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Effects of Exercise and Energy Balance on 24-hour Blood Glucose Control (CGM)

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ClinicalTrials.gov Identifier: NCT03350997
Recruitment Status : Recruiting
First Posted : November 22, 2017
Last Update Posted : November 24, 2017
Sponsor:
Information provided by (Responsible Party):
Jeffrey F Horowitz, University of Michigan

Brief Summary:
The study team will assess "free-living" 24h glucose control using continuous glucose monitors (CGM) over an 88h period on two separate occasions. Importantly, standardized meals will be provided and will be consumed at specific times each day of the CGM measurement period. These meals will be identical on day 1 and day 3 of measurement. Each subject will complete two CGM periods, which will be identical except for the calorie and macronutrient content of the post-exercise dinner. In addition, during trial 1, two CGM's will be worn, while only 1 CGM will be worn on trial 2.

Condition or disease Intervention/treatment Phase
Metabolic Disease Adipose Tissue Behavioral: Trial 2 Exercise Behavioral: Trial 1 Exercise Not Applicable

Detailed Description:

Subjects will be instructed to exercise exactly 2 days before each experimental trial period, and then abstain from exercise other than the exercise session on Day 2 of the trial period until after the trial period is complete.

Subjects will arrive to the Substrate Metabolism Laboratory at approximately 4pm on Day 0 of each trial. For trial 1, two CGM devices will be placed on either side of the abdomen, near the belly button. For trial 2, only one CGM device will be placed on one side of the abdomen.

On Day 1 of both trials, participants will go about their normal daily activities (other than planned exercise) while eating provided meals at designated time points. This day will serve as the non-exercise control day.

On Day 2, subjects will return to the laboratory to exercise on the bike for ~1h at a moderate exercise intensity (approximately 65% of their measured VO2peak) to expend 350 kilocalories. During trial 1 only, subjects will use the mouthpiece and nose clip (which will allow all of their expired air to pass through the metabolic cart for analysis of oxygen consumption and carbon dioxide production) for ~5 min at the beginning, middle and toward the end of exercise to verify they are exercising at 65% of VO2peak. This will also allow the study team to accurately measure energy expenditure (kcal) during exercise. On trial 2, subjects will perform the exact same exercise protocol, but the mouthpiece and nose clip will not be required. One hour after the exercise session, participants will eat their standardized dinner. Importantly, the caloric content of this meal will differ between the two trials (+/- 350kcal), and this will be the only difference between the two study trial periods.

On Day 3, participants will go about their normal daily activities (other than planned exercise) while eating the provided meals at designated time points. This day will serve as the post-exercise day.

On Day 4, participants will return to the laboratory at approximately 8am for removal of the CGM device(s).


Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 30 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Basic Science
Official Title: Effects of Exercise and Energy Balance on 24-hour Blood Glucose Control
Actual Study Start Date : October 21, 2016
Estimated Primary Completion Date : November 2022
Estimated Study Completion Date : November 2024

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Trial 1
Subjects will have two CGM devices placed on either side of the abdomen, near the belly button. Trial 1 Exercise - subjects will use a mouthpiece and nose clip (which will allow all of their expired air to pass through the metabolic cart for analysis of oxygen consumption and carbon dioxide production) for ~5 min at the beginning, middle and toward the end of exercise to verify they are exercising at 65% of VO2peak. This will allow us to accurately measure energy expenditure (kcal) during exercise. One hour after the exercise session, participants will eat a standardized dinner which includes the energy expended from their exercise session (+ 350 kcal).
Behavioral: Trial 1 Exercise
During the exercise session, subjects will use a mouthpiece and nose clip (which will allow all of their expired air to pass through the metabolic cart for analysis of oxygen consumption and carbon dioxide production) for ~5 min at the beginning, middle and toward the end of exercise to verify they are exercising at 65% of VO2peak. This will allow us to accurately measure energy expenditure (kcal) during exercise. One hour after the exercise session, participants will eat a standardized dinner which includes the energy expended from their exercise session (+ 350 kcal).

Experimental: Trial 2
Subjects will have one CGM device placed on one side of the abdomen. Trial 2 Exercise - subjects will exercise at 65% of VO2peak. One hour after the exercise session, participants will eat a standardized dinner which will NOT include the energy expended from their exercise session (- 350 kcal).
Behavioral: Trial 2 Exercise
During the exercise session, subjects will exercise at 65% of VO2peak. One hour after the exercise session, participants will eat a standardized dinner which will NOT include the energy expended from their exercise session (- 350 kcal).




Primary Outcome Measures :
  1. Average Post-prandial glucose values [ Time Frame: 1 week ]
    Average Post-prandial glucose values (1 hour, 2 hour, and 3 hours) will be measured

  2. area under curve Post-prandial glucose values (1 hour, 2 hour, and 3 hours) [ Time Frame: 1 week ]
    1 hour, 2 hour, and 3 hours time-point for Post-prandial glucose values will be measured


Secondary Outcome Measures :
  1. 24 hour glycemic response [ Time Frame: 1 day ]
    Average 24 hour glycemic response will be measured

  2. Area under curve - 24 hour glycemic response [ Time Frame: 1 day ]
    24 hour glycemic response area under curve will be measured

  3. CGM Sensor Variability when measured simultaneously [ Time Frame: 1 week ]
    coefficient variation of blood glucose between the 2 CGM devices placed during trial 1



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Ages Eligible for Study:   18 Years to 40 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion criteria

  • Age: 18-40
  • Body Mass Index: 20-30 kg/m2

Exclusion criteria

  • Pregnant or lactating
  • Evidence/history of cardiovascular or metabolic disease
  • Medications known to affect glucose metabolism

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03350997


Contacts
Contact: Suzette Howton 734-647-9850 smlstudies@umich.edu

Locations
United States, Michigan
University of Michigan Recruiting
Ann Arbor, Michigan, United States, 48109
Principal Investigator: Jeff F Horowitz         
Sponsors and Collaborators
University of Michigan
Investigators
Principal Investigator: Jeffrey F Horowitz University of Michigan

Responsible Party: Jeffrey F Horowitz, Associate Professor, Movement Science, School of Kinesiology, University of Michigan
ClinicalTrials.gov Identifier: NCT03350997     History of Changes
Other Study ID Numbers: HUM00120520
First Posted: November 22, 2017    Key Record Dates
Last Update Posted: November 24, 2017
Last Verified: November 2017

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Jeffrey F Horowitz, University of Michigan:
Exercise

Additional relevant MeSH terms:
Metabolic Diseases