UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063112
Receipt number R000072236
Scientific Title Effects of acute exercise combined with virtual reality on psychological and physiological responses in middle-aged adults
Date of disclosure of the study information 2026/09/30
Last modified on 2026/09/30 11:15:20

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Basic information

Public title

Effects of acute exercise using virtual reality on psychological and physiological functions

Acronym

VR Exercise Study

Scientific Title

Effects of acute exercise combined with virtual reality on psychological and physiological responses in middle-aged adults

Scientific Title:Acronym

VR Exercise Study in Middle-Aged Adults

Region

Japan


Condition

Condition

Healthy middle-aged adults

Classification by specialty

Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the effects of acute exercise using virtual reality on psychological and physiological functions in middle-aged adults using subjective mood measures, heart rate variability, and salivary alpha-amylase activity.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Mood state assessed using the MCL-S.2, heart rate variability (HRV), and salivary alpha-amylase activity. Each outcome is assessed before 20 minutes of cycling exercise and after a 5-minute resting period following exercise, and pre-to-post changes are evaluated.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Participants perform 20 min of recumbent cycling without visual presentation. Cadence is maintained at 60 rpm, and exercise intensity is set at 50% of heart rate reserve (HRR) calculated using the Karvonen formula. Heart rate is continuously monitored during exercise, and when it deviates from the target heart rate by more than approximately 5 bpm in either direction, ergometer resistance is adjusted while maintaining a cadence of 60 rpm. A 1-week washout period is provided between the control and VR conditions.

Interventions/Control_2

Participants perform 20 min of recumbent cycling while wearing a head-mounted display (HMD) and viewing immersive VR content. Cadence is maintained at 60 rpm, and exercise intensity is set at 50% of heart rate reserve (HRR) calculated using the Karvonen formula. Heart rate is continuously monitored during exercise, and when it deviates from the target heart rate by more than approximately 5 bpm in either direction, ergometer resistance is adjusted while maintaining a cadence of 60 rpm. A 360-degree real-world video is presented, with video playback speed linked to pedaling speed.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

65 years-old >

Gender

Male and Female

Key inclusion criteria

1. Healthy adults aged 40 years or older and younger than 65 years
2. Individuals who received sufficient explanation of the study purpose and procedures and provided written informed consent
3. Individuals without a regular exercise habit

Key exclusion criteria

1. Individuals with a history of orthopedic, respiratory, cardiovascular, or central nervous system disorders
2. Individuals with signs suggestive of dementia or depression

Target sample size

200


Research contact person

Name of lead principal investigator

1st name KEITA
Middle name
Last name AIHARA

Organization

Kyorin University

Division name

Department of Physical Therapy, Faculty of Health Sciences

Zip code

181-8612

Address

5-4-1 Shimorenjaku, Mitaka, Tokyo, Japan

TEL

0422478000

Email

aihara-k@ks.kyorin-u.ac.jp


Public contact

Name of contact person

1st name KEITA
Middle name
Last name AIHARA

Organization

Kyorin University

Division name

Department of Physical Therapy, Faculty of Health Sciences

Zip code

181-8612

Address

5-4-1 Shimorenjaku, Mitaka, Tokyo, Japan

TEL

0422478000

Homepage URL


Email

aihara-k@ks.kyorin-u.ac.jp


Sponsor or person

Institute

Kyorin University

Institute

Department

Personal name

Keita Aihara


Funding Source

Organization

kyorin University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Faculty of Health Sciences, Kyorin University

Address

5-4-1 Shimorenjaku, Mitaka, Tokyo 181-8612, Japan

Tel

0422-47-8000

Email

kyorinri@ksot.kyorin-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 30 Day


Related information

URL releasing protocol

Not publicly available

Publication of results

Unpublished


Result

URL related to results and publications

Not publicly available

Number of participants that the trial has enrolled

16

Results

Sixteen participants completed the study. A significant condition-by-time interaction was observed for lnRMSSD, which decreased after exercise in the control condition but showed a small increase in the VR condition. HF norm, LF/HF, salivary alpha-amylase activity, and MCL-S.2 also showed different pre-to-post changes between conditions. No significant between-condition difference was observed in ratings of perceived exertion.

Results date posted

2026 Year 09 Month 30 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Sixteen healthy middle-aged adults (10 men and 6 women) participated in the study. Mean age was 47.4 +/- 7.3 years (range, 40-64 years), height was 165.4 +/- 9.2 cm, body weight was 62.5 +/- 10.8 kg, BMI was 22.8 +/- 2.9 kg/m2, and resting blood pressure was 118.8 +/- 8.9/74.1 +/- 5.1 mmHg.

Participant flow

All 16 participants were randomized, with eight allocated to the Control-to-VR sequence and eight to the VR-to-Control sequence. Each participant completed both conditions with a 1-week washout period between sessions. There were no dropouts or missing outcome data, and all 16 participants were included in the analysis.

Adverse events

No adverse events were observed. All 16 participants completed both experimental conditions.

Outcome measures

The primary outcome was lnRMSSD, an index of heart rate variability. Secondary physiological outcomes were HF norm and natural log-transformed salivary alpha-amylase activity (lnsAA). Exploratory outcomes included pleasantness, relaxation, and anxiety assessed using the MCL-S.2, and rating of perceived exertion assessed using the Borg scale.

Plan to share IPD

There is no plan to share individual participant data.

IPD sharing Plan description

Individual participant data will not be shared.


Progress

Recruitment status

Completed

Date of protocol fixation

2024 Year 07 Month 12 Day

Date of IRB

2024 Year 07 Month 12 Day

Anticipated trial start date

2024 Year 08 Month 01 Day

Last follow-up date

2024 Year 10 Month 15 Day

Date of closure to data entry

2024 Year 10 Month 20 Day

Date trial data considered complete

2024 Year 11 Month 01 Day

Date analysis concluded

2024 Year 12 Month 05 Day


Other

Other related information



Management information

Registered date

2026 Year 09 Month 30 Day

Last modified on

2026 Year 09 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072236