Small Extracellular Vesicles and Insulin Action (SEV)
Obesity, Insulin Resistance, Metabolically Healthy Obesity
About this trial
This is an interventional basic science trial for Obesity focused on measuring Obesity, Weight Loss, Exosomes, Extracellular vesicles
Eligibility Criteria
Inclusion Criteria: Metabolically healthy lean subjects must have a BMI ≥18.5 and ≤24.9 kg/m2; Subjects with obesity must have a BMI ≥30.0 and ≤50.0 kg/m2 Metabolically healthy lean and people with metabolically healthy obesity must have intrahepatic triglyceride (IHTG) content ≤5%; fasting plasma glucose concentration <100 mg/dl, 2-hr oral glucose tolerance plasma glucose concentration <140 mg/dl, hemoglobin A 1C (HbA1c) ≤5.6% and HOMA-IR <2.5. People with metabolically unhealthy obesity must have intrahepatic triglyceride (IHTG) content ≥5.6%; HOMA-IR ≥2.5, and HbA1c 5.7%-6.4%, or fasting plasma glucose concentration ≥100 mg/dl, or 2-hr oral glucose tolerance test (OGTT) plasma glucose concentration ≥140 mg/dl. Exclusion Criteria: History of diabetes, liver disease other than NAFLD or other serious diseases, Consume excessive amounts of alcohol (>21 units/week for men and >14 units/week for women), Take medications that could affect the study outcome measures, engage in regular exercise (>120 min/week), Are pregnant or lactating
Sites / Locations
- Washington University School of MedicineRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
No Intervention
No Intervention
Experimental
Metabolically healthy lean - Baseline testing only
People with Metabolically Healthy Obesity - Baseline testing only
People with Metabolically Unhealthy Obesity - Low Calorie Diet
Metabolically healthy lean - Lean individuals that have good glucose (sugar) control (defined as normal fasting glucose, glucose tolerance and hemoglobin A1c), normal insulin sensitivity (defined as Homeostatic Model Assessment of Insulin Resistance [HOMA-IR] <2.5) and normal intrahepatic triglyceride (fat) levels. Dietary intervention - None.
People with Metabolically Healthy Obesity - Persons with obesity that have good glucose (sugar) control, normal insulin sensitivity and normal intrahepatic triglyceride (fat) levels. Dietary intervention - None.
People with Metabolically Unhealthy Obesity - Persons with obesity with plasma glucose and intrahepatic triglyceride (fat) levels higher than recommended in combination with insulin resistance (defined as HOMA-IR ≥2.5). Dietary intervention - Low calorie diet.