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| Name | Class |
|---|---|
| Canadian Diabetes Association | OTHER |
This study investigates the effects of two weeks of reduced daily ambulation and a subsequent return to normal physical activity on metabolic health of older adults.
Aging results in a progressive loss of muscle mass that is accelerated by periods of muscular disuse, common for older adults during hospitalization or convalescence from illness. Transient physical inactivity has been shown to cause muscular atrophy and impairments in insulin sensitivity in both younger and older adults. However, the recovery capacity of older adults after such physical inactivity remains unknown. This study aims to determine the impact of two weeks of daily step reduction to ≤1000 steps per day, an experimental model mimicking short-term physical inactivity, on glycemic control in older adults and further investigate whether older adults are able to recover from the consequences of this inactivity simply by returning to their habitual activity for 14 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Change in physical activity for older adults | Experimental | Older adult participants undergo alterations in daily ambulation by completing Normal Daily Steps for one week, followed by a two-week Step-Reduction and a subsequent Return to Normal Daily Steps for two weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Normal Daily Steps | Behavioral | Complete normal daily ambulation for one week |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Insulin Sensitivity | Assessed via Matsuda ISI | Measured at the end of each behavioural intervention (Week 1, Week 3, Week 5) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in lean tissue mass | Assessed via Dual Energy X-Ray Absorptiometry | Measured at the end of each behavioural intervention (Week 1, Week 3, Week 5) |
| Change in Peak Isometric Maximal Voluntary Leg Extension Strength |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Exercise Metabolism Research Laboratory, McMaster Univeristy | Hamilton | Ontario | L8S 4K1 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23589526 | Background | Breen L, Stokes KA, Churchward-Venne TA, Moore DR, Baker SK, Smith K, Atherton PJ, Phillips SM. Two weeks of reduced activity decreases leg lean mass and induces "anabolic resistance" of myofibrillar protein synthesis in healthy elderly. J Clin Endocrinol Metab. 2013 Jun;98(6):2604-12. doi: 10.1210/jc.2013-1502. Epub 2013 Apr 15. | |
| 26265753 |
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| Step-Reduction | Behavioral | Reduce daily ambulation to fewer than 1000 steps per day for two weeks |
|
| Return to Normal Daily Steps | Behavioral | Increase daily ambulation to 100% of normal daily step-count for two weeks |
|
Assessed via muscle dynamometry
| Measured at the end of each behavioural intervention (Week 1, Week 3, Week 5) |
| Change in Muscle Protein Synthesis | Obtained via vastus lateralis muscle biopsy | Measured at the end of each behavioural intervention (Week 1, Week 3, Week 5) |
| Devries MC, Breen L, Von Allmen M, MacDonald MJ, Moore DR, Offord EA, Horcajada MN, Breuille D, Phillips SM. Low-load resistance training during step-reduction attenuates declines in muscle mass and strength and enhances anabolic sensitivity in older men. Physiol Rep. 2015 Aug;3(8):e12493. doi: 10.14814/phy2.12493. |
| 29095970 | Derived | McGlory C, von Allmen MT, Stokes T, Morton RW, Hector AJ, Lago BA, Raphenya AR, Smith BK, McArthur AG, Steinberg GR, Baker SK, Phillips SM. Failed Recovery of Glycemic Control and Myofibrillar Protein Synthesis With 2 wk of Physical Inactivity in Overweight, Prediabetic Older Adults. J Gerontol A Biol Sci Med Sci. 2018 Jul 9;73(8):1070-1077. doi: 10.1093/gerona/glx203. |