Obese
Conditions
Brief summary
In animals, treatment with vitamin B3 improved insulin sensitivity and substrate metabolism. It is currently not know if vitamin B3 has the same positive effects in humans. In the current study the effect of a 3 month treatment with vitamin B3 on insulin sensitivity and substrate metabolism in obese men will be investigated.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* written signed consent * male * BMI\>30 kg/(m2) * age: 40-70 * no medication * non-smoker
Exclusion criteria
* endocrine disease * other severe disease * high daily activity level (\>30 min / day)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insulin sensitivity | Change from baseline in insulin sensitivity at 3 months | determined by a hyperinsulineamic clamp |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| body composition | Change from baseline in body composition at 3 months | measured by DEXA scan |
| Activation of satellite cells | Change from baseline in activation of satellite cells at 3 months | measured by immunohistochemestry |
| lipid accumulation in liver and skeletal muscle tissue | Change from baseline in liver and muscle lipid content at 3 months | determined by MR-spectroscopy |
| glucose turnover | Change from baseline in glucose turnover at 3 months | determined by glucose tracer techniques |
| Substrate metabolism | Change from baseline in substrate metabolism at 3 months | measured by indirect calorimetry |
| Palmitate turnover | Change from baseline in palmitate turnover at 3 months | determined by palmitate tracer techniques |
| Gut microbiota | Change from baseline in composition of gut microbiota at 3 months | Intestinal bacteria composition by whole genome sequencing |
| Incretin hormone secretion | Change from baseline in incretion hormone secretion at 3 months | Determined by measurement of incretin homones during an oral glucose tolerance test (OGTT) |
| insulin signalling in skeletal muscle and adipose tissue biopsies | Change from baseline in insulin signaling at 3 months | western blotting |
Countries
Denmark