The overall objective of the HEAT study is to determine the acute effect of propranolol on energy expenditure in patients suffering from hyperthyroidism and to evaluate the consequences of the change of hyper- to euthyroidism on metabolism during the course of treatment, especially with regard to the reaction to cold ambient temperatures.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
19
Patients receive a single dose of 80 mg propranolol p.o.
University Hospital Basel, Department of Endocrinology
Basel, Canton of Basel-City, Switzerland
acute effect of propranolol on energy expenditure in patients suffering from hyperthyroidism
difference in resting energy expenditure (REE) measured single 90 minutes after an oral dose of 80 mg of propranolol compared to resting energy expenditure measured during the thirty minutes prior to administration of propranolol (ΔREEPropranolol).
Time frame: 90 minutes after propranolol application
Respiratory quotient (RQ) before and after administration of propranolol.
Difference in respiratory quotient (RQ) before and after administration of propranolol.
Time frame: 90 minutes after propranolol application
Difference in skin temperature
Supraclavicular skin temperature in patients with hyperthyroidism after a single dose of 80 mg Propranolol compared to supraclavicular temperature before Propranolol.
Time frame: 90 minutes after propranolol application
Difference in REE from hyperthyroid to euthyroid state
indirect calorimetry to determine resting energy expenditure
Time frame: after 3 to 4 months
Difference in REE hyperthyroid state to euthyroid state
indirect calorimetry to determine resting energy expenditure
Time frame: after 6 to 7 months
Change in Body composition: percent body fat
dual xray absorption scan
Time frame: after 3 to 4 months
Cold induced thermogenesis (CIT) in patients with hyperthyroidism
Cold induced thermogenesis: Increase in energy expenditure above resting metabolic rate in response to a mild cold stimulus during hyperthyroidism as compared to euthyroidism.
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Time frame: after 3 to 4 months