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Kropsvægt, søvn og hjertesundhed

14. oktober 2026 opdateret af: Steven A. Shea, Oregon Health and Science University

Cirkadiske mekanismer for kardiovaskulær risiko ved fedme

A multidisciplinary investigation examining the circadian mechanisms regulating cardiovascular (CV) risk, with an additional focus on obesity. Specifically, in a valid circadian protocol, the investigators aim to study resting cardiovascular risk markers and the reactivity of circadian rhythms in these risk markers to standardized stressors. It is intended to compare results in lean and obese individuals to determine if there are specific risks across the circadian cycle specific to obesity. Furthermore, using an exploratory approach, the investigators propose to explore impairment in pre/post synaptic function in the cardiac left ventricle.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Overall, these studies will help us answer whether the circadian system predispose individuals to increased CV disease risk - particularly around the vulnerable morning period, and whether these risks differ with obesity. The results will serve as a foundation for clinical trials of appropriately timed dosing of medications targeting aspects of the CV system that increase effectiveness while decreasing side effects, and may have particular relevance to management of CV risk in people with obesity.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

17

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Oregon
      • Portland, Oregon, Forenede Stater, 97239
        • Oregon Health & Science University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

25 år til 65 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Community sample

Beskrivelse

Inclusion Criteria:

  • Ages 25-65
  • Lean and overweight (BMI 18.5-40kg/m2)
  • Habitually sedentary

Exclusion Criteria:

  • History of smoking/tobacco use
  • Insomnia
  • Moderate to severe obstructive sleep apnea.
  • Prior shift work within 6 months prior to the study.
  • Prescription medications
  • Drugs of abuse
  • Acute, chronic, or debilitating medical condition (including diabetes, hypertension, and metabolic syndrome)

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Observationsmodeller: OTHER
  • Tidsperspektiver: PROSPECTIVE

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Normal Weight

Healthy lean controls [18.5<BMI<25 kg/m2 and waist circumference <94/80 cm (men/women respectively)] will participate in a 5-day circadian study protocol with numerous repeated cardiovascular measures across the circadian cycle. Drugs are used as part of physiological monitoring and not as interventions including imaging using radiopharmaceuticals (11C-meta-hydroxyephedrine, and 11C-CGP12177).

Drugs are used for as part of physiological monitoring and not as interventions, including imaging using radiopharmaceuticals (11C-meta-hydroxyephedrine, and 11C-CGP12177).

Andre navne:
  • PET-skanning
Overweight

Healthy obese [30≤BMI<40 and waist circumference ≥94/80 (men and women respectively)] Healthy lean controls [18.5<BMI<25 kg/m2 and waist circumference <94/80 cm (men/women respectively)] will participate in a 5-day circadian study protocol with numerous repeated cardiovascular measures across the circadian cycle. Drugs are used as part of physiological monitoring and not as interventions including imaging using radiopharmaceuticals (11C-meta-hydroxyephedrine, and 11C-CGP12177).

Drugs are used for as part of physiological monitoring and not as interventions, including imaging using radiopharmaceuticals (11C-meta-hydroxyephedrine, and 11C-CGP12177).

Andre navne:
  • PET-skanning

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Blood Pressure (BP)
Tidsramme: 5 Days

Measurements were collected up to 7 times per participant across the circadian cycle under constant conditions across 5 days. Resting BP and Exercise BP data were collected at the beginning of each of 7 wake periods in a supine position and where participants exercised at an intensity equivalent to brisk walking. Salivary melatonin was used to calculate the circadian phase marker using dim light melatonin onset (DLMO). All data were assigned a circadian phase relative to DLMO and binned into 4-hour (or 60-degree) intervals. In the statistical analysis, the weight group refers to normal or overweight, exercise condition refers to seated or exercising on the bike, and circadian phase refers to the center of the circadian bin. This is an observational study. Due to insufficient enrollment and an imbalanced group distribution, we do not have sufficient statistical power to fully interpret these data. The data are valuable as pilot data for future investigations and sample size estimation.

5 Days

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Coronary Microvascular Blood Flux
Tidsramme: 3 days

Coronary microvascular function, measured as coronary microvascular blood flux using myocardial contrast echocardiography.

3 days
Flow Mediated Dilation (FMD)
Tidsramme: 5 days

FMD to measure endothelial function.

5 days
Heart Rate
Tidsramme: 5 Days

Heart rate via 2-channel echocardiogram (ECG)

5 Days
Epinephrine
Tidsramme: 5 days

Venous Epinephrine to estimate sympathetic output

5 days
Norepinephrine
Tidsramme: 5 days

Venous Norepinephrine to estimate sympathetic output

5 days
Cortisol
Tidsramme: 5 days

Saliva cortisol to estimate sympathetic output

5 days

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Beta-adrenergic Receptor Density (Exploratory Outcome)
Tidsramme: 5 days.

Radiolabeled agonist (11C-CGP12177) to measure beta-adrenergic receptors during PET Imaging.

5 days.
Norepinephrine Reuptake Transport (Exploratory Outcome)
Tidsramme: 5 days.

Radiolabeled meta-hydroxyephedrine (11C-mHED) to measure norepinephrine reuptake during PET Imaging.

5 days.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Ledende efterforsker: Steven A Shea, PhD, Oregon Institute of Occupational Health Sciences
  • Ledende efterforsker: Jeanne M Link, PhD, OHSU Center for Radiochemistry Research

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. maj 2018

Primær færdiggørelse (Faktiske)

30. september 2024

Studieafslutning (Faktiske)

30. juni 2026

Datoer for studieregistrering

Først indsendt

20. december 2017

Først indsendt, der opfyldte QC-kriterier

29. december 2017

Først opslået (Faktiske)

3. januar 2018

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

4. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

14. oktober 2026

Sidst verificeret

1. oktober 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • IRB00017489
  • KL2TR002370 (U.S. NIH-bevilling/kontrakt)
  • R01HL140577 (U.S. NIH-bevilling/kontrakt)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .