Trial Outcomes & Findings for Resistance Exercise and Low-Intensity Physical Activity Breaks in Sedentary Time to Improve Muscle and Cardiometabolic Health (NCT NCT03771417)

NCT ID: NCT03771417

Last Updated: 2025-03-19

Results Overview

The investigators will determine the change from baseline in skeletal muscle strength. These measurements will be performed at baseline and following 16 weeks of exercise training using isokinetic dynamometry and 1 repetition maximum testing.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

Measured at week 0 (baseline) and week 16

Results posted on

2025-03-19

Participant Flow

24 participants were enrolled in the present study, 23 participants were randomized. 1 participant did not complete baseline testing.

Participant milestones

Participant milestones
Measure
Resistance Exercise
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Low Intensity Physical Activity
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week and regular unsupervised low intensity physical activity breaks in sedentary time 5 days per week \[6x10 min breaks/d at 2 metabolic equivalents (METS) or \~30-40% peak oxygen consumption (VO2 peak), \~500 kcal/wk above resting metabolism\]. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Moderate Intensity Exercise
Exercise Intervention: Participants will be asked to complete supervised RE 2 days per week and supervised calorically matched moderate intensity physical activity 3 days per week (50 min/session at 4 METS (\~60-75% VO2 peak), \~500 kcal/week above resting metabolism). Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
Overall Study
STARTED
7
8
8
Overall Study
COMPLETED
6
7
8
Overall Study
NOT COMPLETED
1
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Resistance Exercise
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Low Intensity Physical Activity
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week and regular unsupervised low intensity physical activity breaks in sedentary time 5 days per week \[6x10 min breaks/d at 2 metabolic equivalents (METS) or \~30-40% peak oxygen consumption (VO2 peak), \~500 kcal/wk above resting metabolism\]. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Moderate Intensity Exercise
Exercise Intervention: Participants will be asked to complete supervised RE 2 days per week and supervised calorically matched moderate intensity physical activity 3 days per week (50 min/session at 4 METS (\~60-75% VO2 peak), \~500 kcal/week above resting metabolism). Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
Overall Study
Withdrawal by Subject
1
0
0
Overall Study
Covid-19 Shutdown
0
1
0

Baseline Characteristics

Resistance Exercise and Low-Intensity Physical Activity Breaks in Sedentary Time to Improve Muscle and Cardiometabolic Health

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Resistance Exercise
n=7 Participants
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Low Intensity Physical Activity
n=8 Participants
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week and regular unsupervised low intensity physical activity breaks in sedentary time 5 days per week \[6x10 min breaks/d at 2 metabolic equivalents (METS) or \~30-40% peak oxygen consumption (VO2 peak), \~500 kcal/wk above resting metabolism\]. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Moderate IntensityExercise
n=8 Participants
Exercise Intervention: Participants will be asked to complete supervised RE 2 days per week and supervised calorically matched moderate intensity physical activity 3 days per week (50 min/session at 4 METS (\~60-75% VO2 peak), \~500 kcal/week above resting metabolism). Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
Total
n=23 Participants
Total of all reporting groups
Age, Continuous
70.3 years
STANDARD_DEVIATION 2.9 • n=99 Participants
70.4 years
STANDARD_DEVIATION 3.9 • n=107 Participants
69.5 years
STANDARD_DEVIATION 5.0 • n=206 Participants
70.0 years
STANDARD_DEVIATION 3.9 • n=7 Participants
Sex: Female, Male
Female
5 Participants
n=99 Participants
6 Participants
n=107 Participants
5 Participants
n=206 Participants
16 Participants
n=7 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
7 Participants
n=7 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
4 Participants
n=7 Participants
Race (NIH/OMB)
White
5 Participants
n=99 Participants
7 Participants
n=107 Participants
7 Participants
n=206 Participants
19 Participants
n=7 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Region of Enrollment
United States
7 participants
n=99 Participants
8 participants
n=107 Participants
8 participants
n=206 Participants
23 participants
n=7 Participants

PRIMARY outcome

Timeframe: Measured at week 0 (baseline) and week 16

Population: Change is Leg Press 1-RM

The investigators will determine the change from baseline in skeletal muscle strength. These measurements will be performed at baseline and following 16 weeks of exercise training using isokinetic dynamometry and 1 repetition maximum testing.

Outcome measures

Outcome measures
Measure
Resistance Exercise
n=6 Participants
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Moderate Intensity Exercise
n=8 Participants
Exercise Intervention: Participants will be asked to complete supervised RE 2 days per week and supervised calorically matched moderate intensity physical activity 3 days per week (50 min/session at 4 METS (\~60-75% VO2 peak), \~500 kcal/week above resting metabolism). Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Low Intensity Physical Activity
n=7 Participants
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week and regular unsupervised low intensity physical activity breaks in sedentary time 5 days per week \[6x10 min breaks/d at 2 metabolic equivalents (METS) or \~30-40% peak oxygen consumption (VO2 peak), \~500 kcal/wk above resting metabolism\]. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
Skeletal Muscle Strength
93.9 Change in Lbs
Standard Error 17.9
50.0 Change in Lbs
Standard Error 15.2
78.6 Change in Lbs
Standard Error 15.2

PRIMARY outcome

Timeframe: Measured at week 0 (baseline) and week 16

Population: Change Appendicular Lean Mass (kg/m\^2)

The investigators will determine the change from baseline in skeletal muscle mass. These measurements will be performed at baseline and following 16 weeks of exercise training using Dual X-Ray Absorptiometry.

Outcome measures

Outcome measures
Measure
Resistance Exercise
n=6 Participants
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Moderate Intensity Exercise
n=8 Participants
Exercise Intervention: Participants will be asked to complete supervised RE 2 days per week and supervised calorically matched moderate intensity physical activity 3 days per week (50 min/session at 4 METS (\~60-75% VO2 peak), \~500 kcal/week above resting metabolism). Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Low Intensity Physical Activity
n=7 Participants
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week and regular unsupervised low intensity physical activity breaks in sedentary time 5 days per week \[6x10 min breaks/d at 2 metabolic equivalents (METS) or \~30-40% peak oxygen consumption (VO2 peak), \~500 kcal/wk above resting metabolism\]. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
Skeletal Muscle Mass
0.22 Change Appendicular Lean Mass (kg/m^2)
Standard Error 0.11
0.17 Change Appendicular Lean Mass (kg/m^2)
Standard Error 0.10
0.27 Change Appendicular Lean Mass (kg/m^2)
Standard Error 0.10

SECONDARY outcome

Timeframe: Measured at week 0 (baseline) and week 16

Population: Change skeletal muscle oxidative capacity measured using high-resolution respirometry in permeabilized muscle fibers for complex I and II substrates (pyruvate, malate, glutamate, and succinate) expressed as pmols/sec/mg wet weight.

The investigators will determine the change from baseline in mitochondrial function. These measurements will be performed at baseline and following 16 weeks of exercise training.

Outcome measures

Outcome measures
Measure
Resistance Exercise
n=6 Participants
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Moderate Intensity Exercise
n=7 Participants
Exercise Intervention: Participants will be asked to complete supervised RE 2 days per week and supervised calorically matched moderate intensity physical activity 3 days per week (50 min/session at 4 METS (\~60-75% VO2 peak), \~500 kcal/week above resting metabolism). Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Low Intensity Physical Activity
n=3 Participants
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week and regular unsupervised low intensity physical activity breaks in sedentary time 5 days per week \[6x10 min breaks/d at 2 metabolic equivalents (METS) or \~30-40% peak oxygen consumption (VO2 peak), \~500 kcal/wk above resting metabolism\]. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
Mitochondrial Function
27.2 pmols/sec/mg wet weight
Standard Error 5.9
17.0 pmols/sec/mg wet weight
Standard Error 5.4
5.9 pmols/sec/mg wet weight
Standard Error 8.3

Adverse Events

Resistance Exercise

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

RE Plus Moderate Intensity Exercise

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

RE Plus Low Intensity Physical Activity

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Resistance Exercise
n=7 participants at risk
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Moderate Intensity Exercise
n=8 participants at risk
Exercise Intervention: Participants will be asked to complete supervised RE 2 days per week and supervised calorically matched moderate intensity physical activity 3 days per week (50 min/session at 4 METS (\~60-75% VO2 peak), \~500 kcal/week above resting metabolism). Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
RE Plus Low Intensity Physical Activity
n=8 participants at risk
Exercise Intervention: Participants will be asked to complete supervised resistance exercise 2 days per week and regular unsupervised low intensity physical activity breaks in sedentary time 5 days per week \[6x10 min breaks/d at 2 metabolic equivalents (METS) or \~30-40% peak oxygen consumption (VO2 peak), \~500 kcal/wk above resting metabolism\]. Exercise Intervention: The use of exercise to improve muscle and cardiometabolic health in older adults.
Investigations
Fall
0.00%
0/7 • During study period, up to 16 weeks
0.00%
0/8 • During study period, up to 16 weeks
12.5%
1/8 • Number of events 1 • During study period, up to 16 weeks
Cardiac disorders
Vasovagal
0.00%
0/7 • During study period, up to 16 weeks
0.00%
0/8 • During study period, up to 16 weeks
12.5%
1/8 • Number of events 1 • During study period, up to 16 weeks

Additional Information

Brian A. Irving, PhD

Louisiana State University

Phone: 12255787179

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place