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NCT06936670NARecruiting

Effects of High-Resistance Inspiratory Muscle Strength Training on Cardiorenal and Vascular Function in Youth and Young Adults With Type 2 Diabetes

Seattle Children's Hospital

Start Date

4/30/2025

Completion Date

2/28/2026

Summary

High-resistance, short-duration inspiratory muscle strength training (IMST) is a novel lifestyle intervention involving 30 inhalations against a resistive load which requires only \~5 min/day and is thus ideal for youth with T2D (Y-T2D). Investigators seek to 1: assess changes in casual and 24-hr SBP, endothelial function, and arterial stiffness after 3 months of IMST vs. sham training in Y-T2D, 2: Define changes in eGFR andalbuminuria after 3 months of IMST vs. sham in Y-T2D, 3: Interrogate mechanisms of IMST by translational assessments of NO bioavailability, endothelial NO synthase (eNOS) activation, and ROS/oxidative stress, and determine the role of circulating factors.

Eligibility Criteria

Age Range: 14 years to 40 years

Inclusion Criteria: Aged 14-40, have had T2D for a least one year, HbA1C less than 12%. \- Exclusion Criteria: Have had type II diabetes for more than 18 years, estimated glomerular filtration rate (eGFR) less than 60 ml/min/1.73m2 or Albumin-to-creatinine ratio (ACR) greater than 2200mg/g, blood pressure greater than 160/100 mm Hg. \-

Interventions

DEVICE

Inspiratory Muscle Strength Training (IMST)

DEVICE

Sham Training

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Conditions

Diabetes Mellitus Type 2

Locations

Seattle Children's Hospital

Seattle, Washington 98102

United States

University of Washington Medicine Diabetes Institute

Seattle, Washington 98109

United States