Eccentric Cycling Exercise on Hemodynamic and Hemorheologic Properties

NCT ID: NCT04773444

Last Updated: 2021-05-10

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-11

Study Completion Date

2022-05-16

Brief Summary

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The effects of an eccentric endurance training on central and peripheral hemodynamic adaptations and erythrocyte rheology during maximal exercise remained to be unexplored. The current study examined the contribution of rheological functions and/or hemodynamic adaptation to changes in oxygen consumption (VO2) following the matched-power output eccentric (ECT) or concentric cycling training (CCT).

Method: A total of 39 sedentary males were randomly assigned into either CCT (n=13) or ECT (n=13) for 30 min a day, 5 days a week for 6 weeks at 60% of maximal workload or to a CTL (control group, n = 13). A graded exercise test (GXT) was performed before and after the intervention. Central and microvascular adaptations were evaluated using thoracic impedance and near-infrared spectroscopy (NIRS), respectively. Rheological characteristics was determined by an ektacytometer.

Detailed Description

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Endurance training is a well known strategy for improving fitness capacity. However, some populations are intolerance to complete the usual exercise training program, such as chronic heart or pulmonary disease or the elderly. Therefore, ECT is a candidate training strategy for those individuals.

Erythrocytes deformability is significantly related to the blood perfusion in microcirculation. The impaired erythrocyte-related rheology further lead to reduced aerobic capacity by our research team. Therefore, the lower energy consumed in ECT may avoid the oxidative stress. To now, less studies have demonstrated whether ECT influences peripheral hemodynamics by erythrocyte rheology and the blood flow from the central effect.

The investigators aimed to investigate the effects of CCT and ECT on oxygen consumption response explained by changes in local blood perfusion, blood cell rheology, or central function to attempt developing its application in rehabilitation.

Conditions

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Eccentric Exercise Training

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Eccentric cycling training

Moderate intensity cycling training in eccentric type

Group Type EXPERIMENTAL

Eccentric cycling training

Intervention Type BEHAVIORAL

1. Performed exercise training 5 days a week for 6 weeks on an eccentric ergometer.
2. Each training session: 3 min at 30% of maximal workload (Wmax) for warmed up and cold down and 30 min the main training phase.
3. Intensity: Firstly, set at 45% Wmax, and progressively increased 5% per week

Concentric cycling training

Moderate intensity cycling training in concentric type (intensity matched the eccentric training)

Group Type EXPERIMENTAL

Concentric cycling training

Intervention Type BEHAVIORAL

1. Performed exercise training 5 days a week for 6 weeks on an eccentric ergometer.
2. Each training session: 3 min at 30% of maximal workload (Wmax) for warmed up and cold down and 30 min the main training phase.
3. Intensity: Firstly, set at 45% Wmax, and progressively increased 5% per week

Control group

without receiving any exercise training

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Eccentric cycling training

1. Performed exercise training 5 days a week for 6 weeks on an eccentric ergometer.
2. Each training session: 3 min at 30% of maximal workload (Wmax) for warmed up and cold down and 30 min the main training phase.
3. Intensity: Firstly, set at 45% Wmax, and progressively increased 5% per week

Intervention Type BEHAVIORAL

Concentric cycling training

1. Performed exercise training 5 days a week for 6 weeks on an eccentric ergometer.
2. Each training session: 3 min at 30% of maximal workload (Wmax) for warmed up and cold down and 30 min the main training phase.
3. Intensity: Firstly, set at 45% Wmax, and progressively increased 5% per week

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* in sedentary lifestyle, who were nonsmokers, nonusers of medications/vitamins, and free of any cardiopulmonary/hematological risks

Exclusion Criteria

* regular exercise habits (i.e., exercise frequency once per week, duration \>20 min).
Minimum Eligible Age

20 Years

Maximum Eligible Age

30 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Chang Gung Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jong-Shyan Wang

Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jong-Shyan Wang, PhD

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital

Locations

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Chang Gung University

Taoyuan District, , Taiwan

Site Status RECRUITING

Countries

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Taiwan

Central Contacts

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Jong-Shyan Wang, PhD

Role: CONTACT

+886-3-2118800 ext. 5748

Facility Contacts

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Jong-Shyan Wong, PhD

Role: primary

References

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Hoppeler H. Moderate Load Eccentric Exercise; A Distinct Novel Training Modality. Front Physiol. 2016 Nov 16;7:483. doi: 10.3389/fphys.2016.00483. eCollection 2016.

Reference Type BACKGROUND
PMID: 27899894 (View on PubMed)

Haynes A, Linden MD, Chasland LC, Nosaka K, Maiorana A, Dawson EA, Dembo LH, Naylor LH, Green DJ. Acute impact of conventional and eccentric cycling on platelet and vascular function in patients with chronic heart failure. J Appl Physiol (1985). 2017 Jun 1;122(6):1418-1424. doi: 10.1152/japplphysiol.01057.2016. Epub 2017 Mar 16.

Reference Type BACKGROUND
PMID: 28302709 (View on PubMed)

Lindstedt SL, LaStayo PC, Reich TE. When active muscles lengthen: properties and consequences of eccentric contractions. News Physiol Sci. 2001 Dec;16:256-61. doi: 10.1152/physiologyonline.2001.16.6.256. No abstract available.

Reference Type BACKGROUND
PMID: 11719600 (View on PubMed)

LaStayo PC, Ewy GA, Pierotti DD, Johns RK, Lindstedt S. The positive effects of negative work: increased muscle strength and decreased fall risk in a frail elderly population. J Gerontol A Biol Sci Med Sci. 2003 May;58(5):M419-24. doi: 10.1093/gerona/58.5.m419.

Reference Type RESULT
PMID: 12730250 (View on PubMed)

Other Identifiers

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201900415A3C

Identifier Type: -

Identifier Source: org_study_id

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