The Effect of Acute and Chronic Exercise at the Metabolic Syndrome and Markers of Inflammation in Obese Subjects
Recruitment status was Recruiting
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Purpose
The human adipose and muscle -tissue produce and release a number of bioactive proteins which contributes to the chronic low grade of inflammatory status which is associated with obesity and plays an important role in the pathogenesis of type 2 diabetes and cardiovascular diseases.
Study 1: Our aim is to investigate if exercise has independent and additive effects in combination with diet-induced weight loss on circulating levels of inflammatory markers and mRNA levels in subcutaneous adipose tissue (SAT) and skeletal muscle tissue (SM.
Study 2: Our aim is to investigate whether gender and weight status plays a role in the metabolic response during two hours of acute exercise
| Condition | Intervention |
|---|---|
|
Obesity Healthy |
Behavioral: Exercise-only (EXO-12 weeks of regular supervised exercise without diet restriction) Behavioral: Diet-only (DIO-8 weeks of very low energy diet (VLED 600 kcal/d) followed by 4 weeks weight maintenance diet Behavioral: Diet+exercise (DEX-8 weeks VLED 800 kcal/d + a four weeks weight maintenance diet combined with regular supervised exercise throughout the 12 weeks). |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Effect of Acute and Chronic Exercise at the Metabolic Syndrome and Markers of Inflammation in Obese Subjects |
- Changes in inflammatory markers as Adiponectin, MCP-1, Interleukin-6 and CRP. Moreover changes in body composition quantified with MRI [ Time Frame: 8 weeks and 12 weeks ] [ Designated as safety issue: No ]
- Change in Interleukin-6 and other inflammatory markers in plasma, adipose tissue and muscle tissue [ Time Frame: 60, 120 240 minutes ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 100 |
| Study Start Date: | September 2006 |
| Estimated Study Completion Date: | March 2009 |
| Estimated Primary Completion Date: | June 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: EXO
Exercise-only (EXO-12 weeks of regular supervised exercise without diet restriction),
|
Behavioral: Exercise-only (EXO-12 weeks of regular supervised exercise without diet restriction)
The exercise intervention for subjects in the EXO consisted of supervised aerobic exercise three times per week with a duration of 60 -75 minutes pr. training session, with an estimated energy expenditure of 500-600 kcal per session. The subjects could choose between different modes of exercise; stationary bicycling, jogging on a treadmill or stair stepping.
|
|
Active Comparator: DIO
Diet-only (DIO-8 weeks of very low energy diet (VLED 600 kcal/d) followed by 4 weeks weight maintenance diet)
|
Behavioral: Diet-only (DIO-8 weeks of very low energy diet (VLED 600 kcal/d) followed by 4 weeks weight maintenance diet
Subjects in the DIO group were prescribed a liquid VLED(Nupo, Copenhagen) of respectively 600 and 800 kcal pr. day (proteins 41 g, carbohydrates 29 g, fat 5.6 g. pr 100 gram) for eight weeks followed by a weight maintenance diet for four weeks.
|
|
Active Comparator: DEX
Diet+exercise (DEX-8 weeks VLED 800 kcal/d + a four weeks weight maintenance diet combined with regular supervised exercise throughout the 12 weeks).
|
Behavioral: Diet+exercise (DEX-8 weeks VLED 800 kcal/d + a four weeks weight maintenance diet combined with regular supervised exercise throughout the 12 weeks).
The exercise intervention for subjects in the DEX group consisted of supervised aerobic exercise three times per week with a duration of 60 -75 minutes pr. training session, with an estimated energy expenditure of 500-600 kcal per session
|
Eligibility| Ages Eligible for Study: | 18 Years to 45 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Age 18-45 years,
- obese (30 kg/m2 < BMI < 40 kg/m2) physically inactive (<30 minutes pr. day)
- and weight stabile for at least three months (± 2 kg of current body weight)
Exclusion Criteria:
- cardiovascular disease,
- type 2 diabetes, pregnancy or orthopaedic difficulties causing inability to undertake an exercise program
Contacts and Locations| Contact: Tore SB Christiansen, Master of health science | 004589497737 | tore.christiansen@ki.au.dk |
| Contact: Søren K Paulsen, MD | 004589497736 | skpaulsen@ki.au.dk |
| Denmark | |
| Department of Medicine and Endocrinology C | Recruiting |
| Aarhus, Denmark, 8000 | |
| Contact: Bjørn Richelsen, Professor dr.med 004589497696 brich@dadlnet.dk | |
| Principal Investigator: Tore Christiansen, M. Health S. | |
More Information
No publications provided
| Responsible Party: | Tore Christiansen, Department of Medicine and Endocrinology C |
| ClinicalTrials.gov Identifier: | NCT00700245 History of Changes |
| Other Study ID Numbers: | 20060053 |
| Study First Received: | June 17, 2008 |
| Last Updated: | June 17, 2008 |
| Health Authority: | Denmark: Ethics Committee |
Keywords provided by Aarhus University Hospital:
|
Obese Adults |
Additional relevant MeSH terms:
|
Inflammation Obesity Metabolic Syndrome X Pathologic Processes Overnutrition Nutrition Disorders Overweight |
Body Weight Signs and Symptoms Insulin Resistance Hyperinsulinism Glucose Metabolism Disorders Metabolic Diseases |
ClinicalTrials.gov processed this record on May 23, 2013