Basic Research Study to Examine the Relation Between Muscle Insulin Resistance and Lipid Production in the Liver.

NCT ID: NCT02196051

Last Updated: 2024-08-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-01

Study Completion Date

2012-01-30

Brief Summary

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The purpose of this study was to examine the pathophysiology of insulin resistance and the relation to the metabolic syndrome in humans.

Detailed Description

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In this study insulin resistant (IR), young offspring of parents with type 2 diabetes (18-46 years) and healthy, lean elderly individuals (65-90 years) underwent 1H/13C MRS measurements of liver and muscle lipid and glycogen content before and after a high carbohydrate meal challenge. Hepatic de novo lipogenesis was determined as the incorporation of deuterium, from deuterium labeled water (2H2O), into plasma triglycerides 5. These metabolic studies were performed in 2 sets: Study Part 1: Resting, Study Part 2: After 1 bout of 45 minutes exercise.

The study has been completed and published as two papers: August 16, 2011 and July 24, 2012.

Conditions

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Insulin Resistance

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Exercise Training

Participants engaged in a single bout of elliptical exercise for 45 minutes (3 times 15 minutes spaced by 5 minutes rest) at baseline. Subjects will be studied before and after this one bout to measure hepatic de novo lipogenesis. Hepatic de novo lipogenesis will be compared pre and post to examine whether acutely improving muscle glucose uptake will decrease hepatic de novo lipogenesis as the glucose is taken up by muscle and not directed to the liver.

Group Type EXPERIMENTAL

one bout of 45 minutes exercise

Intervention Type OTHER

45 minutes of exercise on an elliptical exercise machine

Interventions

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one bout of 45 minutes exercise

45 minutes of exercise on an elliptical exercise machine

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Body Mass Index \< 29 kg/m2
* No regular exercise routine
* Non-smokers
* Absence of systemic and organ disease.

Exclusion Criteria

* Hematocrit \< 35 vol%
* History of claustrophobia
* Ferromagnetic implants
* Regular exercise regimen
* Not weight stable
* Any significant hematological, neurological, musculoskeletal or endocrine disease (including diabetes mellitus)
* Any significant cardiovascular condition, including confirmed CAD and prior cardiovascular events
* Taking coumadin as anticoagulant therapy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Aging (NIA)

NIH

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kitt Petersen, MD

Role: PRINCIPAL_INVESTIGATOR

Yale University

Locations

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YCCI/YNNH Hospital Research Unit

New Haven, Connecticut, United States

Site Status

Countries

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United States

References

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Rabol R, Petersen KF, Dufour S, Flannery C, Shulman GI. Reversal of muscle insulin resistance with exercise reduces postprandial hepatic de novo lipogenesis in insulin resistant individuals. Proc Natl Acad Sci U S A. 2011 Aug 16;108(33):13705-9. doi: 10.1073/pnas.1110105108. Epub 2011 Aug 1.

Reference Type RESULT
PMID: 21808028 (View on PubMed)

Flannery C, Dufour S, Rabol R, Shulman GI, Petersen KF. Skeletal muscle insulin resistance promotes increased hepatic de novo lipogenesis, hyperlipidemia, and hepatic steatosis in the elderly. Diabetes. 2012 Nov;61(11):2711-7. doi: 10.2337/db12-0206. Epub 2012 Jul 24.

Reference Type RESULT
PMID: 22829450 (View on PubMed)

Other Identifiers

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R56AG023686

Identifier Type: NIH

Identifier Source: secondary_id

View Link

0710003207

Identifier Type: -

Identifier Source: org_study_id

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