The Effect of Exercise on the Brain in Type 2 Diabetes

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age30-75
SponsorHasselt University

About this trial

The goal of this clinical trial is to learn if exercise training of high or moderate intensity is most optimal to improve brain health and prevent neurodegeneration in type 2 diabetes patients. The main question it aims to answer is:

What is the effect of exercise training of high vs. moderate intensity on brain metabolism, brain perfusion, and cognition in type 2 diabetes?

Researchers will compare the exercise training groups to a control group without exercise training to determine the effect of exercise training on the brain in type 2 diabetes.

Participants will exercise for 6 months, 3 times per week. Before and after these 6 months, they will undergo:

* a brain MRI scan * cognitive tests * blood sampling

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

type 2 diabetes

no insulin therapy

30-75 years old

physically inactive

Disqualifiers

MRI contraindications

psychological disorders

exogenous insulin therapy

history of coma, transient ischemic attack, head trauma, brain tumor, stroke, epilepsy, and other central nervous system diseases that could cause dementia or presence of dementia before T2DM

Trial design

Design model

Parallel

Treatments tested in this trial

  • Exercise intervention

    Other intervention

    The exercise intervention entails 6 months of supervised exercise on a hometrainer at high or moderate intensity, 3 times per week

Treatment groups

75 Participants
are divided into 3 treatment groups
Group A: High intensity exercise training groupExperimental treatment 1 intervention
Group B: Moderate intensity exercise training groupExperimental treatment 1 intervention
Group C: Control groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Neurometabolite levels

Levels of N-acetylaspartate, choline, myo-inositol, creatine, glutathion, and glutamate, measured in institutional units (i.u.) by means of magnetic resonance spectroscopy (MRS).

Time frame
From enrollment to the end of treatment at 6 months
2

Changes in arterial spin labelling measured by means of magnetic resonance imaging (MRI)

Changes in cerebral perfusion expressed in mL/100g/min, and blood flow through the blood-brain-barrier expressed in milliseconds

Time frame
From enrollment to the end of treatment at 6 months

Secondary outcomes

1

Levels of neurodegenerative blood biomarkers

Tau (pg/mL), amyloid beta (pg/mL), S100B (ng/mL), neurofilament light (pg/mL) etc.

Time frame
From enrollment to the end of treatment at 6 months
2

Blood lipid profile

This outcome measure includes assessments of the lipid profile, reported in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L): High-Density Lipoprotein (HDL), Low-Density Lipoprotein (LDL), Triglycerides, Free Fatty Acids, Total Cholesterol

Time frame
From enrollment to the end of treatment at 6 months
3

Brain volume

Total and regional (LHIPP, mPFC, PCC) brain volumes

Time frame
From enrollment to the end of treatment at 6 months
4

Diffusion-weighted magnetic resonance imaging

DWI will be used to measure differences in Brownian motion of water molecules within the brain

Time frame
From enrollment to the end of treatment at 6 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Hasselt University

Lead sponsor

Universitaire Ziekenhuizen KU Leuven

Collaborator

Jessa Hospital

Collaborator

Research Foundation Flanders

Collaborator