NCT04304092

Brief Summary

In this proposal, the investigators challenge the assumption that following the physical activity guidelines implies benefit for ALL adults, and that if benefit is not achieved in response to first line therapy, it will be by simply exercising more. Thus, for improving cardiorespiratory fitness and cardiometabolic risk factors, unanswered questions include: 1) To what extent, regardless of exercise amount or intensity, is exercise not associated with benefit? Demonstration of a resistance to benefit through exercise in a substantial number of adults would be a novel and important finding, would counter the assumptions of many if not most health care practitioners, and could have immediate and direct application in all health care settings. 2) To what extent will non-responders to first line therapy (150 min/wk) be required to increase exercise amount or intensity to achieve benefit? 3) To what extent will failure to improve CRF segregate (be associate with) with cardiometabolic risk factors? The investigators propose that adults who remain exercise resistant for improvement in CRF and cardiometabolic risk despite increasing amount or intensity are at high risk of metabolic disease and consequently, are candidates for alternative treatment strategies. 4) To what extent is biological sex and/or phenotype a determinant of response or non-response to exercise?

Trial Health

15
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Jan 2022

Longer than P75 for not_applicable

Status
withdrawn

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

First Submitted

Initial submission to the registry

February 28, 2020

Completed
12 days until next milestone

First Posted

Study publicly available on registry

March 11, 2020

Completed
1.8 years until next milestone

Study Start

First participant enrolled

January 1, 2022

Completed
4.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2026

Completed
Last Updated

June 22, 2022

Status Verified

September 1, 2021

Enrollment Period

4.2 years

First QC Date

February 28, 2020

Last Update Submit

June 16, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in Cardiorespiratory Fitness

    Cardiorespiratory fitness will be determined using direct (open circuit spirometry) measures of oxygen consumption (expressed in L/min) obtained during a maximal treadmill test.

    Measured at baseline and every 4 weeks for 32 weeks.

Secondary Outcomes (4)

  • Change in cardiometabolic risk factors

    Measured at baseline, 16 and 32 weeks.

  • Change in cardiometabolic risk factors

    Measured at baseline, 16 and 32 weeks.

  • Change in cardiometabolic risk factors

    Measured at baseline, 16 and 32 weeks.

  • Change in cardiometabolic risk factor

    Measured at baseline, 16 and 32 weeks.

Study Arms (5)

Low amount, low intensity

EXPERIMENTAL
Other: Exercise

Low amount, high intensity

EXPERIMENTAL
Other: Exercise

High Amount, low intensity

EXPERIMENTAL
Other: Exercise

High Amount, high intensity

EXPERIMENTAL
Other: Exercise

Control

NO INTERVENTION

Interventions

Participants will exercise under supervision. Exercise dose will vary by amount and intensity

High Amount, high intensityHigh Amount, low intensityLow amount, high intensityLow amount, low intensity

Eligibility Criteria

Age25 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Sedentary lifestyle (planned physical activity for one day per week or less).
  • Weight stable (± 2 kg) for 6 months prior to the beginning of the study.
  • BMI between 20 and 40 kg/m2.

You may not qualify if:

  • Physical impairment which would make the intervention very difficult or unsafe according to doctor's advice.
  • Diabetes, current smokers.
  • Plan to move from the area in next 8 months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Motor Activity

Interventions

Exercise

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Motor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
exercise trial, no blinding
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

February 28, 2020

First Posted

March 11, 2020

Study Start

January 1, 2022

Primary Completion

April 1, 2026

Study Completion

April 1, 2026

Last Updated

June 22, 2022

Record last verified: 2021-09