1. To test whether chronic intermittent cold exposure is more effective in programmed body weight loss when compared to conventional programmed weight loss. 2. To measure the metabolic responses (e.g. in the white and brown adipose tissue, muscle and circulating markers) of treatment with chronic intermittent cold exposure and conventional treatment 3. To measure tissue specific changes of weight loss and the treatment with chronic intermittent cold exposure in glucose uptake rate in adipose organ (white and brown adipose tissue), liver, myocardium, skeletal muscle and brain 4. To measure tissue specific biochemical indicators before and after treatment with chronic intermittent cold exposure from white adipose tissue and skeletal muscle. 5. To compare changes in body composition and fat distribution after weight loss using chronic cold exposure or using conventional method
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
20
Cryotherapy: The whole-cody cryotherapy device (Univers Cryo-Combi;Oy MJG Univers Ab, Helsinki, Finland) consists of 3 chambers set at different temperatures. The first 2 chambers are meant for precooling (-30°Cand-60°C), and the patient remains in these for a very short time. The third chamber temperature reaches -110°C, and the patient remains inside for 3-4 minutes wearing a bathing suit or trunks, acral parts covered.
Weight loss intervention with Very Low Calory Diet (VLCD, 500-1000 kcal / d + dietary supplements) and group and individual treatment (eating, physical activity counseling and behavioural therapy).
weight loss
Effect of chronic intermittent cold exposure and conventional treatment on weight loss
Time frame: looking forward using periodic observations collected predominantly during 12 months following subject enrollment
Glucose uptake
Effect of chronic intermittent cold exposure and conventional treatment on glucose uptake of brown and white adipose tissue, liver, myocardium, skeletal muscle and brain (PET-scan).
Time frame: 4 months from admission
energy metabolism
Effect of chronic intermittent cold exposure and conventional treatment on energy metabolism
Time frame: 12 months from admission
behavioural patterns
Effect of chronic intermittent cold exposure and conventional treatment on behavioural patterns
Time frame: 12 months from admission
muscle metabolism
Effect of chronic intermittent cold exposure and conventional treatment on muscle metabolism
Time frame: 12 months from admission
white adipose tissue metabolism
Effect of chronic intermittent cold exposure and conventional treatment on white adipose tissue metabolism
Time frame: 12 months from admission
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.