Metformin to Augment Strength Training Effective Response in Seniors
|Strength exercise training is the most effective intervention identified to combat loss of muscle function with advancing age; however, the response to exercise is blunted and highly variable in older adults. This randomized, placebo-controlled trial - a collaboration between two major academic medical centers (University of Kentucky and University of Alabama at Birmingham) - is designed to determine if the addition of a medication (Metformin) will improve the effectiveness of strength training in older adults. The overall goal is to establish a low cost, personalized approach to prevent frailty in the elderly.
Participants: 65+ years of age; no history of diabetes; no intensive strength training during the past three years; access to transportation; must meet all other inclusion and exclusion criteria.
Benefits: Supervised exercise training 3 days per week for 14 weeks with certified trainers in a clinical research setting; free assessments of health and functional status, body composition, and fitness; opportunity to play a pivotal role in Biomedical research that will advance personalized exercise medicine for older adults.
Funding: NIH R01AG046920
Principal Investigators: Charlotte Peterson, PhD; Phil Kern, MD; Marcas Bamman, PhD
Institutions: Univ. Kentucky and UAB
ClinicalTrials.gov Identifier: NCT02308228
| The PHITE program will explore the link between physical training and epigenetics and will use that understanding to (1) identify training methodologies that modify epigenetics responses; (2) characterize epigenetic regulation of physiological processes, pathways, and mechanisms associated with moderate and high-intensity physical training: and (3) produce real-time biomarkers of cardiorespiratory and neuromuscular performance that predict physical training outcomes.
Funding: Department of Defense MURI
Principal Investigators: Timothy J. Broderick, MD (Wright State), Marcas M. Bamman, PhD (UAB)
Institutions: Wright State University Boonshoft School of Medicine, Wright State University, The Salk Institute, UAB
Overcoming TWEAK Signaling to Restore Muscle and Mobility after Joint Replacement
|This randomized clinical trial is designed to test the central hypothesis that progressive resistance training plus adjunctive funcational mobility training after THA/TKA will more effectively restore muscle mass and mobility function to healthy standards than usual care and, because individuals with abnormally high muscle TWEAK signaling are predicted to suffer failed muscle recovery and persistent dismobility under usual care, the impact of the intervention will be greatest among these patients.
Funding: NIH R01HD084124
Principal Investigators: Marcas Bamman, PhD; Lou Bridges, MD, PhD
Institutions: UAB and UAMS
ClinicalTrials.gov Identifier: NCT02628795
For more information, please contact Anna Grace Watkins by email at firstname.lastname@example.org.
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Head, Neck, and Breast Cancer
The UAB Center for Exercise Medicine, UAB Division of Otolaryngology, and UAB Department of Radiation Oncology are sponsoring a pilot study for head/neck or breast cancer patients evaluating the effects of radiation and chemotherapy on muscle mass and function/strenth, and the effects of a strength training rehabilitation program. Each participant will exercise under full supervision three days per week at UAB.
To participate in this study, candidates should meet the following criteria:
· Adults 19 years or older with Head, Neck, or Breast cancer
· Able to attend 3 exercise sessions per week at UAB for 8 weeks
· Must pass pre-exercise screening
For more information, please contact Craig Tuggle at 205-934-6221 or by email at email@example.com.
The Effects of a High Intensity Exercise Training Program in Patients With Parkinson's Disease
The purpose of this randomized, controlled interventional study is to determine the effects of a high intensity exercise training program on objective sleep measures, daytime sleepiness, mobility, and brain health/functional connectivity in patients with Parkinson's disease.
Study Groups: All participants in this study will be randomly assigned to one of two groups: the exercise group or a sleep hygiene group. All participants, regardless of group assignment, will also receive a free membership to The Lakeshore Foundation for the second half of the study.
Total Study Duration: 34 weeks
Study Visits: Participation in the study involves a screening visit and three sets of study assessments, each of which will involve 3-4 study visits to the University of Alabama at Birmingham (UAB). The sets of study assessments will occur at the beginning of the study, at week 18, and at week 34. For those in the exercise group, there will also be 3 visits per week for exercise training over the 16-week training period at UAB's Center for Exercise Medicine.
For information please contact someone from the study team: Dr. Amara (principal investigator) 205-934-0683 firstname.lastname@example.org; Dr. Wood 205-996-7938 email@example.com; Allen Joop 205-934-5954 firstname.lastname@example.org; Jennifer Pilkington: 205-934-8352 email@example.com
ClinicalTrials.gov Identifier: NCT02593955
R01HD085186 Scale Up Evaluation of a Physical Activity Program for Adults with Physical DisabilityThe study uses a theory-driven eHealth platform and innovative PA program referred to as movement-to-music (M2M) to deliver a customized, home-based PA intervention for adults with physical disability. Participants will be recruited through a large physical medicine and rehabilitation network of clinics specializing in treating patients with physical disability. Clinicians and their patients will be cluster randomized to one of three groups: a) M2M; b) M2M plus social networking (M2Mplus); and c) attention control (AC). Participants will be followed for 48 weeks to obtain objective measures on physical activity, fitness and self-reported measures on health at four time points. Participant physicians will receive information on their patients’ progress (i.e., adherence and outcomes) across the 48-week study period. The study will compare the effectiveness of M2M and M2Mplus in increasing physical activity and adherence compared to the AC group, estimate the improvements in health of M2M and M2Mplus compared to the AC group, and examine the mediators and moderators of the hypothesized treatment effect to understand for whom and how the intervention is effective.
Principal Investigator: James Rimmer, PhD; Co-Investigator: Amie McLain, MD
Effects of Exercise on Memory Deficits and Brain Network Connectivity in Patients with EpilepsyThe objective of this pilot study is to investigate the effects of a 6-week structured exercise program on memory function and associated brain network connectivity in persons with epilepsy (PWE). Despite the benefits of physical exercise on cardiovascular and psychological health, and its potential to improve seizure control and overall quality of life in PWE, patients are often cautioned against vigorous exercise. Only a few studies of supervised exercise in PWE have been conducted, and these have mainly investigated the influence of exercise on seizure frequency. There is a paucity of studies investigating the effects of physical exercise on cognition in PWE. Memory impairment is a frequently reported cognitive problem by PWE and is a common factor contributing to poor quality of life in PWE. Successful completion of this project will provide preliminary data to inform the development of future research applying exercise to help improve cognitive abilities in PWE. Support for this project is provided by the UAB Faculty Development Grant Program, the UAB Epilepsy Center, the Civitan International Research Center, and the UAB Center for Exercise Medicine Research Acceleration Program. For more information contact Jane Allendorfer at 205-934-3866 or firstname.lastname@example.org.
Research Team: Jane B. Allendorfer, PhD (PI), Marcas M. Bamman, PhD, Lawrence W. VerHoef, MD, Jerzy P. Szaflarski, MD, PhD, Roy Martin, PhD.
Exercise Intervention to Improve Functional Capacity in Older Adults with HIVThe purpose of this study is to evaluate the impact of a 16-week resistance and interval intensity training program for older adults with HIV on mitochondrial function and frailty risk. Participants will be HIV+ men and women between the ages of 55 and 85.
Study Visits: Participants will complete one screening visit at the beginning of the study and one follow-up visit at week 16. There will be three visits each week for exercise training at the UAB Center for Exercise Medicine over the 16-week training period. Support for this project is provided by the UAB Center for Exercise Medicine and the CCTS. For more information please contact Dr. Mandy Willig at 205-975-5464 or email@example.com.
Research Team: Mandy Willig, PhD, RD, Turner Overton, MD, Marcas Bamman, PhD, Victor Darley-Usmar, PhD
Counseling and Exercise (CALM) Research StudyThe purpose of this study is to evaluate the effects of 12 weeks of exercise alone or exercise plus counseling on weight loss, fitness, cholesterol, triglyceride, blood sugar levels, behavior and mental health in overweight females between the age of 25 and 44. For more information contact Dakota at 205-996-1656 or CALMStudy@uab.edu, or Dr. Jane Roy at 205-934-1757. Informational flyer
CALM Study Research Team: Jane Roy, PhD (PI), Sean Hall, PhD, Eric Plaisance, PhD, Larrell Wilkinson, PhD, Larry Tyson, PhD
U01CA136859 Enhancing Physical Activity Adherence after Breast Cancer Diagnosis: Randomized Trial (BEAT Study)The purpose of the study is to compare the effects of a walking program on long term exercise adherence and on changes in health related outcomes after breast cancer diagnosis. Volunteers will be asked to attend four fitness assessments within a year and may be asked to attend twelve supervised exercise sessions and six group sessions within a 3-month period. You will also have your metabolism measured through two techniques.
No medications or treatments other than exercise will be given as part of the study. All individual exercise sessions will be supervised by trained exercise specialists.
We hope the study results help us to better understand breast cancer and benefit patients with this disease in the future. Studies such as these would not be possible without volunteers.
Please contact the Exercise and Cancer Research Team at (205) 975-1247 if you would like to learn more about the study.
BEAT Study Team: PI: Laura Rogers, MD MPH (UAB), Co-Investigators: Philip Anton, PhD (SIUC), Edward McAuley, PhD (Illinois), Kerry Courneya, PhD (University of Alberta), Patricia Hopkins-Price, PhD (SIUSOM), Robert Mocharnuk, MD (SIUSOM), Steve Verhulst, PhD (SIUSOM), Sandra Vicari, PhD (SIUSOM), Robert Oster, PhD (UAB)
Healthy Eating Activity Rest Together (HEART) MattersThe HEART Matters Program is a way to promote healthy behaviors among Black men. Through funding from a MHRC grant, the program offers health coaching from Dr. Larrell Wilkinson to Black men ages 24-64 who are overweight or obese and have a desire to become healthier. The program aims to promote a more active lifestyle, a healthier diet, stress management and resting among Black men. The grant also allows for the training of men to become leaders in their peer groups to help other men become healthier. The health coaching approach used embraces a philosophy of placing the individual first and weight management second. The hope of the HEART Matters Program is to unite African American men in solidarity to help one another improve their health, their quality of life, and take the lead on health issues in their families. For more information on the study contact Dr. Larrell Wilkinson.
HEART Matters Team: PIs: Larrell Wilkinson, PhD, Eric Plaisance, PhD