The Influence of Football Training as a medicine_FIM_UTH
FIM
A Proposed Design for a Dose-Response Clinical Trial in High Risk Adults
1 other identifier
interventional
48
1 country
1
Brief Summary
The purpose of this randomized controlled study will be to inestigate the relationship between recreational football training at various training volumes and the health responses of middle-aged participants at high risk for metabolic and / or cardiovascular disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2022
Typical duration for not_applicable
1 active site
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
January 31, 2022
CompletedFirst Submitted
Initial submission to the registry
February 16, 2022
CompletedFirst Posted
Study publicly available on registry
March 10, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 25, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2023
CompletedJune 24, 2024
June 1, 2024
1.6 years
February 16, 2022
June 21, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (88)
Change in body mass
Body mass (kg) wil be measured using a beam balance
At baseline and at 6 months
Change in Body mass index
Body mass index wil be calculated using the Quetelet's equation
At baseline and at 6 months
Change in Waist circumference
Waist circumference (cm) will be measured using a Gullick II tape
At baseline and at 6 months
Change in Hip circumference
Hip circumference (cm) will be measured using a Gullick II tape
At baseline and at 6 months
Change in Waist-to-hip ratio
Waist-to-hip ratio will be calculated by dividing the waist by the hip measurement
At baseline and at 6 months
Change in Body fat
Body fat (%) will be assessed by whole-body dual-energy X-ray absorptiometry (DXA)
At baseline and at 6 months
Change in fat mass
Body fat (kg) will be assessed by whole-body dual-energy X-ray absorptiometry (DXA)
At baseline and at 6 months
Change in fat-free mass
Fat-free mass (kg) will be assessed by whole-body dual-energy X-ray absorptiometry (DXA)
At baseline and at 6 months
Change in resting metabolic rate (RMR)
RMR (kcal) will be measured using a portable open-circuit indirect calorimeter with a ventilated hood system
At baseline, at 6 months and 24 hours, 48 hours and 72 hours after
Change in maximal strength (1RM)
1RM (kg) for the lower body will be measured bilaterally on a horizontal leg press, while 1RM (kg) for the upper body will be measured on a horizontal chest press
At baseline and at 6 months
Change in maximal oxygen consumption (VO2max)
VO2max (ml/kg/min) will be estimated using a low-risk submaximal treadmill walking test
At baseline and at 6 months
Change in dietary intake
Dietary intake (kcal) will be assessed using 7-day recalls
At baseline and at 6 months
Change in daily physical activity
Daily physical activity will be assessed accelerometry device
At baseline and at 6 months
Change in body mass content (BMC)
BMC (g) will be assessed by dual energy X-ray absorptiometry (DXA) of the total body, hip of non-dominant and dominant limb, spine and wrist
At baseline and at 6 months
Change in body mass density (BMD)
BMD (g) will be assessed by dual energy X-ray absorptiometry (DXA) of the total body, hip of non-dominant and dominant limb, spine and wrist
At baseline and at 6 months
Change in hip structural analysis
hip structural analysis will be assessed by dual energy X-ray absorptiometry (DXA) of the total body, hip of non-dominant and dominant limb, spine and wrist
At baseline and at 6 months
Change in resting systolic (SBP) and diastolic (DBP) blood pressures
Resting SBP (mmHg) and DBP (mmHg) will be assessed by a manual sphygmomanometer
At baseline and at 6 months
Change in mean arterial pressure (MAP)
MAP (mmHg) will be calculated using the following equation : MAP = SBP + (DBP × DBP) / 3
At baseline and at 6 months
Change in resting heart rate (RHR)
RHR will be measured by pulse palpation for 60 seconds
At baseline and at 6 months
Change in maximal heart rate (MaxHR)
MaxHR will be estimated using a low-risk submaximal treadmill walking test
At baseline and at 6 months
Change in functional capacity
Functional capacity will be assessed using a movement-based screening tool titled Functional Movement Screening (FMS). The FMS will be consisted of 7 movement tasks that will be scored from 0 to 3 points and the sum will create score ranging from 0 to 21 points (0 = pain with pattern regardless of quality, 1 = unable to perform pattern, 2 = able to perform pattern with compensation/imperfection, 3 = able to perform pattern as directed).
At baseline and at 6 months
Change in static balance
Static balance will be assessed using the Sharened Romberg test
At baseline and at 6 months
Change in knee, hip and ankle range of motion
Knee, hip and ankle range of motion will be assessed using manual goniometer
At baseline and at 6 months
Change in functional mobility
Functional mobility (sec) will be assessed using Gait speed test
At baseline and at 6 months
Change in blood lipids
Total serum cholesterol (mmol/L), triglycerides (mmol/L), low density lipoprotein (mmol/L) will be measured with commercially availlable kits.
At baseline and at 6 months
Change in muscle endurance
Muscular endurance (repetitions until muscle failure) will be assessed using timed tests (60 sec) for the abdominal musculature, upper and lower body. The tests will include partial curl-up, push-up for males and modified push-up for females (kneeling position) respectively.
At baseline and at 6 months
Change in flexibility
Flexibility (cm) will be assessed using the modified sit-and-reach test
At baseline and at 6 months
Change inTotal antioxidant capacity (TAC)
TAC will be will be measured with commercially available kits
At baseline and at 6 months
Change in Cortisol
Cortisol (nmol/L) will be measured with commercially available kits
At baseline and at 6 months
Change in insulin
Insulin (mlU/L) will be measured with commercially available kits
At baseline and at 6 months
Change in homeostatic model assessemnet for insulin resistance (HOMA-IR)
HOMA-IR will be measured with commercially available kits. ΗΟΜΑ score will be calculated using the equation HOMA-IR = fasting insulin (mIU/L) x fasting glucose (mg/dL) / 405. HOMA-IR score will be classified using the following range: normal insulin resistance \< 3, moderate insulin resistance 3-5, severe insulin resistance \> 5)
At baseline and at 6 months
Change in Interleukin 1 beta (IL-1b)
IL-1b (pg/ml) will be measured with commercially available kits
At baseline and at 6 months
Change in Interleukin 6 (IL-6)
IL-6 (pg/ml) will be measured with commercially available kits
At baseline and at 6 months
Change in fasting blood glucose (FBG)
FBG (mg/dL) will be measured with commercially available kits
At baseline and at 6 months
Change in Protein Carbonyls (PC) concentration
PC (mg) will be measured in red blood cells with commercially available kits
At baseline and at 6 months
Change in glutathione (GSH)
GSH (nmol/L) will be measured in red blood cells with commercially available kits
At baseline and at 6 months
Change in oxidized glutathione (GSSG)
GSSG (nmol/L) will be measured in red blood cells with commercially available kits
At baseline and at 6 months
Change in Catalase (CAT) activity
CAT activity (units) will be measured in red blood cells with commercially available kits
At baseline and at 6 months
Change in C - reactive protein (CRP)
CRP (mg/L) will be measured with commercially available kits
At baseline and at 6 months
Change in Uric acid (UA)
UA concentration will be measured in plasma with commercially available kits
At baseline and at 6 months
Change in White blood cells (WBC)
White blood cells will be measured using an automatic blood analyzer
At baseline and at 6 months
Change in Granulocyte (GRA)
GRA concentration will be measured using an automatic blood analyzer
At baseline and at 6 months
Change in Hematocrit (HCT)
HCT concentration will be measured using an automatic blood analyzer
At baseline and at 6 months
Change in Hemoglobin (HGB)
HGB concentration will be measured using an automatic blood analyzer
At baseline and at 6 months
Change in red blood cells (RBC)
RBC concentration will be measured using an automatic blood analyzer
At baseline and at 6 months
Change in Lymphocytes (LYM)
LYM concentration will be measured using an automatic blood analyzer
At baseline and at 6 months
Change in Platelet (PLT)
PLT concentration will be measured using an automatic blood analyzer
At baseline and at 6 months
Change in monocytes (MON)
PLT concentration will be measured using an automatic blood analyzer
At baseline and at 6 months
Change in Cratine Kinase (CK) concentration
CK concentration will be measured with commercially available kits
At 6 months and 24 hours, 48 hours and 72 hours after
Change in Hemoglobin A1c (HbA1c)
HbA1c concentration will be measured with commercially available kits
At baseline and at 6 months
Change in isometric knee extensors peak torque
isometric knee extensors peak torque will be assessed on an isokinetic dynamometer
At baseline, at 6 months and 24 hours, 48 hours and 72 hours after
Change in isometric knee flexors peak torque
isometric knee flexors peak torque will be assessed on an isokinetic dynamometer
At baseline, at 6 months and 24 hours, 48 hours and 72 hours after
Change in eccentric knee extensors peak torque
eccentric knee extensors peak torque will be assessed on an isokinetic dynamometer
At baseline and at 6 months
Change in eccentric knee flexors peak torque
eccentric knee flexors peak torque will be assessed on an isokinetic dynamometer
At baseline and at 6 months
Change in concentric knee extensors peak torque
concentric knee extensors peak torque will be assessed on an isokinetic dynamometer
At baseline and at 6 months
Change in concentric knee flexors peak torque
concentric knee flexors peak torque will be assessed on an isokinetic dynamometer
At baseline and at 6 months
Change in counter movement jump height (CMJh)
CMJh (cm) will be assessed using a force platform with each foot parallel on platform
At baseline, at 6 months and 24 hours, 48 hours and 72 hours after
Change in counter movement jump flight time (CMJf)
CMJf (ms) will be assessed using a force platform with each foot parallel on platform
At baseline, at 6 months and 24 hours, 48 hours and 72 hours after
Change in counter movement jump power (CMJp)
CMJp (w/kg) will be assessed using a force platform with each foot parallel on platform
At baseline, at 6 months and 24 hours, 48 hours and 72 hours after
Change in sprint time of 10m
Sprint time (sec) will be assessed over a 10 m distance ising light cells
At baseline, at 6 months and 24 hours, 48 hours and 72 hours after
Change in sprint time of 30m
Sprint time (sec) will be assessed over a 30 m distance ising light cells
At baseline, at 6 months and 24 hours, 48 hours and 72 hours after
Change in left ventricular end-diastolic volume (LVEDV)
LVEDV (ml) will be measured using echocardiography
At baseline and at 6 months
Change in left ventricular end-systolic volume (LVESV)
LVESV (ml) will be measured using echocardiography
At baseline and at 6 months
Change in left ventricular stroke volume (LVSV)
LVSV (ml) will be measured using echocardiography
At baseline and at 6 months
Change in interventicular septum and systole (IVSs)
IVSs will be measured using echocardiography
At baseline and at 6 months
Change in interventicular septum and diastole (IVSd)
IVSd will be measured using echocardiography
At baseline and at 6 months
Change in left ventricular ejection fraction (LVEF)
LVEF (%) will be measured using echocardiography
At baseline and at 6 months
Change in left ventricular internal diameter and diastole (LVIDd)
LVIDd (mm) will be measured using echocardiography
At baseline and at 6 months
Change in left ventricular internal diameter and systole (LVIDs)
LVIDs (mm) will be measured using echocardiography
At baseline and at 6 months
Change in left ventricular posterior wall end diastole (LVPWd)
LVPWd (mm) will be measured using echocardiography
At baseline and at 6 months
Change in left ventricular mass (LV mass)
LV mass (g) will be measured using echocardiography
At baseline and at 6 months
Change in left atrial (LA) diameter
LA diameter (mm) will be measured using echocardiography
At baseline and at 6 months
Change in aortic root
Aortic root (mm) will be measured using echocardiography
At baseline and at 6 months
Change in aortic valve velocity (AoV Vel)
AoV Vel (cm/s) will be measured using echocardiography
At baseline and at 6 months
Change in aortic valve pressure gradient (AoV PG)
AoV PG (mmHg) will be measured using echocardiography
At baseline and at 6 months
Change in right ventricular end diastole (RVD)
RVD (mm) will be measured using echocardiography
At baseline and at 6 months
Change in right ventricular end diastole 1 (RVD1)
RVD1 (mm) will be measured using echocardiography
At baseline and at 6 months
Change in Tricuspid Annular Plane Systolic Excursion of right ventricular functionality (TAPSE)
TAPSE (mm) will be measured using echocardiography
At baseline and at 6 months
Change in tricuspid annular systolic velocity (TV S') of Right ventricular functionality
TV S' (mm) will be measured using echocardiography
At baseline and at 6 months
Change in pulmonary artery systolic pressure (PASP)
PASP (mmHg) will be measured using echocardiography
At baseline and at 6 months
Change in left ventricular fractional shortenning (FS)
Fractional shortenning (%) will be measured using echocardiography
At baseline and at 6 months
Change in left ventricular Global Longitudinal strain (GLS)
GLS (%) will be measured using echocardiography
At baseline and at 6 months
Change in pshycological well - being
Psychological well - being will be assessed using The General Health Questionnaire (GHQ-12) via 12 items
At baseline and at 6 months
Change vitality
Vitality will be assessed using Subjective Vitality Scales (SVS) via 6 items. Each item is rated on a 6-point scale (1 = not at all true, 2 = not true, 3 = almost not true, 4 = almost true, 5 = true, 6 = very true). The total score ranges from 6 to 36 with a higher score indicating a better condition.
At baseline and at 6 months
Change in motivation
E xercise behavioral will be assessed using the behavioral regulation in (BREQ-2) via 19 items questionnaire. All the 19 items were positive scored, and it was rated on a five-point for each item from 0 (not true for me) to 4 (very true for me) to identify what the participants felt about exercise.
At baseline and at 6 months
Change in quality of life
Quality of life will be assessed using the physical and mental component subscales of the Greek 36-item Short-Form Healthy Survey (SF-36). The scores on both component subscales of the SF-36 will range from 0 to 100, with higher scores indicating better health status while the minimal clinically important difference will be 2 points.
At baseline and at 6 months
Change in flow
Flow will be assessed using the Kurz Skala questionnaire. The Kurzskala consists 16 items which has to be answered on a seven-point rating scale from "does not apply" to "somewhat partially" to "applies".
At baseline and at 6 months
Change in depression
Depression will be assessed using the Patient Health Questionnaire (PHQ-9), which is a self-administered instrument consisiting of 9 multiple choice questions scored from 0 to 3. Higher total scores indicate higher depression severity.
At baseline and at 6 months
Secondary Outcomes (7)
Change in exercise - induced caloric expenditure
At 6 months
Change in blood lactate concentration (BLa)
At 6 months
Change in Delay onset muscle soreness (DOMS)
At baseline, at 6 months and 24 hours, 48 hours and 72 hours after
Change in training external load monitoring
At 6 months
Change in training internal load monitoring
At 6 months
- +2 more secondary outcomes
Study Arms (4)
Control
EXPERIMENTALNo intervention. Participated only in measurements at baseline and at 6 months.
FIM-1
EXPERIMENTALParticipated in a supervised 6 months football training program once per week and in measurements at baseline and at 6 months.
FIM-2
EXPERIMENTALParticipated in a supervised 6 months football training program twice per week and in measurements at baseline and at 6 months.
FIM-3
EXPERIMENTALParticipated in a supervised 6 months football training program thrice per week and in measurements at baseline and at 6 months.
Interventions
A football group (12 participants/session) will participate in 60 minutes football training that will contain warm-up, football technical drills and exercises, fitness exercises and football game.
A football group (12 participants/session) will participate in 60 minutes football training that will contain warm-up, football technical drills and exercises, fitness exercises and football game.
A football group (12 participants/session) will participate in 60 minutes football training that will contain warm-up, football technical drills and exercises, fitness exercises and football game.
No football training will be performed during 6 months period. Participation only in measurements at baseline and at 6 months.
Eligibility Criteria
You may qualify if:
- The participants Vo2max \<30ml/kg/min
- age of 40-60 years
- medical clearance for strenuous physical training
- Free of chronic diseases
- Free of musculoskeletal injury
- waist circumference 80≥ cm for female and 94≥ cm for Male participants
- no weight loss greater \>10% of body mass before (≤6 months) the study
- no diet intervention or usage of nutritional supplements/medications before (≥6 months) and during the study
- Additionaly the participants will have at least two of the following risk factors
- overweight/obese (BMI 25.0-35.0)
- Fasting Glucose≥100 mg/dl
- Blood Pressure≥120/80 mmHg
- Total Cholesterol≥190 mg/dl
- High Desnity lipoprotein\< 35 mg/dl for male and \< 39 mg/dl for female participants
- Low Density Lipoprotein≥100 mg/dl
- +1 more criteria
You may not qualify if:
- Participants will be excluded from the study if they:
- will not participate in ≥80% of total exercise sessions
- will adhere to a nutritional intervention during the study
- will modify the habitual physical activity levels during the study
- Musculoskeletal injury
- Chronic disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University o Thessaly, School of Physical Education and Sports Science
Trikala, 42100, Greece
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Ioannis G Fatouros, Prof
University of Thessaly
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
February 16, 2022
First Posted
March 10, 2022
Study Start
January 31, 2022
Primary Completion
August 25, 2023
Study Completion
December 31, 2023
Last Updated
June 24, 2024
Record last verified: 2024-06