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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Exercise intervention
Other interventionThe exercise intervention entails 6 months of supervised exercise on a hometrainer at high or moderate intensity, 3 times per week
Treatment groups
Trial outcomes
Primary outcomes
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).
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
Secondary outcomes
Levels of neurodegenerative blood biomarkers
Tau (pg/mL), amyloid beta (pg/mL), S100B (ng/mL), neurofilament light (pg/mL) etc.
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
Brain volume
Total and regional (LHIPP, mPFC, PCC) brain volumes
Diffusion-weighted magnetic resonance imaging
DWI will be used to measure differences in Brownian motion of water molecules within the brain
Sponsors and contacts
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Hasselt University
Lead sponsor
Universitaire Ziekenhuizen KU Leuven
Collaborator
Jessa Hospital
Collaborator
Research Foundation Flanders
Collaborator