The Effects of Resistance Training and a Plant-Based Supplement on Perimenopausal Symptoms and Muscle Health.

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age40-55
SponsorLeeds Beckett University

About this trial

The aim of this clinical trial is to determine if resistance training and a newly developed plant-based nutritional supplement can improve the symptoms and musculoskeletal health of perimenopausal women.

The main questions it aims to evaluate are:

1. Can resistance training and the nutritional supplement - both independently and in combination - improve perimenopausal symptoms (e.g. cognition, mood, sleep) and musculoskeletal outcomes (e.g. strength, muscle mass)? 2. What are the acute effects of the nutritional supplement on cognitive function and mood in perimenopausal women, and is this response altered following long-term intake (12 weeks)? 3. What mechanisms may be contributing to the results?

Participants will be split into four groups to allow the researchers to answer the above questions. These are:

1. The nutritional supplement + resistance training 2. The nutritional supplement only 3. The placebo supplement (A look alike capsule that contains no active ingredients) and resistance training 4. The Placebo supplement only.

Participants will:

* Take their allocated supplement daily and perform home-based strength exercise 3 times per week (for exercise groups), for 12 weeks. * Attend the laboratory at the beginning and end of the 12 weeks to assess cognitive function and mood following acute intake of the supplement. * Attend the laboratory every 4 weeks during the 12 week period, for assessment of cognitive function, symptom severity and muscle health. * Provide a blood sample at each visit for assessment of mechanistic pathways.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Perimenopausal women between 40 - 55 years

Not currently engaging in consistent structured resistance training (defined as >3 resistance training sessions per week for 4 consecutive weeks, in the past six months).

Not on any HRT or hormonal contraception for at least one year before initiation of the study.

Able to attend laboratory visits and commit to the intervention schedule for 6 months.

Disqualifiers

Diagnosed cardiovascular disease (CVD), uncontrolled hypertension (>160/100 mmHg), or other conditions that prevent safe exercise participation.

Clinically diagnosed mental health disorders (e.g., bipolar disorder, schizophrenia, severe depression requiring medication adjustment within the last 6 months).

Neurological conditions affecting cognitive function (e.g., Parkinson's disease, multiple sclerosis, epilepsy).

Endocrine disorders that could impact hormonal fluctuations or metabolism (e.g., uncontrolled diabetes, thyroid dysfunction).

Trial design

Design model

Parallel

Treatments tested in this trial

  • Sarmentosin - L- theanine

    Dietary supplement

    Two capsules to give an overall dose of 20 mg of Sarmentosin and 400mg of L-theanine

  • Resistance Training

    Other intervention

    Home-based Resistance training. Exercises will target the lower and upper body and utilise body weight, resistance bands, dumbbells and push-up handles.

  • Placebo Supplement

    Dietary supplement

    Capsules matched for taste and appearance, without any active ingredients.

Treatment groups

72 Participants
are divided into 4 treatment groups
Group A: Placebo Supplement OnlyPlacebo comparator 1 intervention
Group B: Placebo Supplement and Resistance TrainingExperimental treatment 2 interventions
Group C: Active Supplement OnlyExperimental treatment 1 intervention
Group D: Active Supplement and Resistance TrainingExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Depressive Symptom Score at week 4

Assessed using the depressive sub-scale of the Depression, Anxiety and stress scale - 21 items. Assessed on a scale from 0 - 3 over 7 questions, with a maximum score of 42. Higher scores indicate more severe depressive symptoms.

Time frame
Week 4
2

Depressive Symptom Score at Week 8

Assessed using the depressive sub-scale of the Depression, Anxiety and stress scale - 21 items. Assessed on a scale from 0 - 3 over 7 questions, with a maximum score of 42. Higher scores indicate more severe depressive symptoms.

Time frame
Week 8
3

Depressive Symptom Score at Week 12

Assessed using the depressive sub-scale of the Depression, Anxiety and stress scale - 21 items. Assessed on a scale from 0 - 3 over 7 questions, with a maximum score of 42. Higher scores indicate more severe depressive symptoms.

Time frame
Week 12
4

Change in Sustained Attention Pre- to Post-Supplement Intake at Week 1

Assessed as the signal detection measure of a subject's sensitivity to the target sequence (A') during the Cambridge Neuropsychological Test Automated Battery rapid visual information processing test.

Time frame
Pre- to 1 hour post- supplement intake at week 1 of the intervention.

Secondary outcomes

1

Verbal Episodic Memory Performance at Week 4

Assessed as the number of errors made on the Cambridge Neuropsychological Test Automated Battery verbal paired associates task.

Time frame
Week 4
2

Verbal Episodic Memory Performance at Week 8

Assessed as the number of errors made on the Cambridge Neuropsychological Test Automated Battery verbal paired associates task

Time frame
Week 8
3

Verbal Episodic Memory Performance at Week 12

Assessed as the number of errors made on the Cambridge Neuropsychological Test Automated Battery verbal paired associates task.

Time frame
Week 12
4

Working Memory Performance at Week 4

Assessed as the longest sequence successfully completed during the Cambridge Neuropsychological Test Automated Battery digit span task.

Time frame
Week 4

Other outcomes

1

A Panel of Serum Steroid Hormones (e.g. Oestradiol, Progesterone, Testosterone and Cortisol) at Week 4

Analysed using LCMS from a serum sample.

Time frame
Week 4
2

A Panel of Serum Steroid Hormones (e.g. Oestradiol, Progesterone, Testosterone and Cortisol) at Week 8

Analysed using LCMS from a serum sample.

Time frame
Week 8
3

A Panel of Serum Steroid Hormones (e.g. Oestradiol, Progesterone, Testosterone and Cortisol) at Week 12

Analysed using LCMS from a serum sample.

Time frame
Week 12
4

Brain Derived Neurotrophic Factor at week 4

Analysed using ELISA from obtained serum sample

Time frame
Week 4

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