ClinicalTrials.gg
Not yet recruitingNCT07905755Updated Oct 29, 2026

Effect of HMB Supplementation and Vivifrail Exercise on Body Composition, Handgrip Strength and Physical Performance in Women Over 60 Years of Age

An interventional study of Calcium β-hydroxy-β-methylbutyrate (HMB-Ca) and Maltodextrin (Placebo) in Aging, Muscle Strength and Physical Functional Performance, sponsored by Universidad Autónoma del Estado de Hidalgo. Not yet recruiting at 1 site in Mexico. Open to female participants aged 60 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Universidad Autónoma del Estado de Hidalgo · Not applicable, Interventional, and Prevention

Updated Oct 29, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
60 Years to 80 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to learn whether taking a daily supplement of β-hydroxy-β-methylbutyrate (HMB) while following a structured exercise program improves body composition, muscle strength and physical performance in older women. The main question it aims to answer is: does HMB (3 g per day) combined with the Vivifrail multicomponent exercise program improve handgrip strength more than the same exercise program combined with maltodextrin without HMB? Researchers will also compare body composition and physical performance between groups.

Participants will take the assigned supplement every day for 12 weeks, attend three supervised Vivifrail exercise sessions per week at the Casa Club de la Tercera Edad (DIF Tulancingo, Hidalgo, Mexico), and complete evaluations at baseline, week 6 and week 12.

Read the detailed description

Age-related loss of muscle strength and physical function is associated with disability, falls and loss of independence. Multicomponent exercise is the main recommended intervention, and HMB, a leucine metabolite, has been proposed to enhance its effects on skeletal muscle. This single-center, randomized, double-blind, placebo-controlled, parallel-group trial will include women aged 60 to 80 years with a Short Physical Performance Battery (SPPB) score of 7 to 12, corresponding to Vivifrail exercise passports C (pre-frailty) and D (robustness).

Participants will be randomly assigned (1:1) using stratified block randomization generated with Research Randomizer, with allocation concealed in sealed opaque envelopes, to: (1) calcium HMB 3 g/day plus Vivifrail, or (2) maltodextrin without HMB plus Vivifrail, for 12 weeks. Both products (Nutricost) are supplied in identical sachets. The Vivifrail program is delivered in three supervised sessions per week, using Vivifrail passports C and D according to each participant's SPPB score. Participants, the exercise supervisor, the principal investigator and outcome assessors are blinded to group allocation.

The primary outcome is handgrip strength measured with a Jamar hydraulic dynamometer. Secondary outcomes include body composition by bioelectrical impedance (Tanita BC-545N), anthropometric circumferences (calf, waist, relaxed arm and flexed arm; ISAK protocol) and physical performance (SPPB). Physical activity level will be described with the International Physical Activity Questionnaire (IPAQ, short form). Dietary intake will be assessed with three multiple-pass 24-hour recalls at each time point, and protein intake will be used as a time-varying covariate. Women with type 2 diabetes or hypertension may participate if under treatment and controlled; blood pressure and capillary glucose will be monitored before exercise sessions according to predefined safety criteria. Data will be analyzed by intention-to-treat using linear mixed models with a group × time interaction.

02

Conditions studied

  • Aging
  • Muscle Strength
  • Physical Functional Performance
  • Body Composition

Keywords

  • beta-hydroxy-beta-methylbutyrate
  • HMB
  • dietary supplement
  • multicomponent exercise
  • Vivifrail
  • handgrip strength
  • Short Physical Performance Battery
  • older women
03

In context

Lead sponsor

Universidad Autónoma del Estado de Hidalgo is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years to 80 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

  • Women aged 60 to 80 years
  • User of the Casa Club de la Tercera Edad, DIF Tulancingo, Hidalgo, Mexico
  • Short Physical Performance Battery (SPPB) score of 7 to 12 points, corresponding to Vivifrail exercise passport C (pre-frailty, 7-9 points) or D (robustness, 10-12 points)
  • , Mexican Spanish version (MoCA-E), score of 24 or higher
  • Women with type 2 diabetes or hypertension may participate only if under treatment and controlled
  • Signed

Exclusion criteria

Exclusion Criteria:

  • Osteoarticular disease of the spine or limbs that contraindicates or prevents exercise (e.g., active rheumatoid arthritis)
  • Heart failure or decompensated heart disease, or any medical to physical exercise
  • Renal or hepatic failure
  • Advanced cancer or cancer under active treatment
  • Cognitive impairment preventing understanding of instructions, or test performance (-E score below 24 points)
  • Pacemaker or other implanted electronic device (contraindication for bioelectrical impedance)
  • Clinically visible edema (interferes with bioelectrical impedance)
  • Use of HMB, leucine, protein powder, creatine or other anabolic or ergogenic supplements in the 6 weeks before study start ()
  • Use of drugs affecting muscle mass or function (e.g., systemic or androgen therapy)
  • Known allergy or intolerance to the components of the HMB supplement or the placebo (maltodextrin)
  • Limb amputation or any condition preventing anthropometric or functional measurements
  • Uncontrolled type 2 diabetes or hypertension, defined as urgent care or hospitalization for these conditions in the previous 3 months
  • Current participation in a structured strength (resistance) training program outside the study
Terms in these criteria, in plain language(5)

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.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
44 participants (estimated)

Study arms

  • Experimental
    HMB + Vivifrail

    Participants receive 3 g/day of calcium β-hydroxy-β-methylbutyrate (Nutricost) for 12 weeks plus the Vivifrail multicomponent exercise program, three supervised sessions per week.

    Dietary Supplement: Calcium β-hydroxy-β-methylbutyrate (HMB-Ca) · Behavioral: Vivifrail multicomponent exercise program

  • Placebo comparator
    Maltodextrin + Vivifrail

    Participants receive maltodextrin without HMB (Nutricost), supplied in sachets identical to the HMB sachets, for 12 weeks plus the Vivifrail multicomponent exercise program, three supervised sessions per week.

    Dietary Supplement: Maltodextrin (Placebo) · Behavioral: Vivifrail multicomponent exercise program

Interventions

  • 3 g/day orally for 12 weeks (Nutricost), supplied in sachets.

    Also known as: HMB, beta-hydroxy-beta-methylbutyrate

  • Dietary supplementMaltodextrin (Placebo)

    Maltodextrin without HMB (Nutricost), same dose schedule and identical sachet presentation as HMB-Ca, for 12 weeks.

  • BehavioralVivifrail multicomponent exercise program

    Multicomponent exercise (strength, power, balance, flexibility and walking) following Vivifrail passports C and D according to each participant's SPPB score, three supervised sessions per week for 12 weeks at the Casa Club de la Tercera Edad, DIF Tulancingo.

    Also known as: Vivifrail

06

What researchers measure

Primary outcomes

  1. Change in handgrip strength

    Maximum handgrip strength (kg) measured with a Jamar hydraulic dynamometer. Higher values indicate greater muscle strength.

    Time frame: Baseline, week 6 and week 12

Secondary outcomes

  1. Change in Short Physical Performance Battery (SPPB) score

    Total SPPB score (0-12 points), including balance, 4-meter gait speed and 5-times chair stand tests. Higher scores indicate better physical performance.

    Time frame: Baseline, week 6 and week 12

  2. Change in appendicular muscle mass

    Appendicular muscle mass (kg), calculated as the sum of segmental muscle mass of both arms and both legs estimated by segmental bioelectrical impedance (Tanita BC-545N).

    Time frame: Baseline, week 6 and week 12

  3. Change in body fat percentage

    Body fat (%) estimated by bioelectrical impedance (Tanita BC-545N).

    Time frame: Baseline, week 6 and week 12

  4. Change in calf circumference

    Calf circumference (cm) measured following the ISAK protocol.

    Time frame: Baseline, week 6 and week 12

  5. Change in relaxed arm circumference

    Relaxed arm circumference (cm) measured following the ISAK protocol.

    Time frame: Baseline, week 6 and week 12

  6. Change in flexed arm circumference

    Flexed and tensed arm circumference (cm) measured following the ISAK protocol.

    Time frame: Baseline, week 6 and week 12

  7. Change in waist circumference

    Waist circumference (cm) measured following the ISAK protocol.

    Time frame: Baseline, week 6 and week 12

Other outcomes

  1. Dietary protein intake

    Protein intake (g/kg/day) estimated from three multiple-pass 24-hour dietary recalls (two weekdays and one weekend day), analyzed with Nutrimind software; used as a covariate.

    Time frame: Baseline, week 6 and week 12

07

Study locations

1 site
  • Casa Club de la Tercera Edad, Sistema DIF Tulancingo
    Tulancingo, Hidalgo 43600, Mexico
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared publicly to protect participant confidentiality, in accordance with the informed consent and Mexican personal data protection regulations.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2026; primary completion for Apr 2027, 4 months later.

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

Registered
Oct 23, 2026
First posted
Oct 29, 2026
StartEst.
Dec 2026
Primary completionEst.
Apr 2027
CompletionEst.
Apr 2027
Last update
Oct 29, 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.
Registered
First appeared on the registry. No changes since
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07905755
Lead sponsor
Universidad Autónoma del Estado de Hidalgo
Collaborators
Sistema para el Desarrollo Integral de la Familia (DIF) de Tulancingo de Bravo
Responsible party
Rodrigo Ronces Arrieta (Master's Student in Clinical Nutrition, Universidad Autónoma del Estado de Hidalgo) — Principal investigator
First posted
Oct 29, 2026
Start date
Dec 2026 (estimated)
Primary completion
Apr 2027 (estimated)
Completion
Apr 2027 (estimated)
Last update
Oct 29, 2026

Study contacts

Rodrigo Ronces Arrieta, BSc
Contact
ro194886@uaeh.edu.mx
+52 7751458770
Trinidad Lorena Fernández Cortés, MSc
Contact
tfernandez@uaeh.edu.mx
+52 7717172000 ext. 41524
Rodrigo Ronces Arrieta, BSc
principal investigator · Universidad Autónoma del Estado de Hidalgo
Trinidad Lorena Fernández Cortés, MSc
study director · Universidad Autónoma del Estado de Hidalgo

Oversight

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

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Discussion

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Studies of the drug tested here: Beta-hydroxyisovaleric acid

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