The Impact of Biological Mechanisms of Aging on Response Variability to Resistance Training in Older Adults

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorMayo Clinic

About this trial

To critically examine biological, clinical, and behavioral modulators of progressive resistance training-associated exercise response heterogeneity in physical function and whole-body metabolism in older adults.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

aged greater than or equal to 65 years

sedentary (Community Healthy Activities Model Program for Seniors physical activity questionnaire to identify and exclude persons engaged in regular (125 min/week or more) moderate intensity physical activity

at risk for mobility disability score of less than or equal to 10 (but greater than 3) on the SPPB

willing to be randomized into HE or PRT

Disqualifiers

unwillingness to provide informed consent

participation in lifestyle or pharmacologic intervention trial or structured program of exercise training in the past 6 months

an SPPB score of less than or equal to 3

osteoarthritis or condition with joint pain limiting daily life activities

Trial design

Design model

Parallel

Treatments tested in this trial

  • Progressive Resistance Training

    Other intervention

    3 times a week

  • Health Education

    Other intervention

    once a week

Treatment groups

300 Participants
are divided into 2 treatment groups
Group A: Progressive Resistance TrainingOther 1 intervention
Group B: Health EducationOther 1 intervention

Trial outcomes

Primary outcomes

1

Precisely define the variability in changes in physical function

Measured by the Short Physical Performance Battery (SPPB), a 0-12 categorical scale of walking speed, standing balance, and repeated sit-to-stand time, with higher scores reflecting better physical function.

Time frame
baseline, 6 months
2

Precisely define the variability in changes in blood glucose concentrations in response to a meal tolerance test

Blood glucose concentrations (millimoles/liter) will be measured in response to a physiologically relevant meal challenge. Lower values are indicative of better metabolic health.

Time frame
baseline, 6 months

Secondary outcomes

1

Precisely define the variability in changes in skeletal muscle size.

Measured by computed tomography scans of the mid-thigh. Larger muscle cross-sectional area (cm\^2) reflects a greater quantity of skeletal muscle.

Time frame
baseline, 6 months
2

Precisely define the variability in changes in skeletal muscle strength.

Measured by the one-repetition maximum, in newtons, on a leg press device, with higher scores reflecting greater skeletal muscle strength.

Time frame
baseline, 6 months
3

Precisely define the variability in changes in six-minute walk distance.

Measured by the distance (meters) walked in six minutes, with longer distances reflecting better physical function.

Time frame
baseline, 6 months
4

Precisely define the variability in insulin secretion in response to a mixed meal tolerance test.

Blood insulin concentrations (pmol/L) will be measured in response to a physiologically relevant meal challenge. Insulin concentrations in a physiological range reflect better metabolic health, while low insulin concentrations can reflect an impaired insulin response and high insulin concentrations can reflect peripheral insulin resistance.

Time frame
baseline, 6 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Mayo Clinic

Lead sponsor

National Institute on Aging (NIA)

Collaborator

Tufts University Jean Mayer USDA Human Nutrition Research Center on Aging

Collaborator