Clinical trial NCT06217679: Comparing the Effects of Different Types of Exercise on Glucose Handling
Official title: Comparing the Effects of Different Types of Exercise on Glucose Handling and Muscle Metabolism in Young Males and Females
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Glycemic Control
Insulin Sensitivity
Sex Differences
Lead sponsor: University of Waterloo
Sponsor class: OTHER
First posted: 2024-01-22
Enrollment: 24
Sex: ALL
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: BASIC_SCIENCE

Brief summary: The purpose of the proposed study is to compare the acute effects of different types of exercise modalities on glucose handling in young, healthy males and females. The exercise modalities that will be compared include: a high intensity interval exercise (HIIE) protocol, a moderate intensity continuous exercise (MICE) protocol and a low-load, high-repetition (LL-HR) resistance exercise protocol.

Detailed description: The purpose of this study is to compare the effects of different exercise modalities (High intensity interval exercise, Moderate intensity continuous exercise, and Low-load-high repetition resistance exercise) on blood sugar control in young healthy, males and females. To test this theory, a sugar challenge (oral glucose tolerance test - OGTT) will be performed during the pre-testing visit to determine the baseline blood sugar response. An OGTT will also be performed 2 hours after each single exercise session to determine how each type of exercise affects the blood sugar response. Investigators will take multiple blood samples throughout the trial to allow us to measure blood sugar, insulin and concentrations and oxidative stress. Muscle biopsies will be taken before and after each exercise bout so that investigators can examine the underlying mechanisms that contribute to the effectiveness of the different types of exercise on blood sugar control. Investigators will also use an ultrasound to measure factors related to of cardiovascular health such as artery stress and vascular conductance during the exercise bouts. Direct benefits of this study include characterizing sex differences of blood sugar handling after single exercise sessions. This study could have direct benefits on deterring the effectiveness of different forms of exercise on blood sugar levels.

Eligibility criteria: Inclusion Criteria:

* In order to participate in this study, participants must be a healthy man or woman between the ages of 18 and 30 years.

Exclusion Criteria:

* Presence of chronic health condition(s) \[i.e. metabolic (i.e. Type 1 or type 2 diabetes), cardiovascular (i.e hypertension), respiratory (i.e. chronic pulmonary obstructive disorder) or digestive (i.e. ulcerative colitis) disorders.

  * Are pregnant, or suspect that they may be pregnant, or nursing
  * Inability to complete the single exercise sessions.
  * Regularly participate in cardiovascular (\>3 sessions/week) or resistance training (\>2 sessions/week) exercise.
  * Have an allergy to local anesthetic (or family history of allergy)
  * Have undergone a barium swallow or an infusion of a contrast agent in the past 3 weeks
  * Are taking prescription anti-coagulant or anti-platelet medications (e.g., warfarin, heparin, clopidogrel)
  * Inability to exercise as suggested by the get active questionnaire (GAQ)
  * BMI \> 27 kg/m2

Primary outcomes:
measure: Blood insulin change
timeFrame: 120mins
measure: Blood glucose change
timeFrame: 120mins
measure: Blood c-peptide change
timeFrame: 120mins
measure: Insulin sensitivity change
timeFrame: 120mins
Secondary outcomes:
measure: TBC1 domain family member 4 change (TBC1D4)
timeFrame: 35mins
measure: TBC1 domain family member 1 change (TBC1D1)
timeFrame: 35mins
measure: protein kinase B change
timeFrame: 35mins
measure: 5' adenosine monophosphate-activated protein kinase change
timeFrame: 35mins
measure: glucose transporter 4 change (GLUT4)
timeFrame: 35mins
measure: estrogen concentration
timeFrame: 30mins
measure: progesterone concentration
timeFrame: 30mins
Other outcomes:
Locations:
city: Waterloo
country: Canada
facility: University of Waterloo
state: Ontario
Study officials:
References: