NCT03088891

Brief Summary

Athletes, especially in endurance sports, are at increased risk of oxidative stress and inflammation-related diseases and injuries. The production of reactive oxygen and nitrogen species (RONS) and inflammatory markers increase during exercise and especially during altitude training. Antioxidant supplementation is commonly used among athletes in the belief that it prevents oxidative stress and oxidative damage. A transient increase of RONS is however necessary to activate signaling cascades initiating training adaptation. Antioxidant supplementation has been shown to inhibit the exercise effects in several independent studies, possibly by interfering/reducing the signal cascades initiated by RONS. However, it is unknown whether a high intake of antioxidant rich foods can affect the amount of RONS, inflammation markers and/or training adaptation. The investigators want to examine whether an increased intake of natural antioxidants in the form of antioxidant-rich foods fruits, vegetables and berries, in line with the official Norwegian dietary advice can affect antioxidant status, immune function and training adaptation associated with altitude training in Norwegian elite athletes.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
35

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Oct 2015

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2015

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2015

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

September 20, 2016

Completed
6 months until next milestone

First Posted

Study publicly available on registry

March 23, 2017

Completed
Last Updated

March 23, 2017

Status Verified

March 1, 2017

Enrollment Period

1 month

First QC Date

September 20, 2016

Last Update Submit

March 19, 2017

Conditions

Keywords

altitude trainingantioxidantsoxidative stresselite athletesinflammationdiet

Outcome Measures

Primary Outcomes (3)

  • Percent change in performance (sport specific tests will be aggregated to one outcome by the use of percent change)

    Cycling: 10 000 m on a bike roller; Rowing: 2000 meter on Concept2-apparatus; Paddling: 1000 meter Concept2-apparatus; Swimming: 200 meter

    Measured one week before, during (in week 1 and 3 of the camp) and one week after the moderate altitude training camp

  • Training adaptation

    change in Vo2-max

    Measured one week before, and one week after the moderate altitude training camp

  • Training adaptation for swimmers

    For swimming only: 100 meter max speed

    Measured one week before, during (in week 1 and 3 of the camp) and one week after the moderate altitude training camp

Secondary Outcomes (19)

  • Change in biomarkers of inflammation

    Measured one week before, during (in week 1 and 3 of the camp) and one week after the moderate altitude training camp

  • change in lean body mass

    Measured one week before, during (in week 1 and 3 of the camp) and one week after the moderate altitude training camp

  • Bone mineral density

    Measured one week before, during (in week 1 and 3 of the camp) and one week after the moderate altitude training camp

  • change in fat mass

    Measured one week before, during (in week 1 and 3 of the camp) and one week after the moderate altitude training camp

  • change in body composition

    Measured one week before, during (in week 1 and 3 of the camp) and one week after the moderate altitude training camp

  • +14 more secondary outcomes

Study Arms (2)

Antioxidant-rich snacks

EXPERIMENTAL

The participants received antioxidant-rich snacks every day during 21 days of moderate altitude training (2300 meters above sea level). The snack included fruits and vegetable smoothies, dark chocolate, walnuts, dried fruits and berries.

Other: Antioxidant-rich snacks

Control snacks

PLACEBO COMPARATOR

The participants received antioxidant-depleted snacks every day during 21 days of moderate altitude training (2300 meters above sea level). The snack included milkshake, and other milk-based drinks, biscuits (both sweet and salty), white chocolate.

Other: Control snacks

Interventions

Bama Smoothies (Bama, Oslo, Norway), Freia Premium Dark Chocolate (Freia, Oslo, Norway), Walnuts (Eldorado, Norway), Dried fruits and berries (Cranberries, Gojiberries, apricots)(Bama, Oslo, Norway and Rema 1000, Norway)

Antioxidant-rich snacks

Milkshake (Tine, Oslo, Norway), YT restitusjonsdrikk (Tine, Oslo, Norway), Bixit (Sætre, Oslo, Norway), Ritz (Mondelez, Oslo, Norway), White chololate (Freia, Oslo, Norway)

Control snacks

Eligibility Criteria

Age16 Years - 42 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • National team athletes, summer endurance sports

You may not qualify if:

  • Allergies in conflict with the intervention foods
  • Use of medication that could affect training and performance
  • Injuries that could affect training and performance

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of Oslo

Oslo, 0316, Norway

Location

Norwegian Olympic Federation

Oslo, Norway

Location

Related Publications (1)

  • Koivisto-Mork AE, Paur I, Paulsen G, Garthe I, Raastad T, Bastani NE, Blomhoff R, Bohn SK. Dietary Adjustments to Altitude Training in Elite Endurance Athletes; Impact of a Randomized Clinical Trial With Antioxidant-Rich Foods. Front Sports Act Living. 2020 Aug 26;2:106. doi: 10.3389/fspor.2020.00106. eCollection 2020.

MeSH Terms

Conditions

Inflammation

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and Symptoms

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

September 20, 2016

First Posted

March 23, 2017

Study Start

October 1, 2015

Primary Completion

November 1, 2015

Study Completion

November 1, 2015

Last Updated

March 23, 2017

Record last verified: 2017-03

Locations