Acute Effects of Vigorous-intensity Aerobic Exercise on Glymphatic Flow in Healthy Adults

NCT ID: NCT04255758

Last Updated: 2021-02-11

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-08

Study Completion Date

2021-12-31

Brief Summary

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This study investigates changes in glymphatic flow in the brain acutely after vigorous-intensity steady-state aerobic exercise. Twenty subjects (10 male and 10 female) perform 25 minute submaximal cycle ergometry exercise and the changes in the glymphatic flow and cerebral perfusion are evaluated using a variety of MRI sequences (e.g. MREG).

Detailed Description

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The glymphatic system is a drainage system for the brain to help maintain fluid balance and extract waste metabolites. Glymphatic system function (healthy glymphatic flow) may prevent accumulation of harmful substances and therefore slow down the onset of neurodegenerative diseases.

The hypothesis is, that glymphatic flow could be increased through exercise and enhanced cerebral arterial pulsality, which might explain some of the brain health benefits of exercise proven in epidemiological studies. This study indirectly investigates the acute changes in the glymphatic flow acutely after aerobic exercise using MREG that measures pulse wave propagation as an indirect surrogate marker for glymphatic flow.

Twenty healthy subjects (n=20, 10 male, 10 female, age 18-45 years) will perform 25 minute 70%VO2max cycle ergometry exercise. The glymphatic flow and cerebral perfusion will be measured using magnetic resonance imaging sequences before and after exercise. The glymphatic flow is measured using 10 Hz fMRI technique called magnetic resonance encephalography (MREG). In addition, perfusion MRI is used to evaluate changes in brain perfusion.

Conditions

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Glymphatic System Neurodegeneration

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Prospective interventional study model, all subjects undergo the same exercise intervention and results are compared to baseline values
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Vigorous-intensity Aerobic Exercise

Vigorous-intensity aerobic exercise, single intervention

Group Type EXPERIMENTAL

Cycle Ergometer Exercise

Intervention Type OTHER

25 minutes, 70% VO2max steady state cycle ergometry exercise

Interventions

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Cycle Ergometer Exercise

25 minutes, 70% VO2max steady state cycle ergometry exercise

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 18-45
* BMI 18-30
* Resting Blood pressure \< 140/90 mmHg

Exclusion Criteria

* History of a cardiac event
* Insulin or medically treated diabetes
* Any chronic disease or condition that could create a hazard to the subject safety, endanger the study procedures or interfere with the interpretation of study results
* Presence of ferromagnetic objects that would make MR imaging contraindicated
* Claustrophobia
* Abundant use of alcohol
* Use of narcotics
* Smoking of tobacco or consuming snuff tobacco
* Diagnosed depressive or bipolar disorder
* Abnormalities in resting ECG (revised by the study physician)
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Turku University Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Ilkka Heinonen

Adjunct Professor, Department of Clinical Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ilkka Heinonen, PhD

Role: PRINCIPAL_INVESTIGATOR

Turku PET Centre

Locations

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Turku PET Centre

Turku, , Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Ilkka Heinonen, PhD

Role: CONTACT

+358 408 393 962

Facility Contacts

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Ilkka H Heinonen, PhD

Role: primary

References

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Rajna Z, Raitamaa L, Tuovinen T, Heikkila J, Kiviniemi V, Seppanen T. 3D Multi-Resolution Optical Flow Analysis of Cardiovascular Pulse Propagation in Human Brain. IEEE Trans Med Imaging. 2019 Sep;38(9):2028-2036. doi: 10.1109/TMI.2019.2904762. Epub 2019 Mar 15.

Reference Type BACKGROUND
PMID: 30892202 (View on PubMed)

von Holstein-Rathlou S, Petersen NC, Nedergaard M. Voluntary running enhances glymphatic influx in awake behaving, young mice. Neurosci Lett. 2018 Jan 1;662:253-258. doi: 10.1016/j.neulet.2017.10.035. Epub 2017 Oct 25.

Reference Type BACKGROUND
PMID: 29079431 (View on PubMed)

Other Identifiers

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T6/2020

Identifier Type: -

Identifier Source: org_study_id

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