Weight Loss and/or Exercise Training to Discover Muscle Lipids Related to Insulin Sensitivity
2 other identifiers
interventional
21
1 country
1
Brief Summary
The investigators will use exercise training and weight loss to discover localized lipid species related to diabetes risk in people.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable diabetes
Started Jan 2014
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2014
CompletedFirst Submitted
Initial submission to the registry
January 16, 2014
CompletedFirst Posted
Study publicly available on registry
January 23, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 3, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
August 3, 2015
CompletedApril 25, 2022
April 1, 2022
1.6 years
January 16, 2014
April 21, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Change in insulin sensitivity
Change in insulin sensitivity measured before and after the 3 month weight loss and exercise training intervention
baseline and 3 months
Secondary Outcomes (1)
Change in membrane localized diacylglycerol species
baseline and 3 months
Study Arms (2)
Exercise Training and Weight Loss Intervention
EXPERIMENTALCombination weight loss/exercise training, on insulin sensitivity, muscle lipid composition and localization in skeletal muscle.
4 Month Weight Loss Only Intervention
ACTIVE COMPARATORUse exercise training and weight loss as separate interventions in obese subjects with and without pre-diabetes.
Interventions
Combined weight loss and exercise training intervention
Weight loss Only Intervention
Eligibility Criteria
You may qualify if:
- Obese men and women with pre-diabetes; (BMI 30-40 kg/m2)
- Ages ranging from 30-60 years old;
- Individuals with:
- impaired fasting glucose (IFG), (between 100-125mg/dl, with post-prandial glucose (\<140 mg/dl 2 hrs after 75g OGTT)
- impaired glucose tolerance (IGT), (normal fasting glucose \<100mg/dl, with post-prandial glucose (\>140 mg/dl 2 hrs after 75g OGTT)
- a combination of the two (IFG/IGT) (both impaired fasting glucose (100-125mg/dl), and impaired glucose tolerance (\>140 mg/dl 2 hrs after 75g OGTT), will be verified using oral glucose tolerance testing at initial screening, and
- Sedentary (\<2 hours/week of planned physical activity).
- To increase generalizability, and because each subject serves as their own control, women will be enrolled regardless of menopausal status, use of hormone replacement therapy and oral contraceptives.
You may not qualify if:
- Regular exercise more than 2 hours/week,
- medications that could affect glucose,
- lipid metabolism,
- thyroid disease,
- history of lung disease,
- pregnancy,
- active cigarette smoking or exposure to second hand smoke, and
- Severe plasma lipid disorders.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Colorado, Denverlead
- American Diabetes Associationcollaborator
Study Sites (1)
University of Colorado
Aurora, Colorado, 80045, United States
Related Publications (1)
Zarini S, Zemski Berry KA, Kahn DE, Garfield A, Perreault L, Kerege A, Bergman BC. Deoxysphingolipids: Atypical Skeletal Muscle Lipids Related to Insulin Resistance in Humans That Decrease Insulin Sensitivity In Vitro. Diabetes. 2023 Jul 1;72(7):884-897. doi: 10.2337/db22-1018.
PMID: 37186949DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Bryan Bergman, PhD
University of Colorado, Denver
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 16, 2014
First Posted
January 23, 2014
Study Start
January 1, 2014
Primary Completion
August 3, 2015
Study Completion
August 3, 2015
Last Updated
April 25, 2022
Record last verified: 2022-04