Sarcopenia and Diabetes Mellitus

NCT ID: NCT04407819

Last Updated: 2020-05-29

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

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-03-20

Study Completion Date

2018-09-22

Brief Summary

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The association of diabetes mellitus type 2 (T2DM) with sarcopenia has not been adequately investigated. Sarcopenia is characterized by progressive and generalized loss of skeletal muscle mass which may affect performance.

Detailed Description

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The relationship between DM and sarcopenia has not been extensively investigated. Skeletal muscle is the primary site of glucose deposition, and decreased muscle mass plays a role in impaired glucose metabolism in patients with insulin resistance and type 2 diabetes. Skeletal muscle resistance to insulin action appears to be the link between type 2 diabetes (T2DM) and sarcopenia. Hyperglycemia is a metabolic dysfunction which can potentially damage muscle cells. Insulin deficiency leads to marked muscle catabolism that can be reversed by exogenous insulin administration.

The metabolic disorder in diabetics may be reversible.Thus, it may be possible to restore physical ability by restoring the musculoskeletal system.Therefore, the diagnosis of sarcopenia if made can lead to interventions which may prevent the deterioration of body composition and the subsequent deterioration of quality of life. According to the results of the aforementioned studies it is still inconclusive if the metabolic disorder in diabetes may be related to sarcopenia, or sarcopenia may be a consequence of diabetes.

Conditions

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Sarcopenia

Keywords

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sarcopenia diabetes mellitus skeletal muscle index

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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diabetes mellitus type 2

36 patients with diabetes mellitus type 2, aged 20-80 years, attending endocrinology outpatient clinics were studied for the assessment of muscle mass and function compared to controls.

WHOLE BODY DXA

Intervention Type RADIATION

Muscle mass was estimated by using the whole body DXA (Hologic Horizon W)

CONTROLS

14 community people who visited the endocrinology outpatient hospital clinic for a routine checkup, or with a non-related to diabetes disease.

WHOLE BODY DXA

Intervention Type RADIATION

Muscle mass was estimated by using the whole body DXA (Hologic Horizon W)

Interventions

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WHOLE BODY DXA

Muscle mass was estimated by using the whole body DXA (Hologic Horizon W)

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* T2DM participants were on treatment with oral hypoglycemic agents
* confirmation criteria of a T2DM diagnosis were glycosylated hemoglobin A1c levels ≥ 6.5% and fasting plasma glucose ≥ 126 mg/dl (7 mmol/l).

Exclusion Criteria

* history of a cerebrovascular event, a heart stent, an artificial cardiac pacemaker or other metallic implant,
* a malignant tumor, liver disease, end stage chronic kidney disease, a thyroid disorder, carpal tunnel syndrome,
* subjects who received special dietary supplements such as protein powder, during the last three months were excluded from the study.
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Thessaly

OTHER

Sponsor Role collaborator

Dionyssiotis, Yannis, M.D.

INDIV

Sponsor Role lead

Responsible Party

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Yannis Dionyssiotis

Post graduate student in Hellenic Open University of Greece

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yannis Dionyssiotis, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Foundation for Care of Neurological Illnesses, Greece

Locations

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Foundation for Care of Neurological Illnesses, Greece

Athens, Attica, Greece

Site Status

Countries

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Greece

References

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Dionyssiotis Y. Sarcopenia in the Elderly. Eur Endocrinol. 2019 Apr;15(1):13-14. doi: 10.17925/EE.2019.15.1.13. Epub 2019 Apr 12.

Reference Type BACKGROUND
PMID: 31244904 (View on PubMed)

Dionyssiotis Y, Kapsokoulou A, Samlidi E, Angoules AG, Papathanasiou J, Chronopoulos E, Kostoglou-Athanassiou I, Trovas G. Sarcopenia: From definition to treatment. Hormones (Athens). 2017 Oct;16(4):429-439. doi: 10.14310/horm.2002.1764. No abstract available.

Reference Type BACKGROUND
PMID: 29518764 (View on PubMed)

Other Identifiers

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EAPDionyssiotis

Identifier Type: -

Identifier Source: org_study_id