Effect of Exercise-Induced Weight Loss on Energy Metabolism
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Purpose
The E-MECHANIC Ancillary Study will measure changes in 24-hour energy expenditure and spontaneous physical activity in a subset of 60 obese individuals enrolled in the main study. We aim to determine if changes in energy metabolism might explain why people don't lose the expected amount of weight in an exercise program.
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | E-MECHANIC Ancillary Study: Effect of Exercise-Induced Weight Loss on Energy Metabolism |
- Change in 24h energy expenditure [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]24h energy expenditure will be measured in a room calorimeter before and after a 24 week exercise program
- Metabolic adaptation in 24h energy expenditure [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]The difference between the actual change in 24 energy expenditure and the energy expenditure estimated on the basis of body size will be compared between: 1) exercise groups and 2) between individuals who lost the expected amount of weight and individuals who did not lose the expected amount of weight during the exercise program
- Sleeping energy expenditure [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]Sleeping energy expenditure will be measured in a room calorimeter before and after a 24 week exercise program
- Spontaneous physical activity [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]Spontaneous physical activity will be measured in a room calorimeter before and after a 24 week exercise program
| Estimated Enrollment: | 60 |
| Study Start Date: | December 2010 |
| Estimated Study Completion Date: | June 2015 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
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Self Directed Exercise
Participants randomized to the self-directed group will receive information on physical activity recommendations and guidelines on nutrition aimed at promoting weight loss. Participants will not be given a specific exercise recommendation in terms of weekly energy expenditure.
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Low Intensity Exercise
Individuals assigned to the low dose exercise group will be required to expend 8 calories per kg of body weight per week in structured aerobic exercise on a treadmill or stationary bicycle. The exercise intensity will be maintained at 65% of VO2peak. The caloric goal of each session will be calculated by dividing the weekly caloric expenditure goal by participant selected exercise frequency (i.e., 3, 4 or 5 times per week). The training program consists of a 3-min warm-up at a progressively increasing intensity until the prescribed training intensity is reached. All exercise sessions are conducted at the PBRC Fitness Center and will be supervised by staff trained on the aspects of the study protocol.
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High Intensity Exercise
Individuals assigned to the low dose exercise group will be required to expend 20 calories per kg of body weight per week in structured aerobic exercise on a treadmill or stationary bicycle. The exercise intensity will be maintained at 65% of VO2peak. The caloric goal of each session will be calculated by dividing the weekly caloric expenditure goal by participant selected exercise frequency (i.e., 3, 4 or 5 times per week). The training program consists of a 3-min warm-up at a progressively increasing intensity until the prescribed training intensity is reached. All exercise sessions are conducted at the PBRC Fitness Center and will be supervised by staff trained on the aspects of the study protocol.
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Detailed Description:
This is an ancillary study to E-Mechanic, which is an National Institutes of Health study in 198 individuals with the objective to understand why certain people fail to lose weight in exercise programs. In E-Mechanic changes in body weight, body composition, energy intake and energy expenditure are measured before and after 3 different exercise programs of 24 weeks in duration. The 3 exercise programs being compared are self-directed exercise, low dose exercise and high dose exercise. The goal of this ancillary study is to undertake comprehensive assessments of energy metabolism in a metabolic chamber in a group of 60 obese individuals enrolled in the main study. We will compare differences in the changes in 24h energy expenditure and spontaneous physical activity between the 3 exercise programs. We will also test if changes in energy metabolism might explain why people don't lose the expected amount of weight after 24 weeks of exercise.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Men and Women enrolled in E-MECHANIC
Inclusion Criteria:
- Individuals enrolled in the E-MECHANIC main study (NCT#01264406) with a body mass index (BMI) greater than or equal to 30 kg/m2.
Exclusion Criteria:
- Not enrolled in the E-MECHANIC main study (NCT#01264406).
- Have a body mass index (BMI) less than 30 kg/m2.
Contacts and Locations| United States, Louisiana | |
| Pennington Biomedical Research Center | Recruiting |
| Baton Rouge, Louisiana, United States, 70808 | |
| Contact: Elizabeth A Frost, B.S. 225-763-2794 elizabeth.frost@pbrc.edu | |
| Principal Investigator: Leanne M Redman, Ph.D. | |
| Principal Investigator: | Leanne M Redman, Ph.D. | Pennington Biomedical Research Center |
More Information
No publications provided
| Responsible Party: | Leanne Redman, Principal Investigator, Pennington Biomedical Research Center |
| ClinicalTrials.gov Identifier: | NCT01775163 History of Changes |
| Other Study ID Numbers: | PBRC10008-A, PBRC 10008-A |
| Study First Received: | January 22, 2013 |
| Last Updated: | January 22, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Pennington Biomedical Research Center:
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Energy Metabolism Weight Loss Exercise |
Additional relevant MeSH terms:
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Weight Loss Body Weight Changes Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013