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临床试验/NCT05884177
NCT05884177招募中不适用

Metabolic Effects of Short-term Cold Exposure Among Greenlanders and Non-Greenlanders

Stig Andersen1 个研究点 分布在 1 个国家目标入组 25 人开始时间: 2023年9月18日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
25
试验地点
1
主要终点
BAT detection

研究概览

简要总结

Brown adipose tissue (BAT) produces heat through non-shivering thermogenesis. It is activated by cold exposure, and when activated it utilizes fatty acids and glucose in order to produce heat. The tissue is especially present in newborns, who not yet have gained a layer of insulating fat to protect from heat loss, and not yet have gained much muscle to produce heat through shivering thermogenesis.

It was long thought that BAT mass hereafter would retract. Modern imaging tools have proved that BAT is persistent and active in some adults. The presence and activity of BAT is negatively correlated with obesity and obesity-related metabolic disorders. The tissue retracts with advancing age and increasing BMI, and it is sensitive to environmental factors, such as diet, weather and climate. The key to activating BAT in subjects that have lost it remains elusive.

BAT is activated to produce heat when exposed to cold. Populations that are most cold exposed include people living in the Arctic. It is known that people of Arctic origin such as indigenous Inuit and indigenous Siberians have genetically adapted to and are acclimatized to the cold through several genetic changes, and possibly by upregulating BAT depots and activity. The investigators aim to dig deeper into the activation mechanisms in BAT, by investigating BAT mass and activity in Greenlanders and non-Greenlanders by use of stage-of-the-art modern techniques.

详细描述

Several studies have examined the function of brown adipose tissue (BAT), which is an important source of non-shivering thermogenesis. It has gained attention as a potential target for combating obesity.

BAT has a distinct influence on glucose and triglyceride clearance, and insulin sensitivity, and it has a negative correlation with cardiometabolic risk markers.

BAT activity is correlated with cold temperatures. Observational studies in Greenland are consistent with raised consumption of thyroid hormone and higher thyroid hormone turnover in cold-exposed Inuit compared to Inuit with some and limited cold exposure.

However, these are indirect data that merely suggest the presence of BAT. The presence of active BAT directly illustrated by using an individualized cooling protocol and FDG-PET/CT-scan raises interest in the origin and characterization of intermediate adipose cells (beige adipose tissue) from the white adipose tissue.

Based on the strong correlation between BAT and cardiometabolic health and the evolutionary pressure on Inuit to handle cold environments, the investigators will measure the cold-induced BAT activity and white fat differentiation and assess a connection with genetic and physiological characteristics ot add insight into the biology and regulation of BAT in relation to fat depots in humans.

研究设计

研究类型
Observational
观察模型
Case Control
时间视角
Cross Sectional

入排标准

年龄范围
18 Years 至 50 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Ability to give informed consent
  • Ability to follow written and verbal instructions

排除标准

  • Pregnancy and breastfeeding
  • Alpha- or beta-adrenergic affecting medication.
  • Thyroid dysfunction
  • Liver or kidney disease
  • Treatment for diabetes
  • MODY and TBC1D4
  • Treatment of obesity
  • Cardiovascular disease
  • Cancer within 3 years
  • Mb Renaud
  • Hospitalisation for psychiatric disease
  • Antipsychotic medication
  • Drug abuse within 1-year
  • Alcohol abuse
  • Plasma glucose > 11 mM
  • BMI >35 kg/m2
  • Winter swimmer

结局指标

主要结局

BAT detection

时间窗: Through study completion, analysis for an average of 1 year

BAT mass in the cervical-upper thoracic, abdominal, and paravertebral regions at room temperature and following short-term cold exposure. BAT mass on PET/CT scans will be quantified by the degree of glucose uptake: Maximum standard unit value (SUVmax)

次要结局

  • Adipose tissue composition(Through study completion, analysis for an average of 1 year)
  • Changes in metabolites(Through study completion, analysis for an average of 1 year)
  • Insulin sensitivity(Through study completion, analysis for an average of 1 year)
  • Temperature of the core and at the skin on multiple sites(Through study completion, analysis for an average of 1 year)
  • Changes in thyroid function(Through study completion, analysis for an average of 1 year)

研究者

发起方
Stig Andersen
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Stig Andersen

Professor, Department Head

Aalborg University Hospital

研究点 (1)

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