NCT02346006

Brief Summary

An increasingly physical inactive lifestyle in the Western World has led to a higher number of lifestyle -related diseases. The consequences are now already present in childhood with an increased prevalence of overweight, obesity, and diabetes. Inactivity is also accompanied by cardiovascular iseases and is also thought to be associated with an increased incidence of nearsightedness (myopia). Myopia is the most frequent eye disease globally, and causes severe personal and societal expenses and may additionally lead to secondary eye disorders such as retinal detachment, glaucoma, and cataract. The retina is the only place in the human body where it is possible to directly inspect the blood vessels (microvasculature). Photography of the eye background allows a noninvasive examination of the retinal structure in which it is possible to make measurements on the retinal blood vessels. It is well known that early vascular chances can be detected with this method and that there are correlation between these changes and systemic diseases, such as hypertension, stroke and other cardiovascular diseases. This study is a new subproject in The Childhood Health, Activity, and Motor Performance School (CHAMPS) Study Denmark, also known as the Svendborg Project. The project has a well-defined cohort with originally 1515 school students who since 2007 have been divided into two groups: schools with extra exercise during school hours and matched traditional schools. CHAMPS-DK aims to investigate the effect of increased physical activity on current and future health of children and adolescents. Thanks to this unique child cohort it is possible to investigate the correlation between physical activity, myopia and retinal vascular diameters in a large group of Danish schoolchildren. We want to study the degree and reversibility of physical activity and its effect on the development of myopia and retinal blood vessel changes. However, there is still a lack of knowledge about the correlation between physical activity and retinal vascular diameters in children. Furthermore, it is still unclear whether physical activity can prevent the development of myopia; such a realization could have far-reaching consequences in form of a modified approach to the necessity for exercise and, furthermore, potentially a significant socio-economic benefit.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
307

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2015

Typical duration for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 9, 2015

Completed
17 days until next milestone

First Posted

Study publicly available on registry

January 26, 2015

Completed
6 days until next milestone

Study Start

First participant enrolled

February 1, 2015

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2017

Completed
Last Updated

April 4, 2017

Status Verified

April 1, 2017

Enrollment Period

2.2 years

First QC Date

January 9, 2015

Last Update Submit

April 3, 2017

Conditions

Keywords

ExerciseVisual AcuityBlood VesselsRetinaChoroid

Outcome Measures

Primary Outcomes (1)

  • Myopic status in relation to physical activity (longitudinal data on physical activity)

    Myopic status in relation to longitudinal data on physical activity

    7 years

Secondary Outcomes (4)

  • Retinal vessel geometry (caliber)

    None (analyzes on data from tests in march to july 2015, 4 months)

  • Choroidal thickness

    None (analyzes on data from tests in march to july 2015, 4 months)

  • Myopic status (data from tests in spring 2015)

    None (analyzes on data from tests in march to july 2015, 4 months)

  • Myopia development

    10 years. Changes from baseline.

Study Arms (1)

Physical activity

EXPERIMENTAL

Subject from schools with more physical activity.

Behavioral: More physical activity.

Interventions

Subjects receiving more physical activity in school.

Physical activity

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Children from the The Childhood Health, Activity, and Motor Performance School Study Denmark (The CHAMPS-study DK) cohord.

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (20)

  • Andersen LB, Wedderkopp N, Hansen HS, Cooper AR, Froberg K. Biological cardiovascular risk factors cluster in Danish children and adolescents: the European Youth Heart Study. Prev Med. 2003 Oct;37(4):363-7. doi: 10.1016/s0091-7435(03)00145-2.

    PMID: 14507494BACKGROUND
  • Parssinen O, Leskinen AL, Era P, Heikkinen E. Myopia, use of eyes, and living habits among men aged 33-37 years. Acta Ophthalmol (Copenh). 1985 Aug;63(4):395-400. doi: 10.1111/j.1755-3768.1985.tb01551.x.

    PMID: 4050359BACKGROUND
  • Angle J, Wissmann DA. The epidemiology of myopia. Am J Epidemiol. 1980 Feb;111(2):220-8. doi: 10.1093/oxfordjournals.aje.a112889.

    PMID: 7355884BACKGROUND
  • Morgan IG, Ohno-Matsui K, Saw SM. Myopia. Lancet. 2012 May 5;379(9827):1739-48. doi: 10.1016/S0140-6736(12)60272-4.

    PMID: 22559900BACKGROUND
  • Lin LL, Shih YF, Hsiao CK, Chen CJ. Prevalence of myopia in Taiwanese schoolchildren: 1983 to 2000. Ann Acad Med Singap. 2004 Jan;33(1):27-33.

    PMID: 15008558BACKGROUND
  • He M, Zeng J, Liu Y, Xu J, Pokharel GP, Ellwein LB. Refractive error and visual impairment in urban children in southern china. Invest Ophthalmol Vis Sci. 2004 Mar;45(3):793-9. doi: 10.1167/iovs.03-1051.

    PMID: 14985292BACKGROUND
  • Saw SM, Chua WH, Wu HM, Yap E, Chia KS, Stone RA. Myopia: gene-environment interaction. Ann Acad Med Singap. 2000 May;29(3):290-7.

    PMID: 10976381BACKGROUND
  • Rose KA, Morgan IG, Ip J, Kifley A, Huynh S, Smith W, Mitchell P. Outdoor activity reduces the prevalence of myopia in children. Ophthalmology. 2008 Aug;115(8):1279-85. doi: 10.1016/j.ophtha.2007.12.019. Epub 2008 Feb 21.

    PMID: 18294691BACKGROUND
  • Parssinen O, Lyyra AL. Myopia and myopic progression among schoolchildren: a three-year follow-up study. Invest Ophthalmol Vis Sci. 1993 Aug;34(9):2794-802.

    PMID: 8344801BACKGROUND
  • Jacobsen N, Jensen H, Goldschmidt E. Does the level of physical activity in university students influence development and progression of myopia?--a 2-year prospective cohort study. Invest Ophthalmol Vis Sci. 2008 Apr;49(4):1322-7. doi: 10.1167/iovs.07-1144.

    PMID: 18385044BACKGROUND
  • Cheung CY, Ikram MK, Sabanayagam C, Wong TY. Retinal microvasculature as a model to study the manifestations of hypertension. Hypertension. 2012 Nov;60(5):1094-103. doi: 10.1161/HYPERTENSIONAHA.111.189142. Epub 2012 Oct 8.

    PMID: 23045470BACKGROUND
  • Grauslund J, Hodgson L, Kawasaki R, Green A, Sjolie AK, Wong TY. Retinal vessel calibre and micro- and macrovascular complications in type 1 diabetes. Diabetologia. 2009 Oct;52(10):2213-7. doi: 10.1007/s00125-009-1459-8. Epub 2009 Jul 18.

    PMID: 19618163BACKGROUND
  • Hanssen H, Siegrist M, Neidig M, Renner A, Birzele P, Siclovan A, Blume K, Lammel C, Haller B, Schmidt-Trucksass A, Halle M. Retinal vessel diameter, obesity and metabolic risk factors in school children (JuvenTUM 3). Atherosclerosis. 2012 Mar;221(1):242-8. doi: 10.1016/j.atherosclerosis.2011.12.029. Epub 2011 Dec 27.

    PMID: 22244041BACKGROUND
  • Gopinath B, Baur LA, Wang JJ, Teber E, Liew G, Cheung N, Wong TY, Mitchell P. Blood pressure is associated with retinal vessel signs in preadolescent children. J Hypertens. 2010 Jul;28(7):1406-12. doi: 10.1097/HJH.0b013e3283395223.

    PMID: 20410837BACKGROUND
  • Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in blood pressure among children and adolescents. JAMA. 2004 May 5;291(17):2107-13. doi: 10.1001/jama.291.17.2107.

    PMID: 15126439BACKGROUND
  • Raitakari OT, Juonala M, Kahonen M, Taittonen L, Laitinen T, Maki-Torkko N, Jarvisalo MJ, Uhari M, Jokinen E, Ronnemaa T, Akerblom HK, Viikari JS. Cardiovascular risk factors in childhood and carotid artery intima-media thickness in adulthood: the Cardiovascular Risk in Young Finns Study. JAMA. 2003 Nov 5;290(17):2277-83. doi: 10.1001/jama.290.17.2277.

    PMID: 14600186BACKGROUND
  • Berenson GS, Srinivasan SR, Bao W, Newman WP 3rd, Tracy RE, Wattigney WA. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The Bogalusa Heart Study. N Engl J Med. 1998 Jun 4;338(23):1650-6. doi: 10.1056/NEJM199806043382302.

    PMID: 9614255BACKGROUND
  • Wedderkopp N, Jespersen E, Franz C, Klakk H, Heidemann M, Christiansen C, Moller NC, Leboeuf-Yde C. Study protocol. The Childhood Health, Activity, and Motor Performance School Study Denmark (The CHAMPS-study DK). BMC Pediatr. 2012 Aug 20;12:128. doi: 10.1186/1471-2431-12-128.

    PMID: 22906115BACKGROUND
  • Heidemann M, Molgaard C, Husby S, Schou AJ, Klakk H, Moller NC, Holst R, Wedderkopp N. The intensity of physical activity influences bone mineral accrual in childhood: the childhood health, activity and motor performance school (the CHAMPS) study, Denmark. BMC Pediatr. 2013 Mar 2;13:32. doi: 10.1186/1471-2431-13-32.

    PMID: 23452342BACKGROUND
  • Lundberg K, Kawasaki R, Sjolie AK, Wong TY, Grauslund J. Localized changes in retinal vessel caliber after focal/grid laser treatment in patients with diabetic macular edema: a measure of treatment response? Retina. 2013 Nov-Dec;33(10):2089-95. doi: 10.1097/IAE.0b013e3182891dda.

    PMID: 23514802BACKGROUND

MeSH Terms

Conditions

Motor ActivityMyopia

Condition Hierarchy (Ancestors)

BehaviorRefractive ErrorsEye Diseases

Study Officials

  • Kristian Lundberg, MD

    Department of Ophthalmology, Odense University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

January 9, 2015

First Posted

January 26, 2015

Study Start

February 1, 2015

Primary Completion

April 1, 2017

Study Completion

April 1, 2017

Last Updated

April 4, 2017

Record last verified: 2017-04