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Correlation between cortisol hormone levels and cardiovascular risk in healthy adults

Not Applicable
Recruiting
Conditions
insulin sensitivity
cardiovascular disease
Metabolic and Endocrine - Diabetes
Cardiovascular - Coronary heart disease
Registration Number
ACTRN12615000739516
Lead Sponsor
Assoc Prof Morton Burt
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
50
Inclusion Criteria

Age >40 years and living independently in the community

Exclusion Criteria

History of pituitary or adrenal adenoma, taking oral glucocorticoids within the last month, current Atrial fibrillation, Raynaud’s phenomenon, Rheumatoid arthritis, taking oral oestrogen (e.g oral contraceptive or hormone replacement therapy), severe asthma (hospital admission in the last 5 years)

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary end point is the difference in reactive hyperaemia index measured using endo-PAT 2000 device between high and low cortisol responders[Reactive hyperaemia index will be assessed before and 2 hours after meal in all participants]
Secondary Outcome Measures
NameTimeMethod
insulin sensitivity using matsuda index[Insulin and glucose levels will be checked fasting and at 30, 60, 90 and 120 minutes after a mixed-meal and insulin sensitivity calculated using matsuda index ];Augmentation index [Augmentation index, a validated marker of systemic arterial stiffness will be assessed fasting and at 30, 60, 90 and 120 minutes post mixed-meal using a sphygmacor hyaemodynamic device <br>];Pulse wave velocity[Pulse wave velocity will be assessed fasting and at 90 minutes post mixed-meal using a sphygmacor haemodynamic device];Arginine metabolism[Arginine and its metabolites (citrulline, homoarginine, ornithine), and inhibitors of nitric oxide synthase (ADMA, MMA and SDMA) will be estimated fasting and at 2 hours post mixed meal];insulin secretion[Insulin secretion will be assessed using C-peptide deconvolution method from glucose, insulin and C-peptide levels estimated fasting and at half an hour intervals for 2 hours after a mixed meal]
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