A randomized, double blind, cross-over, placebo-controlled clinical trial to assess the effects of Candesartan on the insulin sensitivity on non diabetic, non hypertense subjects with dysglyce mia and abdominal obesity. "ARAMIA"

12 p.

Autores:
Lopez-Jaramillo, Patricio
Pradilla, Lina P.
Lahera, Vicente
Silva Sieger, Federico Arturo
Rueda Clausen, Christian F.
Márquez, Gustavo
Tipo de recurso:
Article of journal
Fecha de publicación:
2006
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/3296
Acceso en línea:
https://repositorio.udes.edu.co/handle/001/3296
Palabra clave:
Candesartan
Insulin sensitivity
Hypertense subjects
Dysglyce mia
Abdominal obesity.
ARAMIA
Rights
embargoedAccess
License
Derechos Reservados - Trials, 2007
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dc.title.eng.fl_str_mv A randomized, double blind, cross-over, placebo-controlled clinical trial to assess the effects of Candesartan on the insulin sensitivity on non diabetic, non hypertense subjects with dysglyce mia and abdominal obesity. "ARAMIA"
title A randomized, double blind, cross-over, placebo-controlled clinical trial to assess the effects of Candesartan on the insulin sensitivity on non diabetic, non hypertense subjects with dysglyce mia and abdominal obesity. "ARAMIA"
spellingShingle A randomized, double blind, cross-over, placebo-controlled clinical trial to assess the effects of Candesartan on the insulin sensitivity on non diabetic, non hypertense subjects with dysglyce mia and abdominal obesity. "ARAMIA"
Candesartan
Insulin sensitivity
Hypertense subjects
Dysglyce mia
Abdominal obesity.
ARAMIA
title_short A randomized, double blind, cross-over, placebo-controlled clinical trial to assess the effects of Candesartan on the insulin sensitivity on non diabetic, non hypertense subjects with dysglyce mia and abdominal obesity. "ARAMIA"
title_full A randomized, double blind, cross-over, placebo-controlled clinical trial to assess the effects of Candesartan on the insulin sensitivity on non diabetic, non hypertense subjects with dysglyce mia and abdominal obesity. "ARAMIA"
title_fullStr A randomized, double blind, cross-over, placebo-controlled clinical trial to assess the effects of Candesartan on the insulin sensitivity on non diabetic, non hypertense subjects with dysglyce mia and abdominal obesity. "ARAMIA"
title_full_unstemmed A randomized, double blind, cross-over, placebo-controlled clinical trial to assess the effects of Candesartan on the insulin sensitivity on non diabetic, non hypertense subjects with dysglyce mia and abdominal obesity. "ARAMIA"
title_sort A randomized, double blind, cross-over, placebo-controlled clinical trial to assess the effects of Candesartan on the insulin sensitivity on non diabetic, non hypertense subjects with dysglyce mia and abdominal obesity. "ARAMIA"
dc.creator.fl_str_mv Lopez-Jaramillo, Patricio
Pradilla, Lina P.
Lahera, Vicente
Silva Sieger, Federico Arturo
Rueda Clausen, Christian F.
Márquez, Gustavo
dc.contributor.author.spa.fl_str_mv Lopez-Jaramillo, Patricio
Pradilla, Lina P.
Lahera, Vicente
Silva Sieger, Federico Arturo
Rueda Clausen, Christian F.
Márquez, Gustavo
dc.subject.proposal.eng.fl_str_mv Candesartan
Insulin sensitivity
Hypertense subjects
Dysglyce mia
Abdominal obesity.
ARAMIA
topic Candesartan
Insulin sensitivity
Hypertense subjects
Dysglyce mia
Abdominal obesity.
ARAMIA
description 12 p.
publishDate 2006
dc.date.issued.spa.fl_str_mv 2006-09-07
dc.date.accessioned.spa.fl_str_mv 2019-07-08T14:01:48Z
dc.date.available.spa.fl_str_mv 2019-07-08T14:01:48Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.doi.spa.fl_str_mv 10.1186/1745-6215-7-28
dc.identifier.isbn.spa.fl_str_mv 1745-6215
dc.identifier.uri.spa.fl_str_mv https://repositorio.udes.edu.co/handle/001/3296
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dc.language.iso.spa.fl_str_mv eng
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dc.relation.ispartof.eng.fl_str_mv Trials
dc.rights.spa.fl_str_mv Derechos Reservados - Trials, 2007
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spelling Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Pradilla, Lina P.e62f411c-2c42-4252-b4bb-a9a124b06de9-1Lahera, Vicente06613d10-690d-4af8-8766-1d1474e0d045-1Silva Sieger, Federico Arturo9cced475-6773-4f4f-b4e7-bbebe82a3e16-1Rueda Clausen, Christian F.bb29e148-b8c5-43f2-9fc0-4eeebb36706b-1Márquez, Gustavod488de8a-8f36-4b12-8dea-eeb0bf1de121-12019-07-08T14:01:48Z2019-07-08T14:01:48Z2006-09-0712 p.Background: The raising prevalence of type-2 diabetes mellitus and obesity has been recognized as a major problem for public health, affecting both developed and developing countries. Impaired fasting plasma glucose has been previously associated with endothelial dysfunction, higher levels of inflammatory markers and increased risk of developing insulin resistance and cardiovascular events. Besides life-style changes, the blockade of the renin-angiotensin system has been proposed as a useful alternative intervention to improve insulin resistance and decrease the number of new type-2 diabetes cases. The aim of this clinical trial is to study the effect of the treatment with Candesartan, an angiotensin II receptor antagonist, on the insulin resistance, the plasma levels of adipoquines, oxidative stress and prothrombotic markers, in a group of non diabetic, non hypertensive, dysglycemic and obese subjects. Methods and design: A randomized, double blind, cross-over, placebo-controlled, clinical trial was designed to assess the effects of Candesartan (up to 32 mg/day during 6 months) on the Homeostasis Model Assessment (HOMA) index, lipid profile, protrombotic state, oxidative stress and plasma levels of inflammatory markers. The participants will be recruited in the "Fundación Cardiovascular de Colombia". Subjects who fullfil selection criteria will receive permanent educational, nutritional and exercise support during their participation in the study. After a 15 days-run-in period with placebo and life-style recommendations, the patients who have a treatment compliance equal or greater than 80% will be randomlly assigned to one of the treatment groups. Group A will receive Candesartan during 6 months and placebo during 6 months. Group B will receive placebo during the first 6 months, and then, Candesartan during the last 6 months.Control visits will be programed monthly and all parameters of interest will be evaluated every 6 months. Hypothesis: Treatment with Candesartan, could improve the HOMA index, the response to the oral glucose tolerance test and reduce the plasma levels of adipoquines, oxidative stress and prothrombotic markers, in non diabetic, non hypertense subjects with dysglycemia and abdominal obesity, recruited from a population at high risk of developing insulin resistance. These effects are independent of the changes in arterial blood pressure. 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