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| Name | Class |
|---|---|
| Mitacs | INDUSTRY |
| CoreHealth Technologies Inc. | UNKNOWN |
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Prolonged sitting has been shown to impair metabolism and vascular function. The overall purpose of this study is to determine if breaking up prolonged (9 hours) of sitting with brief (~20 second) stair climbing exercise "snacks" can improve markers of metabolic control and vascular health in healthy young male participants and in males or females with overweight/obesity who are at risk of insulin resistance. An additional purpose is to determine if saliva insulin can be used as a valid indicator of blood insulin when measured throughout the day in sedentary and active conditions and when diets with different amounts of carbohydrates are consumed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High-Carbohydrate Sedentary | Experimental | Participants will remain seated for 9 hours (except for using the restroom) while consuming a high-carbohydrate diet (3 meals) |
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| High-Carbohydrate Active | Experimental | Participants will remain seated for 9 hours (except for using the restroom) while consuming a high-carbohydrate diet (3 meals) but will complete 8 stair climbing sprint "snacks" once per hour involving ascending 3 flights of stairs at a vigorous pace (~20 seconds each). |
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| Low-Carbohydrate Sedentary | Active Comparator | Participants will remain seated for 9 hours (except for using the restroom) while consuming a low-carbohydrate diet (3 meals) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High-Carbohydrate Sedentary | Behavioral | Three high-carbohydrate meals will be consumed (breakfast, lunch, and dinner) at ~3 hour intervals while participants remain in a seated position for the entire 9 hour intervention period. |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma insulin area under the curve | The plasma insulin concentration measured by enzyme-linked immunosorbent assay area under the curve will be measured using the trapezoidal rule. | Measured across 9 hours of each intervention day |
| Measure | Description | Time Frame |
|---|---|---|
| Saliva insulin area under the curve | The saliva insulin concentration measured by enzyme-linked immunosorbent assay area under the curve will be measured using the trapezoidal rule. | Measured across 9 hours of each intervention day |
| Plasma glucose area under the curve |
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Lean Group Inclusion Criteria:
Non-smoking
Lean Group Exclusion Criteria:
Diagnosed with diabetes or prediabetes (fasting blood sugar more than 6.0 mmol/l) or any other chronic condition that may impact glucose or insulin levels.
BMI is over 25 kg/m2 Take medications which may affect glucose and insulin levels Allergic to eggs. Smoker Competitive or serious endurance athlete.
Overweight/Obese Group Inclusion Criteria:
Elevated waist circumference (>102 cm for male and >88 cm for female)
Overweight/Obese Group Exclusion Criteria:
Diagnosed with diabetes (fasting blood sugar more than 7.0 mmol/l) Take medications which may affect glucose and insulin levels Allergic to eggs. Smoker Competitive or serious endurance athlete.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of British Columbia Okanagan | Kelowna | British Columbia | V1V 3G1 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37262929 | Derived | Rafiei H, Omidian K, Chang CR, Little JP. Saliva insulin tracks plasma insulin across the day following high-carbohydrate and low-carbohydrate meals. Appl Physiol Nutr Metab. 2023 Sep 1;48(9):700-709. doi: 10.1139/apnm-2023-0066. Epub 2023 Jun 1. | |
| 33242251 | Derived | Caldwell HG, Coombs GB, Rafiei H, Ainslie PN, Little JP. Hourly staircase sprinting exercise "snacks" improve femoral artery shear patterns but not flow-mediated dilation or cerebrovascular regulation: a pilot study. Appl Physiol Nutr Metab. 2021 May;46(5):521-529. doi: 10.1139/apnm-2020-0562. Epub 2020 Nov 26. |
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We will share individual patient data (de-identified) with researchers upon request.
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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Participants complete three conditions in a repeated crossover design.
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It is not possible to mask the exercise or diet interventions.
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| High-Carbohydrate Active | Behavioral | Three high-carbohydrate meals will be consumed (breakfast, lunch, and dinner) at ~3 hour intervals while participants remain in a seated position for the entire 9 hour intervention period except that once every hour they will ascend three flights of stairs vigorously (stair climbing sprint "snack") for a total of 8 active breaks. |
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| Low-carbohydrate Sedentary | Behavioral | Three low-carbohydrate meals will be consumed (breakfast, lunch, and dinner) at ~3 hour intervals while participants remain in a seated position for the entire 9 hour intervention period. This condition will provide a condition where the blood glucose and insulin responses are relatively low and stable throughout the day. |
|
The plasma glucose concentration measured by hexokinase method area under the curve will be measured using the trapezoidal rule. |
| Measured across 9 hours of each intervention day |
| Plasma triglyceride area under the curve | The plasma triglyceride concentration measured by biochemical assay area under the curve will be measured using the trapezoidal rule. | Measured across 9 hours of each intervention day |
| Plasma non-esterified fatty acids area under the curve | The plasma non-esterified fatty acid concentration measured by biochemical assay area under the curve will be measured using the trapezoidal rule. | Measured across 9 hours of each intervention day |
| Femoral artery flow-mediated dilation | Flow-mediated dilation of femoral artery measured by vascular ultrasound | Measured in the morning (time 0 hours) and afternoon (time 8.5 hours) each intervention day |
| Cerebrovascular function | Cerebrovascular function measured by transcranial doppler ultrasound | Measured in the morning (time 0.5 hours) and afternoon (time 6 hours) each intervention day |
| Cognitive function | Cognitive function measured by Computerized Neurocognitive Assessment Software (CNS) Vital Signs test battery | Measured in the morning (time 0.5 hours) and afternoon (time 6 hours) each intervention day |