Exercise and Inflammation
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Purpose
The purpose of this study is to test the hypothesis that aerobic exercise leads to attenuation of the inflammatory response to lipopolysaccharide (LPS) stimulation.
| Condition | Intervention |
|---|---|
|
Cardiovascular Disease |
Behavioral: aerobic training Behavioral: Wait list |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Basic Science |
| Official Title: | Exercise and Inflammation: Autonomic, Affective & Cellular Mechanisms |
- tumor necrosis factor (TNF-alpha) [ Time Frame: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning ] [ Designated as safety issue: No ]TNF-alpha will be measured from whole blood samples stimulated with lipopolysaccharide
- Change in mood, including depressive symptomatology and negative affect [ Time Frame: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning ] [ Designated as safety issue: No ]
- interleukin 1 (IL-1), IL-6, IL-8, IL-10 [ Time Frame: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning ] [ Designated as safety issue: No ]these cytokines will be measured from whole blood samples stimulated with lipopolysaccharide
- TLR-4 [ Time Frame: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning ] [ Designated as safety issue: No ]TLR-4 will be measured from blood samples
- cerebral blood volume (CBV) in the dentate gyrus [ Time Frame: change from before (pre) to after (post) 12 weeks of training ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 182 |
| Study Start Date: | January 2010 |
| Estimated Study Completion Date: | December 2015 |
| Estimated Primary Completion Date: | December 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: aerobic training
12 weeks of aerobic training, 4X/week
|
Behavioral: aerobic training
12 weeks of aerobic training, 4X/week
Other Name: Training, aerobic
|
|
Placebo Comparator: wait list control
wait list control condition, 12 weeks + 4 to parallel the deconditioning protocol in active intervention group
|
Behavioral: Wait list
wait list control condition
Other Name: Condition, wait list control
|
Detailed Description:
Aerobic exercise - the most widely recommended health behavior - is recognized to reduce the risk of coronary heart disease, so much so that consensus panels routinely include it as part of a cardioprotective regimen for healthy people, but the physiological or mechanistic basis of this protection is uncertain. Understanding the mechanisms has considerable public health significance because it will allow development and testing of targeted interventions to produce comparable cardioprotective effects more directly or in cases where aerobic exercise is not possible. This application proposes to test the hypothesis that aerobic training leads to attenuation of the inflammatory response to LPS stimulation and to examine the role played by exercise-induced increases in vagal activity, improvements in mood, and decreased expression of Toll Receptor 4 (TLR4), the cognate receptor for endotoxin expressed by monocytes.
Eligibility| Ages Eligible for Study: | 20 Years to 45 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Age 20-45 years old
- English-speaking
- Ambulatory Interview
- BMI < 32
- Pre-menopausal (women only) with regular cycle lengths between 26-32 days
- "Average" fitness as determined by AHA standards (VO2max < 43 ml/kg/min for men, < 37 ml/kg/min for women) VO2max test
Exclusion Criteria:
- Use of psychotropic medications
- Past or current psychiatric disorder
- Heart disease
- Hypertension
- Diabetes mellitus
- Neurologic disease
- Smoking
- Any condition for which aerobic training is counterindicated
- Use of any medication with autonomic effects
- Use of birth control medication
- Ischemic changes, abnormal blood pressure responses, significant ectopy
Contacts and Locations| United States, New York | |
| Columbia University Medical Center | Recruiting |
| New York, New York, United States, 10032 | |
| Contact: Richard P Sloan, PhD 212-851-5575 | |
| Principal Investigator: | Richard P Sloan, PhD | Columbia University |
More Information
Publications:
| Responsible Party: | New York State Psychiatric Institute |
| ClinicalTrials.gov Identifier: | NCT01335737 History of Changes |
| Other Study ID Numbers: | 5948, HL094423 |
| Study First Received: | July 14, 2010 |
| Last Updated: | February 22, 2013 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Cardiovascular Diseases Inflammation Pathologic Processes |
ClinicalTrials.gov processed this record on May 16, 2013