Healthy Clinical Trial
Official title:
Effects of Different Cardiorespiratory Training Program on Endurance Performance
Conventional training methods are typically administered in a fixed progressive manner, which
can lead to sub-optimal responses and injuries. Artificial intelligence (i.e. CURATE.AI) can
be harnessed to personalise physical training strategies. Using a single participant training
profile, a parabolic/quadratic response to the intervention can be generated to identify the
training intensity needed to optimise training outcomes. Previous studies showed CURATE.AI
could dynamically modulate drug dosing in oncology. Extending the utility of results to human
performance, this study will adapt CURATE.AI with the goal of optimising endurance
performance through individualised training regimes.
Up to 20 participants will be recruited and randomised into two groups to undergo a
calibration phase, which involves performing 3 sessions of exercise sessions per week over 2
weeks per intensity (low, moderate and high) in a crossover study design. Exercise sessions
will be interspersed with a 2.4 km time trial, a VO2peak test and 2 weeks of wash out period.
The utility phase will divide participants into two groups to undergo 3 exercise sessions per
week, totalling to 12 exercise sessions. Either an AI-led training or a conventional training
programme will be performed to compare the differences in training outcomes. Blood plasma
will be obtained at selected time points in both phases to evaluate the effects of training
on blood lipid profiles.
Findings from this study can potentially optimise efficacy and efficiency of endurance
performance through personalised training with AI.
Participants:
Up to 20 recreationally active healthy males, aged between 21 to 35 years, will be recruited
to take part in this study. All volunteers will provide their informed consent in writing
before participating in the study. The possible risk and benefits will be made known to the
participant prior to the agreement to participate and they will be allowed to withdraw from
the study at any point in time without any reason provided. All potential participants will
first be required to undergo medical screening by a certified independent practitioner before
participating in the study. The medical practitioner conducting the assessment will be
informed of the purpose of the medical screening. The screening is to ensure that the
potential participant is eligible to take part in the study. The personal particulars form
will also be completed by each participant prior to the commencement of each trial.
Baseline measurements and familiarisation trials:
In the first session, anthropometry measurements will be taken. Based on the height and nude
body mass, the body mass index (BMI) will be calculated (body mass in kg) / (height in m)2.
Waist and hip circumference will be determined using a measuring tape. Skinfold thickness
measurements will be taken at 4 sites (biceps, triceps, subscapular and suprailiac) in
triplicate using skinfold calliper and the mean value will be used to calculate total skin
fold. Body density will be calculated according to the estimation of Durnin and Womersley
(1974) and percentage body fat will be estimated using the equation of Siri (1956).
Familiarisation of the 2.4 km time trial and the treadmill peak oxygen uptake (VO2peak) test
will be performed 2 weeks before the commencement of the actual 2.4 km time trial. Ample rest
is given between the two sessions for recovery.
Control of trial status:
Before the commencement of every trials, participants will be reminded to remain hydrated by
consuming sufficient fluids, to have at least 8 hours of sleep, to refrain from alcoholic
beverages, and to refrain from any forms of strenuous physical activity 24 h before each
trial. Blood glucose will be measured before the start of the session via finger pricked
using a lancing device. Prior to the pricking of the finger, the site will be disinfected
with an alcohol wipe(s) and pressure will be applied to the site of the prick after blood
sampling to minimise any bruising that may develop. In addition, Participants will be
required to perform a 2-day dietary record prior to every blood draw session. They will be
requested to refrain from participating in other aerobic training regimes (other than the
prescribed exercise routine) or any acute strenuous bout of exercise that is not part of
their routine during the study period.
Study design:
Participants will be required to undergo endurance interval training with low, moderate or
high intensity. Each training session will comprise a warm-up run (50-60% VO2peak) followed
by a 1-min fast run (80 to 140% VO2peak) interspersed with 1-min of recovery between each
running bout till participants reach 18 out of 20 on the ratings of perceived exertion (RPE;
Borg's scale). Participants will perform 10-15 repetitions of interval runs during each
session. Heart rate, RPE, and blood pressure will be measured continuously at stipulated
intervals. Water will be provided ad libitum during all training sessions. In the utility
phase, participants will either perform an AI-led training or a conventional training program
for 4 weeks. A 2.4 km time trial and a treadmill peak oxygen uptake (VO2peak) test will be
conducted at baseline, in between the low, moderate and high intensity bouts of training in
the calibration phase, and before the first and last week of the utility phase. Similar to
the familiarisation trials, the treadmill VO2peak test and 2.4 km time trial will be done at
3 days apart from each other to allow for recovery. The two phases would consist of 47
sessions, inclusive of seven VO2peak tests and seven 2.4 km time trials. The total duration
for each participant will take approximately 6 months.
Blood sampling and analysis:
After 5 min of seated rest, participant will immerse their arm in warm water (42-45°C) for 10
min to promote arterialisation of venous blood. Blood (10 ml) will be withdrawn from the
antecubital vein of the participants into an ETDA vacutainer tube for subsequent analysis of
the lipid profile.
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