Effects of Normobaric Hypoxia and Different Exercise Modes on Blood Glucose Regulation in Overweight Adults

Swinburne University of Technology

Status: Completed

Conditions: Physical Inactivity; Healthy; Overweight

Treatments: Other: Control; Other: Functional exercise; Other: Sprint interval training; Other: Low-moderate intensity exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT05627804

ISNRP-003-2020

Details and patient eligibility

About

Obesity is a major global health issue and a primary risk factor for metabolic-related disorders. While physical inactivity is one of the main contributors to obesity, it is a modifiable risk factor with exercise training as an established, non-pharmacological treatment to prevent the onset of metabolic-related disorders, including obesity. Exposure to low-oxygen availability (hypoxia) via normobaric hypoxia (simulated altitude via reduced inspired oxygen fraction), termed hypoxic conditioning, in combination with exercise has been increasingly shown in the last decade to enhance blood glucose regulation and decrease body mass index, providing a feasible strategy to treat obesity.

However, findings from studies investigating the potential for hypoxia to augment the exercise training response and subsequent metabolic health are equivocal. Notably, there is a lack of information regarding the optimal combination of exercise variables and hypoxic severity to enable an individualized and safe practice of exercising in a hypoxic environment.

In the present randomized, single-blind, cross-over study, the investigators will investigate the effects of single-bout of different exercise modes under moderate hypoxia (FiO2, 16.5%).

The investigators hypothesize that all exercises combined with hypoxia improve glucose homeostasis in overweight individuals.

Full description

In the present randomized, single-blind, cross-over study, participants will be exposed to moderate hypoxia (oxygen level 16.5%) during three different exercises (low-intensity cycling, sprint interval and functional exercises). Participants will be randomly assigned to each exercise condition (computer-generated randomization plan), separated by a washout period (5-7 days). To accomplish this, participants will exercise in an environmental chamber in which oxygen concentration of the ambient air and, as such, oxygen levels can be closely controlled and monitored.

Participants are required to attend the laboratory 8 times. These visits are including pre-exercise screening, baseline blood sampling, body composition screening and exercise in altitude conditions.

Enrollment: 13 patients

Sex: Male

Ages: 20 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• BMI is between 25-29 kg/m²
• Physical inactive (physical activity <150 min/week)
• No known heart or metabolic diseases (such as Type 2 diabetes)
• Not currently taking any prescribed medication
• No reported musculoskeletal injuries recently
• Not exposed to hypoxia >1000 m prior to the study

Exclusion criteria

• Impaired glucose tolerance (2 hour glucose: >7.8 - 11.1 mmol/L)
• Type 2 diabetes mellitus
• Obstructive sleep apnea
• Chronic obstructive pulmonary disease

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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13 participants in 2 patient groups

Moderate hypoxia

Experimental group

Description:

The participant will perform different exercise modes under moderate hypoxia (fraction oxygen: 16.5%). Blood samples immediately after exercise oral glucose tolerance test will be collected.

Treatment:

Other: Low-moderate intensity exercise

Other: Functional exercise

Other: Sprint interval training

Control normoxia

Other group

Description:

The participant will not perform any exercise under normoxia and moderate hypoxia. Blood samples of oral glucose tolerance test will be collected.

Treatment:

Other: Control