Biochemical Changes in Blood Plasma After Intense Physical Exercise of Healthy Volunteers
Condition: Hormone Disturbance; Endorphin Changes
MeSH terms: Endocrine System Diseases
Study type: Interventional

Summary: 
      This study will recruit 20 male and female athletes of endurance training background. They
      will participate in 50 minutes of vigorous activity on a treadmill with 3 blood draws (before
      exercising, 50 minutes into exercising, and 30 minutes after completion of exercising). After
      collection of the blood samples, the results will be analyzed for extracellular vesicles and
      biochemical changes within said extracellular vesicles.
    

Detailed description: 
      This study will recruit participants from the Touro University Nevada student body by placing
      flyers around campus and including announcements on the TUN screens. Program faculty will be
      encouraged to promote the study to their students through March.

      20 male and female athletes who currently participate in regular endurance training will be
      recruited for the study. We will use men because the hormonal responses to exercise vary
      between men and women and is blunted at different points during the reproductive cycle.
      Participants recruited into the study will be normal weight (BMI or waist-to-hip ratio), and
      a history of regular participation in endurance training (see flyer). Participants will not
      have been diagnosed or treated for any psychiatric conditions, lower extremity or low back
      injury and will not have regularly taken any prescription medications within the past year.

      Participants will be consented into the study, scheduled, and given pre-participation
      instructions one week prior to the event. They will not take over-the-counter medications or
      supplements within one week of the trial, have no alcohol within 72 hours and no caffeine or
      nicotine within four hours, and no food within two hours of the protocol. Participants may
      drink water ad libitum prior to the trial.

      Upon arriving the day of the trial, participants will be screened by urinalysis for drug use.
      They will complete a survey based on the International Physical Activity Questionnaire which
      will be used to classify their history of physical activity. They will complete a
      pre-activity screen of their current emotional state using a set of Visual Analog Scales
      (VAS).

      On the day of the trial, participants will provide a urine sample for urinalysis. They will
      complete an electronic survey on their cell phone and will complete a paper survey including
      a set of visual analog scales. A butterfly needle will be inserted into their arm of choice
      which will allow the four small (5 ml) blood samples to be drawn throughout the activity. The
      first sample will be drawn immediately upon inserting the needle with subsequent draws
      performed at 50-minutes of physical activity, and the final draw 30-minutes after the
      activity ends. They will wear a heart monitor that will be used to monitor exercise intensity
      throughout the exercise protocol.

      Participants will complete an exercise protocol that includes 50 minutes of vigorous activity
      on a treadmill. They will be instructed to perform a 5-minute warm up and then begin running
      at a rate and treadmill elevation that ensures that they are working at 76-96% of their
      age-adjusted maximum heart rate. An attendant will monitor their heart rate throughout the
      protocol to ensure compliance. The participant will continue to exercise while blood is drawn
      at 50-minutes of activity.

      A butterfly needle will be inserted into the arm of their choice. A baseline sample of 5 ml
      of blood will be drawn immediately with subsequent 5 ml samples drawn at 25- and 50-minutes
      into the exercise protocol. A final 5 ml sample will be drawn at 30 minutes after completion
      of the protocol. The butterfly needle will be removed immediately after the final blood draw.

      The endorphin response has been documented at 70% of age-adjusted maximum heart rate and
      increases linearly after that. A heart monitor will be worn throughout the trial to monitor
      exercise intensity which will be determined based on the ACSM guidelines for vigorous
      exercise, 76-96% of the participant's age-adjusted maximum heart rate (AAMHR). Participants
      will be instructed to perform a 5-minute warm up and then begin running. A monitor will
      ensure that the participant maintains the target intensity throughout the activity.

      After completing the physical activity, participants will be offered healthy snacks while
      they walk, sit, or lie down anywhere within the lab. They will complete the second set of VAS
      ratings of emotional state that will be used to differentiate runners who experience
      "runner's high" from those who do not. The final 5 ml of blood will be drawn 30 minutes after
      completion of the exercise protocol after which the participant will take off the heart
      monitor and leave the lab.

      After collection of the blood samples, the results will be separated into blood plasma. The
      blood plasma will be analyzed for extracellular vesicles and quantitative biochemical changes
      within said extracellular vesicles.
    

Intervention name(s): Vigorous Exercise
Intervention type(s): Behavioral
Intervention description(s): 50 minutes of running on a treadmill
Intervention model: Single Group Assignment
Intervention model description: 20 Male and Female Athletes Aged 18-65
Masking: None (Open Label)
Primary purpose: Basic Science