The Impact of Fitness on Vascular Dysfunction in Adolescents With Type 1 Diabetes
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Purpose
The principal hypothesis of this study is that the micro and macro vasculature of young diabetes mellitus type 1 (DM1) patients is particularly susceptible to atherogenic factors which cause vascular dysfunction at multiple levels of the arterial vasculature and that this dysfunction is demonstrable using state-of-the-art ultrasound methods. The investigators further hypothesize that interventions, such as exercise, that are readily integrated into the daily life of individuals with DM1 can mitigate or reverse these early vascular changes and thereby diminish the otherwise predictable longer-term development of cardiovascular disease (CVD) in type 1 DM
| Condition | Intervention |
|---|---|
|
Type 1 Diabetes |
Other: exercise and diet intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Impact of Fitness on Vascular Dysfunction in Adolescents With Type 1 Diabetes |
- arterial vascular stiffness [ Time Frame: 2 years ] [ Designated as safety issue: No ]
Arterial Stiffness will be measured as follows:
- Pulse wave velocity (m/sec)
- Augmentation index ( %)
- nitric oxide dependent vasodilation [ Time Frame: 2 years ] [ Designated as safety issue: No ]
NO dependent vasodilation will be measured by:
- Flow Mediated dialtion of brachial artery (% of brachial artery diameter change)
- Post ischemic flow velocity in brachial artery ( m/sec)
- Forearm microvascular perfusion using contrast ultrasound ( video intensity)
| Estimated Enrollment: | 40 |
| Study Start Date: | April 2011 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| exercise and diet intervention |
Other: exercise and diet intervention
Exercise consult with an exercise physiologist and diet consult with a dietician will be provided.
|
Eligibility| Ages Eligible for Study: | 12 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria: You may be eligible if you are:
- Male or female, 12-18 years of age
- Healthy, no chronic illness other than DM1
- No medications that would affect the blood vessels
- Non-smoker
- Normal height and weight
Requirements for both groups (study 1)
- Two outpatient visits lasting ~1 to 1 ½ hours
- 1 outpatient admission lasting ~ 10 hrs
- Most visits require blood draws Requirements for second part of study for DM1 group (study 2)
- Two additional outpatient visits (one requires blood draw)
- 12 weeks of an exercise program (5 days per week, 3 of them here at UVA)
- Maintain healthy diet for those 12 weeks-you will have diet instruction
- Repeat outpatient admission as described above
Exclusion Criteria:
- under 12 or over 18 years of age
- medication that could affect the blood vessels
- smoker
- above average BMI
- chronic illness other than DM1
Contacts and Locations| Contact: Linda Jahn, RN, MEd | 434-924-1134 | las6e@virginia.edu |
| Contact: Lee Hartline, MEd | lmh9d@virginia.edu |
| United States, Virginia | |
| University of Virginia | Recruiting |
| Charlottesville, Virginia, United States, 22903 | |
| Contact: Linda Jahn, RN, MEd 434-924-1134 las6e@virginia.edu | |
| Contact: Lee Hartline, MEd lmh9d@virginia.edu | |
| Principal Investigator: Eugene J Barrett, MD | |
| Principal Investigator: | Eugene Barrett, MD | University of Virginia |
More Information
Additional Information:
Publications:
| Responsible Party: | Eugene J. Barrett MD, University of Virginia |
| ClinicalTrials.gov Identifier: | NCT01337947 History of Changes |
| Other Study ID Numbers: | 15312 |
| Study First Received: | April 14, 2011 |
| Last Updated: | April 15, 2011 |
| Health Authority: | United States: Food and Drug Administration United States: University of Virginia |
Keywords provided by University of Virginia:
|
Type 1 diabetes adolescents exercise vascular function |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 1 Glucose Metabolism Disorders Metabolic Diseases |
Endocrine System Diseases Autoimmune Diseases Immune System Diseases |
ClinicalTrials.gov processed this record on May 21, 2013