Trial Outcomes & Findings for Effects of High-Intensity Interval Training Exercise in Adolescents With Hepatosteatosis (NCT NCT04342390)

NCT ID: NCT04342390

Last Updated: 2024-08-22

Results Overview

Intrahepatic triglyceride (IHTG) percent (%) will be measured via Magnetic Resonance Imaging (MRI). IHTG percent can theoretically range between 0 and 100. By definition, an individual has Non-Alcoholic Fatty Liver Disease (NAFLD) when the IHTG percent is at or above 5 percent.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

4 weeks

Results posted on

2024-08-22

Participant Flow

Participant milestones

Participant milestones
Measure
Exercise Group
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
Study participants in this group will not undergo HIIT exercise training during this study.
Overall Study
STARTED
34
6
Overall Study
COMPLETED
31
6
Overall Study
NOT COMPLETED
3
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Exercise Group
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
Study participants in this group will not undergo HIIT exercise training during this study.
Overall Study
Lost to Follow-up
3
0

Baseline Characteristics

Effects of High-Intensity Interval Training Exercise in Adolescents With Hepatosteatosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exercise Group
n=34 Participants
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
n=6 Participants
Study participants in this group will not undergo HIIT exercise training during this study.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
15.2 years
STANDARD_DEVIATION 1.5 • n=5 Participants
15.4 years
STANDARD_DEVIATION 1.0 • n=7 Participants
15.2 years
STANDARD_DEVIATION 1.4 • n=5 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
4 Participants
n=7 Participants
24 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
2 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants
n=5 Participants
5 Participants
n=7 Participants
18 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=5 Participants
1 Participants
n=7 Participants
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
17 Participants
n=5 Participants
0 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
6 Participants
n=7 Participants
23 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 weeks

Intrahepatic triglyceride (IHTG) percent (%) will be measured via Magnetic Resonance Imaging (MRI). IHTG percent can theoretically range between 0 and 100. By definition, an individual has Non-Alcoholic Fatty Liver Disease (NAFLD) when the IHTG percent is at or above 5 percent.

Outcome measures

Outcome measures
Measure
Exercise Group
n=31 Participants
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
n=6 Participants
Study participants in this group will not undergo HIIT exercise training during this study.
Intrahepatic Triglyceride (IHTG)
5.26 percentage of IHTG
Standard Deviation 3.01
8.97 percentage of IHTG
Standard Deviation 6.61

PRIMARY outcome

Timeframe: 4 weeks

Cardiovascular fitness will be assessed via "peak oxygen uptake" (VO2 max). VO2 max is expressed as milliliters per body weight per minute in kilograms of lean body mass (mL/min/kg per LBM). There is no established normative data for VO2 max in pediatric population; however, higher values indicate better cardiovascular fitness.

Outcome measures

Outcome measures
Measure
Exercise Group
n=31 Participants
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
n=6 Participants
Study participants in this group will not undergo HIIT exercise training during this study.
Cardiovascular Fitness
40.8 mL/min/kg of Lean Body Mass
Standard Error 7.3
43.2 mL/min/kg of Lean Body Mass
Standard Error 7.2

PRIMARY outcome

Timeframe: 4 weeks

The Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) will be calculated using the fasting glucose and insulin levels. Higher HOMA-IR values indicate greater insulin resistance. HOMA-IR is calculated as "fasting insulin (microU/L) x fasting glucose (nmol/L)/22.5". HOMA-IR has an arbitrary unit. Higher numbers suggest worse outcomes.

Outcome measures

Outcome measures
Measure
Exercise Group
n=31 Participants
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
n=6 Participants
Study participants in this group will not undergo HIIT exercise training during this study.
HOMA-IR
8.69 arbitrary unit
Standard Deviation 5.5
6.4 arbitrary unit
Standard Deviation 5.5

SECONDARY outcome

Timeframe: 4 weeks

Serum alanine aminotransferase (ALT) level will be measured. ALT level is reported in international unit/liter or IU/L. Higher ALT levels suggest presence of hepatocellular damage.

Outcome measures

Outcome measures
Measure
Exercise Group
n=31 Participants
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
n=6 Participants
Study participants in this group will not undergo HIIT exercise training during this study.
Alanine Aminotransferase
20.1 international unit/liter
Standard Error 17.6
29.7 international unit/liter
Standard Error 17.6

SECONDARY outcome

Timeframe: 4 weeks

Controlled Attenuated Parameter (CAP) score will be measured using FibroScan. CAP score is reported in decibel/meter (dB/m) and ranges between 100-400. A score of 241 dB/m or greater is consistent with non-alcoholic fatty liver disease.

Outcome measures

Outcome measures
Measure
Exercise Group
n=31 Participants
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
n=6 Participants
Study participants in this group will not undergo HIIT exercise training during this study.
FibroScan - Controlled Attenuated Parameter
279 decibel/meter
Standard Deviation 35
280 decibel/meter
Standard Deviation 35

SECONDARY outcome

Timeframe: 4 weeks

Transient Elastogram (TE) score will be measured using FibroScan. TE score is reported in kilopascals (kPa) and ranges between 0-75. A score of 8.5 kPa or greater is consistent with fibrotic liver disease.

Outcome measures

Outcome measures
Measure
Exercise Group
n=31 Participants
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
n=6 Participants
Study participants in this group will not undergo HIIT exercise training during this study.
FibroScan - Transient Elastogram
5 kPa
Standard Deviation 1
5 kPa
Standard Deviation 3

SECONDARY outcome

Timeframe: 4 weeks

Body composition will be measured using Dual X-Ray Absorptiometry (DXA) scan. Normative data for total body fat is not established; however, larger total body fat percentage (percentage of total body weight) is linked to higher intrahepatic triglyceride content and insulin resistant state.

Outcome measures

Outcome measures
Measure
Exercise Group
n=31 Participants
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
n=6 Participants
Study participants in this group will not undergo HIIT exercise training during this study.
Body Composition - Total Body Fat
45.35 percentage of total body weight
Standard Deviation 6.18
44.05 percentage of total body weight
Standard Deviation 6.18

Adverse Events

Exercise Group

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Control Group

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Exercise Group
n=34 participants at risk
Study participants in this group will be asked to complete 4 weeks of high-intensity interval training (HIIT). High-Intensity Interval Training (HIIT): The exercise we are studying is called high-intensity interval training, or HIIT. Participants in the exercise group will participate in the exercise program. Each exercise session will last up to 1 hour. All exercise sessions will be directed and monitored by an experienced exercise trainer or exercise physiologist.
Control Group
n=6 participants at risk
Study participants in this group will not undergo HIIT exercise training during this study.
Musculoskeletal and connective tissue disorders
muscle sprain
2.9%
1/34 • Number of events 1 • 4 weeks
0.00%
0/6 • 4 weeks

Additional Information

Emir Tas

Arkansas Children's Research Insitute

Phone: 4126928688

Results disclosure agreements

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