The primary objective of this randomized controlled cross-over study is to investigate if an acute, glycogen lowering exercise bout performed either in the morning or late afternoon differentially affects the respiratory exchange ratio at night in men and women with prediabetes. For this purpose, participants will stay in a respiration chamber and will be subjected to either an exercise bout in the morning or late afternoon.
Who can participate
Age range50 Years – 75 Years
SexALL
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Inclusion Criteria:
* Signed informed consent
* Healthy (determined by dependent physician)
* Man or post-menopausal woman
* Age between 50 - 75 years
* BMI ≥ 25 kg/m2
* Pre-diabetes based on meeting at least one of the following criteria: impaired glucose tolerance defined as plasma glucose values ≥ 7.8 mmol/l and ≤ 11.1 mmol/l 120 minutes after glucose drink consumption during oral glucose tolerance test in screening, impaired fasting glucose defined as fasting plasma glucose ≥ 6.1 mmol/l and ≤ 6.9 mmol/l, insulin resistance defined as a glucose clearance rate ≤ 360 mL/kg/min as determined using OGIS120, HbA1c of 5.7-6.4%
* Regular sleeping habits (7 - 9h of daily sleep)
* Stable diet and weight: No weight gain or loss \> 3kg in the last three months
Exclusion Criteria:
* Not meeting all inclusion criteria
* Fasting plasma glucose
* ≥ 7.0 mmol/L
* Hemoglobin \< 7.8 mmol/L
* Previously diagnosed with type 2 diabetes
* Uncontrolled hypertension
* In case of an abnormal electrocardiogram at rest: this will be discussed with the responsible medical doctor
* Subjects who do not want to be informed about unexpected medical findings during the screening /study, or do not wish that their physician is informed
* Any contra-indication to the Equivital telemetric pill
* Hypomotility disorders of the gastro-intestinal tract
* Extreme early bird or extreme night person (score ≤30 or ≥70 on morning-eveningness questionnaire self assessment)
* Heavily varying sleep-wake rhythm
* Night …
What they're measuring
1
Nocturnal respiratory exchange ratio
Timeframe: 35 hours respiration chamber stay per intervention arm