Effects of DHEA/Exercise on Bone, Muscle and Balance

NCT ID: NCT00664053

Last Updated: 2008-04-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

99 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-10-31

Study Completion Date

2006-10-31

Brief Summary

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The purpose of this study is to examine whether muscle strength and balance will improve in women with frailty selected for dehydroepiandrosterone sulfate (DHEAS) levels below 550 ng/dl treated with DHEAS supplementation and Hatha yoga. Investigators believe the effects of both treatments will improve outcomes more than either treatment alone and may be additive; in addition, lean body mass, skeletal muscle mass, markers of bone turnover and physical performance will improve following treatment with DHEA and/or yoga.

Detailed Description

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Dehydroepiandrosterone (DHEAS) and yoga may mitigate or reverse the effects of aging and frailty on bone, muscle and balance loss. The mechanism of the effects may be direct - working through androgen or estrogen receptors in bone, muscle or brain. Or the effects may be indirect, countering effects of the stress response.

The specific aims of this study are:

1. To determine the effects of dehydroepiandrosterone sulfate (DHEAS) supplementation and/or Hatha yoga on muscle strength, balance, body composition and physical performance measures over 6 months in women with osteopenia and some degree of frailty
2. To determine the effect of dehydroepiandrosterone sulfate (DHEAS) supplementation and/or Hatha yoga on function (physical and cognitive), bone metabolism, and cardiovascular risk factors.

Conditions

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Osteoporosis Frailty

Keywords

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bone mineral density bone turnover markers strength balance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Study Groups

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1

DHEA and Yoga

Group Type EXPERIMENTAL

DHEA

Intervention Type DIETARY_SUPPLEMENT

50mg daily for 6 months

Yoga

Intervention Type BEHAVIORAL

2 sessions per week for 6 months

2

DHEA and exercise

Group Type ACTIVE_COMPARATOR

DHEA

Intervention Type DIETARY_SUPPLEMENT

50mg daily for 6 months

Aerobics

Intervention Type BEHAVIORAL

Walking/chair aerobics program 2 sessions per week for 6 months

3

Placebo and Yoga

Group Type ACTIVE_COMPARATOR

Yoga

Intervention Type BEHAVIORAL

2 sessions per week for 6 months

Placebo

Intervention Type DIETARY_SUPPLEMENT

Placebo supplement every day for 6 months

4

Placebo and exercise

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Placebo supplement every day for 6 months

Aerobics

Intervention Type BEHAVIORAL

Walking/chair aerobics program 2 sessions per week for 6 months

Interventions

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DHEA

50mg daily for 6 months

Intervention Type DIETARY_SUPPLEMENT

Yoga

2 sessions per week for 6 months

Intervention Type BEHAVIORAL

Placebo

Placebo supplement every day for 6 months

Intervention Type DIETARY_SUPPLEMENT

Aerobics

Walking/chair aerobics program 2 sessions per week for 6 months

Intervention Type BEHAVIORAL

Other Intervention Names

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Dehydroepiandrosterone

Eligibility Criteria

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Inclusion Criteria

* Women over age 65 years
* Bone mineral density t-score less than -1
* At least one of the five components of the frailty phenotype (low hand grip strength, low walking speed, low physical activity, weight loss or sense of exhaustion)
* DHEAS levels less than 550 ng/dl
* Able to come or be brought to the University of Connecticut Health Center (UCHC) for outpatient visits
* Mammogram within the preceding 12 months

Exclusion Criteria

* Disease or medication known to affect bone or muscle metabolism (i.e., Paget's disease, osteomalacia or 25OHD level less than 10 ng/dl, hyperparathyroidism: current use of corticosteroids, calcitonin, heparin, phenytoin, phenobarbital, methotrexate, bisphosphonates, calcitonin, selective estrogen receptor modulator or PTH)
* Use of androgen or estrogen in the preceding year
* Use of psychiatric medications including antipsychotic medications and SSRI
* Metastatic or advanced cancer (other than skin cancer)
* History of breast cancer
* Active cardiac ischemia by history of angina or myocardial infarction in the preceding 6 months
Minimum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Connecticut

OTHER

Sponsor Role collaborator

National Aeronautics and Space Administration (NASA)

FED

Sponsor Role lead

Responsible Party

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University of Connecticut Center on Aging

Principal Investigators

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Anne Kenny, MD

Role: PRINCIPAL_INVESTIGATOR

University of Connecticut Center on Aging

Locations

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University of Connecticut Health Center

Farmington, Connecticut, United States

Site Status

Countries

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United States

References

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von Muhlen D, Laughlin GA, Kritz-Silverstein D, Bergstrom J, Bettencourt R. Effect of dehydroepiandrosterone supplementation on bone mineral density, bone markers, and body composition in older adults: the DAWN trial. Osteoporos Int. 2008 May;19(5):699-707. doi: 10.1007/s00198-007-0520-z. Epub 2007 Dec 15.

Reference Type BACKGROUND
PMID: 18084691 (View on PubMed)

Wang YD, Wang L, Li DJ, Wang WJ. Dehydroepiandrosterone inhibited the bone resorption through the upregulation of OPG/RANKL. Cell Mol Immunol. 2006 Feb;3(1):41-5.

Reference Type BACKGROUND
PMID: 16549048 (View on PubMed)

Greendale GA, McDivit A, Carpenter A, Seeger L, Huang MH. Yoga for women with hyperkyphosis: results of a pilot study. Am J Public Health. 2002 Oct;92(10):1611-4. doi: 10.2105/ajph.92.10.1611. No abstract available.

Reference Type BACKGROUND
PMID: 12356608 (View on PubMed)

Kenny AM, Boxer RS, Kleppinger A, Brindisi J, Feinn R, Burleson JA. Dehydroepiandrosterone combined with exercise improves muscle strength and physical function in frail older women. J Am Geriatr Soc. 2010 Sep;58(9):1707-14. doi: 10.1111/j.1532-5415.2010.03019.x.

Reference Type DERIVED
PMID: 20863330 (View on PubMed)

Other Identifiers

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NNG04GK63G

Identifier Type: -

Identifier Source: secondary_id

AG0099

Identifier Type: -

Identifier Source: org_study_id