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| Name | Class |
|---|---|
| Medical University of Gdansk | OTHER |
| National Science Centre, Poland | OTHER_GOV |
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The primary aim of the current research project is to explore whether nutritional supplementation and resistance training might be combined to produce synergistic effects in the prevention of muscle loss during aging.
A secondary aim of this project is to investigate the effects of carnitine with leucine supplementation, in comparison to carnitine supplementation alone, on muscle strength and body composition.
The hypothesis is that resistance training combined with nutritional supplementation have a more beneficial effect than resistance training alone in the prevention of muscle loss during aging. Leucine stimulates carnitine transport into the muscle cells, which improve mitochondrial capacity. Modification in energetic of skeletal muscle affects the body composition and muscle performance.
The study will be included volunteers - women between 60 - 72 years old (n=60). The patients are randomly assigned to two experimental groups (n=20) and control group (n=20). During the 24-weeks intervention period, Group A undergoes training procedure supplemented with the carnitine and leucine, whilst group B undergoes training procedure supplemented with leucine. At the same time control group go through only training procedure. Measurements are performed before, at the mid-point, and at the end of the intervention period.
Approximately 1 week prior to the experimental trial day, participants perform a familiarization session during which one-repetition maximum (1RM) strength testing is also performed to determine the experimental exercise load. Resistance exercise training is performed twice weekly on non-consecutive days (Monday+Thursday, or Tuesday+Friday) for 24-weeks under direct supervision by a research assistant. Prior to a training session subjects are required to perform warm - up on the treadmill (walk) and static stretching, after each session - cool down on the cycle ergometer and static stretching. Resistance exercise for each session consisted of 6 exercises: horizontal seated leg press, seated chest press, leg extension, shoulder press, lat pull-down seated row, seated cable row First two weeks of training consist of 3 sets of 10-12 repetitions and are keeping exercises at 65% of 1 repetition maximum (1RM). After this period training consists of 3 sets of 6-8 repetitions and is progressing to 80% of 1RM. The 1RM is re-evaluated every 2 weeks, and the training load is adjusted accordingly. The exercise program follows the recommended guidelines for older adults by the American College of Sports Medicine and the National Strength and Conditioning Association.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| L-carnitine Group | Experimental | Group participated in the training protocol and supplemented by 1000 mg L-carnitine-L-tartrate in combination with 3000 mg L-leucine per day throughout 24 weeks. |
|
| Leucine Group | Experimental | Group participated in the training protocol and supplemented by 4000mg of L-leucine per day throughout 24 weeks. |
|
| Control Group | Experimental | Group participated in the training protocol without any supplementation throughout 24 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| L-carnitine supplementation | Dietary Supplement | Supplementation of 1000 mg L-carnitine-L-tartrate in combination with 3000 mg L-leucine per day throughout the study period. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Volumetric changes in knee extensor muscle | Volumetric examination of cross section area (CSA) of knee extensor muscles determined by a 1.5 T MRI scanner. | Values at baseline will be compared to values recorded at 12 and at 24 weeks after supplementation and training procedure. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in the strength of muscle knee extensor | Maximal isometric knee extensor peak torques determined by the dynamometer (Biodex System 4 Pro). | Values at baseline will be compared to values recorded at 12 and at 24 weeks after supplementation and training procedure. |
| Changes in Lean Body Mass |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robert A Olek, PhD | Gdansk University of Physical Education and Sport | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Physical Education and Sport | Gdansk | Pomeranian Voivodeship | 80-336 | Poland |
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| ID | Term |
|---|---|
| D055948 | Sarcopenia |
| ID | Term |
|---|---|
| D009133 | Muscular Atrophy |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D055070 | Resistance Training |
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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| Leucine supplementation | Dietary Supplement | Supplementation of 4000 mg L-leucine per day throughout the study period. |
|
| Resistance training | Procedure | Resistance training at the gym, twice a week for 24 weeks (48 training units in total). |
|
Lean Body Mass measured by dual-energy X-ray absorptiometry (DXA). |
| Values at baseline will be compared to values recorded at 12 and at 24 weeks after supplementation and training procedure. |
| D001284 | Atrophy |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D064797 | Physical Conditioning, Human |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |