Time and Nutrient-Dependent Effects of Aerobic Exercise on Metabolism in Adults with Obesity

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Description

If you are eligible to be in the study, you will perform baseline measures and then be assigned a randomized sequence of Fasted-AM exercise, Fed-AM exercise, Fasted-PM exercise, Fed-PM exercise. You will complete 5 consecutive days in each of these conditions across a ~5 month timeframe. For each of the conditions, you will perform supervised, moderate intensity, aerobic exercise for 5 consecutive days for 45 minutes each day. The first 4 days of exercise will be completed on a treadmill at the Anschutz Health & Wellness Center (AHWC) Fitness Center. The fifth day of exercise will be completed at the AHWC or in a special inpatient hospital room on the Anschutz Medical Campus called a Whole Room Indirect Calorimeter (WRIC). We will provide you with access to the AHWC Fitness Center. The exercise training will be verified with a heart rate monitor that must be worn during each exercise session to confirm time, intensity, and duration of the exercise. The heart rate monitor will link to the Polar Beat app, which you will be asked to download on your phone. You will be asked to bring your phone to all exercise sessions to track your heart rate through the Polar Beat app. You will also have an exercise log to track each exercise session. During 2 consecutive days of each of the study conditions, the study will provide you with meals. During this time, you will be asked to consume only the meals provided and nothing else but water. For the fed conditions and fasted AM condition, the study will provide you with breakfast, lunch, and dinner. For the fasted PM condition, the study will provide you with breakfast and dinner meals that equal about half of the normal energy content for the day. During each of the exercise conditions, you will be asked to maintain normal sleep habits and sleep duration. After you complete each condition, you will wait 2-4 weeks before beginning the next condition. This means that your total study participation from screening to study completion will last up to 6 months.

Details
Age

Adult

Eligibility

Age 18-40 years; Body Mass Index 18.5-<40 kg/m2 ; Recreationally active: defined as >100 minutes per week of voluntary exercise at moderate intensity or greater and >60 min per day of total habitual physical activity (i.e., work related, transportation related) at moderate intensity or greater, over the past 3 months; No self-report of acute or chronic disease (cardiovascular disease (CVD), diabetes, pulmonary, gastrointestinal disorders, and orthopedic problems in particular); No plans to relocate within the next 6 months; No plans for extended travel (>2 weeks) within the next 6 months; Live or work within 30 minutes of the AHWC (exceptions may be made at the discretion of the Study PI on a case-by-case basis for highly motivated subjects); No contraindications to exercise or limitations on ability to be physically active; Willing not to enroll in any other formal weight loss or physical activity programs over the next 6 months; For Females: Not currently pregnant or lactating, Not pregnant within the past 6 months.

Inclusion Criteria: - Age 18-40 years - Body Mass Index 18.5-<40 kg/m2 - Recreationally active: defined as >100 minutes per week of voluntary exercise at moderate intensity or greater and >60 min per day of total habitual physical activity (i.e., work related, transportation related) at moderate intensity or greater, over the past 3 months. - No self-report of acute or chronic disease (cardiovascular disease (CVD), diabetes, pulmonary, gastrointestinal disorders, and orthopedic problems in particular). - No plans to relocate within the next 6 months. - No plans for extended travel (>2 weeks) within the next 6 months. - Live or work within 30 minutes of the AHWC (exceptions may be made at the discretion of the Study PI on a case-by-case basis for highly motivated subjects). - Capable and willing to give informed consent, understand exclusion criteria, and adhere to study conditions. - Have a primary care physician (or are willing to establish care with a primary care physician prior to study enrollment) to address medical issues which may arise during screening or study procedures. - No contraindications to exercise or limitations on ability to be physically active. - Ability to complete AM or PM exercise and complete 4 exercise sessions per week. - Ability to adhere to eating and exercise protocols (meal timing, exercising in fasted and fed states) - Willing and able to wear activity/sleep monitor for 7 consecutive days. - Willing not to enroll in any other formal weight loss or physical activity programs over the next 6 months. - For Females: Not currently pregnant or lactating. Not pregnant within the past 6 months. Not planning to become pregnant in the next 6 months Exclusion Criteria: - Diastolic blood pressure >100 mmHG, systolic blood pressure >160 mmHG, or resting heart rate >100 bpm - Diabetes - Undiagnosed hypo- or hyper-thyroidism or history of uncontrolled thyroid disorder. History of thyroid disease or current thyroid disease treated with a stable medication regimen for at least 6 months is acceptable. - Hematocrit, white blood cell count or platelets significantly outside the normal reference range. - Triglycerides >400 mg/dL - LDL cholesterol >200 mg/dL - Abnormal resting electrocardiogram (ECG) - Presence or history of any metabolic or chronic health problems which would affect appetite, food intake, energy metabolism, or ability to participate in exercise - Significant gastrointestinal disorders - Significant pulmonary disorders including - Symptoms suggestive of CVD - Regular use of prescription or over-the-counter medications known to significantly impact appetite, weight, or energy metabolism - Use of medications that would impact ability to achieve age-predicted maximum heart rate (e.g. beta blockers). - Regular use of systemic steroids. - Regular use of weight loss drugs within the last 6 months. - Current alcohol or substance abuse. - Nicotine use (past 6 months). - Current severe depression or history of severe depression within the previous year - History of significant psychiatric illness (e.g., psychosis, schizophrenia, mania, bipolar disorder) - Weight loss >5% in past 3 months. - Currently participating in or planning to participate in any formal weight loss or physical activity programs or clinical trials. - Sleep disorders like insomnia, obstructive sleep apnea, periodic limb movements in sleep, restless leg syndrome. - Night-time shiftwork, rotating work, or other circadian disruptions and disorders - Self-reported long (>9.25h) or short sleep (<7h) - Regular use of prescription or over-the-counter medications known to affect sleep - Regular use of melatonin (>/=2 days per week). - High consumption of caffeine (>500 mg/d) or unwilling to abstain from caffeine consumption during run-in and in-patient protocol. - Planned travel >1 time zone away 4 weeks prior to study start or at any time during study protocol.

Type of Study

Outcomes Research

Locations

CTRC Inpatient

Principal Investigator
Photograph of Seth Creasy,  PhD

Seth Creasy, PhD

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