Fitness Assessment in Young Adults Recovered From Lymphoma

Study Overview
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Brief Summary
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Regular physical activity (PA) is associated with maintaining body composition, increased cardiorespiratory capacity, muscle mass and bone mineral density. In the event of a cancer, the development of physical capacities and metabolism may therefore be disturbed by cancer, these associated treatments (chemotherapy, radiotherapy and hematopoietic stem cell transplantation) but also undernutrition and the reduction in physical activity or even a sedentary lifestyle. Although the benefits of PA in oncology are now well identified for adult populations, studies are still rare in the population of children, adolescents and young adults, and the results are still difficult to generalize. As a result, there is no recommendation on the practice of physical activity in pediatric oncology or adolescents and young adults and the levels of physical activity of cured patients remain lower than those of the general population. Fitness is a marker of health in adults as well as in adolescents. Physical condition is a set of components such as cardiorespiratory capacity (transport and use of O2), body composition (distribution of bone, muscle and fat masses) and muscle function (strength, power, fatigue, energy metabolism) . The investigators hypothesize that, compared to young adults, recovered from lymphoma are expected to exhibit impaired physical condition, due to physical deconditioning.

Official Title
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Fitness Assessment in Young Adults Recovered From Lymphoma or Hodgkin's Disease

Conditions
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Young Adults, Lymphoma, Non-Hodgkin, Hodgkin Disease

Intervention / Treatment
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* Other: Indirect calorimetric test during submaximal exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Young adult male or female, aged 18 to 25 giving free and informed consent Hodgkin lymphoma or non-Hodgkin lymphoma in the healing stage Cured (defined by an undetectable disease at the end of treatment) for at least one year and maximum 6 years of lymphoma or Hodgkin's disease Exclusion Criteria: Legal incapable adults People under judicial protection Treatment with systemic glucocorticoids for more than a week, during the 30 days preceding the tests Medical contraindication to the practice of physical exercise Any pathologies (other than the history of lymphoma for the cases) likely to affect the metabolism or the muscle mass Any treatment that may have an influence on the energy metabolism Active infection Pregnant, breastfeeding, or likely to be Subject's refusal to participate

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 25 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: group 1: healthy controls group 2 : young adults recovered from lymphoma or Hodgkin's disease
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Healthy controls<br>sex and age matched healthy controls | Other: Indirect calorimetric test during submaximal exercise<br>* metabolic evaluation by indirect calorimetry at rest and during exercise evaluation of cardiac output peripheral quantitative computed tomography (pQCT) of the muscle cross section evaluation of body composition assessment of physical capacity (chair test and 3 min step-test) blood test assess the level of physical activity<br>* Other names: peripheral quantitative computed tomography;|
| Experimental: young adults recovered from lymphoma or Hodgkin's disease<br>young adults recovered from lymphoma or Hodgkin's disease | Other: Indirect calorimetric test during submaximal exercise<br>* metabolic evaluation by indirect calorimetry at rest and during exercise evaluation of cardiac output peripheral quantitative computed tomography (pQCT) of the muscle cross section evaluation of body composition assessment of physical capacity (chair test and 3 min step-test) blood test assess the level of physical activity<br>* Other names: peripheral quantitative computed tomography;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| fat oxidation rate | maximum rate of lipid oxidation (in mg/ml) | day at 11:30 am during one day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| rest metabolism | energy expenditure at rest in kcal. | at 08:00 am in fasted condition during one day | 
| blood insulinemia | blood value of insulin in pmol/L | at 07:30 am in fasted condition during one day | 
| blood N-terminal pro-B natriuretic peptide | blood N-terminal pro-B natriuretic peptide level in g/L | at 07:30 am in fasted condition during one day | 
| blood troponin | blood troponin level in g/L | at 07:30 am in fasted condition during one day | 
| blood lipids | blood lipids level in g/L | at 07:30 am in fasted condition during one day | 
| blood glucose | blood glucose level in g/L | at 07:30 am in fasted condition during one day | 
| Body composition: fat | percentage of fat | at 07:30 am during one day | 
| Body composition: lean mass | percentage of lean mass | at 07:30 am during one day | 
| cardiac output | Systolic Ejection Volume in mL evaluated at rest and during submaximal exercise | at 11:30 am during one day | 
| peripheral quantitative computed tomography | Cross-sectional area of thigh muscles and intermuscular adipose tissue were assessed for muscle at 40% of the length between the greater trochanter and the mid-patella of the right leg | at 10:45 am during one day | 
| physical condition | 3 min step-test (number of ascent / descent step) | at 08:45 am during one day | 
| physical capacity | chair test (time in second held in position) | at 08:45 am during one day | 
| physical activity level | daily energy expenditure (in Kcal) | from day 2 to day 5 | 
| sedentary level | total sedentary time (in min) evaluated by accelerometer for 4 days | from day 2 to day 5 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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physical fitness, fat oxidation, metabolism, exercise