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Effect of Low Intensity Exercise and Protein Intake on Skeletal Muscle Protein Synthesis in Elderly

Primary Purpose

Skeletal Muscle Protein Synthesis in Elderly, Protein Kinetics, Sarcopenia

Status
Completed
Phase
Not Applicable
Locations
Denmark
Study Type
Interventional
Intervention
Protein
Exercise
Sponsored by
Bispebjerg Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Skeletal Muscle Protein Synthesis in Elderly

Eligibility Criteria

65 Years - undefined (Older Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Male
  • >65 year old
  • Healthy
  • BMI <28

Exclusion Criteria:

  • Smoker
  • Type II diabetic
  • Intake of medicine or supplements which will affect skeletal muscle protein synthesis
  • Alcohol intake >21 units/week.
  • Frequent exercise or hard physical labor

Sites / Locations

  • Institute of Sports Medicine Copenhagen

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Arm Label

Carbohydrate

Protein continous boluses

Protein 2 boluses

Arm Description

Outcomes

Primary Outcome Measures

Skeletal muscle protein synthesis
Measured as myofibrillar fractional synthetic rate (%/hour) in three periods pre intervention: 0-3 hours, 3-7 hours and 7-10 hours

Secondary Outcome Measures

Gene expression
Through real time RT-PCR we measure the fold changes in gene expression of targets involved in skeletal muscle remodeling: myogenic factors, atrogenes, matrix related genes
Intracellular signaling
Through Western Blotting we will measure changes in intracellular hypertrophy signaling. That is the activity of protein targets from the Akt-mTORC1 and Akt-FOXO pathways.
Amino acid transporter
Through Western Blotting and RT-PCR protein and mRNA expression of amino acid transporters (LAT1, SNAT2, PAT1) are analyzed

Full Information

First Posted
July 9, 2012
Last Updated
January 5, 2015
Sponsor
Bispebjerg Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01640145
Brief Title
Effect of Low Intensity Exercise and Protein Intake on Skeletal Muscle Protein Synthesis in Elderly
Official Title
Impact of Acute Low Intensity Exercise and Protein Intake on Skeletal Muscle Protein Synthesis in Elderly: a Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
January 2015
Overall Recruitment Status
Completed
Study Start Date
July 2012 (undefined)
Primary Completion Date
January 2013 (Actual)
Study Completion Date
October 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Bispebjerg Hospital

4. Oversight

5. Study Description

Brief Summary
Maintenance of skeletal muscle mass is crucial during lifespan to retain health and functional autonomy. Sarcopenia, being the loss of muscle mass during aging, is a well-known phenomenon in the elderly and a major challenge viewed from an individual, and a socioeconomic point of view. Nevertheless, several studies have proved muscle tissue to be markedly affected by physical activity and nutritional interventions even at old age. Recently, a study in young individuals showed that an acute bout of easily tolerated low intensity exercise can prolong the muscle building effects of a milk protein intake compared to a non-exercised situation. Therefore, the major aim of the present project is to evaluate, whether a low intensity exercise regime in conjunction with milk protein supplementation can induce positive adaptations on parameters related to muscle size and function in elderly. The study focuses on the acute muscle protein synthesis response to low intensity exercise and protein supplementation measured with stable isotope tracer techniques. It is hypothesized that light muscle activity can augment and prolong the effects of protein feeding. If a light resistance exercise protocol as investigated in the present project can prove beneficial, elderly, frail elderly, and individuals undergoing rehabilitation can challenge sarcopenia in a new and tolerable way.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Skeletal Muscle Protein Synthesis in Elderly, Protein Kinetics, Sarcopenia

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Carbohydrate
Arm Type
Placebo Comparator
Arm Title
Protein continous boluses
Arm Type
Active Comparator
Arm Title
Protein 2 boluses
Arm Type
Active Comparator
Intervention Type
Dietary Supplement
Intervention Name(s)
Protein
Intervention Description
Whey protein intake
Intervention Type
Other
Intervention Name(s)
Exercise
Intervention Description
Unilateral low intensity exercise
Primary Outcome Measure Information:
Title
Skeletal muscle protein synthesis
Description
Measured as myofibrillar fractional synthetic rate (%/hour) in three periods pre intervention: 0-3 hours, 3-7 hours and 7-10 hours
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Gene expression
Description
Through real time RT-PCR we measure the fold changes in gene expression of targets involved in skeletal muscle remodeling: myogenic factors, atrogenes, matrix related genes
Time Frame
1.5 years
Title
Intracellular signaling
Description
Through Western Blotting we will measure changes in intracellular hypertrophy signaling. That is the activity of protein targets from the Akt-mTORC1 and Akt-FOXO pathways.
Time Frame
1.5 years
Title
Amino acid transporter
Description
Through Western Blotting and RT-PCR protein and mRNA expression of amino acid transporters (LAT1, SNAT2, PAT1) are analyzed
Time Frame
2 years

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male >65 year old Healthy BMI <28 Exclusion Criteria: Smoker Type II diabetic Intake of medicine or supplements which will affect skeletal muscle protein synthesis Alcohol intake >21 units/week. Frequent exercise or hard physical labor
Facility Information:
Facility Name
Institute of Sports Medicine Copenhagen
City
Copenhagen
ZIP/Postal Code
DK-2400
Country
Denmark

12. IPD Sharing Statement

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Effect of Low Intensity Exercise and Protein Intake on Skeletal Muscle Protein Synthesis in Elderly

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