Restoring 24-hour Substrate Rhythmicity to Improve Glycemic Control by Timing of Lifestyle Factors

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Exercise is well-known to improve skeletal muscle energy metabolism and is an established intervention to improve muscle insulin sensitivity and to counter the development of type 2 diabetes (T2D). However, given the 24h rhythmicity in substrate metabolism previously observed in healthy, lean men and the lack of such rhythmicity in men with insulin-resistance, the investigator hypothesize that appropriate timing of exercise training can maximize the metabolic health effects of exercise. Indeed, a preliminary study in humans revealed that afternoon high-intensity interval training (HIIT) exercise was more effective than morning exercise in improving 24h blood glucose levels in men with T2D. Another recent study in mice showed that the time of day is a critical factor in augmenting the beneficial effects of exercise on the skeletal muscle metabolome as well as on whole-body energy homeostasis. However, human studies that specifically target the impact of timing of exercise training on glucose homeostasis and metabolic health are scarce and the potential underlying mechanisms largely unknown. The overarching goals of this project is to improve 24-hour rhythmicity of metabolism in men and women with prediabtes by appropriate timing of exercise and to assess its effect on metabolic health and immune response. Acute and prolonged exercise interventions timed in the morning vs late afternoon will be carried out in individuals with prediabetes to determine whether acute exercise in the afternoon and prolonged exercise training in the afternoon can improve peripheral insulin sensitivity, compared to exercise in the morning, and positively affect adipose tissue dietary fatty acid storage and partitioning of dietary fatty acids in skeletal muscles.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 45
Maximum Age: 75
Healthy Volunteers: f
View:

• Pre-diabetes:

‣ Fasting plasma glucose: 6.1 to 6.9 mmol/L or

⁃ 2-hour plasma glucose post 75g OGTT: 7.8 to 11.0 mmol/L and

⁃ HbA1c: 6.0 to 6.4%

⁃ or Insulin resistant: glucose clearance rate ≤ 360 ml/kg/min as determined using the Oral Glucose Insulin Sensitivity Index at Time 120 min.

• BMI \> 25 kg/m2

• To be willing and able to adhere to the specifications of the protocol;

• To have signed an informed consent document indicating that they understood the purpose of and procedures required for the study and were willing to participate in the study.

Locations
Other Locations
Canada
Centre de recherche du CHUS
RECRUITING
Sherbrooke
Contact Information
Primary
Frédérique Frisch
frederique.frisch@usherbrooke.ca
819-346-1110
Time Frame
Start Date: 2021-09-15
Estimated Completion Date: 2026-12-30
Participants
Target number of participants: 48
Treatments
Active_comparator: Morning exercise
Participant to perform high-intensity interval training in the morning (\~9 am)
Experimental: Afternoon exercise
Participant to perform high-intensity interval training in the morning (\~4 pm)
Related Therapeutic Areas
Sponsors
Leads: Université de Sherbrooke
Collaborators: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA), University of Calgary, Laval University, Maastricht University Medical Center, McMaster University, Leiden University Medical Center, Wageningen University, University of Waterloo

This content was sourced from clinicaltrials.gov