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| Name | Class |
|---|---|
| Canadian Space Agency | UNKNOWN |
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
| Canadian Frailty Network | OTHER |
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Physical activity appears to be an important lifestyle habit to achieve healthy aging by promoting autonomy and quality of life. Interestingly, the dramatic changes that the human body undergoes due to bedrest for illnesses and hospitalization are similar to those seen over decades of normal aging. Bedrest in otherwise healthy older individuals can lead to a reduction of muscle size and strength, changes in bone strength and function of the heart and blood vessels. Bedrest can also lead to changes in keeping proper balance as well as changes in processing and understanding information. All of these factors negatively affect activities of daily living leading to physical function impairment and development of frailty, a clinical condition associated with an increased risk for disease and death.
The purpose of this study is to investigate whether exercise can counteract the negative effects of 2-week head tilt down bed rest on muscle function and metabolism, postural control, bone structure, orthostatic tolerance and cognitive function in adults.
For this study the investigators will recruit 24 healthy men and women between 55 - 65 years of age. All subjects will spend a total of 26 days (5 days of adaption period, 14 days of bed rest with 6 degrees of downward inclination, and 7 days of recovery period) at the McGill University Health Centre (MUHC). During this study, 12 subjects will randomly undergo an exercise intervention as countermeasure during the 14 days of bed rest period and 12 will serve as control.
Each subjects participation in this study will involve 1 telephone call (pre-screening) and 4 visits at the MUHC: 1 screening visit (Visit 1) followed by a 26-day long visit (Visit 2) and 2 follow-up visits (Visit 3 and Visit 4). During Visits 2 - 4 various measurements will be performed to assess sensorimotor control, muscle function and metabolism, bone structure, cardiovascular function, cognitive performance and function, and specimen collection (blood, urine, saliva, feces and muscle tissue).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise | Experimental | Participants will perform aerobic and strength exercises for 2 weeks. |
|
| No exercise | No Intervention | Participants will not perform any exercises. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise | Other | Participants will undergo an exercise program during the 2-week bed rest period. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in cognition status of participants with head down bed rest (HDBR) with and without exercise countermeasure. | NIH Toolbox Cognition Battery (computerized) | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in cognition status of participants with head down bed rest (HDBR) with and without exercise countermeasure. | CLSA cognition questionnaire | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in emotional status of participants with HDBR with and without exercise countermeasure. | Positive and Negative Affect Scale - For both scales scores can range from 10-50, with higher scores representing higher levels of positive or negative affect. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in emotional status of participants with HDBR with and without exercise countermeasure. | General Health Questionnaire (GHQ-28).
| Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in brain structure with HDBR with and without exercise countermeasure. | Assessment of brain anatomy using a MRI. | Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in brain function with HDBR with and without exercise countermeasure. | Measurement of neuronal, cerebrovascular, and connectivity integrity with functional MRI. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in neuromotor function with HDBR with and without exercise countermeasure. | Neuromuscular activity will be assessed using electromyography. | Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in aerobic capacity with HDBR with and without exercise countermeasure. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Guy Hajj Boutros | Contact | 514-934-1934 | 35016 | guyelhajj@gmail.com |
| José A. Morais, MD | Contact | 514-934-1934 | 34499 | jose.morais@mcgill.ca |
| Name | Affiliation | Role |
|---|---|---|
| José A. Morais, MD | McGill University Health Centre/Research Institute of the McGill University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Victoria Hospital - Glen site | Recruiting | Montreal | Quebec | H4A 3J1 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42362567 | Derived | Law NY, Ahmed Yahia K, Gill-Lussier J, Falaki A, Tonkov H, Abbariki F, Faust A, Morais JA, Hajj-Boutros G, Barthelemy D. The impact of 14-day head-down bed rest with or without an exercise countermeasure on standing balance control: a randomized controlled trial. NPJ Microgravity. 2026 Jun 26. doi: 10.1038/s41526-026-00624-x. Online ahead of print. | |
| 40707556 |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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Randomized controlled study - Participants will be randomly allocated to the exercise or control group.
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| Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in muscle muscle mass with HDBR with and without exercise countermeasure. | Body MRI | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in muscle fat infiltration with HDBR with and without exercise countermeasure. | Body MRI | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in adiposity with HDBR with and without exercise countermeasure. | Body MRI | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in ventricular volume of the heart with HDBR with and without exercise countermeasure. | Using a heart MRI left and right ventricular volumes will be assessed. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in ventricular mass with HDBR with and without exercise countermeasure. | Using a heart MRI left and right ventricular mass will be assessed. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in bone structure with HDBR with and without exercise countermeasure. | High resolution peripheral quantitative computed tomography (HR-pQCT) | Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in muscle strength with HDBR with and without exercise countermeasure. | Quantitative Muscle Dynamometry (Biodex) | Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in muscle strength with HDBR with and without exercise countermeasure. | Vertical jump | Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in muscle-pump baroreflex with HDBR with and without exercise countermeasure. | Supine-to-stand test | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in balance control with HDBR with and without exercise countermeasure. | Postural equilibrium control test | Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in orthostatic tolerance with HDBR with and without exercise countermeasure. | Tilt test | Throughout the 26-day study period: at Baseline and Recovery periods |
| Cardiac and vascular changes with HDBR with and without exercise countermeasure. | Using high frame rate ultrasound (HiFRUS) arterial wall shear stress will be assessed. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Cardiac and vascular changes with HDBR with and without exercise countermeasure. | Using high frame rate ultrasound (HiFRUS) arterial wall stiffness will be assessed. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Cardiac and vascular changes with HDBR with and without exercise countermeasure. | Using high frame rate ultrasound (HiFRUS) cardiac mass will be assessed. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Cardiac and vascular changes with HDBR with and without exercise countermeasure. | Using high frame rate ultrasound (HiFRUS) patterns of blood flow will be assessed. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in Fractional Synthesis Rate (FSR) with HDBR with and without exercise countermeasure. | Measurement of protein turnover. | Throughout the 26-day study period: during HDBR period |
| Changes in sleep quality with HDBR with and without exercise countermeasure. | Sleep quality will be assessed using a 3-electrode electroencephalogram (EEG) Sleep Profiler and a wrist worn actigraphy. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in sleep architecture with HDBR with and without exercise countermeasure. | Using 3-electrode electroencephalogram (EEG) Sleep Profiler electrical patterns of brain activity will be measured in order to assess sleep cycles and sleep stages. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in frailty status with HDBR with and without exercise countermeasure. | CLSA-FI questionnaire | Throughput the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in the gut microbiome with HDBR with and without exercise countermeasure. | To assess gut microbiome, stool samples will be collected and targeted sequencing of the variable regions 4 and 5 (V4-V5) of the 16S ribosomal RNA gene will be performed on an Illumina MiSeq. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in the constitution of the oral microbiome with HDBR with and without exercise countermeasure. | To assess oral microbiome, saliva samples will be collected and targeted sequencing of the variable regions 4 and 5 (V4-V5) of the 16S ribosomal RNA gene will be performed on an Illumina MiSeq. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in physical performance with HDBR with and without exercise countermeasure. | Short Physical Performance Battery test | Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in physical performance with HDBR with and without exercise countermeasure. | Timed-up-and-Go test | Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in dynamic balance with HDBR with and without exercise countermeasure. | Four-square step test | Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in bone markers with HDBR with and without exercise countermeasure. | The following bone markers will be assessed using ELISA kits:
| Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in growth factors with HDBR with and without exercise countermeasure. | The following growth factors will be measured with Multiplex:
| Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in cytokines with HDBR with and without exercise countermeasure. | The following cytokines will be measured with Multiplex:
| Throughout the 26-day study period: at Baseline and Recovery periods |
Bicycle Ergometer Test |
| Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in body composition with HDBR with and without exercise countermeasure. | Lean muscle and fat mass will be assess using dual energy X-ray absorptiometry. | Throughout the 26-day study period: at Baseline and Recovery periods |
| Changes in insulin sensitivity with HDBR with and without exercise countermeasure. | Will measure excursion curves of glucose and insulin. | Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Changes in neuronal factors with HDBR with and without exercise countermeasure. | The following bone markers will be assessed using ELISA kits:
| Throughout the 26-day study period: at Baseline, HDBR and Recovery periods |
| Mastrandrea CJ, Hajj-Boutros G, Sonjak V, Hedge ET, Gouspillou G, Hughson RL, Morais JA. Exercise attenuates bed rest-induced increases in insulin resistance while alpha-klotho increases in 55 to 65 year-old women and men. Sci Rep. 2025 Jul 24;15(1):26927. doi: 10.1038/s41598-025-12770-5. |
| 39491057 | Derived | Balbim GM, Falck RS, Barha CK, Tai D, Best JR, Hajj-Boutros G, Madden K, Liu-Ambrose T. Exercise counters the negative impact of bed rest on executive functions in middle-aged and older adults: A proof-of-concept randomized controlled trial. Maturitas. 2023 Oct 17;179:107869. doi: 10.1016/j.maturitas.2023.107869. Online ahead of print. |
| 38878232 | Derived | Dulac M, Hajj-Boutros G, Sonjak V, Faust A, Hussain SNA, Chevalier S, Dionne IJ, Morais JA, Gouspillou G. A multimodal exercise countermeasure prevents the negative impact of head-down tilt bed rest on muscle volume and mitochondrial health in older adults. J Physiol. 2025 Jul;603(13):3813-3836. doi: 10.1113/JP285897. Epub 2024 Jun 15. |
| 37822710 | Derived | Blaber AP, Sadeghian F, Naz Divsalar D, Scarisbrick IA. Elevated biomarkers of neural injury in older adults following head-down bed rest: links to cardio-postural deconditioning with spaceflight and aging. Front Hum Neurosci. 2023 Sep 26;17:1208273. doi: 10.3389/fnhum.2023.1208273. eCollection 2023. |