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The effect of a preoperative lifestyle intervention in patients with acquired risk factors on perioperative glucose control and hemodynamics.

Recruiting
Conditions
Study subjects are identified with aquired risk factors (obesity, hypertension, dyslipidemia and physical inactivity) during health risk assessment at the Preoperative Assessment Outpatient Clinic (PAOC) and screened for impaired glucose tolerance (IGT).
Registration Number
NL-OMON24344
Lead Sponsor
VU University Medical Center
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
40
Inclusion Criteria

At least two out of following risk factors:

1. Obesity (BMI >30 kg/m2);

Exclusion Criteria

1. Prior diagnosis of diabetes mellitus;

2. Anti-hypertensive therapy;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Changes in muscular GLUT-4 expression, intracellular Akt phosphorylation and glucose tolerance after a defined increase in physical activity in the 6 weeks before surgery.
Secondary Outcome Measures
NameTimeMethod
1. Changes in physical activity during lifestyle intervention (WHO guideline, daily steps taken);<br /><br>2. Influence of increased physical activity on perioperative glucose control (measured as longitudinal plasma glucose levels during surgery);<br /><br>3. Influence of increased physical activity on perioperative hemodynamics (changes in heart rate and blood pressure during surgery);<br /><br>4. Other changes in muscle cell that can possibly quantify increased physical activity (glycogen accumulation and fatty acid metabolism).
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