Diabetes Mellitus, Type 2, Insulin Resistance, Overweight
Conditions
Keywords
Exercise
Brief summary
The aim of the study is to 1) delineate the molecular mechanisms behind the large variation in insulin sensitivity among apparently healthy subjects and to 2) establish the dose-response relationship between physical training and a) metabolic health, b) appetite and c) cultural health.
Interventions
Daily exercise for 12 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy according to interview * Caucasian * Sedentary, Vo2max \< 45 ml/kg/min * BMI 25-30 kg/m2 * Fat percentage 25% \< * Weight stable (+/- 2 kg within past 6 months)
Exclusion criteria
* First degree relatives with type 2 diabetes * Hemoglobin concentration \< 8 mmol/l * Fasting plasma glucose 6.1 mmol/l \< * Blood pressure 140/90 mmHg \< * Regular intake of medicine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in insulin sensitivity at 12 weeks | At baseline and 12 weeks | As measured by a hyperinsulinemic, isoglycemic clamp combined with skeletal muscle and adipose tissue biopsies as well as low-dose PET/CT. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in body composition af 2, 6 and 12 weeks | At baseline, 2, 6 and 12 weeks | As measured by DEXA- and MRI-scanning. |
| Change from baseline in appetite at 12 weeks | At baseline and 12 weeks | As measured by food records, controlled diets, meal tests and appetite hormones |
| Motivational factors for exercise | During and for up to 1½ year after the intervention | Ethnographic field work |
| Diameter of t-tubuli in skeletal muscle | At baseline | As measured in skeletal muscle biopsies by electron and confocal microscopy |
Countries
Denmark