Impaired Glucose Tolerance, Obesity, Severe Coronary Artery Disease
Conditions
Keywords
adiposity
Brief summary
Chronic inflammatory activation in fat tissue can be the link between adiposity and an increased risk for atherosclerosis. The aim of this study is to investigate how molecular alterations in fat tissue can be influenced by regular physical exercise training alone or in combination with a medical therapy (glitazone or metformin) in obese patients with severe coronary artery disease (CAD) and impaired glucose tolerance.
Interventions
physical exercise training on a bicycle ergometer daily for 4 weeks
physical exercise training on a bicycle ergometer + metformin (2 x 850 mg) daily for 4 weeks
physical exercise training on a bicycle ergometer + glitazone daily for 4 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Either impaired glucose tolerance (2 hour plasma glucose concentration \> 7.8 and \< 11.1 mmol/L during an oral glucose tolerance test) or impaired fasting plasma glucose concentration ( \> 6.0 and \< 7.0 mmol/L) * Body mass index (BMI) \> 25 * Severe coronary artery disease determined by coronary angiography * Male patients aged 35-75 years
Exclusion criteria
* Diabetes mellitus type I * Diabetes mellitus type II in combination with glycosylates hemoglobin \> 6.0%, previous medication with oral antidiabetic agents or insulin, fasting plasma glucose concentration \> 11.0 mmol/L * Unstable angina pectoris * Myocardial infarction within the last 4 weeks * Reduced left-ventricular systolic function \< 30%
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| change in endothelial function in severe coronary artery disease | 4 weeks |
Secondary
| Measure | Time frame |
|---|---|
| change in metabolic parameters | 4 weeks |
Countries
Germany