Acute Cardiovascular and Metabolic Effects of Exercise Training in Individuals With Insulin Resistance

NCT ID: NCT00954109

Last Updated: 2015-04-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

11 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2010-12-31

Brief Summary

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The overall aim of the project is to determine whether or not exercise influences cardiovascular or nervous responses to meal ingestion in individuals with insulin resistance or type 2 diabetes.

Detailed Description

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Participants will undergo a screening procedure, including telephone screening and physical examination, as well as determination of body composition and fitness. Participants will be asked to complete 5-10 days of supervised exercise training and will undergo testing to assess cardiovascular and metabolic responses to an oral glucose tolerance test, including muscle sympathetic nerve activity, blood flow, and circulating glucose and insulin concentrations at baseline and following training. In addition, day-to-day variations in blood glucose will also be monitored. The overall aim of the project is to determine whether or not acute exercise training influences postprandial metabolic, vascular or autonomic nervous system responses in individuals with insulin resistance or T2D.

Conditions

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Insulin Resistance

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Exercise

exercise - supervised exercise (treadmill walking or cycle ergometer use)

Group Type EXPERIMENTAL

Exercise

Intervention Type BEHAVIORAL

daily exercise: supervised treadmill walking or cycle ergometry use

Interventions

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Exercise

daily exercise: supervised treadmill walking or cycle ergometry use

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Insulin resistant: diagnosed with pre-diabetes or fasting blood glucose \>/= 100 mg/dL
* T2D: diagnosed by primary care physician
* BMI: less than 43 kg/m2
* Age: 30-65

Exclusion Criteria

* Smoking
* Insulin use (other than once daily)
* Underlying conditions that limit ability to exercise safely
* Recent weight gain or loss (\>5% of body weight in 3 months)
* Physically active (\>30 min aerobic exercise, 2 d/wk)
* Recent (\<3 mo) changes in medication use or dose
* Uncontrolled T2D (HbA1c\>10%)
* Advanced retinopathy or neuropathy
* Pregnancy
Minimum Eligible Age

30 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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US Department of Veterans Affairs

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John Thyfault, PhD

Role: PRINCIPAL_INVESTIGATOR

Harry S. Truman Memorial VA Medical Center

Locations

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Harry S. Truman Memorial VA Medical Center

Columbia, Missouri, United States

Site Status

Countries

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United States

References

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Mikus CR, Fairfax ST, Libla JL, Boyle LJ, Vianna LC, Oberlin DJ, Uptergrove GM, Deo SH, Kim A, Kanaley JA, Fadel PJ, Thyfault JP. Seven days of aerobic exercise training improves conduit artery blood flow following glucose ingestion in patients with type 2 diabetes. J Appl Physiol (1985). 2011 Sep;111(3):657-64. doi: 10.1152/japplphysiol.00489.2011. Epub 2011 Jul 7.

Reference Type RESULT
PMID: 21737826 (View on PubMed)

Mikus CR, Oberlin DJ, Libla J, Boyle LJ, Thyfault JP. Glycaemic control is improved by 7 days of aerobic exercise training in patients with type 2 diabetes. Diabetologia. 2012 May;55(5):1417-23. doi: 10.1007/s00125-012-2490-8. Epub 2012 Feb 4.

Reference Type DERIVED
PMID: 22311420 (View on PubMed)

Other Identifiers

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CDA-2-051-07S

Identifier Type: -

Identifier Source: org_study_id

NCT00572676

Identifier Type: -

Identifier Source: nct_alias

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