Overweight and Obesity
Conditions
Keywords
insulin sensitivity, sitting time
Brief summary
Research has shown that replacing sitting time with low intensity physical activity (such as slowly walking and standing) has beneficial effects on metabolic health, like insulin sensitivity, comparable to improvements after sitting all day in combination with 1h streneous exercise. The main objective of this study is to investigate the underlying mechanisms responsible for improved insulin sensitivity after 4 days of sitting less compared to sitting and exercise in healthy obese women. Our secondary objective is to investigate the effects of sitting less on cardio metabolic parameters.
Interventions
OTHERActivity regime
Activity regime of 4 days followed by a test day.
Sponsors
Dutch Heart Foundation
Maastricht University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
45 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* Signed informed consent * Caucasian * Postmenopausal women * Aged 45-70 years at start of the study * Body mass index (BMI) 25 - 35 kg/m2 * Stable dietary habits (no weight loss or gain \>5kg in the past 3 months) * Sedentary lifestyle (not more than 2,5 hours of exercise per week in the past 3 months)
Exclusion criteria
* Not able to complete the sitless try-out day according to the protocol * Active diseases (cardiovascular, diabetes, liver, kidney, cancer or other) * No use of medication interfering with investigated study parameters (as determined by responsible physician) * Alcohol consumption of \>2 servings per day * Smoking in the past 6 months * Participation in another biomedical trial which may have an effect on insulin sensitivity less than one month before the start of the study (screening visit) * Mental or physical disability which interferes with physical activity * Subjects with contra-indications for magnetic resonance imaging (MRI) * Reported participation in night shift work 2 weeks prior to the start of the study (screening visit) and during study participation. Night work is defined as working between midnight and 6.00 AM.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insulin sensitivity | Day 5 of intervention period | 2-step hyperinsulinemic euglycemic clamp |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ex vivo skeletal muscle mitochondrial respiration | Day 5 of intervention period | oxygraph |
| substrate oxidation | Day 5 of intervention period | indirect calorimetry RER |
| Intrahepatic lipid content | Day 5 of intervention period | magnetic resonance spectroscopy |
| Blood pressure | Day 5 of intervention period | average resting blood pressure over 30 minutes |
| Plasma cardio metabolic markers | Day 5 of intervention period | endothelial dysfunction score (average Z-score of log transformed plasma sVCAM1, sICAM1 and sE-selectin) |
Countries
Netherlands
Outcome results
None listed