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Shivering and Glucose Homeostasis

Not Applicable
Completed
Conditions
Healthy Overweight/Obese
Interventions
Other: Cold exposure
Registration Number
NCT04516018
Lead Sponsor
Maastricht University
Brief Summary

The purpose of this study is to investigate the effect of prolonged shivering thermogenesis on glucose homeostasis in overweight/obese humans.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
15
Inclusion Criteria
  • Signed informed consent
  • Caucasian
  • Healthy (as determined by dependent physician based on medical questionnaire)
  • Man, or postmenopausal (defined as at least 1year post cessation of menses) woman
  • Aged 40 - 75 years at the start of the study
  • BMI 27 and 35 kg/m2
  • Stable dietary habits (no weight loss or gain >3kg in the past 3 months)
Exclusion Criteria
    • Not meeting all inclusion criteria
  • Medication use known to hamper subject's safety during study procedures
  • Co-morbidities to which the intervention or program that may pose as a complicating factor
  • Subjects diagnosed with cardiovascular diseases or cancer
  • Fasting plasma glucose ≥ 7.0 mmol/l
  • Haemoglobin < 7.8 mmol/l for women, or < 8.4 mmol/l for men
  • Previously diagnosed with type 2 diabetes
  • Abuse alcohol/drug abuse
  • Subjects who do not want to be informed about unexpected medical findings during the screening/study or do not wish that their physician is informed.
  • Engagement in structured exercise > 2h per week
  • Participation in another biomedical study within 1 month before the first study
  • Smoking
  • Cold-acclimated, such as takes daily extended cold baths, works in a refrigerated environment, or regular cold-water swimming within 1 month of starting the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Cold acclimation armCold exposureAn oral glucose tolerance test will be performed on day 1 of the study. The next day (day 2), subjects will be exposed to shivering thermogenesis for at least 1 hour. The day after, an oral glucose tolerance test will be performed (day 3). The following 9 days, subjects will be exposed daily to shivering thermogenesis for at least 1 hour (day 4-12). On the last day (day 13), an oral glucose tolerance test will be performed.
Primary Outcome Measures
NameTimeMethod
area under the curve (AUC) of the glucose tolerance test1 day following cold exposure and following 9 consecutive days of cold exposure

area under the curve (AUC) of the glucose tolerance test before cold exposure, 1 day after cold exposure and after 9 consecutive days of cold exposure.

Secondary Outcome Measures
NameTimeMethod
skeletal muscle GLUT4 translocation1 day following cold exposure and following 9 consecutive days of cold exposure

Comparison between skeletal muscle GLUT4 translocation, as assessed by wide-field microscopy both before and after cold acclimation

Trial Locations

Locations (1)

Maastricht University

🇳🇱

Maastricht, Limburg, Netherlands

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