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Trial registered on ANZCTR
Registration number
ACTRN12614000097640
Ethics application status
Approved
Date submitted
21/01/2014
Date registered
28/01/2014
Date last updated
15/12/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Exercise preference in overweight adults with clinical depression: a pilot study
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Scientific title
A randomised controlled trial investigating the suitability of three formats of exercise intervention for overweight or obese adults with clinical depression.
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Secondary ID [1]
283916
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Clinical Depression
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Overweight/Obesity
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Condition category
Condition code
Mental Health
291266
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0
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Depression
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Diet and Nutrition
291267
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All exercise interventions will be conducted 3x per week over 6 weeks, with approximately 45-60mins of exercise per session, including warm up and cool down. All exercise is supervised and conducted in individual format. Intensity is calculated via an initial VO2max test.
Arm 1 - Moderate Intensity Steady State Exercise - Participant performs steady state stationary cycling at a moderate intensity (60-65% VO2peak).
Arm 2 - High Intensity Interval Training - Participant performs repeated short bouts of high intensity exercise (e.g. 1min @ 95-100% VO2peak) followed by lower intensity recovery exercise (e.g. 4mins @ 40-45% VO2peak) on a stationary cycle.
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
288661
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Lifestyle
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Intervention code [3]
288662
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Behaviour
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Comparator / control treatment
All exercise interventions will be conducted 3x per week over 6 weeks, with approximately 45-60mins of exercise per session, including warm up and cool down. All exercise is supervised and conducted in individual format.
Moderate Intensity Personal Preference Exercise - Participant chooses from either treadmill running, stationary cycling, stationary rowing or resistance training conducted at a moderate intensity (60-65%VO2max or 60-65% 1RM).
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Control group
Active
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Outcomes
Primary outcome [1]
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Primary outcome 1. Subjective enjoyment of exercise (visual analogue scale)
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Assessment method [1]
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Timepoint [1]
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Measured 1x weekly for 6 week intervention
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Primary outcome [2]
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Primary outcome 2. Subjective motivation to continue with exercise (visual analogue scale)
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Assessment method [2]
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Timepoint [2]
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Measured 1x weekly for 6 week intervention
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Primary outcome [3]
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Primary outcome 3. Subjective discomfort/fatigue from exercise (visual analogue scale)
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Assessment method [3]
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Timepoint [3]
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Measured 1x weekly for 6 week intervention
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Secondary outcome [1]
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% change in Beck Depression Inventory - II Scores
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Assessment method [1]
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Timepoint [1]
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Measured at week 0, 4 and 7 (i.e. after the 6 week intervention)
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Secondary outcome [2]
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% change in body fat (DEXA scan)
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Assessment method [2]
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Timepoint [2]
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Week 0 and week 7 (pre-post intervention)
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Eligibility
Key inclusion criteria
1. DSM-IV-TR Diagnosis of depression
2. Overweight or Obese (BMI: >25)
3. Not have diagnosed diabetes
4. Willing and able to participate in exercise intervention
5. Older than 18 years of age, younger than 45 years of age (if attending an Australian Tertiary Institution, older than 17 years of age)
6. Stable use of antidepressents (at least 3 weeks on regular dose)
7. No current engagement in therapy and willingness to postpone new therapy for the duration of participation
8. If female, must not be pregnant or attempting to become pregnant.
9. Understand written and spoken English (a conversational level of english is all that is required)
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Minimum age
17
Years
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Maximum age
45
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Certain Mental disorders (Psychosis, Personality Disorder or other Mood Disorders - either ICD-10 or DSM-IV-TR)
2. Previous cardiovascular incident (e.g. heart attack, stroke)
3. Current cardiovascular disease (i.e. CHD)
4. Serious or unstable medical conditions (other than obesity)
5. Substance dependence requiring rehabilitation/detoxification
6. Current suicidal ideation or recent attempt (previous 24months)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation concealment will be conducted using investigators blind to enrolment/allocation procedures. i.e. Participants will be de-identified upon enrolment (screened by an investigator blind to the study interventions). A new investigator will randomly assign the de-identified participant to an intervention group via computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants will be randomly assigned to one of three groups using a computerised random number generator.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
Power analysis was conducted assuming alpha level of 0.05 and a moderate effect size (demonstrated in similar previous research).
Data will be analysed using 3x2 ANOVA and 3x3 Repeated Measures ANOVA.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
10/02/2014
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Actual
1/05/2014
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Date of last participant enrolment
Anticipated
30/06/2016
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
35
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Murdoch University
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Address [1]
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90 South St, Murdoch, 6156, WA
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Country [1]
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Australia
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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McCusker Charitable Foundation
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Address [2]
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McCusker Charitable Foundation
PO Box Z5110
Perth Western Australia 6831
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Nick Buckley
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Address
Room 2-049 Social Sciences Building
School of Psychology & Exercise Science
Murdoch University
90 South St, Murdoch, 6156 WA
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Helen Correia
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Address [1]
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School of Psychology & Exercise Science
Murdoch University
90 South St, Murdoch, 6156, WA
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Country [1]
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Australia
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Secondary sponsor category [2]
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Individual
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Name [2]
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Dr Timothy Fairchild
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Address [2]
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School of Psychology & Exercise Science
Murdoch University
90 South St, Murdoch 6156, WA
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Country [2]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee - Research Ethics Office
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Ethics committee address [1]
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Chancellery Building, 90 South St, Murdoch University, Murdoch, 6156 WA
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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08/11/2013
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Ethics approval number [1]
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2013/204
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Summary
Brief summary
The propsed study will investigate the suitablity (particularly enjoyment, motivation to continue) of three formats of exercise intervention (Moderate Intensity Personal Preference; Moderate Intensity Steady State; and High Intensity Interval Training) for overweight or obese individuals with clinical depression. In essence, the proposed research will act as a feasibility/pilot study for a later study, which will be based on the results of the proposed research. In this future study a 12 week exercise program will be implemented (based on the proposed study outcomes) which will be compared to and used alongside a “gold standard” treatment of Cognitive Behaviour Therapy for depression. It is important to understand exercise preferences and motivation to continue exercise in this population prior to designing this treatment protocol. We expect that the format of exercise (high intensity vs moderate intensity; interval vs steady state vs personal preference) will differentially affect motivation and enjoyment as well as markers of inflammation, appetite, symptoms of depression and sleep quality.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr Nick Buckley
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Address
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SS 2-049 School of Psychology & Exercise Science Murdoch University 90 South St, Murdoch, 6156 WA
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Country
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Australia
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Phone
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+61 423 611 365
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Timothy Fairchild
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Address
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School of Psychology & Exercise Science
Murdoch University
90 South St, Murdoch, 6156 WA
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Country
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Australia
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Phone
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+61 08 9360 2959
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Timothy Fairchild
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Address
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School of Psychology & Exercise Science
Murdoch University
90 South St, Murdoch, 6156 WA
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Country
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Australia
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Phone
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+61 08 9360 2959
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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