ClinicalTrials.gg
RecruitingNCT07796971HYPOXFATUpdated Sep 1, 2026

High-Intensity Interval Training in Low Versus Normal Oxygen: Effects on Body Fat and Gut Health in Adults Aged 50-75 With Overweight or Obesity (HYPOXFAT)

An interventional study of Hypoxic High-Intensity Interval Training and Normoxic High-Intensity Interval Training in Obesity & Overweight and Fat Mass, sponsored by Laboratoire des Adaptations Métaboliques à l'Exercice en conditions Physiologiques et Pathologiques. Recruiting at 1 site in France. Open to participants aged 50 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-01.

Sponsored by Laboratoire des Adaptations Métaboliques à l'Exercice en conditions Physiologiques et Pathologiques · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
50 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 475 studies in Obesity with a site in France — 111 open to participants now, 127 under way, 25 of them phase 3. Obesity · France.

Planned enrollment
269th of 354
32 · median 80
Started
2026
with 29 others
No phase
258 of 475
63 open now
Primary completion
2028-07
later than 88 of 126 live
Registered
468th of 475
by date

Among the 475 studies in Obesity with a site in France, this one is the 269th largest by planned enrollment of the 354 interventional ones that give a count, is one of 30 that started in 2026, is one of 258 with no phase, reaches primary completion later than 88 of the 126 other live ones, and was the 468th registered.

Obesity

11,529 studies on the registry are indexed under Obesity; 2,035 are open to participants now.

Browse Obesity studies →

Open to participants now

111 of the 475 studies in Obesity with a site in France are open now. Recruiting first, the newest first:

105 more — sign in →

All 111 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 1,336 Obesity studies recruiting now, 377 (28%) set no upper age limit and 856 (64%) stop at 75 or younger; 166 take children under 18; 488 take healthy volunteers.

This study: 50 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

Overweight and obesity are major public health challenges worldwide, and their prevalence increases with age, partly because of age-related metabolic and hormonal changes. Beyond total fat mass, abdominal and particularly visceral fat accumulation is strongly associated with chronic low-grade inflammation, insulin resistance, hypertension and cardiovascular disease. Men are more likely to display an android fat distribution, while premenopausal women generally show a more protective gynoid distribution. However, declining sex hormone concentrations after menopause promote abdominal and visceral fat accumulation, increasing cardiometabolic risk.

Physical activity is a cornerstone of overweight and obesity management. High-intensity interval training (HIIT) is an effective strategy for reducing total, abdominal and visceral fat and may produce greater benefits than moderate-intensity continuous training. Since 2016, our team has conducted several studies and reviews showing that HIIT performed on a cycle ergometer or treadmill, alone or combined with resistance training, reduces total and abdominal fat mass in people with overweight or obesity, regardless of age, sex or hormonal status.

HIIT can also be performed under real or simulated hypoxic conditions to enhance cardiovascular, respiratory, circulatory, haematological and skeletal muscle adaptations. The Live Low-Train High model allows participants to live under normoxic conditions while being exposed to hypoxia only during exercise. Hypoxic HIIT has proved feasible and safe in people with metabolic disorders or physical deconditioning, including at simulated altitudes of 4,000-5,000 m. However, only two studies have suggested that hypoxic HIIT may enhance fat mass loss in people with overweight or obesity. Neither specifically assessed abdominal or visceral fat, and neither focused on postmenopausal women.

Several mechanisms may contribute to HIIT-induced fat loss, including increased catecholaminergic stimulation and lipid oxidation during recovery, excess post-exercise oxygen consumption and changes in appetite regulation. The gut microbiota may also contribute to the regulation of adipose tissue and cardiometabolic health. Physical activity can increase bacterial diversity and promote beneficial taxa, particularly short-chain fatty acid-producing bacteria. Our previous HIIT studies identified associations between changes in selected bacteria and reductions in total or abdominal fat mass. Hypoxic exposure may also alter gut microbiota composition and abundance, with effects depending on the severity and type of hypoxia.

This study will assess the effects of a 3-month cycle-ergometer HIIT programme, performed three times per week under hypoxic versus normoxic conditions, in adults aged 50-75 years with overweight or obesity. The primary objective is to determine whether hypoxic HIIT produces a greater reduction in abdominal and visceral fat mass than the same training performed in normoxia.

Secondary outcomes will include total and regional fat and lean mass; fasting glucose, insulin, HbA1c and HOMA-IR; total cholesterol, triglycerides, HDL-C, LDL-C, ApoB, ApoA1 and the ApoB/ApoA1 ratio; high-sensitivity C-reactive protein and fibrinogen; systolic and diastolic blood pressure; blood biophysical properties; and faecal microbiota richness, diversity and taxonomic composition. Lipid oxidation during prolonged moderate-intensity exercise, maximal oxygen uptake and maximal aerobic power will also be assessed before and after the intervention.

We hypothesise that hypoxic training will enhance improvements in body composition, metabolic and cardiovascular risk factors, aerobic fitness and lipid oxidation compared with normoxic training. We further hypothesise that hypoxia will modify faecal microbiota composition and that changes in selected bacterial taxa will be associated with changes in body composition and cardiovascular risk markers.

The ultimate aim is to improve the management of adults aged 50-75 years with overweight or obesity by developing an effective 3-month HIIT programme performed under controlled hypoxic conditions.

03

Conditions studied

  • Obesity & Overweight
  • Fat Mass

Keywords

  • HIIT
  • normobaric hypoxia
  • fat mass
  • health
  • overweight
  • obesity
  • exercise prescription
04

Who can participate

Ages eligible
50 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Aged 50-75 years, inclusive Male or female, defined as no menstruation during the previous 12 months between 25 and 35 kg/m², inclusive Non-smoker or smoking no more than two cigarettes per day Stable body weight for at least three months before study initiation, defined as a change of less than 4 kg Stable dietary habits and physical activity level for at least three months before study initiation Willing to maintain usual dietary habits and physical activity level throughout the study Able and willing to comply with the study protocol Able and willing to provide written Affiliated with a social security scheme Willing to be registered in the French National Register of Volunteers Participating in Biomedical Research

Exclusion criteria

Exclusion Criteria:

Medical or surgical history considered by the investigators to be incompatible with participation in the study Any medical condition considered by the investigators to be incompatible with participation in the study Medical to vigorous physical activity Current use of hormone replacement therapy Current use of beta-blocker therapy Diagnosed moderate-to-severe sleep apnoea syndrome that is untreated or inadequately controlled High-risk cardiovascular history, including symptomatic coronary artery disease, recent myocardial infarction or stroke, unstable heart failure, arrhythmia, or uncontrolled hypertension Severe respiratory disease, including advanced classified as group B or E according to the 2023 GOLD classification, chronic respiratory failure, or uncontrolled asthma Diabetes of any type Chronic kidney disease stage 3B, 4 or 5 according to the KDIGO classification Severe liver disease, defined by an greater than 1.2-1.3 Antibiotic treatment during the three months preceding the first stool collection More than eight hours of moderate-to-vigorous physical activity per week Any treatment that, in the investigators' opinion, could interfere with assessment of the study outcomes Low-energy diet during the three months preceding the study or intention to begin an energy-restricted diet during the study Extreme dietary habits Stay at an altitude above 2,500 m for more than eight days during the three months preceding the study Participation in another clinical study or currently within an exclusion period following participation in a previous clinical study Total compensation received for participation in research since the beginning of the calendar year exceeding €4,500, or the applicable regulatory limit Linguistic or psychological inability to provide Refusal to provide written informed consent Legally protected adult Deprived of liberty by an administrative or judicial decision Under guardianship or curatorship

Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
32 participants (estimated)

Study arms

  • Experimental
    Hypoxic HIIT (HIIT-H)

    Participants will complete a 12-week cycle-ergometer HIIT programme, with three sessions per week, under normobaric hypoxia (FiO₂: 15%; simulated altitude: 3,000 m).

    Behavioral: Hypoxic High-Intensity Interval Training

  • Active comparator
    Normoxic HIIT (HIIT-N)

    Participants will complete the same 12-week cycle-ergometer HIIT programme, with three sessions per week, under normoxic conditions (FiO₂: 21%).

    Behavioral: Normoxic High-Intensity Interval Training

Interventions

  • BehavioralHypoxic High-Intensity Interval Training

    Participants will complete 36 cycle-ergometer HIIT sessions over 12 weeks (three sessions per week) under normobaric hypoxia (FiO₂: 15%; simulated altitude: 3,000 m). Each session will include a 5-minute warm-up followed by 60 repetitions of 8 seconds of acceleration at approximately 80-85 rpm and 12 seconds of deceleration at approximately 60 rpm. The 8-second efforts will be performed at 75-80% of maximal aerobic power.

    Also known as: Hypoxic HIIT, HIIT-H

  • BehavioralNormoxic High-Intensity Interval Training

    Participants will complete 36 cycle-ergometer HIIT sessions over 12 weeks (three sessions per week) under normoxic conditions (FiO₂: 21%). Each session will include a 5-minute warm-up followed by 60 repetitions of 8 seconds of acceleration at approximately 80-85 rpm and 12 seconds of deceleration at approximately 60 rpm. The 8-second efforts will be performed at 75-80% of maximal aerobic power.

    Also known as: Normoxic HIIT, HIIT-N

06

What researchers measure

Primary outcomes

  1. Relative Change in Total Abdominal Fat Mass

    Total abdominal fat mass will be measured by dual-energy X-ray absorptiometry (DXA) at baseline and after the 12-week intervention. The relative change will be calculated as: (abdominal fat mass at 12 weeks - abdominal fat mass at baseline) / abdominal fat mass at baseline. More negative values indicate a greater reduction in abdominal fat mass. The change will be compared between the hypoxic and normoxic HIIT groups.

    Time frame: Baseline and immediately after the 12-week intervention

Secondary outcomes

  1. Relative Change in Body Mass

    Description: Body mass will be measured in kilograms at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between the hypoxic and normoxic HIIT groups.

    Time frame: Baseline and after 12 weeks of intervention

  2. Relative Change in Visceral Abdominal Fat Mass

    Description: Visceral abdominal fat mass will be measured by DXA at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between groups.

    Time frame: Baseline and after 12 weeks of intervention

  3. Relative Change in Total Lean Mass

    Description: Total lean mass will be measured in kilograms by DXA at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between groups.

    Time frame: Baseline and after 12 weeks of intervention

  4. Relative Change in Waist-to-Hip Ratio

    Description: The waist-to-hip ratio will be calculated by dividing waist circumference by hip circumference at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between groups.

    Time frame: Baseline and after 12 weeks of intervention

  5. Relative Change in metabolic Plasma parameters (TG, HBA1C, glucose, insulin, HDL, LDL)

    Fasting concentration will be measured at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between groups.

    Time frame: Baseline and after 12 weeks of intervention

  6. Relative Change in Whole Blood Viscosity

    Whole blood viscosity will be assessed using standardised haemorheological procedures at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between groups.

    Time frame: Baseline and after 12 weeks of intervention

  7. Relative Change in Red Blood Cell Deformability

    Description: Red blood cell deformability will be assessed using standardised haemorheological procedures at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between groups.

    Time frame: Baseline and after 12 weeks of intervention

  8. Relative Change in Red Blood Cell Aggregation

    Description: Red blood cell aggregation will be assessed using standardised haemorheological procedures at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between groups.

    Time frame: Baseline and after 12 weeks of intervention

  9. Change in the Relative Abundance of Prespecified Gut Bacterial Taxa

    Description: The relative abundance of prespecified bacterial taxa will be determined from faecal microbiota samples collected at baseline and after the 12-week intervention. Changes in relative abundance will be compared between the hypoxic and normoxic HIIT groups.

    Time frame: Baseline and after 12 weeks of intervention

  10. Change in Faecal Gut Microbiota Alpha Diversity

    Description: Alpha-diversity indices reflecting within-sample bacterial richness and diversity will be calculated from faecal microbiota samples collected at baseline and after the 12-week intervention. Changes will be compared between the hypoxic and normoxic HIIT groups.

    Time frame: Baseline and after 12 weeks of intervention

  11. Change in Faecal Gut Microbiota Beta Diversity

    Description: Beta diversity, reflecting differences in bacterial community composition, will be assessed using faecal samples collected at baseline and after the 12-week intervention. Changes in community composition will be compared between the hypoxic and normoxic HIIT groups.

    Time frame: Baseline and after 12 weeks of intervention

  12. Relative Change in Maximal Aerobic Power

    Description: Maximal aerobic power, expressed in watts, will be determined during a maximal exercise test at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between groups.

    Time frame: Baseline and after 12 weeks of intervention

  13. Relative Change in Lipid Oxidation Rate During Submaximal Exercise

    Description: Lipid oxidation rate, expressed in grams per minute, will be calculated by indirect calorimetry during 45 minutes of fasted exercise performed at 50% of V̇O₂max, at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between groups.

    Time frame: Baseline and after 12 weeks of intervention

  14. Relative Change in Carbohydrate Oxidation Rate During Submaximal Exercise

    Description: Carbohydrate oxidation rate, expressed in grams per minute, will be calculated by indirect calorimetry during 45 minutes of fasted exercise performed at 50% of V̇O₂max, at baseline and after the 12-week intervention. Relative change will be calculated as: (week 12 value - baseline value) / baseline value and compared between groups.

    Time frame: Baseline and after 12 weeks of intervention

07

Study locations

1 of 1 sites recruiting
  • CREPS Auvergne Rhône-Alpes / Vichy
    Bellerive-sur-Allier, 03321, France
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Jul 2028, 22 months after the start.

Of 3,683 non-industry interventional studies with no phase under Obesity, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 43. This study's planned 22 months is close to that.

Counting every sponsor, half of 3,846 studies reached it within 22 months; a quarter within 9 and three quarters within 42.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 27, 2026
First posted
Sep 1, 2026
StartActual
Aug 26, 2026
Primary completionEst.
Jul 5, 2028
CompletionEst.
Jul 5, 2028
Last update
Sep 1, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07796971
Lead sponsor
Laboratoire des Adaptations Métaboliques à l'Exercice en conditions Physiologiques et Pathologiques
Collaborators
CREPS Auvergne Rhône-Alpes (AURA)
Responsible party
BOISSEAU Nathalie (Professor, Laboratoire des Adaptations Métaboliques à l'Exercice en conditions Physiologiques et Pathologiques) — Principal investigator
First posted
Sep 1, 2026
Start date
Aug 26, 2026
Primary completion
Jul 5, 2028 (estimated)
Completion
Jul 5, 2028 (estimated)
Last update
Sep 1, 2026

Study contacts

Nathalie BOISSEAU, Professor
Contact
nathalie.boisseau@uca.fr
+33684331693

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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