The Effect of Eccentric Training on Anthropometrics, Physical Fitness and Bone Strength in Overweight Children

Sponsor
Meir Medical Center (Other)
Overall Status
Unknown status
CT.gov ID
NCT04284670
Collaborator
(none)
100
1
2
20.4
4.9

Study Details

Study Description

Brief Summary

The purpose of this study is to examine the effects of aerobic eccentric training in overweight and obese children.

Condition or Disease Intervention/Treatment Phase
  • Other: EXERCISE
N/A

Detailed Description

recent studies have shown that similarly to regular exercise, aerobic ECcentric Contraction (ECC) exercise induces changes in the musculoskeletal system while using lower energy consumption, due to the fact that eccentric training creates greater force in the muscle.

most of the studies in this subject were done on healthy or overweight adults. therefore, the effect of aerobic eccentric training on children is still unknown. this study wants to test the impact of eccentric training on overweight and obese children.

this study will include approximately 100 overweight and obese children (boys and girls), aged 5-18 years. participants will be recruited from the population of overweight children from children sports medical center 'Meir' in Kfar Saba, Israel. participants will be randomly divided into two groups (intervention and control). Participants and their parents will sign a consent form before entering the study.

Each participant will undergo a series of tests including: anthropometrics (height, weight, bmi, body composition by BIA), fitness tests (Maximal distance achieved in a 12min outdoor run\walk, Vertical jump, Standing long jump, 4X10 meter sprint run), quadriceps and hamstrings strength test (hand-held dynamometer MicroFet2), bone strength (bone sonometer), ankle and tibial kinematic(accelerometers+ video of foot strike).

Intervention group will then perform an 8 week (16 sessions) ECC training program on a decline treadmill, the program will include two weeks of habituation to lower as possible DOMS (delayed onset muscle soreness) and possible injuries, training length and intensity will be gradually increasing over the time of the program, maximal negative gradient will be -15% at the end of the program.

Control group will perform the same amount of training (volume, intensity and frequency) on a neutral gradient surface. After completing the training program each participant will perform again the series of tests. Once all the data is collected, statistical test will be performed in order to learn about the effect of ECC training program on overweight and obese children.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
100 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Supportive Care
Official Title:
The Effect of Eccentric Training on Anthropometrics, Physical Fitness and Bone Strength in Overweight Children
Actual Study Start Date :
Feb 20, 2020
Anticipated Primary Completion Date :
Jul 1, 2021
Anticipated Study Completion Date :
Nov 1, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: Eccentric treadmill training

The intervention group will perform an 8 week program, 2 sessions a week for a total of 16 sessions. training will be done on a designated negative gradient treadmill. first two session will be in -5% gradient. sessions 3,4 and 5 will be in -10% gradient, all of the following sessions will be in -15% gradient. exercise intensity will be 70%-80% out of maximal heart-rate. Session length will gradually increase by one minute each training, starting from 10 minutes at the first session, up to 25 minutes on final sessions. each training will start and end with a 2 minutes of warm up and calm down under neutral gradient. Every two minutes of training, Visual Analog Scale and Rating of Perceived Exertion data will be collected from the participants.

Other: EXERCISE
The intervention group will perform an 8 week program, 2 sessions a weak for a total of 16 sessions. training will be done on a designated negative gradient treadmill, first two session will be in -5% gradient. sessions 3,4 and 5 will be in -10% gradient, all of the following sessions will be in -15% gradient. exercise intensity will be 70%-80% out of maximal heart-rate. Session length will gradually increase by one minute each training, starting from 10 minutes at the first session, up to 25 minutes on final sessions. each training will start and end with a 2 minutes of warm up and calm down under neutral gradient. Every two minutes of training, Visual Analog Scale and Rating of Perceived Exertion data will be collected from the participants.

Experimental: Control group

The control group will receive the same amount of training under neutral gradient surface(0%).The program will be 8 weeks while in each week there will be two exercise sessions and a total of 16 sessions. Session length will gradually increase by one minute each training, starting from 10 minutes at the first session, up to 25 minutes on final sessions. Training intensity will be 70%-80% out of maximal heart-rate.

Other: EXERCISE
The intervention group will perform an 8 week program, 2 sessions a weak for a total of 16 sessions. training will be done on a designated negative gradient treadmill, first two session will be in -5% gradient. sessions 3,4 and 5 will be in -10% gradient, all of the following sessions will be in -15% gradient. exercise intensity will be 70%-80% out of maximal heart-rate. Session length will gradually increase by one minute each training, starting from 10 minutes at the first session, up to 25 minutes on final sessions. each training will start and end with a 2 minutes of warm up and calm down under neutral gradient. Every two minutes of training, Visual Analog Scale and Rating of Perceived Exertion data will be collected from the participants.

Outcome Measures

Primary Outcome Measures

  1. Physical fitness [8 weeks]

    participants will show changes in physical activity-run/walk perseverance time.

  2. BMI Percentile [8 weeks]

    participants will show changes in BMI Percentile

  3. Muscle strength by Hand-held Dynamometer(newton) [8 weeks]

    participants will show changes in quadriceps and hamstring group muscles strength.

  4. Tibial Bone Strength by US(m/s) [8 weeks]

    participants will show changes in tibial bone strength

  5. Peak Positive Acceleration (PPA) [8 weeks]

    participants will show changes in tibial bone acceleration.

Eligibility Criteria

Criteria

Ages Eligible for Study:
5 Years to 18 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Children and adolescents aged 5-18.

  • Children and adolescents with overweight defined as BMI percentile over 85%.

  • Children and adolescents who are able to perform moderate physical activity.

  • Children and adolescents that participate in 'Meir' hospital sports and health centre.

Exclusion Criteria:
  • Participant that does not wish to participate - will not be obligated to do so, and shall not participate in the study.

  • Participants with orthopaedic history in the past two years.

Contacts and Locations

Locations

Site City State Country Postal Code
1 'Meir children's sport and health center' Kfar-Saba Israel 44281

Sponsors and Collaborators

  • Meir Medical Center

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Dan Nemet, MD, Director, Child Health and Sports Center, Meir Medical Center
ClinicalTrials.gov Identifier:
NCT04284670
Other Study ID Numbers:
  • MeirMc0163-19CTIL
First Posted:
Feb 26, 2020
Last Update Posted:
Feb 26, 2020
Last Verified:
Feb 1, 2020
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Dan Nemet, MD, Director, Child Health and Sports Center, Meir Medical Center
Additional relevant MeSH terms:

Study Results

No Results Posted as of Feb 26, 2020