Clinical trial

Cold Acclimation as a Modulator of Brown Adipose Tissue Function in Adults With Obesity

Active, not recruiting · Not applicable · 1 countries · Registry ID NCT05468151

Active, not recruitingNot applicableInterventional

What this study is about

This study will investigate the effects of at least 12 weeks of weekly cold water immersions (water temperature 18ºC) on BAT perfusion in individuals with obesity. BAT oxygen uptake and tissue perfusion will be measured using 15O-O2 and 15O-H2O PET-CT, at room temperature and after cold exposure. In addition, BAT glucose uptake will be measured using 18F-FDG after 2 hours of cold exposure and BAT NEFA uptake will be analyzed using 18F-FTHA at room temperature. To understrand the metabolic effects of BAT activation in individuals with obesity and how the cold water immersions affect the BAT perfusion in humans is critical for the development of new strategies to treat obesity and its comorbidities.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age18 Years to 45 Years
SexAll
Healthy volunteersAccepted
ConditionObesity

Full registry criteria

Inclusion Criteria: * BMI\>30kg/m2 (for participants with obesity) * BMI\<25kg/m2 (for lean participants) * Waist circumference \>94 cm for men (for participants with obesity) * Waist circumference \> 80 for women (for participants with obesity) * Glucose ≥7.8 and \<11 mmol/L after OGTT (for participants with obesity) Exclusion Criteria: * Being regularly exposed to cold environments for the last 3 months (e.g. having a job as a ski monitor, fishmonger, woodcutter, etc.; or doing sports/leisure activities outdoors for prolonged periods of time, etc.) * Having gone for winter/ice swimming and bathing more than once every 2 weeks during the last 3 months. * Inability to undergo scanning (e.g., claustrophobia) * Pregnancy * Smoking (or use of nicotine based products) * Hypo/hyperthyroidism * Malignancies * Immune disorders * Viral or bacterial infections * Abnormal cardiovascular status, arrhythmia and/or long QTc in ECG, abnormal cardiac murmur, previous history of cardiovascular disease * Allergy to lidocaine or epinephrine, or other local anaesthetics * Weight change (intentional or not) over the last 6-months \> than 5% of body weight * Any other cardiovascular, pulmonary, orthopaedic, neurologic, psychiatric or other conditions that in the opinion of the local clinician/researcher, would preclude participation and successful completion of the protocol, or that would negatively impact or mitigate participation in and completion of the protocol.

Treatments and study arms

Cold acclimation

Other

The cold water immersions will last 30-60 minutes per day and the volunteers will undergo 2-3 cold immersions per week.

Intervention Control group - volunteers with obesity

Other

Participants with obesity in the control group will undergo PET/CT scans at baseline and 12 weeks after the first scan.

Acute cold exposure

Other

All participants (lean and with obesity) will undergo PET/scans after 2 hours of cold exposure to investigate BAT perfusion and BAT glucose uptake.

Primary outcomes

Brown adipose tissue perfusionAfter at least 12 weeks of cold acclimation

BAT perfusion will be measured using 15O-O2 and 15O-H2O PET-CT, at room temperature and after 2 hours of cold exposure.

Study locations

1 locations were listed when this page was built. The first 40 are shown.

Turku PET Centre🇫🇮 Turku, Turku, Finland