overweight obesity class I, ICD10, E66.00 insulin resistence, prediabetes (HbA1c: 5,7-6,4%) E66 R73.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - men - HbA1c value <5.7% or HbA1c value between 5.7% and = 6.4% - BMI between 25.0 - 34.9 kg/m2 - Ability to give informed consent to participate in the study - Written and verbal consent to participate in the study
Exclusion criteria
Exclusion criteria: - Serious internal diseases - Cardiovascular, neurological or psychiatric diseases - Cancer - Alcohol, drug or medication dependency or abuse - Night work - Contraindications to (f)MRI/S measurements
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Physical training alters the neuronal response to visual food stimuli and this effect differs between subjects with and without insulin resistance. | — |
Secondary
| Measure | Time frame |
|---|---|
| (1) Physical training alters cerebral energy metabolism and this effect differs between subjects with and without insulin resistance. (2) Correlations exist between training-induced changes in neuronal responses to visual food stimuli and cerebral energy metabolism with (a) subjective feelings such as hunger, satiety, appetite, (b) hormones regulating food intake (such as ghrelin, PYY) and (c) the expression of miRNAs related to metabolically relevant genes. (3) In the neuronal response to visual food stimuli with a high hedonic value, a differentiation can be made between compensators and non-compensators, whereby the effect of physical training on the change in the neuronal response to visual food stimuli with a high hedonic value is less pronounced in compensators than in non-compensators. (4) The hedonic valence of food is primarily determined by liver fat content and peripheral insulin sensitivity (e.g. HOMA-IR) and not by body fat mass. | — |
Countries
Germany
Contacts
UKSH Lübeck, Medizinische Klinik I, Universität zu Lübeck, AG für Endokrinologie und Diabetes