Fatty Acid Metabolism and Insulin Sensitivity After Exercise in Obesity

NCT01451957 | Completed

• 1 other identifier: 03-0165
• Study Type: interventional
• Target: 7
• Locations: 1 country
• Sites: 1

Brief Summary

Alterations in fatty acid mobilization and oxidation may be primary adaptations responsible for the improvements in metabolic health after a single session of endurance exercise. The investigators will determine the effect of a single session of endurance exercise on whole-body fatty acid mobilization and oxidation, IMTG concentration and the expression of factors that regulate these processes in skeletal muscle of 11 women with abdominal obesity (age: 18-45y). In addition, the investigators will evaluate how these factors, and exercise, effect insulin signalling and insulin sensitivity. Every effort will be made to recruit subjects from ethnic and minority groups. Before participating in the study, subjects will be informed of all the procedures and potential risks, and they will sign an informed consent form approved by The University of Michigan Institutional Review Board. Eligible volunteers will participate in three separate trials, in a randomized order. In two trials subjects will eat exactly the same amount of calories, except in one trial they will exercise (eucaloric + exercise) and in the other trial they will remain sedentary (hypercaloric). In a third trial subjects will again remain sedentary but instead they will ingest appropriate calories to maintain caloric balance (eucaloric + sedentary). By doing this the investigators are also able to investigate the effect of acute caloric perturbations on insulin sensitivity, because it is possible that the enhanced insulin sensitivity evident after exercise, as compared to the sedentary state, is due to caloric deficit and not the exercise bout, per se.

Conditions

Obesity

Keywords

exercise; fatty acid metabolism; insulin sensitivity

Outcome Measures

Primary Outcomes (1)

• Insulin Sensitivity

  frequently sampled intravenous glucose tolerance test(FSIVGTT)will be done to assess insuiln sensitivity

  3 hours

Study Arms (2)

Exercise

EXPERIMENTAL

90 min exercise on Day 1

Other: Exercise - caloric balance

Sedentary Control

EXPERIMENTAL

Subjects remain sedentary on Day 1 and will either consume a hyper-caloric or a caloric balanced diet

Other: No Exercise - hyper-caloric diet; Other: No exercise - caloric balance

Interventions

Exercise - caloric balance OTHER

90 min exercise on Day 1 with meals afterward resulting in caloric balance for the day (i.e.; extra kcals provided to account for energy expended during exercise)\]

Exercise

No Exercise - hyper-caloric diet OTHER

Subjects remain sedentary on Day 1 and they ingest meals that are identical to those ingested on the day they performed exercise (i.e.; more calories ingested than expended because no exercise performed).

Sedentary Control

No exercise - caloric balance OTHER

Subjects remain sedentary on Day 1 and they ingest a similar proportion of macronutrients however, the total calories ingested will be lower than the other two trials, resulting in caloric balance for the day.

Sedentary Control

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Premenopausal; Body mass index 30-40 kg/m2; Waist circumference \>88 cm

You may not qualify if:

• Evidence of metabolic or cardiovascular disease; Pregnancy; Hyperlipidemia (fasting plasma triglyceride concentration \> 150 mg/dl); Hematocrit \< 34%; Undertaking regular exercise (i.e., \>2 times/week)

Sponsors & Collaborators

• University of Michigan: lead

Study Sites (1)

Michigan Clincal Research Unit

Ann Arbor, Michigan, 48109, United States

Location

MeSH Terms

Conditions

Obesity; Motor Activity; Insulin Resistance

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior; Hyperinsulinism; Glucose Metabolism Disorders; Metabolic Diseases

Study Officials

• Jeffrey F Horowitz, Ph.D.

  University of Michigan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: BASIC SCIENCE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor, Movement Science, School of Kinesiology

Study Record Dates

• First Submitted: October 11, 2011
• First Posted: October 14, 2011
• Study Start: August 1, 2003
• Primary Completion: April 1, 2011
• Study Completion: April 1, 2011
• Last Updated: November 23, 2016

Record last verified: 2016-11

Locations

US (1)