Impact of Postprandial 'Exercise Snacks' on Protein and Glucose Metabolism Following a Period of Step Reduction in Older Adults

Aging Clinical Trial

Official title:

The Impact of Postprandial 'Exercise Snacks' on Protein and Glucose Metabolism Following a Period of Step Reduction in Older Adults

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05810272
• Other study ID #: ESPEN
• Status: Recruiting
• Phase: N/A
• Start date: April 1, 2023
• Est. completion date: August 1, 2024

Study information

• Verified date: July 2023
• Source: University of Toronto
• Contact: Daniel R Moore, PhD
• Phone: 4169464088
• Email: dr.moore[@]utoronto.ca
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to assess the impact of 3-days reduced physical activity (<1500 steps/day) with/without 'exercise snacks' (15 chair stands with calf raises every 30 min) on skeletal muscle metabolic health.

Description:

Many adults gradually lose muscle size, strength, and function after the age of 50. These losses are believed to occur faster with periods of reduced activity (e.g., lower step counts or physical movement when sick or injured) and can be difficult to regain by merely returning to a previously normal activity status. Such periods of reduced activity can also impair the body's ability to use the nutrients in the food consumed (e.g., proteins and carbohydrates), which increases the risk of frailty, type 2 diabetes, and ultimately a reduced quality of life. It is important to identify strategies to prevent these losses in muscle size, strength, and function especially during periods of reduced activity.

Recently, our laboratory has found that performing repeated bodyweight chair squats (repeated sit-to-stands with a calf raise) during a single day of reduced activity improves the muscle's ability to use carbohydrates and proteins, which may be a viable strategy to offset the negative effects of step reduction on muscle health.

In this study, the investigators will assess whether completing bodyweight chair squats at regular intervals (i.e., 'exercise snacks') reduces the negative effects of step reduction on carbohydrate and protein metabolism following a meal. The investigators will determine the impact of 'exercise snacks' (15 chair stands with calf raises every 30 min) compared to seated rest on protein and carbohydrate metabolism following three days of step reduction. The investigators will also assess how these responses compare to those seen following three days of normal (i.e., habitual) activity.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 20
• Est. completion date: August 1, 2024
• Est. primary completion date: March 1, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 60 Years to 80 Years

Eligibility

Inclusion Criteria:

• Healthy older (age: 60-80 y) adults

• BMI between normal to overweight (18.5-29.9 kg/m2)

Exclusion Criteria:

• Regular use of nonsteroidal anti-inflammatory drugs (with the exception of daily low-dose aspirin)

• Alcohol consumption during the study period

• Use of anticoagulants

• Use of a walker, cane, or assistive walking device

• Current or recently remised cancer

• Infectious or gastrointestinal disease

• Inability to comply with study protocol (e.g., >1,500 steps/day during Step-Reduction Phase)

• Regular tobacco use

• Self-reported illicit drug use (e.g. growth hormone, testosterone, etc.)

• Diagnosed chronic illness (e.g. type 2 diabetes, heart disease, thyroid disease)

• Hormonal Replacement Therapy

Related Conditions & MeSH terms

• Aging
• Atrophy
• Healthy Aging
• Muscular Atrophy
• Nervous System Diseases
• Neurologic Manifestations
• Neuromuscular Manifestations
• Pathological Conditions, Anatomical
• Sarcopenia

Intervention

Behavioral:
• Metabolic Trial
Participants will undergo a metabolic trial to assess for their anabolic response to a protein-carbohydrate meal.
• 15 sit-to-stands with calf raises
Participants (n=10; 5F/5M) will be randomized to perform 15 sit-to-stands with calf raises every 30 minutes for the 4 hour duration between muscle biopsies

Locations

Country	Name	City	State
Canada	Goldring Center for High Performance Sport	Toronto	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
University of Toronto

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Myofibrillar protein synthesis rates	Myofibrillar protein synthesis rates assessed by incorporation of oral stable isotope tracer in both arms.	5 Hours
Secondary	Whole-body protein turnover	Whole-body protein turnover assessed by oral stable isotope tracers in both arms.	5 Hours
Secondary	Amino acid oxidation and net protein balance	Amino acid oxidation and net protein balance assessed by oral tracers in both arms. Net protein balance is derived from the difference between amino acid intake (known) and total amino acid oxidation over the 5h measurement period.	5 Hours
Secondary	Postprandial insulin area under the curve (AUC) to mixed macronutrient breakfast	The plasma insulin concentration measured by enzyme-linked immunosorbent assay (ELISA) area under the curve (AUC) will be quantified using the trapezoidal rule.	5 Hours postprandial
Secondary	Postprandial glucose area under the curve (AUC) to mixed macronutrient breakfast	The plasma glucose concentration measured by hexokinase method area under the curve (AUC) will be quantified using the trapezoidal rule.	5 hours postprandial