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Life ExperiencesNCT03521401

Effects of Exercise on Young Adult Women With ACEs: an Integrative Pilot Study

A study testing Exercise in people with Life Experiences, run by Oklahoma State University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The process by which the body responds to stressors to maintain homeostasis is called allostasis and is dependent on the integrated function of the nervous, endocrine, and immune systems. ACEs adversely affect these system, cause allostatic load, and can modify development of allostatic systems. Read more about this study

Who is it for?
Ages 18 to 29 years, women onlyHealthy volunteers can take part
Conditions the study is for
Life Experiences
What is being tested?
Exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
64 participants
Where
1 siteUnited States
Study dates
1 May 2018to 10 Nov 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 29 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • provide written and dated informed consent to participate in the study;
  • be willing and able to comply with the protocol;
  • be between the ages of 18 and 29, inclusive;
  • be free from chronic cardiovascular, pulmonary, or musculoskeletal disease as determined by a health history questionnaire;
  • not currently prescribed or taking anti-inflammatory or lipid-lowering medications;
  • have either an ACE score of 0 or 4 or higher;
Show all 9Show fewer
  • have a BMI between 18.5 and 40.0, inclusive;
  • not enrolled in another clinical trial within thirty days prior to enrollment; and
  • answer no to all questions on the PAR-Q for people aged 15 to 69, which assesses a person's eligibility to engage in exercise without contraindications.

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • 192 Colvin Recreation Center

    Stillwater, Oklahoma, 74074

Other trials in United States

About this study

The process by which the body responds to stressors to maintain homeostasis is called allostasis and is dependent on the integrated function of the nervous, endocrine, and immune systems. ACEs adversely affect these system, cause allostatic load, and can modify development of allostatic systems. However, the central hypothesis is that exercise can reduce allostatic load by positively augmenting function of each of these three systems. No previous studies have examined the effects of structured exercise interventions in individuals with ACEs. The investigators are studying the effects of 8-weeks of structured resistance and aerobic exercise on biomarkers related to nervous, endocrine, immune, and metabolic function and several clinical outcomes in young adult women with ACEs. The specific aims will test several hypotheses, and are as follows: SPECIFIC AIM 1: Conduct a feasibility study to explore whether progressive, structured exercise can help mitigate the adverse physiological effects of stress and trauma early in life. SPECIFIC AIM 2: Determine whether progressive, structured exercise can help improve health-related quality of life, anxiety, and traits like hope, self-efficacy, or self-control, resilience. SPECIFIC AIM 3: Determine whether the type and timing of exposure to ACEs has a significant influence on the severity of psychopathology and long-term physiological response to ACEs.

Being tested
Exercise
Keywords
Adverse Childhood Experiences, Exercise Intervention, Inflammation, Resilience, Health
Medical subject headings
Inflammation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ExerciseBehavioural

    Participants assigned to the exercise group will undergo structured, progressive resistance and aerobic exercise for 8 weeks. Resistance training and aerobic training will each be completed twice weekly for a total of 16 resistance and 16 aerobic exercise training sessions.

Study groups in NCT03521401
Study groupRoleWhat they receive
ACE - Exercise GroupExperimentalParticipants with ACE scores of 4 or higher who will undergo exercise training for the duration of the study (experimental).
Receives: Behavioral: Exercise
ACE - Non-Exercise GroupNo interventionParticipants with ACE scores of 4 or higher who will not undergo exercise training for the duration of the study (+ control).
Non-ACE - Non-Exercise GroupNo interventionParticipants with ACE scores of 0 who will not undergo exercise training for the duration of the study (- control).

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. C-reactive protein

    C-reactive protein concentrations (mg/L) will be examined from blood samples taken before- and after- the 8-week training or control period.

    Measured: 8-weeks

  2. Brain-Derived Neurotrophic Factor

    Plasma concentrations of brain-derived neurotrophic factor (BDNF; pg/mL), a biomarker of neurogenesis, will be examined from blood samples taken before- and after- the 8-week training or control period.

    Measured: 8-weeks

  3. Skeletal muscle size

    Ultrasound based assessments of skeletal muscle size (cm^2) will be obtained before- and after- the 8-week training or control period.

    Measured: 8-weeks

  4. Skeletal muscle strength

    Skeletal muscle strength (Newton meters [Nm]) will be determined before- and after- the 8-week training or control period.

    Measured: 8-weeks

  5. TNF-alpha

    TNF-alpha concentrations (pg/mL) will be examined from blood samples taken before- and after- the 8-week training or control period. TNF-alpha is a cytokine involved in systemic inflammation.

    Measured: 8-weeks

  6. Interleukin-1 receptor agonist

    Interleukin-1 receptor agonist concentrations (pg/mL) will be examined from blood samples taken before- and after- the 8-week training or control period.

    Measured: 8-weeks

  7. Skeletal muscle function

    Motor unit behavior will be assessed utilizing surface electromyographic signal decomposition, which will be collected while participants perform submaximal isometric (i.e., static) muscle actions. These signals will be collected before- and after- the 8-week training or control period. To examine motor unit behavior, the relationship between motor unit recruitment threshold versus firing rate will be determined for all detected motor units for an individual subject.

    Measured: 8-weeks

  8. Cortisol

    Concentrations of salivary cortisol (µg/dL), a stress hormone, will be obtained twice in one day (8 h between samples) before- and after- the 8-week training or control period.

    Measured: 8-weeks

Secondary outcomes (6)
  1. Health-related quality of life

    Health-Related Quality of Life: The RAND 36-item short form survey instrument (SF-36) will be used to assess health-related quality of life (HQROL) before- and after- the 8-week training or control period. This will serve as an overall assessment of each individuals' perception of their health.

    Measured: 8-weeks

  2. Anxiety

    Participants' levels of anxiety will be assessed using the Zung Self-Rating Anxiety Scale (SAS) before- and after- the 8-week training or control period.

    Measured: 8-weeks

  3. Depression

    Participants' levels of depression will be measured utilizing the Center for Epidemiologic Studies Depression Scale Revised (CESD-R) before- and after- the 8-week training or control period.

    Measured: 8-weeks

  4. Resiliency

    Participants' resiliency will be measured using the Connor-Davidson Resilience Scale before- and after- the 8-week training or control period.

    Measured: 8-weeks

  5. Hope

    Participants' levels of hope will be assessed with the 12-item adult hope scale before- and after- the 8-week training or control period.

    Measured: 8-weeks

  6. Monocyte Heterogeneity

    The heterogeneity of monocyte populations will be determined from the white blood cells in blood plasma using flow cytometry. The relative number (%) of CD14++CD16- vs. CD14+CD16++ vs. CD14++CD16+ monocytes will be determined for each participant before- and after- the 8-week training or control period.

    Measured: 8-weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 May 2018
  2. Study start1 May 2018
  3. Primary completion10 Nov 2019
  4. Study completion10 Nov 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03521401
Sponsor's protocol ID
ED17157
Other IDs
P20GM109097
Status last verified
Mar 2021
First submitted
29 Mar 2018
Last updated
3 Mar 2021
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Exercise in people with Life Experiences, run by Oklahoma State University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

C-reactive protein (time frame: 8-weeks). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Mar 2021.

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