NCT04370756

Brief Summary

This study seeks to determine the feasibility of an exercise training progression with the consumption of beetroot juice prior to exercise in postmenopausal women. Results from this investigation will be used to determine preliminary effect sizes for exercise training only (control) and exercise training + beetroot juice (EX+BR) to inform the direction of larger randomized clinical trials on pre-post changes in measures of cardiovascular health and endothelial function.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jan 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

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

Study Start

First participant enrolled

January 30, 2020

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

April 18, 2020

Completed
13 days until next milestone

First Posted

Study publicly available on registry

May 1, 2020

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 26, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 26, 2023

Completed
Last Updated

February 21, 2024

Status Verified

February 1, 2024

Enrollment Period

3.3 years

First QC Date

April 18, 2020

Last Update Submit

February 19, 2024

Conditions

Keywords

Beetroot juicePostmenopauseExercise trainingEndothelial function

Outcome Measures

Primary Outcomes (5)

  • Recruitment rate

    The number of eligible participants randomized per months of recruitment time.

    24 months

  • Retention rate

    The number of randomized participants who complete at least 17 (out of 24 possible) exercise training sessions.

    8 weeks

  • Adherence to exercise training intervention

    The percent of exercise sessions attended out of the 24 possible sessions.

    8 weeks

  • Adherence to dietary nitrate intervention

    Breath analysis of fractional exhaled nitric oxide concentrations.

    8 weeks

  • Perceived difficulty of training sessions

    Participants will report the perceived exertion at the end of exercise sessions using the Borg category ratio-10 scale that ranges from 0 "no exertion" to 10 "maximal exertion".

    8 weeks

Secondary Outcomes (2)

  • Distance covered during a six-minute walk test

    Baseline, post-intervention

  • Soluble endothelial microparticles

    Baseline, post-intervention

Study Arms (2)

Ex only

ACTIVE COMPARATOR

Participants will perform 8 weeks of supervised exercise training (EX).

Other: Exercise Training

EX + BR

EXPERIMENTAL

Participants will perform 8 weeks of supervised exercise training (EX) plus pre-exercise consumption of beetroot juice (BR).

Dietary Supplement: Beetroot JuiceOther: Exercise Training

Interventions

Beetroot JuiceDIETARY_SUPPLEMENT

Participants randomly assigned to the EX + BR group will consume 140 mL beetroot juice containing approximately 12 mmol of nitrate 3 hours prior to the supervised exercise training component.

EX + BR

Participants will perform 8 weeks of supervised exercise training at a frequency of 3x per week.

EX + BREx only

Eligibility Criteria

Age18 Years - 75 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Post-menopausal women (self-report)
  • Between the ages of 18-75 years (confirmed by birth date listed on participant's driver license at screening visit)
  • Physician's clearance for study participation (required prior to baseline testing)
  • English-speaking
  • Body mass index between 25.0 to 39.9 kg/m\^2 (measured on-site at screening visit)
  • Able to ambulate without assistance

You may not qualify if:

  • Unable to provide informed consent
  • of age (confirmed by birth date listed on participant's driver license at screening visit)
  • Body mass index \< 25.0 or \>39.9 kg/m\^2 (measured on-site at screening visit)
  • Greater than stage II hypertension (i.e. \>159/99 mm Hg)
  • Current smoker (self-report)
  • Currently pregnant, lactating, or trying to become pregnant (self-report)
  • Habitually exercise training \>= 3 times per week (self-report)
  • Significant orthopedic limitations or other contraindications to strenuous exercise
  • Live or work \>50 miles from Bloomington study site or do not have transportation to the study site
  • Anticipate elective surgery during the study period
  • Plan to move residence or travel out of the local area during the study period
  • History of major metabolic disease (e.g. Type I diabetes, Type II diabetes, thyroid disorders)
  • Current use of anti-coagulants (e.g. Coumadin or Warfarin)
  • Current use of prescription medications that affect heart rate or blood vessel dilation (e.g. phosphodiesterase-5 inhibitors, proton pump inhibitors, systemic adrenergic blockers, nitrates, calcium channel blockers, hormone replacement therapy) (self-report and confirmed on-site at screening visit)
  • Psychological or social characteristic that would interfere with their ability to fully participate in the study (i.e. taking longer than allowed time to complete cognitive assessments)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Indiana University

Bloomington, Indiana, 47401, United States

Location

MeSH Terms

Conditions

Obesity

Interventions

Exercise

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • Stephen J Carter, Ph.D.

    Indiana University, Bloomington

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Group allocation will be determined at random using a computer-based number in blocks of 2 to ensure equal between-group distribution (i.e. n = 2 Ex only; n = 2 BR+EX). Each number will be kept in a sealed envelope until completion of Visits 1-2.
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Participants will be enrolled in small (n = 4) cohorts or "waves" to facilitate social support and adherence to the supervised exercise training sessions. We anticipate having 9 waves to successfully reach our target n. This assumes that each wave will have 4 participants, hence, 4 participants x 9 waves = 36 total participants. Subsequently, participants will be randomly selected to: 1) control (EX only) or 2) EX + Beetroot Juice.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

April 18, 2020

First Posted

May 1, 2020

Study Start

January 30, 2020

Primary Completion

May 26, 2023

Study Completion

May 26, 2023

Last Updated

February 21, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

No IDP sharing plan

Locations