Effects of Acute Exercise on Acetylcarnitine Concentration in Endurance Trained and Untrained Subjects

Maastricht University Medical Centre (MUMC)

Status

Completed

Conditions

Diabetes Mellitus, Type 2

Treatments

Other: Cycling

Study type

Interventional

Funder types

Other

Identifiers

NCT01553968

11-2-069

Details and patient eligibility

About

It has been suggested that imbalance between TCA-cycle flux and β-oxidation may underlie insulin resistance, a predisposing factor for the development of type 2 diabetes mellitus. Acetylcarnitine concentration is suggested to be a marker of such imbalance. It is expected that when TCA-cycle capacity is high (a high oxidative capacity), less acetylcarnitine will accumulate, because of an improved balance between supply and demand of lipids.

The major research objective is to examine if acute exercise results in a more pronounced increase in acetylcarnitine concentration in sedentary subjects compared to endurance-trained subjects and if the exercise-induced increase in acetylcarnitine is restored more quickly in endurance-trained subjects when compared to sedentary subjects.

The investigators hypothesize that the increase in acetylcarnitine levels will be lower in trained subjects when compared to sedentary subjects, due to a better balance between lipid supply and utilization by the TCA-cycle. Furthermore it is expected that acetylcarnitine concentrations will be restored faster in these trained subjects, because of a tighter regulation of influx of fatty acids.

To test this hypothesis the investigators want to compare the acetylcarnitine response to exercise in a group of sedentary subjects and a group of endurance trained subjects. This response will be measured for 30 minutes after exercise with the use of 1H-MRS.

Enrollment

9 patients

Sex

All

Ages

18 to 40 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Normal weight (BMI 18-25 kg/m2)
Healthy
Stable dietary habits
No use of medication
VO2-max for trained subjects above 50 mL/min/kg
VO2-max for untrained subjects below 40 mL/min/kg

Exclusion criteria

Any medical condition requiring treatment and/or medication use OR diminishing exercise tolerance
Alcohol consumption of more than 20 g per day (± 2 units)
Unstable body weight (weight gain or loss > 3 kg in the past three months)
Participation in another biomedical study within 1 month prior to the screening visit
Contraindications for MRI scan:
- Central nervous system aneurysm clips
- Implanted neural stimulator
- Implanted cardiac pacemaker of defibrillator
- Cochlear implant
- Iron- containing corpora aliena in the eye or brain
- Hearing aids and artificial (heart) valves which is contraindicated for MRS
Subjects, who do not want to be informed about unexpected medical findings cannot participate in the study.