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Can We Alter Risk Factors For Oesophageal Cancer With Exercise?

A randomised controlled trial of 24 weeks of moderate-intensity exercise training versus stretching among overweight males with Barrett's oesophagus to assess the effects on biochemical and hormonal factors associated with oesophageal adenocarcinoma development.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12609000401257
Acronym
The EPOC Study
Enrollment
120
Registered
2009-06-02
Start date
2009-05-05
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Barrett’s oesophagus (BE) involves changes in the lining of the oesophagus and is a precursor for a type of oesophageal cancer. Obesity is a cause of BE and research suggests that certain hormones produced by fat tissue may be the mechanism through which obesity leads to cancer of the oesophagus. Exercise training may be an effective intervention in reducing oesophageal cancer risk given the strong links between BE, obesity and metabolic disturbances. There is some trial evidence that moderate-intensity exercise can improve obesity related hormone levels in overweight people without BE, but to date, no such evidence exists for patients with BE. By randomising patients with BE to either an exercise regimen or a stretching regimen, we aim to determine whether 24 weeks of moderate-intensity exercise will lead to changes in levels of certain hormones associated with oesophageal cancer development.

Interventions

Moderate-intensity exercise intervention consisting of: 30 min resistance training (2 sets of 8-12 repetitions, 8 exercises including bench press, leg press, seated row, assisted chin up, assisted tricep dip, shoulder press, lunges, core stability) and 30 min of cardiovascular training (60-70% maximum heart rate, including exercise bike, treadmill). 5 sessions per week for 24 weeks. One supervised session per week performed at a hospital. Four independent sessions performed at a local private gy

Moderate-intensity exercise intervention consisting of: 30 min resistance training (2 sets of 8-12 repetitions, 8 exercises including bench press, leg press, seated row, assisted chin up, assisted tricep dip, shoulder press, lunges, core stability) and 30 min of cardiovascular training (60-70% maximum heart rate, including exercise bike, treadmill). 5 sessions per week for 24 weeks. One supervised session per week performed at a hospital. Four independent sessions performed at a local private gymnasium.

Sponsors

Burns, Trauma and Critical Care Research Centre, School of Medicine, University of Queensland
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used)

Eligibility

Sex/Gender
Male
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

Barrett's Oesophagus confirmed via the presence of intestinal metaplasia on biopsy and an abnormal appearance of the distal oesophagus via endoscopy. Overweight or obese (Body mass index 25-34.99kg/m2) Performing less than 60 min of moderate-intensity exercise per week for the previous 12 weeks. No loss or gain of >5kg of body weight during the previous 6 months.

Exclusion criteria

Serious medical impairments including: heart disease, lung disease, neurological disease, uncontrolled hypertension, diabetes, cancer, orthopaedic injuries.

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 31, 2026