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Nutrition PhysiologyNPOWER P1NCT07548515

Understanding the Relationship of Body Composition and Metabolism in Adult and Older Filipino Endurance and Strength Athletes in the Philippines

An observational study of Nutrition Physiology and Athletes, run by Food and Nutrition Research Institute, Philippines.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study aims to address the gap by investigating the correlation between body composition and metabolism in adult and older Filipino endurance and strength athletes. It seeks to offer significant insights that can guide age- and sport-specific training programs, nutritional strategies, and health interventions… Read more about this study

Who is it for?
Ages 20 to 69 yearsHealthy volunteers can take part
How many people
120 participants
Where
No sites listed yet
Study dates
1 May 2026to 31 Jan 2027
How long will I take part?
3 Days
Phase
Observational
Are there results?
Not yet: the study is under way

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 20 to 69 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The participants will include both athletes and non-athletes, comprising early and mid-adults aged 20-40 and older adults aged 60-69. The athletes will consist of endurance athletes (those engaged in sports like running, swimming, and cycling, among others) and strength athletes (those engaged in weightlifting).

Who may be able to join

  • Male or female athletes aged 20-40 (early and mid-adults) and 60-69 (older adults)
  • Natural-born Filipinos with maternal and paternal Filipino heritage
  • Current and former national and professional athletes, actively participating in endurance or strength sports events or recreational sports events
  • Current off-season athletes undergoing training or former professional athletes who played <3 years ago
  • With ≥3 years of formal, structured athletic training
  • Apparently healthy (no cardiovascular conditions, respiratory diseases, musculoskeletal disorders, neurological conditions and metabolic disorders)
Show all 14Show fewer
  • Ambulatory and can perform physical activity exercises such as treadmill walking/running and stationary bike
  • Cleared by a physician to participate in exercise testing; for older adults, clearance must be based on electrocardiogram (ECG) results.
  • Age (+3 years) and sex-matched community-dwelling participants
  • Natural-born Filipinos with maternal and paternal Filipino heritage
  • Not involved in structured or competitive exercise training
  • Apparently healthy (no cardiovascular conditions, respiratory diseases, musculoskeletal disorders, neurological conditions and metabolic disorders)
  • Ambulatory and can perform physical activity exercises such as treadmill walking/running and stationary bike
  • Cleared by a physician to participate in exercise testing; for older adults, clearance must be based on electrocardiogram (ECG) results.

Who cannot join

  • Unable to comprehend and answer the questions
  • Presence of metal implants and/or pacemaker
  • Has limited mobility and a history of orthopedic surgery (that may limit their mobility)
  • With medically diagnosed severe diseases that could affect body composition or metabolism (i.e., cardiovascular diseases, diabetes, cancer, renal diseases, thyroid disorders)
  • Experienced minor or major injury in the past 3 months that will inhibit the performance
  • Taking prohibited sports substances banned by the World Anti-Doping Program that may influence the performance of exercise
  • Taking medications that can affect metabolism (e.g., mood stabilizers, GLP-1 receptor agonists etc.)
  • Current smoker or Electronic Nicotine Delivery System (ENDS; vape, e-cigarette) smoker

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: Understanding the Relationship of Body Composition and Metabolism in Adult and Older Filipino Endurance and Strength Athletes in the Philippines (NPOWER P1)

This study aims to address the gap by investigating the correlation between body composition and metabolism in adult and older Filipino endurance and strength athletes. It seeks to offer significant insights that can guide age- and sport-specific training programs, nutritional strategies, and health interventions adapted to the requirements of Filipino athletes. The results may help enhance the wider discussion on fostering healthy aging and athletic longevity in the Philippines.

Read the detailed description

The general objective of the study is to conduct fundamental researches in nutrition physiology among Filipino athletes in selected sports through evaluation of their body composition, metabolism, nutritional status, aerobic capacity, and physical performance using validated assessment tools. Specifically, the study aims to:

  • Compare the body composition of Filipino athletes and age- and sex-matched non-athletes using bioelectrical impedance analysis (BIA), dual-energy X-ray absorptiometry (DXA), air displacement plethysmography (ADP), muscle ultrasound and deuterium dilution technique;
  • Assess and compare the metabolism via resting and activity energy expenditure, nutritional status, dietary intake, and aerobic capacity of Filipino athletes and age- and sex-matched non-athletes using indirect calorimetry techniques, anthropometric measurements, food diaries, VO₂max measurement, lactic acid threshold, and Incremental Step Test;
  • Determine the association of body composition, metabolism, and aerobic capacity among adults and senior citizen athletes partaking in recreational sports; and
  • Analyze the relationship of nutritional status and metabolism with physical performance indicators among adults and senior citizen athletes partaking in recreational sports.
Keywords
Body composition, metabolism, aerobic capacity, Athletes

What participants receive

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

Study groups in NCT07548515
Study groupRoleWhat they receive
AthletesStrength and Endurance Athletes
Non-athletesCommunity-dwelling participants

What is being measured

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

  1. Fat Mass in kilograms and percentage

    Fat mass will be measured using the Bioelectric Impedance Analyzer (BIA), the Dual X-ray absorptiometry (DXA) Machine, Deuterium Dilution Technique (DDT), ultrasound technology, and air displacement method.

    Measured: The expected period of the collection per participant is 3 days.

  2. Fat-Free Mass in kilograms and percentage

    Fat-free mass will be measured using the Bioelectric Impedance Analyzer (BIA), the Dual X-ray absorptiometry (DXA) Machine, Deuterium Dilution Technique (DDT), ultrasound technology, and air displacement method.

    Measured: The expected period of the collection per participant is 3 days.

  3. Resting Metabolic Rate in kilocalories per day

    Resting Metabolic Rate Energy expenditure at rest will be measured using an indirect calorimeter (COSMED Fitmate, Rome, Italy) in the fasting state (10-12 hours).

    Measured: The expected period of the collection per participant is 3 days.

  4. Activity Energy Expenditure in kilocalories

    Active energy expenditure will be measured using an indirect calorimeter (COSMED K5). They will follow an Incremental Step Test using a cycle ergometer.

    The participants will be assisted by a researcher during the familiarization phase wherein the KOPS Approach and Familiarization to the equipment will be held. The KOPS Approach must have their legs at least right angle, knees and arms should not be over extended. Make sure that the feet of participants are sealed onto the pedal pads. Participants will be instructed to maintain a pedaling rate of 40-60 revolutions per minute (rpm). Each stage of the test will last three minutes, with the workload increasing progressively until the participant reaches fatigue or test termination

    Measured: The expected period of the collection per participant is 3 days.

  5. Aerobic Capacity in mL/kg/min

    Aerobic capacity will be measured using an incremental step test in an ergocycle.

    Measured: The expected period of the collection per participant is 3 days.

  6. Blood Lactate Concentration in mmol/L during exercise

    Lactate levels will be measured at baseline, during the conducted of incremental step test (during stage 3 and stage 5), and during the cool down period. 20 uL of blood will be collected through finger-prick.

    Measured: The expected period of the collection per participant is 3 days.

  7. Handgrip strength in kilograms

    A hydraulic hand dynamometer will be used as an objective instrument for grip strength.

    Measured: The expected period of the collection per participant is 3 days.

  8. Leg strength in Newton-meter

    An isokinetic dynamometer will be utilized to measure leg strength, precisely that of the quadriceps muscle. This will be assessed using maximal voluntary contraction (MVC) of the knee extensors using an isokinetic dynamometer.

    Measured: The expected period of the collection per participant is 3 days.

  9. Speed of participants in kilometers per hour

    To assess the speed of young athletes and non-athletes, the study will use the Beep Test. In this test, participants run back and forth between two cones placed 20 meters apart, following the pace set by audio "beep" sounds. Divided into 21 levels, with each level lasting about 1 minute. The running speed starts at 8.5 km/h and gradually increases by 0.5 km/h at every making the test more challenging as it progresses.

    Measured: The expected period of the collection per participant is 3 days.

  10. Dietary Intake in kilocalories or grams per day

    The participants' dietary intake for two non-consecutive days (one weekday and one weekend) before the data collection will be collected using a food record (FR). For athletes, it is preferable that one training day will be reflected in their FR but only when it coincides with the scheduled activities; otherwise, this is not required. Average daily energy, protein, carbohydrates, and fats intake will be reported.

    Measured: The expected period of the collection per participant is 3 days.

Timeline

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

  1. First posted23 Apr 2026
  2. Study start1 May 2026 (estimated)
  3. Primary completion31 Oct 2026 (estimated)
  4. Study completion31 Jan 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Cross-sectional
Enrolment
120 participants (estimated)
Target duration
3 Days
IDs, dates and publications
ClinicalTrials.gov ID
NCT07548515
Sponsor's protocol ID
FIERC-2025-019
Acronym
NPOWER P1
Status last verified
Apr 2026
First submitted
15 Apr 2026
Last updated
23 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: all IPD that underlie results in a publication

Publications

  • Zurlo F, Larson K, Bogardus C, Ravussin E. Skeletal muscle metabolism is a major determinant of resting energy expenditure. J Clin Invest. 1990 Nov;86(5):1423-7. doi: 10.1172/JCI114857.

    PubMed 2243122
  • Zhang R, Dong SY, Wang F, Ma C, Zhao XL, Zeng Q, Fei A. Associations between Body Composition Indices and Metabolic Disorders in Chinese Adults: A Cross-Sectional Observational Study. Chin Med J (Engl). 2018 Feb 20;131(4):379-388. doi: 10.4103/0366-6999.225059.

    PubMed 29451141
  • Yu T, Oguma Y, Asakura K, Takayama M, Abe Y, Arai Y. Relationship between Dietary Patterns and Subjectively Measured Physical Activity in Japanese Individuals 85 Years and Older: A Cross-Sectional Study. Nutrients. 2022 Jul 17;14(14):2924. doi: 10.3390/nu14142924.

    PubMed 35889881
  • Wulan SN, Raza Q, Prasmita HS, Martati E, Maligan JM, Mageshwari U, Fatima I, Plasqui G. Energy Metabolism in Relation to Diet and Physical Activity: A South Asian Perspective. Nutrients. 2021 Oct 25;13(11):3776. doi: 10.3390/nu13113776.

    PubMed 34836031
  • Tseng BY, Uh J, Rossetti HC, Cullum CM, Diaz-Arrastia RF, Levine BD, Lu H, Zhang R. Masters athletes exhibit larger regional brain volume and better cognitive performance than sedentary older adults. J Magn Reson Imaging. 2013 Nov;38(5):1169-76. doi: 10.1002/jmri.24085. Epub 2013 Mar 21.

    PubMed 23908143
  • Tanaka H, Seals DR. Endurance exercise performance in Masters athletes: age-associated changes and underlying physiological mechanisms. J Physiol. 2008 Jan 1;586(1):55-63. doi: 10.1113/jphysiol.2007.141879. Epub 2007 Aug 23.

    PubMed 17717011
  • Tanaka H, Tarumi T, Rittweger J. Aging and Physiological Lessons from Master Athletes. Compr Physiol. 2019 Dec 18;10(1):261-296. doi: 10.1002/cphy.c180041.

    PubMed 31853968
  • Tanaka H. Aging of Competitive Athletes. Gerontology. 2017;63(5):488-494. doi: 10.1159/000477722. Epub 2017 Jun 15.

    PubMed 28614835
  • St-Onge MP, Gallagher D. Body composition changes with aging: the cause or the result of alterations in metabolic rate and macronutrient oxidation? Nutrition. 2010 Feb;26(2):152-5. doi: 10.1016/j.nut.2009.07.004. Epub 2009 Dec 8.

    PubMed 20004080
  • Stanforth PR, Crim BN, Stanforth D, Stults-Kolehmainen MA. Body composition changes among female NCAA division 1 athletes across the competitive season and over a multiyear time frame. J Strength Cond Res. 2014 Feb;28(2):300-7. doi: 10.1519/JSC.0b013e3182a20f06.

    PubMed 23860290
  • Strasser B, Pesta D, Rittweger J, Burtscher J, Burtscher M. Nutrition for Older Athletes: Focus on Sex-Differences. Nutrients. 2021 Apr 22;13(5):1409. doi: 10.3390/nu13051409.

    PubMed 33922108
  • Santos DA, Dawson JA, Matias CN, Rocha PM, Minderico CS, Allison DB, Sardinha LB, Silva AM. Reference values for body composition and anthropometric measurements in athletes. PLoS One. 2014 May 15;9(5):e97846. doi: 10.1371/journal.pone.0097846. eCollection 2014.

    PubMed 24830292
  • Roh J, Rhee J, Chaudhari V, Rosenzweig A. The Role of Exercise in Cardiac Aging: From Physiology to Molecular Mechanisms. Circ Res. 2016 Jan 22;118(2):279-95. doi: 10.1161/CIRCRESAHA.115.305250.

    PubMed 26838314
  • Roelofs EJ, Smith-Ryan AE, Trexler ET, Hirsch KR. Seasonal Effects on Body Composition, Muscle Characteristics, and Performance of Collegiate Swimmers and Divers. J Athl Train. 2017 Jan;52(1):45-50. doi: 10.4085/1062-6050-51.12.26. Epub 2016 Dec 1.

    PubMed 27905858
  • Raguso CA, Kyle U, Kossovsky MP, Roynette C, Paoloni-Giacobino A, Hans D, Genton L, Pichard C. A 3-year longitudinal study on body composition changes in the elderly: role of physical exercise. Clin Nutr. 2006 Aug;25(4):573-80. doi: 10.1016/j.clnu.2005.10.013. Epub 2005 Dec 5.

    PubMed 16330136

Questions about this trial

What is this clinical trial studying?

An observational study of Nutrition Physiology and Athletes, run by Food and Nutrition Research Institute, Philippines.

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 14 inclusion and 8 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: opening soon, as of the sponsor's last update on 23 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

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?

This study is still under way. Results are not available in the source record yet.

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

Contact Ma. Lourdes T. Cumagun (8837-8113 to 14 ext. local 306, maloucumagun@yahoo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fat Mass in kilograms and percentage (time frame: The expected period of the collection per participant is 3 days.). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07548515, which also lists 42 linked publications.

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 23 Apr 2026.

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