Effects of Acute Exercise on Acetylcarnitine Concentration in Endurance Trained and Untrained Subjects

Diabetes Mellitus, Type 2 Clinical Trial

Official title:

Effects of Acute Exercise on Acetylcarnitine Concentration in Endurance Trained and Untrained Subjects

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01553968
• Other study ID #: 11-2-069
• Status: Completed
• Phase: N/A
• First received: March 7, 2012
• Last updated: September 19, 2016
• Start date: April 2012
• Est. completion date: June 2014

Study information

• Verified date: July 2012
• Source: Maastricht University Medical Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)
• Study type: Interventional

Clinical Trial Summary

It has been suggested that imbalance between TCA-cycle flux and β-oxidation may underlie insulin resistance, a predisposing factor for the development of type 2 diabetes mellitus. Acetylcarnitine concentration is suggested to be a marker of such imbalance. It is expected that when TCA-cycle capacity is high (a high oxidative capacity), less acetylcarnitine will accumulate, because of an improved balance between supply and demand of lipids.

The major research objective is to examine if acute exercise results in a more pronounced increase in acetylcarnitine concentration in sedentary subjects compared to endurance-trained subjects and if the exercise-induced increase in acetylcarnitine is restored more quickly in endurance-trained subjects when compared to sedentary subjects.

The investigators hypothesize that the increase in acetylcarnitine levels will be lower in trained subjects when compared to sedentary subjects, due to a better balance between lipid supply and utilization by the TCA-cycle. Furthermore it is expected that acetylcarnitine concentrations will be restored faster in these trained subjects, because of a tighter regulation of influx of fatty acids.

To test this hypothesis the investigators want to compare the acetylcarnitine response to exercise in a group of sedentary subjects and a group of endurance trained subjects. This response will be measured for 30 minutes after exercise with the use of 1H-MRS.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 9
• Est. completion date: June 2014
• Est. primary completion date: March 2014
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• Normal weight (BMI 18-25 kg/m2)

• Healthy

• Stable dietary habits

• No use of medication

• VO2-max for trained subjects above 50 mL/min/kg

• VO2-max for untrained subjects below 40 mL/min/kg

Exclusion Criteria:

• Any medical condition requiring treatment and/or medication use OR diminishing exercise tolerance

• Alcohol consumption of more than 20 g per day (± 2 units)

• Unstable body weight (weight gain or loss > 3 kg in the past three months)

• Participation in another biomedical study within 1 month prior to the screening visit

• Contraindications for MRI scan:

• Central nervous system aneurysm clips

• Implanted neural stimulator

• Implanted cardiac pacemaker of defibrillator

• Cochlear implant

• Iron- containing corpora aliena in the eye or brain

• Hearing aids and artificial (heart) valves which is contraindicated for MRS

• Subjects, who do not want to be informed about unexpected medical findings cannot participate in the study.

Study Design

Allocation: Non-Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Basic Science

Related Conditions & MeSH terms

• Diabetes Mellitus
• Diabetes Mellitus, Type 2

Intervention

Other:
• Cycling
30 minutes of cycling at 50% of predetermined maximal performance

Locations

Country	Name	City	State
Netherlands	Maastricht University Medical Center	Maastricht	Limburg

Sponsors (1)

Lead Sponsor	Collaborator
Maastricht University Medical Center

Country where clinical trial is conducted

Netherlands, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Exercise-induced changes in acetylcarnitine concentrations and dynamics of acetylcarnitine restoration after exercise	Acetylcarnitine concentration measured with Proton Magnetic Resonance Spectroscopy (1H-MRS)	During 30 minutes prior to the exercise and for 30 minutes after exercise	No
Secondary	Substrate oxidation	Measured with indirect calorimetry	Measured during the 30 minutes of exercise	No
Secondary	Blood plasma free fatty acids	Blood sample of 10 mL	At the start and at the end of 30 minutes of exercise	No
Secondary	Blood plasma triglycerides	Blood sample of 10 mL	At the start and at the end of 30 minutes of exercise	No
Secondary	Blood plasma glucose	Blood sample of 10 mL	At the start and at the end of 30 minutes of exercise	No