A 12-week after-school physical activity improves endothelial cell function in overweight and obese children

ISRCTN ISRCTN19037201
DOI https://doi.org/10.1186/ISRCTN19037201
Secondary identifying numbers N/A
Submission date
15/02/2012
Registration date
24/02/2012
Last edited
12/10/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
The arteries of obese children could be just as clogged as those of middle-aged people. This build-up (atherosclerosis) could put children at risk for strokes or heart disease as early as age 30. Therefore, lifestyle changes and preventative measures are necessary to reduce and prevent childhood obesity. Endothelial progenitor cells (EPCs) are a type of cell involved in the regeneration of the lining of blood vessels. Regular physical exercise has been shown to mobilise EPCs from the bone marrow, which then participate in the repair of blood vessels and the formation of new vessels. The aim of this study is to investigate the effects of an after-school aerobic and resistance exercise programme on EPCs in overweight and obese children.

Who can participate?
Overweight and obese children aged 12-13

What does the study involve?
Participants are randomly allocated to either the exercise group or the control group. Participants in the control group are advised to maintain their usual activities of daily living during the study. The exercise group participate in a 12-week exercise programme consisting of combined aerobic and resistance exercise on 3 days per week (i.e., Monday, Wednesday and Friday). Each 80-minute exercise programme includes 10 minutes of warm-up activities and 10 minutes of cool-down activities after school. All training sessions are supervised by two experienced trainers. At the start and the end of the study both groups provide blood samples which are used to measure the levels of blood cells including EPCs. Both groups also undergo the carotid intima-media thickness test, which measures the thickness of the inner two layers of the carotid artery, a marker of heart disease and early atherosclerosis.

What are the possible benefits and risks of participating?
Not provided at time of registration

Where is the study run from?
1. Dong-A University and Cell Therapy Research Center (South Korea)
2. Research Institute of Bioscience and Biotechnology (South Korea)

When is the study starting and how long is it expected to run for?
March to July 2010

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Mr Jong-Hwan Park

Contact information

Mr Jong-Hwan Park
Scientific

2-579-15, Mikajima
Tokorozawa
Saitama
359-1192
Japan

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleA 12-week after-school physical activity improves endothelial cell function in overweight and obese children: a randomised controlled study
Study objectivesA regular exercise programme for overweight children would elevate and improve the function of circulating endothelial progenitor cells.
Ethics approval(s)Dona-A university ethics committee - Busan, Rep. of Korea, 04/03/2010, ref : 2010/25
Health condition(s) or problem(s) studiedObesity
InterventionChildren randomised to the exercise group or the control group.

The 12-week exercise programme intervention consisted of 3 days of combined aerobic and resistance exercise per week (i.e., Monday, Wednesday and Friday).

Each 80-minute exercise programme included 10 minutes of warm-up activities and 10 minutes of cool-down activities after school. All training sessions were supervised by two experienced trainers.

1. Aerobic exercise consisted of 30 minutes of treadmill walking and/or running at 50-70% of the heart rate reserve (HRR). Participants performed the exercise programme for 30 minutes at 50-60% of the HRR during weeks 1 through 6. After week 6, the emphasis was placed on reaching and maintaining an exercise intensity of approximately 60-70% of the HRR for 30 minutes.
2. Resistance exercise consisted of two rotations of a circuit of seven exercises with less than 30 seconds of rest between exercises. Participants trained on the same equipment used for the 60% of one repetition maximum at 8-12 repetition assessments. Each section included the following dynamic exercises: bench presses, biceps curls, triceps extensions, leg presses, leg extensions, leg curls and calf raises.
Intervention typeBehavioural
Primary outcome measurePercentage of CD34+, CD133+ and endothelial progenitor cells (EPCs) (CD34+/CD133+) at baseline and 12 weeks
Secondary outcome measures1. Body mass index and cardiorespiratory fitness at baseline and 12 weeks
2. Concentrations of lipid parameters and inflammatory markers at baseline and 12 weeks
3. Carotid intima-media thickness at baseline and 12 weeks
Overall study start date04/01/2010
Completion date07/01/2010

Eligibility

Participant type(s)Other
Age groupChild
Lower age limit12 Years
Upper age limit13 Years
SexBoth
Target number of participantsControl (n = 14) or exercise (n = 15) groups
Key inclusion criteria1. Overweight and obese were defined as having a body mass index ≥ the 85th percentile for age and gender, according to the WHO mass index cut-off point
2. Aged 12-13 years, boys and girls
3. Written consent from parents
Key exclusion criteria1. Taking any medication
2. Participants with any disease
Date of first enrolment04/01/2010
Date of final enrolment07/01/2010

Locations

Countries of recruitment

  • Japan
  • Korea, South

Study participating centre

2-579-15, Mikajima
Saitama
359-1192
Japan

Sponsor information

Waseda University
University/education

Tokorozawa
2-579-15, Mikajima
Saitama
359-1192
Japan

ROR logo "ROR" https://ror.org/00ntfnx83

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 31/07/2012 Yes No

Editorial Notes

12/10/2016: Plain English summary added.