Training Effects on Fuel Metabolism (TrainMeUpMN)

University of Minnesota (UMN)

Status: Active, not recruiting

Conditions: Lean Trained Subjects; Healthy Subjects; Overweight and Obesity

Treatments: Behavioral: Yoga Program; Behavioral: Running Program

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT02150889

1209M20741

5R01DK098203-02 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The investigators are interested in how skeletal muscle processes fat and how this may affect insulin resistance. This is an important question since insulin resistance predates and predicts type 2 diabetes. The investigators are especially interested in learning about the effects of weight and training on insulin resistance. The investigators will study people before and after supervised aerobic or yoga training to identify differences in resting fat and sugar metabolism which may lead to differences in insulin resistance. The investigators will test these differences using stable isotopes, and the use of these stable isotopes is experimental.

Overweight/Obese Group: Eight visits will be required at the University of Minnesota Clinical Research Unit. Four visits will be done before training (screen and 3 pre-training visits), 1 visit during the training, and 3 post-training visits will be done. In between, the training will take about 16 weeks and will be a supervised treadmill program.

Lean/Trained Group: Four visits will be required at the University of Minnesota Clinical Research Unit (screen and 3 study visits).

Full description

Insulin resistance plays a critical role in the development of type 2 diabetes (T2DM), with skeletal muscle the largest site of insulin resistance in the human body. In sedentary humans, insulin resistance correlates with levels of intramyocellular lipid (IMCL) and lipid metabolites that adversely affect skeletal muscle glucose metabolism. However, even modest endurance training has been shown to reduce insulin resistance while increasing skeletal muscle IMCL. Moreover, lean endurance trained participants have IMCL levels comparable to those of patients with T2DM, yet have significantly lower insulin resistance. These findings suggest that the physiological changes caused by training protect against lipid induced insulin resistance and that this protection is present even at rest, however our preliminary data suggest that training facilitates utilization of readily available fuel, with lipid preferentially used over glucose when available. We will test the overarching hypothesis that training increases resting skeletal muscle lipid metabolism, as measured by markers of IMCL lipolysis, accumulation of fatty acid metabolites and mitochondrial utilization of fatty acids.

Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health Award Number UL1-TR002494. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Enrollment: 64 patients

Sex: All

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

All subjects

1. Subjects 18 to 40 years of age.
2. Subjects are capable of giving informed consent

Overweight or obese

1. Insulin resistant based on screening oral glucose tolerance testing.
2. BMI 25 to 40 kg/m2 inclusive
3. Stable weight for at least 3 months (± 5 lbs.)
4. Sedentary status (self-report < 30 minutes/week regular exercise).

Lean, physically active

1. physically active subjects defined as 3-5 aerobic exercise sessions/week
2. matched to age and gender
3. generally healthy with normal fasting glucose levels (glucose ≤100 mg/dL).

Exclusion criteria

All subjects

1. Subjects 18 to 40 years of age.
2. Subjects are capable of giving informed consent

Overweight or obese

1. Insulin resistant based on screening oral glucose tolerance testing.
2. BMI 25 to 40 kg/m2 inclusive
3. Stable weight for at least 3 months (± 5 lbs.)
4. Sedentary status (self-report < 30 minutes/week regular exercise).

Lean, physically active

1. physically active subjects defined as 3-5 aerobic exercise sessions/week
2. matched to age and gender
3. generally healthy with normal fasting glucose levels (glucose ≤100 mg/dL).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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64 participants in 2 patient groups

Lean Trained

No Intervention group

Description:

Metabolic control

Obese or Overweight

Experimental group

Description:

Running Program Yoga Program

Treatment:

Behavioral: Running Program

Behavioral: Yoga Program