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In a society where exercise is prescribed by physicians to increase physical condition, improve dietary habits and reduce cardiovascular risk, the impact of exercise, acute or chronic, and diet in inflammation and immunity is unknown. Specific populations can have different responses towards acute and chronic exercise. Moreover specific conditions, like the type of meal ingested, can interfere with these responses. The true effect of pre-competitive meal exercise in the immunity and inflammatory response is unknown. Acute physical inactivity periods, commonly happens during daily life, related to work or acute illness. New evidence points out that it induces immediate metabolic and endocrinological changes, these can might also be associated with changes in immune response.
Aims of this project are:
Two interventions will be performed for assessing the research questions and aims:
A) Randomized cross-over, with a wash out period of 7 days, single-blinded trial where two different pre-competitive meals will be followed by an exercise challenge; inflammatory neuro-immune and metabolic response will be assessed before and after each challenge.
Participants will be recruited from advertisement and four different groups will be compared: obese-asthmatic; asthmatic non-obese; obese without asthma and non-asthmatic and non-obese. All patients will be allocated to a meal challenge in which a high fat poor micronutrient meal followed by a Mediterranean meal or vice-versa; meal challenge order will be randomized and participants will be blinded to the intervention. The main outcome for this intervention will be airway inflammation and lung function. All outcomes will be assessed before and 3h after each meal.
A group of individuals will, in the three hours after the meal, perform an exercise challenge, which is aimed to induce acute immune changes.
B) Randomized controlled trial where participants, after a run-in period and eligibility evaluation, will be allocated to an intervention consisting in a reduction of physical activity by 50% or maintaining habitual physical activity for two weeks; inflammatory neuro-immune and metabolic response will be assessed before and after intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Meal Exercise Challenge- Order 2 | Experimental | Two different meals,an high fat micronutrient poor meal and Mediterranean Meal will be followed by an exercise challenge and performed at different orders accordingly to the cross over design. |
|
| Meal Exercise Challenge- Order 1 | Experimental | Two different meals,an high fat micronutrient poor meal and Mediterranean Meal will be followed by an exercise challenge and performed at different orders accordingly to the cross over design. Each arm corresponds to a different intervention order. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High fat poor micronutrient meal | Other | The meal will be prepared by a team of nutritionist in order to comply with the demand characteristics of an high fat poor micronutrient meal. |
| Measure | Description | Time Frame |
|---|---|---|
| Airway inflammation |
| Up to 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Autonomic nervous system response | Rest heart rate; pupillary response, before and after challenge Neuropeptides measurement | Up to 6 months |
| Oxidative stress biomarkers | Assessment of plasma F2-isoprostanes, lipid hydroperoxides, protein carbonyls, hydrogen peroxide and lipid soluble antioxidants |
| Measure | Description | Time Frame |
|---|---|---|
| Histamine skin test reactivity | Histamine skin test reactivity, assessed by skin prick test response | Up to 6 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Diana Silva, MD | Faculty of Medicine of Porto University | Principal Investigator |
| Rita Moreira | Faculty of Nutrition and Food Sciences of the University of Porto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Nutrition and Food Sciences of the University of Porto | Porto | Porto District | 4200 | Portugal | ||
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| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| D009765 | Obesity |
| D009043 | Motor Activity |
| D007249 | Inflammation |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| Mediterranean meal | Other | The meal will be prepared by a team of nutritionist in order to comply with the demand characteristics of an Mediterranean meal |
|
| Up to 6 months |
| Circulating blood leukocyte-total and differential leukocyte counts and lymphocyte subpopulations assessment. | Evaluated by flow cytometry: T cell (CD4+/CD8+), and their subsets; B cells (CD19+), Natural Killer (NK) cells (CD16+/56+), their subsets; monocytes subsets; oxidative burst activity | Up to 6 months |
| Faculty of Sports of Porto University |
| Porto |
| Porto District |
| 4200 |
| Portugal |
| Faculty of Medicine of Porto University | Portugal | Porto District | 4200 | Portugal |
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
| D010335 | Pathologic Processes |