Marathon Runners With Type 1 Diabetes

NCT ID: NCT06935903

Last Updated: 2025-04-20

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

10 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-08-30

Study Completion Date

2023-10-22

Brief Summary

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The goal of this observational study is to learn about the physical capacity and metabolic characteristics of male marathon runners with type 1 diabetes mellitus (T1DM). The main question it aims to answer is:

Do male marathon runners with T1DM have different physical fitness and metabolic profiles compared to healthy runners without diabetes?

Participants with T1DM and healthy controls who have completed a marathon will undergo a single in-person assessment, including body composition analysis, resting metabolic rate measurement, and a maximal exercise test

Detailed Description

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This observational, cross-sectional case-control study aims to compare physical capacity and metabolic parameters between male marathon runners with type 1 diabetes mellitus (T1DM) and healthy male marathon runners without diabetes. The study focuses on evaluating differences in cardiopulmonary fitness, resting metabolic rate, and body composition between the two groups.

Participants attended a single study visit after overnight fasting. The visit included anthropometric measurements, assessment of medical history, and structured questionnaires on diabetes management (for T1DM participants) and physical activity habits. Body composition was assessed using dual-energy X-ray absorptiometry (DXA), providing detailed analysis of total and regional fat mass, lean tissue mass, and bone mineral density. Daily calibration of the DXA scanner ensured data accuracy and consistency.

Resting metabolic rate (RMR) was measured by indirect calorimetry using a ventilated hood system. Measurements were performed in a controlled environment with standardized temperature and low light to minimize variability. Data collection spanned 25 minutes, with the first 5 minutes discarded for acclimatization and the subsequent 20 minutes analyzed. Energy expenditure and substrate oxidation rates were calculated using established equations (Weir equation and Zuntz table).

Cardiorespiratory fitness was assessed through a maximal exercise test on a cycle ergometer with continuous respiratory gas analysis. The test protocol began with a resting phase and warm-up, followed by incremental workload increases until volitional exhaustion. Parameters such as VO₂max, ventilatory efficiency, gas exchange threshold, and peak workload were measured using a calibrated metabolic cart.

Data analysis involved descriptive statistics, Mann-Whitney U tests for numerical comparisons, and Chi-square tests for categorical variables. Dedicated manufacturer software was used for CPET data processing, and statistical analyses were conducted using R software (version 4.4.1).

Conditions

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Type 1 Diabetes (T1D)

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Type 1 diabetes group

Male participants with confirmed T1DM diagnosis for ≥1 year who have completed a marathon.

No interventions assigned to this group

Control Group

Healthy male marathon runners matched by age, sex, and training background

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* A diagnosis of T1DM for at least 1 year.
* Age ≥ 18 years.
* Written informed consent and adherence to the study protocol.

Exclusion Criteria

* Pregnancy.
* Use of medications significantly affecting metabolism or exercise performance
* Presence of chronic medical or psychiatric conditions limiting safe participation

•Presence of advanced chronic complications of diabetes: proliferative retinopathy, diabetic kidney disease in stages III-V, cardiovascular diseases
* Inability to safely complete maximal exercise testing.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Poznan University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Zozulińska-Ziółkiewicz Dorota MD PhD

Head of the Department of Internal Medicine and Diabetology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dorota Zozulinska-Ziolkiewicz, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences

Locations

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Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences

Poznan, Greater Poland Voivodeship, Poland

Site Status

Countries

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Poland

References

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Shepherd JA, Ng BK, Sommer MJ, Heymsfield SB. Body composition by DXA. Bone. 2017 Nov;104:101-105. doi: 10.1016/j.bone.2017.06.010. Epub 2017 Jun 16.

Reference Type BACKGROUND
PMID: 28625918 (View on PubMed)

Achamrah N, Delsoglio M, De Waele E, Berger MM, Pichard C. Indirect calorimetry: The 6 main issues. Clin Nutr. 2021 Jan;40(1):4-14. doi: 10.1016/j.clnu.2020.06.024. Epub 2020 Jul 2.

Reference Type BACKGROUND
PMID: 32709554 (View on PubMed)

Poole DC, Wilkerson DP, Jones AM. Validity of criteria for establishing maximal O2 uptake during ramp exercise tests. Eur J Appl Physiol. 2008 Mar;102(4):403-10. doi: 10.1007/s00421-007-0596-3. Epub 2007 Oct 30.

Reference Type BACKGROUND
PMID: 17968581 (View on PubMed)

Thuillier P, Domun N, Sonnet E, Le Ven F, Roudaut C, Kergus A, Kerlan V, Roudaut N. Prevention of exercise-induced hypoglycemia in 12 patients with type 1 diabetes running the Paris Marathon using continuous glucose monitoring: A prospective, single-center observational study. Diabetes Metab. 2022 Mar;48(2):101321. doi: 10.1016/j.diabet.2022.101321. Epub 2022 Jan 12.

Reference Type BACKGROUND
PMID: 35032674 (View on PubMed)

Grimm JJ, Muchnick S. Type I diabetes and marathon running. Diabetes Care. 1993 Dec;16(12):1624. doi: 10.2337/diacare.16.12.1624a. No abstract available.

Reference Type BACKGROUND
PMID: 8299461 (View on PubMed)

Riddell MC, Scott SN, Fournier PA, Colberg SR, Gallen IW, Moser O, Stettler C, Yardley JE, Zaharieva DP, Adolfsson P, Bracken RM. The competitive athlete with type 1 diabetes. Diabetologia. 2020 Aug;63(8):1475-1490. doi: 10.1007/s00125-020-05183-8. Epub 2020 Jun 12.

Reference Type BACKGROUND
PMID: 32533229 (View on PubMed)

Chimen M, Kennedy A, Nirantharakumar K, Pang TT, Andrews R, Narendran P. What are the health benefits of physical activity in type 1 diabetes mellitus? A literature review. Diabetologia. 2012 Mar;55(3):542-51. doi: 10.1007/s00125-011-2403-2. Epub 2011 Dec 22.

Reference Type BACKGROUND
PMID: 22189486 (View on PubMed)

Related Links

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https://ucbsm.ump.edu.pl/nauka-dla-spoleczenstwa

Poznan University of Medical Sciences in Poznań is conducting the project "Development of the University Centre for Sports and Medical Studies in Poznań" (No. NdS/544750/2021/2022), funded by the Ministry of Education and Science under th

Other Identifiers

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1245/18

Identifier Type: OTHER

Identifier Source: secondary_id

NdS/544750/2021/2022

Identifier Type: -

Identifier Source: org_study_id

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