Page last updated: 2024-11-02

pioglitazone and Abdominal Obesity

pioglitazone has been researched along with Abdominal Obesity in 6 studies

Pioglitazone: A thiazolidinedione and PPAR GAMMA agonist that is used in the treatment of TYPE 2 DIABETES MELLITUS.
pioglitazone : A member of the class of thiazolidenediones that is 1,3-thiazolidine-2,4-dione substituted by a benzyl group at position 5 which in turn is substituted by a 2-(5-ethylpyridin-2-yl)ethoxy group at position 4 of the phenyl ring. It exhibits hypoglycemic activity.

Research Excerpts

ExcerptRelevanceReference
"We designed a study, involving 52 patients of 19-36 years of age, to test the pioglitazone in women with polycystic ovary syndrome."9.16Pioglitazone reduces central obesity in polycystic ovary syndrome women. ( Asadipooya, K; Kalantar-Hormozi, M; Nabipour, I, 2012)
" We evaluated whether the peroxisome proliferator-activated receptor-γ agonist pioglitazone with exercise training improves central and peripheral insulin sensitivity more than pioglitazone alone in HIV-infected adults with insulin resistance and central adiposity."9.15Exercise training augments the peripheral insulin-sensitizing effects of pioglitazone in HIV-infected adults with insulin resistance and central adiposity. ( Bopp, C; Cade, WT; Hubert, S; Laciny, E; Lassa-Claxton, S; Mondy, KE; Overton, ET; Reeds, DN; Yarasheski, KE, 2011)
" Pioglitazone treatment (3 mg/kg body weight/d for 6 weeks), a peroxisome proliferator-activated receptor γ agonist, reversibly improved atherogenic dyslipidemia and insulin resistance and fully restored flow-mediated dilation with persistent benefits."7.77Rhesus macaques develop metabolic syndrome with reversible vascular dysfunction responsive to pioglitazone. ( Cheng, H; Ding, Y; Han, C; Hou, N; Huang, PL; Li, C; Li, K; Liu, N; Liu, Y; Mao, J; Raab, S; Sebokova, E; Shang, S; Song, Z; Wang, H; Wang, J; Xue, L; Zhang, H; Zhang, R; Zhang, X; Zhang, Y; Zheng, W; Zhu, T, 2011)
"Fenofibrate is a peroxisome proliferator-activated receptor-α that has been clinically used to treat dyslipidemia and insulin resistance."5.19Fenofibrate increases serum vaspin by upregulating its expression in adipose tissue. ( Chen, M; Deng, D; Fang, Z; Hu, H; Luo, L; Wang, Y; Xu, M, 2014)
"We designed a study, involving 52 patients of 19-36 years of age, to test the pioglitazone in women with polycystic ovary syndrome."5.16Pioglitazone reduces central obesity in polycystic ovary syndrome women. ( Asadipooya, K; Kalantar-Hormozi, M; Nabipour, I, 2012)
" We evaluated whether the peroxisome proliferator-activated receptor-γ agonist pioglitazone with exercise training improves central and peripheral insulin sensitivity more than pioglitazone alone in HIV-infected adults with insulin resistance and central adiposity."5.15Exercise training augments the peripheral insulin-sensitizing effects of pioglitazone in HIV-infected adults with insulin resistance and central adiposity. ( Bopp, C; Cade, WT; Hubert, S; Laciny, E; Lassa-Claxton, S; Mondy, KE; Overton, ET; Reeds, DN; Yarasheski, KE, 2011)
" Pioglitazone treatment (3 mg/kg body weight/d for 6 weeks), a peroxisome proliferator-activated receptor γ agonist, reversibly improved atherogenic dyslipidemia and insulin resistance and fully restored flow-mediated dilation with persistent benefits."3.77Rhesus macaques develop metabolic syndrome with reversible vascular dysfunction responsive to pioglitazone. ( Cheng, H; Ding, Y; Han, C; Hou, N; Huang, PL; Li, C; Li, K; Liu, N; Liu, Y; Mao, J; Raab, S; Sebokova, E; Shang, S; Song, Z; Wang, H; Wang, J; Xue, L; Zhang, H; Zhang, R; Zhang, X; Zhang, Y; Zheng, W; Zhu, T, 2011)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's6 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Chen, M1
Deng, D1
Fang, Z1
Xu, M1
Hu, H1
Luo, L1
Wang, Y1
Yarasheski, KE1
Cade, WT1
Overton, ET1
Mondy, KE1
Hubert, S1
Laciny, E1
Bopp, C1
Lassa-Claxton, S1
Reeds, DN1
Zhang, X1
Zhang, R1
Raab, S1
Zheng, W1
Wang, J1
Liu, N1
Zhu, T1
Xue, L1
Song, Z1
Mao, J1
Li, K1
Zhang, H1
Zhang, Y1
Han, C1
Ding, Y1
Wang, H1
Hou, N1
Liu, Y1
Shang, S1
Li, C1
Sebokova, E1
Cheng, H1
Huang, PL1
Asadipooya, K1
Kalantar-Hormozi, M1
Nabipour, I1
Kemp, DE1
Ismail-Beigi, F1
Ganocy, SJ1
Conroy, C1
Gao, K1
Obral, S1
Fein, E1
Findling, RL1
Calabrese, JR1
Nakatsuji, H1
Kishida, K1
Funahashi, T1
Shimomura, I1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Exercise and Pioglitazone for HIV-Metabolic Syndromes[NCT00639457]44 participants (Actual)Interventional2005-01-31Completed
Myocardial Function, Free Fatty Acid and Glucose Metabolism in HIV Metabolic Syndrome[NCT00656851]24 participants (Actual)Interventional2005-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Abdominal Subcutaneous Fat Volume

(NCT00639457)
Timeframe: Baseline and week 16

,
Interventioncm3 (Mean)
BaselineWeek 16
Pioglitazone21012164
Pioglitazone + Exercise Training18771905

Hematocrit

Percentage of blood volume that is red cells (NCT00639457)
Timeframe: Baseline and Week 16

,
Intervention% red cells (Mean)
Baseline HematocritWeek 16 Hematocrit
Pioglitazone39.939.6
Pioglitazone + Exercise Training40.739.7

Hemoglobin

(NCT00639457)
Timeframe: Baseline and Week 16

,
Interventiong/L (Mean)
Baseline HemoglobinWeek 16 Hemoglobin
Pioglitazone13.813.7
Pioglitazone + Exercise Training13.813.6

Hepatic Glucose Production Rate

ability of insulin to suppress hepatic glucose production = hepatic insulin sensitivity (NCT00639457)
Timeframe: Baseline and week 16

,
Interventionpercent suppression (Mean)
BaselineWeek 16
Pioglitazone3240
Pioglitazone + Exercise Training3742

Hepatic Lipid Content

(NCT00639457)
Timeframe: Baseline and week 16

,
Interventionpercent of water (Mean)
BaselineWeek 16
Pioglitazone12.110.7
Pioglitazone + Exercise Training8.05.5

Insulin-stimulated Glucose Disposal Rate

Insulin-mediated glucose disposal rate per kg of fat free mass per min (NCT00639457)
Timeframe: Baseline and week16

,
Interventionµmol glucose/kg FFM/min (Mean)
BaselineWeek 16
Pioglitazone3037
Pioglitazone + Exercise Training3448

Liver Enzyme Levels

(NCT00639457)
Timeframe: Baseline and week 16

,
InterventionU/L (Mean)
Baseline ALTWeek 16 ALTBaseline ASTWeek 16 AST
Pioglitazone38393430
Pioglitazone + Exercise Training34322727

Myocardial Contractility

E/A ratio; ratio of the early (E) to late (A) ventricular filling velocities (NCT00639457)
Timeframe: Baseline and week 16

,
Interventionratio (Mean)
Baseline E/A ratioWeek 16 E/A ratio
Pioglitazone1.31.4
Pioglitazone + Exercise Training1.21.4

Myocardial Contractility-DBP

Diastolic blood pressure; vascular pressure during ventricular relaxation (diastole) (NCT00639457)
Timeframe: Baseline and week 16

,
InterventionmmHg (Mean)
Baseline DBPWeek 16 DBP
Pioglitazone6567
Pioglitazone + Exercise Training6861

Myocardial Contractility-DT

Deceleration time; time from the peak of early diastolic filling to baseline (NCT00639457)
Timeframe: Baseline and week 16

,
Interventionmsec (Mean)
Baseline DTWeek 16 DT
Pioglitazone204193
Pioglitazone + Exercise Training214190

Myocardial Contractility-LV Ejection Time

Time required to empty the left ventricle into the aorta (NCT00639457)
Timeframe: Baseline and week 16

,
Interventionmsec (Mean)
Baseline LV ejection timeWeek 16 LV ejection time
Pioglitazone296294
Pioglitazone + Exercise Training281305

Myocardial Contractility-SBP

Systolic blood pressure; peak vascular pressure during ventricular contraction (NCT00639457)
Timeframe: Baseline and week 16

,
InterventionmmHg (Mean)
Baseline SBPWeek 16 SBP
Pioglitazone114114
Pioglitazone + Exercise Training121114

Serum Adiponectin Levels

(NCT00639457)
Timeframe: Baseline and week 16

,
Interventionµg/mL (Mean)
Baseline serum adiponectinWeek 16 serum adiponectin
Pioglitazone4.77.0
Pioglitazone + Exercise Training4.86.5

Serum Lipid and Lipoprotein Levels

(NCT00639457)
Timeframe: Baseline and week 16

,
InterventionmM/L (Mean)
Baseline TriglyceridesWeek 16 TriglyceridesBaseline Total CholesterolWeek 16 Total cholesterolBaseline LDL cholesterolWeek 16 LDL cholesterolBaseline HDL cholesterolWeek 16 HDL cholesterol
Pioglitazone2.32.54.94.62.82.50.990.98
Pioglitazone + Exercise Training2.11.84.74.52.72.61.061.09

Visceral Fat Volume

(NCT00639457)
Timeframe: Baseline and week 16

,
Interventioncm3 (Mean)
BaselineWeek 16
Pioglitazone19331970
Pioglitazone + Exercise Training18901746

Fasting Glucose Insulin and HOMA

fasting plasma glucose, insulin concentrations and HOMA-insulin resistance (NCT00656851)
Timeframe: Week 0 and 16

,
Interventionmg/dL µU/mL (Mean)
glucose (mg/dL) wk 0glucose wk 16insulin (µU/mL) wk 0insulin wk 16HOMA-IR wk 0HOMA-IR wk 16
Exercise Training91.986.814.811.83.32.6
Pioglitazone10295.320.511.46.12.8

Fasting Lipids and Lipoproteins

fasting serum triglycerides, LDL-, and HDL-cholesterol concentrations (NCT00656851)
Timeframe: Week 0 and 16

,
Interventionmg/dL (Mean)
triglycerides wk 0triglycerides wk 16LDL-cholesterol wk 0LDL-cholesterol wk 16HDL-cholesterol wk 0HDL-cholesterol wk 16
Exercise Training1851591129038.139.8
Pioglitazone1991821159738.938.8

Myocardial Contractile Function During Diastole

"Echocardiographic quantification of (E/A) early to late diastolic filling velocity. Aria transfer blood to the ventricles in 2 steps:~blood collected in the atria falls into the ventricles when the atrioventricular valves opens. In the left heart, the velocity at which the blood moves during this initial action is called the early or E filling velocity.~residual blood in the atria, is emptied during diastole by atrial contraction. The velocity of the blood during atrial contraction is the A (for atrial) filling velocity. These are expressed as a ratio (E/A). If A exceeds E velocity (ratio <1.0) this is a clinical marker of diastolic dysfunction. This can occur when the left ventricular wall becomes so stiff as to impair proper filling, which can lead to diastolic heart failure." (NCT00656851)
Timeframe: Weeks 0 and 16

,
Interventionratio (Mean)
Week 0Week 16
Exercise Training1.41.5
Pioglitazone1.41.4

Myocardial Contractile Function During Systole

Echocardiographic quantification of E' wall velocity during systole averaged at the lateral wall and septum (NCT00656851)
Timeframe: Weeks 0 and 16

,
Interventioncm/sec (Mean)
Week 0Week 16
Exercise Training13.113.6
Pioglitazone12.712.8

Myocardial Fatty Acid Esterification

Radio-tracer (11C-palmitate) and positron emission tomography quantification of myocardial fatty acid esterification as a % of total fatty acid extraction (NCT00656851)
Timeframe: Weeks 0 and 16

,
Intervention(% of total fatty acid extraction) (Mean)
Week 0Week 16
Exercise Training47
Pioglitazone74

Myocardial Fatty Acid Oxidation Rate

Radio-tracer (11C-palmitate) and positron emission tomography quantification of myocardial fatty acid oxidation rate. (NCT00656851)
Timeframe: Weeks 0 and 16

,
Intervention(nmol palmitate/g heart muscle/min (Mean)
Week 0Week 16
Exercise Training106.397.5
Pioglitazone92.4110.1

Myocardial Fatty Acid Utilization Rate

Radio-tracer (11C-palmitate) and positron emission tomography quantification of myocardial fatty acid utilization rate. The rate at which palmitate exits the blood, enters the muscle cells in the left ventricle, and is metabolized (oxidation, re-esterification). (NCT00656851)
Timeframe: Weeks 0 and 16

,
Intervention(nmol palmitate/g heart muscle/min (Mean)
Week 0Week 16
Exercise Training119.8130.4
Pioglitazone119.3129.3

Myocardial Glucose Utilization Rate

Radio-tracer (11C-glucose) and positron emission tomography quantification of myocardial glucose utilization rate. The rate at which glucose exits the blood, enters the muscle cells in the left ventricle, and is metabolized (ATP generation, glycolysis, glycogenolysis, or lactate production). Total glucose utilization rate in the left ventricle of the heart. (NCT00656851)
Timeframe: Weeks 0 and 16

,
Intervention(nmol glucose/g heart muscle/min (Mean)
Week 0Week 16
Exercise Training106.787.2
Pioglitazone109.6109.1

Myocardial Glucose Utilization Rate Per Unit Insulin

Radio-tracer (11C-glucose) and positron emission tomography quantification of myocardial glucose utilization rate per unit of plasma insulin. Total glucose utilization rate in the left ventricle of the heart expressed per unit of the circulating plasma insulin concentration. (NCT00656851)
Timeframe: Weeks 0 and 16

,
Intervention(nmol glucose/g heart muscle/min/µU insu (Mean)
Week 0Week 16
Exercise Training11.921.7
Pioglitazone14.915.7

Trials

4 trials available for pioglitazone and Abdominal Obesity

ArticleYear
Fenofibrate increases serum vaspin by upregulating its expression in adipose tissue.
    Endocrine, 2014, Volume: 45, Issue:3

    Topics: 3T3-L1 Cells; Adipocytes; Adult; Animals; Disease Models, Animal; Dyslipidemias; Fenofibrate; Humans

2014
Exercise training augments the peripheral insulin-sensitizing effects of pioglitazone in HIV-infected adults with insulin resistance and central adiposity.
    American journal of physiology. Endocrinology and metabolism, 2011, Volume: 300, Issue:1

    Topics: Adiposity; Adolescent; Adult; Combined Modality Therapy; Diabetes Mellitus, Type 2; Exercise; Female

2011
Exercise training augments the peripheral insulin-sensitizing effects of pioglitazone in HIV-infected adults with insulin resistance and central adiposity.
    American journal of physiology. Endocrinology and metabolism, 2011, Volume: 300, Issue:1

    Topics: Adiposity; Adolescent; Adult; Combined Modality Therapy; Diabetes Mellitus, Type 2; Exercise; Female

2011
Exercise training augments the peripheral insulin-sensitizing effects of pioglitazone in HIV-infected adults with insulin resistance and central adiposity.
    American journal of physiology. Endocrinology and metabolism, 2011, Volume: 300, Issue:1

    Topics: Adiposity; Adolescent; Adult; Combined Modality Therapy; Diabetes Mellitus, Type 2; Exercise; Female

2011
Exercise training augments the peripheral insulin-sensitizing effects of pioglitazone in HIV-infected adults with insulin resistance and central adiposity.
    American journal of physiology. Endocrinology and metabolism, 2011, Volume: 300, Issue:1

    Topics: Adiposity; Adolescent; Adult; Combined Modality Therapy; Diabetes Mellitus, Type 2; Exercise; Female

2011
Pioglitazone reduces central obesity in polycystic ovary syndrome women.
    Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, 2012, Volume: 28, Issue:1

    Topics: Adult; Body Mass Index; Body Weight; Female; Hirsutism; Humans; Hypoglycemic Agents; Intra-Abdominal

2012
Use of insulin sensitizers for the treatment of major depressive disorder: a pilot study of pioglitazone for major depression accompanied by abdominal obesity.
    Journal of affective disorders, 2012, Volume: 136, Issue:3

    Topics: Adult; Antidepressive Agents; Depressive Disorder, Major; Double-Blind Method; Female; Humans; Hypog

2012

Other Studies

2 other studies available for pioglitazone and Abdominal Obesity

ArticleYear
Rhesus macaques develop metabolic syndrome with reversible vascular dysfunction responsive to pioglitazone.
    Circulation, 2011, Jul-05, Volume: 124, Issue:1

    Topics: Animals; Blood Vessels; Disease Models, Animal; Disease Progression; Dyslipidemias; Hyperinsulinism;

2011
Three-month treatment with pioglitazone reduces circulating levels of S100A8/A9 (MRP8/14) complex, a biomarker of inflammation, without changes in body mass index, in type 2 diabetics with abdominal obesity.
    Diabetes research and clinical practice, 2012, Volume: 95, Issue:3

    Topics: Aged; Biomarkers; Body Mass Index; Calgranulin A; Calgranulin B; Diabetes Mellitus, Type 2; Female;

2012