Status:

RECRUITING

Mode of Exercise and Bone Biomarkers in Older Veterans

Lead Sponsor:

VA Office of Research and Development

Collaborating Sponsors:

University of Colorado, Denver

Conditions:

Aging

Musculoskeletal Diseases

Eligibility:

All Genders

60+ years

Phase:

NA

Brief Summary

Adults are often encouraged to exercise to maintain or improve bone health. However, there is evidence that exercise does not always lead to increases in bone mass, and exercise could lead to bone los...

Detailed Description

Exercise is frequently recommended to reduce the risk of osteoporotic fracture. However, bone does not always result in the expected improvements in bone mass, and there is evidence that endurance exe...

Eligibility Criteria

Inclusion

  • Healthy older (60+ y) Veteran women and men in the Denver Metro Area
  • Normally active (e.g., recreational cycling or walking exercise)

Exclusion

  • Impaired renal function, defined as an eGRF of \<60 mL/min/1.73m2
  • Hepatobiliary disease, defined as liver function tests (AST, ALT) \>1.5 times the upper limit of normal
  • Thyroid dysfunction, defined as an ultrasensitive thyroid stimulating hormone (TSH) \<0.5 or \>5.0 mU/L
  • Serum Ca \<8.5 or \>10.3 mg/dL
  • Serum 25(OH)D \<20 ng/mL
  • Uncontrolled hypertension, defined as resting systolic blood pressure (BP) \>150 mmHg or diastolic BP \>90 mmHg;
  • History of type 1 or type 2 diabetes
  • Cardiovascular disease, defined as subjective or objective indicators of ischemic heart disease (e.g., angina, ST segment depression) or serious arrhythmias at rest or during the graded exercise test (GXT). Volunteers who have a positive GXT can be re-considered after follow-up evaluation, which must include diagnostic testing (e.g., stress echocardiogram or thallium stress test) with interpretation by a cardiologist
  • Anemia, defined as a serum hemoglobin \<12.1 g/dL for women and \<14.3 g/dL for men
  • Fracture in the past 6 months
  • Current diagnosis or symptoms of COVID-19
  • In the event of abnormal BP, live function, TSH, 25(OH)D, or hemoglobin values, volunteers can be reassessed, including after appropriate follow-up evaluation and treatment by a primary care provider. Those who have experienced symptoms of COVID-19 or have been formally diagnosed will be allowed to participate once symptoms have resolved and they are approved to return to exercise by their primary care provider.

Key Trial Info

Start Date :

July 6 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 31 2027

Estimated Enrollment :

120 Patients enrolled

Trial Details

Trial ID

NCT05266976

Start Date

July 6 2022

End Date

March 31 2027

Last Update

June 5 2025

Active Locations (1)

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1

Rocky Mountain Regional VA Medical Center, Aurora, CO

Aurora, Colorado, United States, 80045-7211