Pilot Study of Strength Testing in Overweight Women With or Without Insulin Resistance
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss, Endocrine |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 70 |
| Updated: | 4/21/2017 |
| Start Date: | May 6, 2013 |
| End Date: | March 13, 2015 |
Background:
- Some people who are obese may have decreased muscle strength. They may have greater muscle
mass shown in scans, but they show poor results in exercise tests. Poor muscle strength
might cause some of the difficulty with exercise performance. Researchers want to test
muscle strength in the arms and legs of overweight women. They will also see how insulin
resistance affects muscle strength in these women.
Objectives:
- To test muscle strength in overweight women.
- To see if insulin resistance affects muscle strength.
Eligibility:
- Women at least 18 years of age who are overweight (body mass index greater than 25 kg/m2).
Design:
- Participants will be asked to fast before having an initial blood test to measure
glucose and insulin levels.
- On a different day, they will have the strength testing. The first test will measure
leg muscle strength by testing the quadriceps and the hamstrings. The second test will
measure arm muscle strength by testing the biceps and triceps. The final test will
measure hand muscle (grip) strength.
- All the tests should take about an hour.
- Some people who are obese may have decreased muscle strength. They may have greater muscle
mass shown in scans, but they show poor results in exercise tests. Poor muscle strength
might cause some of the difficulty with exercise performance. Researchers want to test
muscle strength in the arms and legs of overweight women. They will also see how insulin
resistance affects muscle strength in these women.
Objectives:
- To test muscle strength in overweight women.
- To see if insulin resistance affects muscle strength.
Eligibility:
- Women at least 18 years of age who are overweight (body mass index greater than 25 kg/m2).
Design:
- Participants will be asked to fast before having an initial blood test to measure
glucose and insulin levels.
- On a different day, they will have the strength testing. The first test will measure
leg muscle strength by testing the quadriceps and the hamstrings. The second test will
measure arm muscle strength by testing the biceps and triceps. The final test will
measure hand muscle (grip) strength.
- All the tests should take about an hour.
We have observed in our protocol (08-H-0108: Effects of Worksite Wellness Interventions on
Vascular Function, Insulin Sensitivity and High-Density Lipoprotein in Overweight or Obese
Women) that despite increased lean (muscle) mass in the extremities as measured by dual
x-ray absorptiometry, obese women have poorer exercise tolerance than overweight women who
have less muscle mass.1 Exercise testing, however, is an integrated function of
cardiopulmonary capacity, in addition to muscle strength and endurance. We propose to
determine whether muscle strength of elbow flexors and knee extensor muscle groups
correlates with muscle mass of these groups in overweight and obese women selected for
normal or abnormal insulin sensitivity. Our hypothesis is that subjects with impaired
insulin sensitivity and high insulin levels will have greater muscle mass but lower muscle
strength than subjects with normal insulin sensitivity and normal insulin levels. This is a
feasibility study to be conducted in 10 non-diabetic women (5 with insulin resistance, 5
with normal insulin sensitivity) who previously participated in 08-H-0108, the outcome of
which will provide data for planning a larger study of muscle mass and strength which may be
important to achieving exercise goals important to successful weight loss.
Vascular Function, Insulin Sensitivity and High-Density Lipoprotein in Overweight or Obese
Women) that despite increased lean (muscle) mass in the extremities as measured by dual
x-ray absorptiometry, obese women have poorer exercise tolerance than overweight women who
have less muscle mass.1 Exercise testing, however, is an integrated function of
cardiopulmonary capacity, in addition to muscle strength and endurance. We propose to
determine whether muscle strength of elbow flexors and knee extensor muscle groups
correlates with muscle mass of these groups in overweight and obese women selected for
normal or abnormal insulin sensitivity. Our hypothesis is that subjects with impaired
insulin sensitivity and high insulin levels will have greater muscle mass but lower muscle
strength than subjects with normal insulin sensitivity and normal insulin levels. This is a
feasibility study to be conducted in 10 non-diabetic women (5 with insulin resistance, 5
with normal insulin sensitivity) who previously participated in 08-H-0108, the outcome of
which will provide data for planning a larger study of muscle mass and strength which may be
important to achieving exercise goals important to successful weight loss.
- INCLUSION CRITERIA:
- Non-diabetic female employees of NIH who participated in protocol 08-H-0108 and
underwent insulin sensitivity testing and also protocol 02-H-0050 for muscle mass
determination.
- BP< 140/90 mmHg (medications allowed)
- Subject understands protocol and provides written, informed consent.
EXCLUSION CRITERIA:
- Medical or surgical condition that would prohibit upper and lower extremity strength
testing (e.g., painful arthritis, prior knee or elbow surgery)
- Infection or injury to hand, knee or elbow requiring medical attention within 3
months of testing
We found this trial at
1
site
9000 Rockville Pike
Bethesda, Maryland 20892
Bethesda, Maryland 20892
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