How endurance exercise changes fat tissue health

Adipogenesis, triglyceride turnover and cellular composition of adipose tissue in response to endurance training (ATLAS)

['FUNDING_R01'] · ADVENTHEALTH ORLANDO · NIH-11323189

This project uses endurance exercise to improve fat tissue health and insulin sensitivity in adults with overweight or type 2 diabetes.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorADVENTHEALTH ORLANDO (nih funded)
Locations1 site (ORLANDO, UNITED STATES)
Trial IDNIH-11323189 on ClinicalTrials.gov

What this research studies

You would join a supervised endurance exercise program and provide small samples of belly fat (adipose tissue) before and after the training. Researchers will give a safe metabolic labeling drink (heavy water, 2H2O) to track how quickly fat cells and triglycerides turn over and whether new fat cells form. They will test your blood for free fatty acids and measure inflammation and signs of cell aging in your fat tissue, and do lab studies on the biopsy samples outside the body. The goal is to see how exercise—separate from weight loss—improves the health and insulin response of fat tissue.

Who could benefit from this research

Good fit: Ideal candidates are adults with overweight, obesity, insulin resistance, or type 2 diabetes who can participate in an endurance exercise program and agree to blood draws and small fat biopsies.

Not a fit: People without metabolic problems, those unable to exercise, or those unwilling to undergo tissue biopsies are unlikely to benefit directly from participating.

Why it matters

Potential benefit: If successful, this could clarify how exercise improves insulin sensitivity and lead to better exercise prescriptions or new treatments targeting unhealthy fat tissue.

How similar studies have performed: Prior studies show exercise improves whole-body insulin sensitivity and lowers fasting free fatty acids and preliminary work suggests exercise may reduce new fat cell formation, but a comprehensive, direct look at human fat-tissue changes is novel.

Where this research is happening

ORLANDO, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Conditions: Adult-Onset Diabetes Mellitus, Cardiovascular Diseases

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.