Training in the Fasted State, Glucose Metabolism and Energy Balance

University of Bath

Status: Completed

Conditions: Glucose Metabolism Disorders

Treatments: Behavioral: Maintain habitual habits; Behavioral: Breakfast; Behavioral: Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT02744183

EP 15/16129

Details and patient eligibility

About

In healthy individuals, the body responds to glucose (sugar) ingestion by reducing the amount released from the liver. At the same time, skeletal muscles increase the rate at which they remove the glucose from the bloodstream, via the actions of the hormone insulin. This ensures that blood glucose levels remain in a controlled range. However, in developed countries, diseases such as metabolic syndrome and type 2 diabetes are becoming prevalent, due to dietary modifications and a reduction in physical activity. As one of the prominent barriers to regular physical activity is a lack of time, finding ways to maximize the health benefits of exercise is a priority for researchers.

The investigators want to understand potential differences in the effects of six weeks of aerobic training, with the exercise performed either after breakfast or after a prolonged fast. Specifically, this research aims to investigate whether there is a difference in the change in processes implicated in glucose regulation and secondly, in subsequent eating and physical activity behaviors. By investigating these changes this work will explore how exercise and nutrition can be optimized to benefit health and weight loss.

Enrollment: 30 patients

Sex: Male

Ages: 18 to 49 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Male
• Aged 18-49
• Body mass index (BMI) > 25 kg/m2
• Weight stable for > 6 months
• Not currently engaging in any form of structured exercise
• Be able and willing to give informed oral and written consent
• Complete and meet the defined criteria of pre-study questionnaires and screen

Exclusion criteria

• Have a history of metabolic, cardio-pulmonary or musculoskeletal disease
• Have plans to change diet and/or physical activity outside of the intervention
• Taking regular medication or food supplements from which it is not possible to refrain and which are known to influence any of the outcome measures.
• Failure to refrain from alcohol and/or caffeine containing drinks or strenuous exercise one day before or during the trial days
• Smokers
• Any reported condition or behavior deemed to pose a risk to the participant or introduce bias into the experiment

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

30 participants in 3 patient groups

Control Group

Active Comparator group

Description:

Maintain habitual habits

Treatment:

Behavioral: Maintain habitual habits

Fed Exercise

Active Comparator group

Description:

6 weeks of moderate intensity exercise with breakfast consumption

Treatment:

Behavioral: Exercise

Behavioral: Breakfast

Fasted Exercise

Experimental group

Description:

6 weeks of moderate intensity exercise with breakfast omission

Treatment:

Behavioral: Exercise