This study will investigate the effects of 6 week Nicotinamide Riboside supplementation (1000 mg/day) on metabolic health in healthy (pre)obese humans. The primary objective will be hepatic and whole body insulin sensitivity. Secondary objectives, to provide information about the underlying mechanism, will be muscle mitochondrial function, brown fat activity, ectopic lipid accumulation, energy metabolism, cardiovascular risk parameters, body composition and acetylcarnitine levels.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
15
Maastricht University Medical Centre
Maastricht, Netherlands
Insulin sensitivity: muscle- and liver specific
Hyperinsulinemic euglycemic clamp: Rate of glucose disappearance (Rd) will be calculated by using tracer kinetics.
Time frame: 6 weeks after supplementation
Muscle mitochondrial function (ex vivo)
Ex vivo mitochondrial function in skeletal muscle measured by oxygen consumption in muscle fibres (muscle biopsy vastus lateralis) on lipid-derived and carbohydrate-derived substrates.
Time frame: 6 weeks after supplementation
Ectopic lipid accumulation
Liver and skeletal muscle lipid accumulation measured with H-MRS in vivo.
Time frame: 6 weeks after supplementation
Brown adipose tissue activity
Subjects will be exposed to an individualized cooling protocol, after which an 18F-FDG PET/CT scan is made
Time frame: 6 weeks after supplementation
Cardiovascular risk parameters
Cardiac energy status measured with P-MRS and Ambulatory blood pressure.
Time frame: 6 weeks after supplementation
Whole body energy expenditure
Sleeping metabolic rate measured during an overnight stay in a respiration chamber. Resting metabolic rate measured with ventilated hood system, basal, during insulin stimulation (clamp) and during cold stimulation (cooling protocol BAT activity).
Time frame: 6 weeks after supplementation
Body composition
Fat mass and fat free mass measured with a BodPod.
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Time frame: 6 weeks after supplementation
Acetylcarnitine levels
Skeletal muscle acetylcarnitine levels measured with H-MRS in vivo, before and after exercise stimulation (cycling).
Time frame: 6 weeks after supplementation