups, band lateral raises, band seated low row, squat, lunge and calf raise.
Arm Title
Weight loss only group (WL)
Arm Type
Experimental
Arm Description
All participants (WL and WL-RT) will be provided with vouchers to access the weight watchers weight loss programme for a 12-week period. Weight Watchers is a commercially available programme and participants will set an initial goal to lose 5kg of body mass. If 5kg weight loss is achieved then the participant can chose further weight loss goals, as long as it would result in a body mass in the weight watchers healthy weight range (https://www.weightwatchers.com/uk/weight-loss/programme/tools/healthy-weight-chart).This plan works on the basis of an individualised points plan that can then be used by the participant to select foods/meals to consume throughout the day.
Intervention Type
Behavioral
Intervention Name(s)
Resistance exercise training + weight loss group
Intervention Description
Doing resistance exercises as well as following the weight watchers weight loss programme for a 12-week period
Intervention Type
Behavioral
Intervention Name(s)
Weight loss only group (WL)
Intervention Description
Only following the weight watchers weight loss programme for a 12-week period
Primary Outcome Measure Information:
Title
Change in whole body lean mass
Description
whole body lean mass measured via bio-electrical impedance
Time Frame
Change from baseline to 12 weeks
Secondary Outcome Measure Information:
Title
Change in whole body fat mass
Description
whole body fat mass measured via bio-electrical impedance
Time Frame
Change from baseline to 12 weeks
Title
Change in body mass
Description
body mass measured on scales
Time Frame
Change from baseline to 12 weeks
Title
Change in vastus lateralis muscle thickness
Description
Muscle thickness of the vastus lateralis muscle measured via ultrasound
Time Frame
Change from baseline to 12 weeks
Title
Change in knee extensor maximal isometric torque
Description
Knee extensor maximal isometric torque measured during a maximal voluntary contraction
Time Frame
Change from baseline to 12 weeks
Title
Change in grip strength
Description
Grip strength measured with a hand held dynamometer
Time Frame
Change from baseline to 12 weeks
Title
Change in functional physical abilities
Description
A 30-second sit-to-stand test measured functional abilities
Time Frame
Change from baseline to 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Obesity or overweight (BMI ≥ 25kg/m2). Passing the Physical Activity Readiness Questionnaire (PAR-q+) Exclusion Criteria: Currently take part in more than 1.5 hours of structured exercise per week. Having recently (<6 months) taken part in any resistance exercise training, taking any medications known to affect weight loss. Actively engaged in a weight loss programme, having lost more than 2kg weight in the last 6 months. Any other reason which would limit ability to perform the exercises and outcome measurements safely.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Stuart R Gray, PhD
Phone
01413302569
Ext
Gray
Email
stuart.gray@glasgow.ac.uk
First Name & Middle Initial & Last Name or Official Title & Degree
Ahmad S Binmahfoz, MSc
Email
a.binmahfoz.1@research.gla.ac.uk
Facility Information:
Facility Name
Stuart Robert Gray
City
Glasgow
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Stuart R Gray
Phone
01413302569
Email
stuart.gray@glasgow.ac.uk
Phone
01413302569
Ext
Gray
Email
stuart.gray@glasgow.ac.uk
First Name & Middle Initial & Last Name & Degree
Stuart R Gray, PhD

12. IPD Sharing Statement

Citations:
PubMed Identifier
29156181
Citation
Upadhyay J, Farr O, Perakakis N, Ghaly W, Mantzoros C. Obesity as a Disease. Med Clin North Am. 2018 Jan;102(1):13-33. doi: 10.1016/j.mcna.2017.08.004. Epub 2017 Oct 21.
Results Reference
background
PubMed Identifier
28977817
Citation
An R, Ji M, Zhang S. Global warming and obesity: a systematic review. Obes Rev. 2018 Feb;19(2):150-163. doi: 10.1111/obr.12624. Epub 2017 Oct 4.
Results Reference
background
PubMed Identifier
11707546
Citation
James PT, Leach R, Kalamara E, Shayeghi M. The worldwide obesity epidemic. Obes Res. 2001 Nov;9 Suppl 4:228S-233S. doi: 10.1038/oby.2001.123.
Results Reference
background
PubMed Identifier
23414749
Citation
Siervo M, Montagnese C, Mathers JC, Soroka KR, Stephan BC, Wells JC. Sugar consumption and global prevalence of obesity and hypertension: an ecological analysis. Public Health Nutr. 2014 Mar;17(3):587-96. doi: 10.1017/S1368980013000141. Epub 2013 Feb 18.
Results Reference
background
PubMed Identifier
32238384
Citation
Ge L, Sadeghirad B, Ball GDC, da Costa BR, Hitchcock CL, Svendrovski A, Kiflen R, Quadri K, Kwon HY, Karamouzian M, Adams-Webber T, Ahmed W, Damanhoury S, Zeraatkar D, Nikolakopoulou A, Tsuyuki RT, Tian J, Yang K, Guyatt GH, Johnston BC. Comparison of dietary macronutrient patterns of 14 popular named dietary programmes for weight and cardiovascular risk factor reduction in adults: systematic review and network meta-analysis of randomised trials. BMJ. 2020 Apr 1;369:m696. doi: 10.1136/bmj.m696. Erratum In: BMJ. 2020 Aug 5;370:m3095.
Results Reference
background
PubMed Identifier
29221645
Citation
Lean ME, Leslie WS, Barnes AC, Brosnahan N, Thom G, McCombie L, Peters C, Zhyzhneuskaya S, Al-Mrabeh A, Hollingsworth KG, Rodrigues AM, Rehackova L, Adamson AJ, Sniehotta FF, Mathers JC, Ross HM, McIlvenna Y, Stefanetti R, Trenell M, Welsh P, Kean S, Ford I, McConnachie A, Sattar N, Taylor R. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. Lancet. 2018 Feb 10;391(10120):541-551. doi: 10.1016/S0140-6736(17)33102-1. Epub 2017 Dec 5.
Results Reference
background
PubMed Identifier
28507015
Citation
Cava E, Yeat NC, Mittendorfer B. Preserving Healthy Muscle during Weight Loss. Adv Nutr. 2017 May 15;8(3):511-519. doi: 10.3945/an.116.014506. Print 2017 May.
Results Reference
background
PubMed Identifier
33293678
Citation
Enriquez Guerrero A, San Mauro Martin I, Garicano Vilar E, Camina Martin MA. Effectiveness of an intermittent fasting diet versus continuous energy restriction on anthropometric measurements, body composition and lipid profile in overweight and obese adults: a meta-analysis. Eur J Clin Nutr. 2021 Jul;75(7):1024-1039. doi: 10.1038/s41430-020-00821-1. Epub 2020 Dec 9.
Results Reference
background
PubMed Identifier
31808043
Citation
Pellegrini M, Cioffi I, Evangelista A, Ponzo V, Goitre I, Ciccone G, Ghigo E, Bo S. Effects of time-restricted feeding on body weight and metabolism. A systematic review and meta-analysis. Rev Endocr Metab Disord. 2020 Mar;21(1):17-33. doi: 10.1007/s11154-019-09524-w. Erratum In: Rev Endocr Metab Disord. 2020 Feb 18;:
Results Reference
background
PubMed Identifier
16960159
Citation
Wolfe RR. The underappreciated role of muscle in health and disease. Am J Clin Nutr. 2006 Sep;84(3):475-82. doi: 10.1093/ajcn/84.3.475.
Results Reference
background
PubMed Identifier
31590286
Citation
Sajoux I, Lorenzo PM, Gomez-Arbelaez D, Zulet MA, Abete I, Castro AI, Baltar J, Portillo MP, Tinahones FJ, Martinez JA, Crujeiras AB, Casanueva FF. Effect of a Very-Low-Calorie Ketogenic Diet on Circulating Myokine Levels Compared with the Effect of Bariatric Surgery or a Low-Calorie Diet in Patients with Obesity. Nutrients. 2019 Oct 4;11(10):2368. doi: 10.3390/nu11102368.
Results Reference
background
PubMed Identifier
29934430
Citation
Ashton RE, Tew GA, Aning JJ, Gilbert SE, Lewis L, Saxton JM. Effects of short-term, medium-term and long-term resistance exercise training on cardiometabolic health outcomes in adults: systematic review with meta-analysis. Br J Sports Med. 2020 Mar;54(6):341-348. doi: 10.1136/bjsports-2017-098970. Epub 2018 Jun 22.
Results Reference
background
PubMed Identifier
21896934
Citation
Cornelissen VA, Fagard RH, Coeckelberghs E, Vanhees L. Impact of resistance training on blood pressure and other cardiovascular risk factors: a meta-analysis of randomized, controlled trials. Hypertension. 2011 Nov;58(5):950-8. doi: 10.1161/HYPERTENSIONAHA.111.177071. Epub 2011 Sep 6.
Results Reference
background
PubMed Identifier
20531348
Citation
Plotnikoff RC, Eves N, Jung M, Sigal RJ, Padwal R, Karunamuni N. Multicomponent, home-based resistance training for obese adults with type 2 diabetes: a randomized controlled trial. Int J Obes (Lond). 2010 Dec;34(12):1733-41. doi: 10.1038/ijo.2010.109. Epub 2010 Jun 8.
Results Reference
background
PubMed Identifier
7851367
Citation
Mikesky AE, Topp R, Wigglesworth JK, Harsha DM, Edwards JE. Efficacy of a home-based training program for older adults using elastic tubing. Eur J Appl Physiol Occup Physiol. 1994;69(4):316-20. doi: 10.1007/BF00392037.
Results Reference
background
PubMed Identifier
12955554
Citation
Zion AS, De Meersman R, Diamond BE, Bloomfield DM. A home-based resistance-training program using elastic bands for elderly patients with orthostatic hypotension. Clin Auton Res. 2003 Aug;13(4):286-92. doi: 10.1007/s10286-003-0117-3.
Results Reference
background
PubMed Identifier
8974099
Citation
NIH Consensus statement. Bioelectrical impedance analysis in body composition measurement. National Institutes of Health Technology Assessment Conference Statement. December 12-14, 1994. Nutrition. 1996 Nov-Dec;12(11-12):749-62.
Results Reference
background

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EXerCise wEight Loss

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