Bedrest, Feeding Pattern, and Insulin Sensitivity
The Impact of Continuous Versus Intermittent Feeding on Changes in Insulin Sensitivity During Bed-rest
1 other identifier
interventional
20
1 country
1
Brief Summary
In the present study, the investigators will assess the impact of two different feeding patterns (continuous vs intermittent) on insulin sensitivity and muscle mass following bedrest.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Oct 2015
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 3, 2015
CompletedFirst Posted
Study publicly available on registry
August 13, 2015
CompletedStudy Start
First participant enrolled
October 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2016
CompletedJuly 27, 2016
July 1, 2016
6 months
August 3, 2015
July 26, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Change in insulin sensitivity (measured as glucose infusion rate during hyperinsulinaemic-euglycaemic clamp)
7 days bedrest
Secondary Outcomes (2)
Change in muscle mass (measured as upper leg muscle cross-sectional area with CT scan)
7 days bedrest
Change in lean tissue (measured via DEXA scan)
7 days bedrest
Study Arms (2)
Intermittent feeding
EXPERIMENTALIntermittent feeding pattern throughout the bedrest period, with 4 boluses per day
Continuous feeding
EXPERIMENTALContinuous feeding pattern throughout the bedrest period, with 4 boluses per day, without breaks in food supply.
Interventions
Eligibility Criteria
You may qualify if:
- BMI between 18.5 and 35
- Recreationally active
You may not qualify if:
- Type 2 diabetes
- Performing progressive resistance training in 6 months prior to study
- Back/knee/leg problems
- Hypertension
- Use of certain anticoagulants
- All co morbidities interacting with mobility and muscle metabolism of the lower limbs
- Blood donation in past 3 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Maastricht University Medical Center+
Maastricht, Limburg, 6229ER, Netherlands
Related Publications (3)
Gonzalez JT, Dirks ML, Holwerda AM, Kouw IWK, van Loon LJC. Intermittent versus continuous enteral nutrition attenuates increases in insulin and leptin during short-term bed rest. Eur J Appl Physiol. 2020 Sep;120(9):2083-2094. doi: 10.1007/s00421-020-04431-4. Epub 2020 Jul 10.
PMID: 32651634DERIVEDDirks ML, Miotto PM, Goossens GH, Senden JM, Petrick HL, van Kranenburg J, van Loon LJC, Holloway GP. Short-term bed rest-induced insulin resistance cannot be explained by increased mitochondrial H2 O2 emission. J Physiol. 2020 Jan;598(1):123-137. doi: 10.1113/JP278920. Epub 2019 Dec 26.
PMID: 31721213DERIVEDDirks ML, Smeets JSJ, Holwerda AM, Kouw IWK, Marzuca-Nassr GN, Gijsen AP, Holloway GP, Verdijk LB, van Loon LJC. Dietary feeding pattern does not modulate the loss of muscle mass or the decline in metabolic health during short-term bed rest. Am J Physiol Endocrinol Metab. 2019 Mar 1;316(3):E536-E545. doi: 10.1152/ajpendo.00378.2018. Epub 2019 Jan 15.
PMID: 30645176DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Luc van Loon
Maastricht University Medical Centre+
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 3, 2015
First Posted
August 13, 2015
Study Start
October 1, 2015
Primary Completion
April 1, 2016
Study Completion
April 1, 2016
Last Updated
July 27, 2016
Record last verified: 2016-07