Energetic Response to Feeding and Exercise in SCI

NCT ID: NCT03545867

Last Updated: 2020-06-19

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

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-28

Study Completion Date

2018-09-30

Brief Summary

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This study investigates the effect of various forms of upper extremity exercise on postprandial glycemia and lipemia in persons with spinal cord injury (SCI). Participants are measured at rest and fed a standardized meal following seated rest (CON), moderate intensity continuous arm cycling (MICT), high intensity interval arm cycling (HIIT), and circuit resistance exercise (CRT) matched for exercise energy expenditure.

Detailed Description

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Conditions

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Spinal Cord Injuries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Static first arm with randomized remaining three arms.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Seated control (CON)

Participants remain seated in their habitual wheel chair for \~45 min (duration of exercise performed in other arms). Following the intervention they are fed.

Group Type EXPERIMENTAL

Seated control (CON)

Intervention Type BEHAVIORAL

Seated rest

Liquid Meal

Intervention Type OTHER

A liquid meal consisting of 600 kcal comprised of 50% carbohydrate, 35% fat, and 15% protein (by kcal).

Circuit resistance training (CRT)

Participants complete upper extremity resistance maneuvers (lifts) interspersed with low-load/high-speed arm cycling for a combined 30 repetitions of 6 lifts and \~20 min of arm cycling. During this time energy expenditure is measured via open-circuit indirect calorimetry. Following the intervention they are fed.

Group Type EXPERIMENTAL

Circuit resistance training (CRT)

Intervention Type BEHAVIORAL

Alternating between six upper extremity resistance maneuvers interspersed with low-resistance/high-speed arm cycling.

Liquid Meal

Intervention Type OTHER

A liquid meal consisting of 600 kcal comprised of 50% carbohydrate, 35% fat, and 15% protein (by kcal).

Moderate intensity continuous (MICT)

Participants complete continous arm cycling at a steady-state power output (intensity) matched to the energy expenditure (kcal/min) and duration of exercise (min) response during CRT. Following the intervention they are fed.

Group Type EXPERIMENTAL

Moderate intensity continuous (MICT)

Intervention Type BEHAVIORAL

Arm cycling at a continuous power output

Liquid Meal

Intervention Type OTHER

A liquid meal consisting of 600 kcal comprised of 50% carbohydrate, 35% fat, and 15% protein (by kcal).

High intensity interval training (HIIT)

Participants complete interval arm cycling at power output that varies between 2 min "active" and two min "recovery" periods. This interval exercise is matched to the total energy expenditure (accumulated kcals) response during CRT. Following the intervention they are fed.

Group Type EXPERIMENTAL

High intensity interval training (HIIT)

Intervention Type BEHAVIORAL

Arm cycling at power outputs that vary between high and low intensity intervals

Liquid Meal

Intervention Type OTHER

A liquid meal consisting of 600 kcal comprised of 50% carbohydrate, 35% fat, and 15% protein (by kcal).

Interventions

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Seated control (CON)

Seated rest

Intervention Type BEHAVIORAL

Moderate intensity continuous (MICT)

Arm cycling at a continuous power output

Intervention Type BEHAVIORAL

High intensity interval training (HIIT)

Arm cycling at power outputs that vary between high and low intensity intervals

Intervention Type BEHAVIORAL

Circuit resistance training (CRT)

Alternating between six upper extremity resistance maneuvers interspersed with low-resistance/high-speed arm cycling.

Intervention Type BEHAVIORAL

Liquid Meal

A liquid meal consisting of 600 kcal comprised of 50% carbohydrate, 35% fat, and 15% protein (by kcal).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult (\>/=18 years of age)
* Neurologically stable chronic (\>/= 1year) spinal cord injury (SCI)
* American Spinal Injury Association Impairment Scale (AIS) grade A, B, or C
* SCI at level \</= the first thoracic vertebrae (T1)

Exclusion Criteria

* Being of ≤ 18 years of age.
* Contraindication to exercise (ACSM Guideline, 10th edition)
* Lower extremity fracture or dislocation within 6 months of participation,
* History head injury or seizures.
* Inability to consent.
* Restrictions in upper extremity range of motion that would prevent an individual from achieving an unhindered arm cycling motion or moving throughout a range needed to perform resistance maneuvers.
* A pressure ulcer at ischial/gluteus, trochanteric, sacral, or heel sites within the last 3 months.
* Pregnancy determined by urine testing in sexually active females.
* Imprisonment in state or federal jail or prison.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Miami

OTHER

Sponsor Role lead

Responsible Party

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Mark S. Nash, Ph.D., FACSM

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mark S Nash, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Locations

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Lois Pope Life Center

Miami, Florida, United States

Site Status

Countries

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United States

References

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McMillan DW, Maher JL, Jacobs KA, Mendez AJ, Nash MS, Bilzon JLJ. Effects of Exercise Mode on Postprandial Metabolism in Humans with Chronic Paraplegia. Med Sci Sports Exerc. 2021 Jul 1;53(7):1495-1504. doi: 10.1249/MSS.0000000000002593.

Reference Type DERIVED
PMID: 33433151 (View on PubMed)

McMillan DW, Maher JL, Jacobs KA, Mendez AJ, Nash MS, Bilzon JLJ. Influence of upper-body continuous, resistance or high-intensity interval training (CRIT) on postprandial responses in persons with spinal cord injury: study protocol for a randomised controlled trial. Trials. 2019 Aug 13;20(1):497. doi: 10.1186/s13063-019-3583-1.

Reference Type DERIVED
PMID: 31409383 (View on PubMed)

Other Identifiers

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20171114

Identifier Type: -

Identifier Source: org_study_id

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