Metabolic Syndrome Clinical Trial
Official title:
Exercise in Prevention of Metabolic Syndrome
The primary objective of the study is to compare in a real-world setting the efficacy of
traditional training (today's guideline, vigorously or moderate exercise) and amount of
aerobic interval training (1-AIT) in reduction of risk factors constituting metabolic
syndrome.
The secondary objective is to compare the efficacy of traditional moderate training (today's
guideline) and amount of aerobic interval training (1-AIT vs. 4-AIT) in improving aerobic
capacity, cardiovascular function, skeletal muscle contractile function, skeletal muscle
energy metabolism, left ventricle systolic and diastolic function at rest and right
ventricular function.
The investigators hypothesized that aerobic interval training would reverse features of the
metabolic syndrome more than traditional training.
This study describes a randomized multicenter clinical trial designed to test the hypothesis
that a 16-week program, with one year follow up of vigorously exercise defined from today's
guidelines (performed as 4-AIT (4x4min aerobe interval training)) yields larger beneficial
effects in reducing risk factors constituting the metabolic syndrome than continuously
moderate intensity exercise (CME) defined from today's guidelines.
Furthermore, the importance of the amount of aerobic interval training remains unclear and it
is unknown how little "one can get away with" and still obtain substantial beneficial
cardiovascular effects. Therefore, the investigators will also determine whether one bout of
aerobe interval training (AIT) - 1-AIT = 1x4min aerobe interval training, can give beneficial
effects compared to 4-AIT and CME.
Evaluation criteria are risk factors constituting metabolic syndrome, aerobic capacity
measured as peak oxygen uptake and compliance to intervention. Assessments will be made
before and after the 16-week program, and at six month, and 1 and 3 years follow-up.
According to estimates based on data from previously studies, 3, 4 a total number of 465
patients randomized 1:1:1 to the three interventions gives 80% power to detect an effect of
4-AIT compared to 1-AIT/CME of 51% recovery versus 37% recovery from metabolic syndrome at
the 5% significance level.
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