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Osteoporotic FractureThermOsNCT03570008

Preventing the Risk of Osteoporotic Fracture in Premenopausal Women by a Spa Residential Physical Activity Program

A study testing 9 days spa residential program and 3 sessions of 10 minutes per day of physical exercise in people with Osteoporotic Fracture, run by University Hospital, Clermont-Ferrand at 1 site in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Osteoporosis is an increasing public health problem. Involution of bone mass in women is due to a reduction in sensitivity of the bone to the mechanical stress due to the slow-down of the bone turnover after 35 years old. Read more about this study

Who is it for?
Ages 40 to 50 years, women onlyHealthy volunteers can take part
Conditions the study is for
Osteoporotic Fracture
What is being tested?
9 days spa residential program and 3 sessions of 10 minutes per day of physical exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
1 siteFrance
Study dates
1 Mar 2017to 1 Mar 2021
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 40 to 50 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Women with regular cycles
  • 40-50 years old
  • Sedentary lifestyle
  • stable body weight over the previous 6 months
  • Normal weighted (BMI<30)
  • written informed consent.
  • Affiliated to French health care system (for France)

Who cannot join

  • Menopausal women
  • Regular physical activity > 4 hours / week of moderate or high intensities
  • Participant refusal to participate
  • Hepatic, renal, or psychiatric diseases, nor cardiovascular or endocrine diseases (thyroid diseases will be included)
  • HIV infection
  • Use of medications altering body weight, corticosteroids, Nonsteroidal anti-inflammatory drugs
Show all 11Show fewer
  • Use of medications influencing bone parameters such as bisphosphonate, other osteoporotic treatment therapy, or chemotherapy
  • Regular alcohol consumption (>20g of alcohol per day)
  • Restricted diet over the previous 6 months
  • Deficit or supplementation in vitamin D
  • Protected persons are not excluded

Trial locations and contacts

1 site in 1 country.

France1 site, 1 recruiting
  • CHU Clermont-Ferrand

    Clermont-Ferrand, 63003

    Patrick LACARIN, 0473751195, placarin@chu-clermontferrand.fr

    Frederic DUTHEIL

    Recruiting

Other trials in France

About this study

Osteoporosis is an increasing public health problem. Involution of bone mass in women is due to a reduction in sensitivity of the bone to the mechanical stress due to the slow-down of the bone turnover after 35 years old. Osteoporosis is a silent disease combining a decrease in bone mass (quantity) and an impaired bone microarchitecture (quality) leading to an increased risk of fracture. Bone microarchitecture is an important element to be taken into account in assessing the bone properties, as demonstrated by numerous ex vivo studies.

Bone densitometry only identifies 50% of osteoporotic fractures. The other half of the fractures appears in osteopenic women. The measurement of bone mineral density is too limited to assess risk of fracture. Bone microarchitecture can be assessed through a peripheral quantitative computed tomography scan (computed tomography peripherical - pQCT). The microarchitecture data allow the calculation of bone strength index (BSI) and stress strength index (SSI) highly predictive of fracture risk. These qualitative determinants of bone fragility are the most relevant to evaluate effect of physical activity over a short period compared with bone mineral content and density, which requires several months of constraints. Biochemical markers of bone turnover, specifically those of bone resorption, are predictive of the risk of osteoporotic fracture.

Read more

Physical activity can reduce the risk of fracture up to 20-35% via direct effects on bone strength, at any age. However, response of bone varies with modalities of exercise. Repeated exercise produces greater bone adaptations than a single bout. Moreover, it has been well demonstrated since 1970 that bone responds to a dynamic stimulation, but not a static stimulation, with a dose response relationship. It has been confirmed in premenopausal women.

The effect of physical activity on microarchitectural bone parameters (porosity and density of cortical and trabecular) has not been investigated in primary prevention. This original study would highlight the effect of short-term specific physical activity on the prevention of bone fragility (qualitative) observed with age in premenopausal women.

The main hypothesis is that a spa residential program including physical activity will have greater benefits on bone cortical porosity than a spa residential program alone or physical activity alone, in premenopausal women.

Read the detailed description

The ThermOs protocol was designed to provide a better understanding of the effect of physical activity on microarchitectural bone parameters (porosity and density of cortical and trabecular), in prevention of bone fragility among premenopausal women.

In the present protocol, parameters are measured on four occasions (baseline, 10 days, at 6 months and at 12 months).

Statistical analysis will be performed using Stata software (version 13; Stata-Corp, College Station, Tex., USA). All statistical tests will be two-sided and p<0.05 will be considered significant. After testing for normal distribution (Shapiro-Wilk test), data will be treated either by parametric or non-parametric analyses according to statistical assumptions.

Inter-groups comparisons will systematically be performed 1) without adjustment and 2) adjusting on factors liable to be biased between groups.

Analysis will be performed using anova or Kruskal-Wallis (KW) tests. When appropriate (p<0.05), a post-hoc test for multiple comparisons (Tukey-Kramer after anova and Dunn post KW) will be used. Linear regression (with logarithmic transformation if necessary) considering an adjustment on covariates fixed according to epidemiological relevance and observance to physical activity will complete the analysis. Relations between quantitative outcomes will be analyzed using correlation coefficients (Pearson or Spearman) and compared with Chi-squared or Fischer test. Longitudinal data will be treated using mixt-model analyses in order to treat fixed effects group, time and group x time interaction taking into account between and within participant variability.

Being tested
9 days spa residential program, 3 sessions of 10 minutes per day of physical exercise
Keywords
prevention, bone, physical activity, spa bath, women
Medical subject headings
Osteoporotic Fractures, Motor Activity

What participants receive

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

  • 9 days spa residential programBehavioural

    After the inclusion visit, the participants will be involved in a short-term spa residential program of 9 days (Sp). The will be randomized into 3 groups of 30 participants:

    • Sp-Ex: spa residential program including physical activity
    • Sp-alone: spa residential program alone
    • Ex-alone: physical activity alone

    After the spa residential program, participants will undergo a one-year at-home follow-up. The participants will be required to complete the same program by themselves.

    A journal and an accelerometer-pedometer watch will record the weekly physical activity performed. Monitoring will be further monthly assessed by a health-care professional from the spa resorts.

  • 3 sessions of 10 minutes per day of physical exerciseBehavioural

    After the inclusion visit, the participants will be involved in a short-term spa residential program of 9 days (Sp). The will be randomized into 3 groups of 30 participants:

    • Sp-Ex: spa residential program including physical activity
    • Sp-alone: spa residential program alone
    • Ex-alone: physical activity alone

    After the spa residential program, participants will undergo a one-year at-home follow-up. The participants will be required to complete the same program by themselves.

    A journal and an accelerometer-pedometer watch will record the weekly physical activity performed. Monitoring will be further monthly assessed by a health-care professional from the spa resorts.

Study groups in NCT03570008
Study groupRoleWhat they receive
Sp-ExExperimentala 9 days spa residential program including physical activity. 3 sessions of 10 minutes per day of physical exercise for bone health improvements supervised by a professional of adapted physical activity. Participants will benefit advices from national plan for physical activity and nutrition (NPPN)
Receives: Behavioral: 9 days spa residential program; Behavioral: 3 sessions of 10 minutes per day of physical exercise
Sp-aloneActive comparatorParticipants will benefit a short term spa residential program of 9 days. In addition they will benefit advices from national plan for physical activity and nutrition (NPPN)
Receives: Behavioral: 9 days spa residential program
Ex-aloneActive comparatorParticipants will benefit 3 sessions of 10 minutes per day of physical exercise for bone health improvements supervised by a professional of adapted physical activity. Participants will benefit advices from national plan for physical activity and nutrition (NPPN)
Receives: Behavioral: 3 sessions of 10 minutes per day of physical exercise

What is being measured

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

  1. Variation of bone cortical porosity in premenopausal women after the interventional phase.

    To evaluate the effectiveness of a spa residential program including physical activity (Sp-Ex) on bone cortical porosity compared with a spa residential program alone (Sp-alone) or physical activity alone (Ex-alone), in premenopausal women.

    Measured: at Baseline

  2. Variation of bone cortical porosity in premenopausal women

    To evaluate the effectiveness of a spa residential program including physical activity (Sp-Ex) on bone cortical porosity compared with a spa residential program alone (Sp-alone) or physical activity alone (Ex-alone), in premenopausal women.

    Measured: after 10 days

  3. Variation of bone cortical porosity in premenopausal women

    To evaluate the effectiveness of a spa residential program including physical activity (Sp-Ex) on bone cortical porosity compared with a spa residential program alone (Sp-alone) or physical activity alone (Ex-alone), in premenopausal women.

    Measured: after 6 months

  4. Variation of bone cortical porosity in premenopausal women

    To evaluate the effectiveness of a spa residential program including physical activity (Sp-Ex) on bone cortical porosity compared with a spa residential program alone (Sp-alone) or physical activity alone (Ex-alone), in premenopausal women.

    Measured: after 12 months

Secondary outcomes (26)
  1. bone fracture risk

    questionnaire (FRAX - Fracture Risk Assessment Tool, bone fracture risks ; after registering results from DXA and personal details the computer calculates the fracture risks based on an algorithm)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  2. General Health

    General Health will be measured using the General Health Questionnaire, (there is no score, just informative health information)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  3. Greater short-term benefits on health factors with the Sp-Ex program than with Sp-alone or Ex-alone (Bone health will be obtained from the combination of 5 measures).

    Evaluate the effectiveness of the Sp-Ex program compared with the Sp-alone or Ex-alone on short-term modification of health factors among premenopausal women.

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  4. Physical Activity

    Quality of life will be measured using the SF-36 (Short Form 36 ; 9 sections questionnaire ; scale range from 0 (bad) to 100(excellent))

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  5. Quality of life

    Calcium intake will be measured using the Fardellonne questionnaire (recommended daily consummation in France: women 900 mg/d; women >55 years old 1200mg/d)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  6. Calcium intake

    Depression and anxiety will be measured using Hamilton scale (scale range from 0 to 4, if > 20 high level of anxiety)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  7. Depression and anxiety

    Depression and anxiety will be measured using the Hospital anxiety and depression scale (scale range from 0 to 3, with a total score between 0 to 21. Threshold score is 8)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  8. Depression and anxiety

    anxiety will be measured using the state and trait anxiety inventory scale (scale range from 1 to 4, with a total score between 20 to 80. If <35 poor level of anxiety, if > 66 very high level of anxiety)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  9. Anxiety

    Burn-out will be measured using the Maslach Burn Out Inventory (scale range from 0 to 6, with 0 = never and 6 = almost always)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  10. Burn-out

    Job content will be measured using the Karasek questionnaire (scale range from 1 to 4, with 1= not agreed and 4 = totally agreed)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  11. Job content

    Job content will be measured using the Karasek questionnaire (scale range from 1 to 4, with 1= not agreed and 4 = totally agreed)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  12. Body mass

    Body mass (muscle and fat) will be measured using Impedancemeter

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  13. Anthropometry

    weight (kg) will be obtained according to the ISAK (International Society for the Advancement of Kinanthropometry) recommendations

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  14. Anthropometry

    height (m) will be obtained according to the ISAK (International Society for the Advancement of Kinanthropometry) recommendations

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  15. Anthropometry

    waist circumference (cm) will be obtained according to the ISAK (International Society for the Advancement of Kinanthropometry) recommendations

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  16. Basic biology

    HbA1c (mmol/mol) will be measured using endocrine assays

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  17. Basic biology

    HDLc (mmol/L) will be measured using endocrine assays

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  18. Basic biology

    LDL-cholesterol (mmol/L) will be measured using endocrine assays

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  19. Basic biology

    Triglyceride (TG-mmol/L) will be measured using endocrine assays

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  20. Vitamin D

    Vitamin D will be measured using endocrine assays

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  21. Leptin

    Leptin will be measured using endocrine assays

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  22. Pro-inflammatory cytokine

    Pro-inflammatory cytokine (IL-1β, IL-6, IL-1, TNFα, IFNγ) will be measured using endocrine assays

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  23. heart rate variability

    heart rate variability will be measured using Holter

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  24. electrodermal activity

    electrodermal activity (skin conductance) will be measured using Wirst band electrodes

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  25. physical activity behaviour

    physical activity behaviour will be measured using an activity journal (participant will have to write all their daily activity from when they wake up to when they go to bed)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

  26. physical activity behaviour

    will be measured using an accelerometer-pedometer watch (daily step count)

    Measured: at Baseline, after 10 days, after 6 months, after 12 months

Timeline

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

  1. First posted26 Jun 2018
  2. Study start1 Mar 2017
  3. Primary completion1 Mar 2021 (estimated)
  4. Study completion1 Mar 2021 (estimated)

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
90 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03570008
Sponsor's protocol ID
CHU-387
Other IDs
2016-A02083-48
Acronym
ThermOs
Status last verified
Jun 2018
First submitted
26 Mar 2018
Last updated
26 Jun 2018
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing 9 days spa residential program and 3 sessions of 10 minutes per day of physical exercise in people with Osteoporotic Fracture, run by University Hospital, Clermont-Ferrand at 1 site in France.

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 7 inclusion and 11 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: status not confirmed, as of the sponsor's last update on 26 Jun 2018. 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 France. 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?

Results are not available in the source record.

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

Contact Patrick LACARIN (0473751195, placarin@chu-clermontferrand.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Variation of bone cortical porosity in premenopausal women after the interventional phase. (time frame: at Baseline). The study lists 4 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 26 Jun 2018.

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