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The purpose of the study is to evaluate the effect of cold exposure on an individual's glucose tolerance. Previous research has already shown that 10 days acclimation to a mild cold environment (14-15°C) can enhance insulin sensitivity. However, the duration in the cold environment was 6 hours per day which may not be practical for everyone. Therefore, the present study will investigate the effect of a shorter, and more intense cold exposure on an individual's glucose tolerance. It is hypothesised that cold exposure before consuming a glucose drink will enhance glucose clearance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cold exposure | Experimental | Participants will be wrapped in a water-perfused suit. The temperature of the suit will be lowered to 10°C. From the onset of shivering, the participants will remain in the suit for 1 hour. |
|
| Thermoneutral (Control) | Other | Participants will be wrapped in a water-perfused suit. The temperature of the suit will remain at a thermoneutral temperature (32°C) to avoid shivering and excessive sweating. The duration will be matched to that during the cold exposure. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Temperature | Other | Water-perfused suit. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Glucose and insulin concentrations in response to an oral glucose load | 3 hours post glucose drink, measured 90 minutes after the cold exposure |
| Measure | Description | Time Frame |
|---|---|---|
| Energy expenditure measured using indirect calorimetry | 30 minutes before and during the 1 hour of cold exposure | |
| Core temperature measured using a telemetric pill | 30 minutes before and during the 1 hour of cold exposure |
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Inclusion Criteria of healthy population:
Exclusion Criteria of healthy population:
Inclusion Criteria of prediabetes population:
Exclusion Criteria of prediabetes population:
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| Name | Affiliation | Role |
|---|---|---|
| Wouter van Marken Lichtenbelt, PhD | Maastricht University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University | Maastricht | 6229 ER | Netherlands |
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| ID | Term |
|---|---|
| D006943 | Hyperglycemia |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D013696 | Temperature |
| ID | Term |
|---|---|
| D013816 | Thermodynamics |
| D055585 | Physical Phenomena |
| D014887 | Weather |
| D001272 | Atmosphere |
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It is anticipated that 32 participants will enrol in the study. Specifically, 16 participants will be healthy individuals and the other 16 will be individuals with impaired fasting glucose (5.6 mM to 6.9 mM) and/or blood glucose values 7.8-11.0 mM 2h after glucose drink consumption during the OGTT in screening. Initially, the study will investigate the effect of the cold exposure on healthy individuals, and then depending on the results in these individuals, the intervention may be tested on participants with impaired glucose metabolism.
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| Skin blood flow measured using laser doppler flowmetry | 30 minutes before and during the 1 hour of cold exposure |
| Shivering activity assessed using surface electromyography | 30 minutes before and during the 1 hour of cold exposure |
| Systolic and diastolic blood pressure measured using an automatic blood pressure device | 30 minutes before and during the 1 hour of cold exposure |
| Thermal sensation | How warm or cold the participant perceives the environment. Assessed with a visual analogue scale (scale ranging from cold to hot). | 30 minutes before and during the 1 hour of cold exposure |
| Skin temperature measured using iButtons | 30 minutes before and during the 1 hour of cold exposure |
| Heart rate measured using chest heart rate monitor sensor | 30 minutes before and during the 1 hour of cold exposure |
| Comfort | How comfortable or uncomfortable the participant perceives the environment. Comfort assessed with a visual analogue scale (scale ranging from very comfortable to very uncomfortable). | 30 minutes before and during the 1 hour of cold exposure |
| D004777 |
| Environment |
| D055669 | Ecological and Environmental Phenomena |
| D001686 | Biological Phenomena |
| D008685 | Meteorological Concepts |
| D004780 | Environment, Controlled |
| D004778 | Environment and Public Health |