Obesity Clinical Trial
— OBEFYSAOfficial title:
Effects of a Physical Exercise Program Adapted to People With Obesity on Health Indicators and Quality of Life.
Verified date | October 2023 |
Source | Universidad Pablo de Olavide |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This project aims to develop an intervention on healthy habits based on physical exercise and nutritional education in people with obesity. It is accepted that exercise and nutrition are keys to controlling body weight. People with obesity frequently present with metabolic syndrome and a low-grade inflammatory state. It is not known what should be the most effective training load/dose (duration, intensity, type of exercise) to improve health indicators related to metabolic syndrome and lipo-inflammation, and body composition in people with obesity. A large-scale randomized controlled trial (RCT) will be essential to better understand the type and characteristics of training load/dose most effective in counteracting the detrimental effects of obesity. The aim of this trial in 50 obese women was to answer the following questions: - Does the training program improve physical fitness? - Does the training program improve body composition? - Does the training program improve the state of chronic low-grade inflammation? - Does the training program improve the quality of life and perceived health? - Do people with obesity and metabolic syndrome respond in the same way to training? - what is the effect of four weeks of detraining?
Status | Completed |
Enrollment | 50 |
Est. completion date | June 30, 2023 |
Est. primary completion date | May 31, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 35 Years to 65 Years |
Eligibility | Inclusion Criteria: - The recruitment of participants would be carried out through advertising in the press, social networks, and electronic media. Main inclusion criteria - Sex: Female - Caucasian - Age. women from 35 years to 65 years. - BMI: >29 - Abdominal perimeter: >90 cm women - No known Diabetes - No known cancer - No Known lung disease - No known cardiovascular disease - No known thyroid disease - No known liver disease - No known autoimmune disease - No other endocrine disorder causes obesity - No current treatment with anti-obesity medication - No current treatment with anti-inflammatory medication - No weight loss of > 5kg within the last 6 months - No diagnosis of depression or treatment with anti-depressive medication, ongoing or within the last three months before enrolment - No diagnosis of psychiatric disorder or treatment with antipsychotic medication - No history of suicidal behavior or ideations within the last three months before enrolment - No previous surgical treatment for obesity - Not pregnant/considering pregnancy - No functional impairments that prevent the performance of intensive exercise - Declare a sedentary lifestyle ((< 1,5 hours of structured physical activity per week at moderate intensity) - No participation in other research intervention studies - Signed informed consent. Exclusion Criteria: - Diagnosis of pathology that involves an inflammatory process in the last year. - Objective findings that contraindicate participation in intensive exercise - The language barrier, mental incapacity, unwillingness or inability to understand the instruction of the study - Not completing 75% of the training sessions |
Country | Name | City | State |
---|---|---|---|
Spain | CIRFD Universidad Pablo de Olavide | Sevilla |
Lead Sponsor | Collaborator |
---|---|
Universidad Pablo de Olavide | University of Seville |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in low-grade chronic inflammation | Plasma levels of inflammatory and lipoinflammatory markers
Multiplex Quantitative measurement of 40 human adipokines in plasma (cytokine antibody arrays (pg/ml) : Adiponectin Adipsin AgRP ANGPTL4 BDNF Chemerin CRP GH IFNg IGFBP-1 IGFBP-2 IGF-I IL-10 IL-12p40 IL-12p70 IL-1b IL-1ra IL-6 IL-8 Insulin Leptin Lipocalin-2 MSPa OPG PAI-1 PDGF-BB Pepsinogen 1 Pepsinogen 2 Procalcitonin Prolactin RANTES RBP4 Resistin SAA TGFb1 TSP-1 TNF RI TNF RII TNFa VEGF |
from baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) | |
Primary | Change in body composition | Body composition by DEXA. Main body composition components:
Body Fat Mass (g) Body Lean Mass (g) Body Bone mineral content (g) Body Total mass (g) Estimated Visceral Adipose Tissue (g) BMI: kg/m^2 |
from baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) | |
Primary | Change in physical fitness (resistance; muscular strength) | Maximum dynamic strength of the upper body (bench press; kg)
Lower body maximal dynamic strength (leg press; kg) Grip maximal isometric strength (handgrip: kg) |
from baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) | |
Primary | Change in physical fitness (aerobic power; VO2max) | Aerobic power. VO2 max. (estimated from the 6-minute walk test; ml/kg/min) | From baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) | |
Primary | Change in physical fitness (Coordination; balance) | Balance test one leg (seconds) | From baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) | |
Primary | Change in perceived health and perceived quality of life | perceived health by questionnaire (SF-12). The SF-12 response options are Likert-type scales that assess intensity or frequency.
The number of response options ranges from three to six, depending on the item, and each question receives a value that is later transformed into a scale from 0 to 100. |
from baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) | |
Primary | Change in healthy eating habits | Mediterranean Diet Adherence Screener (MEDAS). MEDAS consists of 12 questions on food consumption frequency and 2 questions on food intake habits considered characteristic of the Spanish Mediterranean diet. Each question was scored 0 or 1. | from baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) | |
Secondary | Change eating habits | Food Frequency Questionnaires (weekly). Recording the frequency of food consumption per week | Every week, from baseline (0 weeks) to follow-up (10 weeks) | |
Secondary | Change in Biochemistry Determinations In Plasma (lipidic profile) | LIPIDIC PROFILE Total Cholesterol (mg/dl) HDL Cholesterol (mg/dl) LDL Cholesterol (mg/dl) Triglycerides (mg/dl) | From baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) | |
Secondary | Change in Biochemistry Determinations In Plasma (glucose metabolism) | Glycosylated Hemoglobin A1c (%) Insulin (uU/ml) Glucose (mg/dl) Insulin Resistance. HOMA-IR = (fasting insulin (uU/ml) * fasting glucose (mg/dl)) / 405 | From baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) | |
Secondary | Change in Biochemistry Determinations In Plasma (Enzymes of fatigue or muscular damage) | ENZYMES (Fatigue or muscular damage) Creatine Kinase (UI/L) Transaminases (GOT/AST, GPT/ALT, GGT; UI/L ) C-Reactive Protein (mg/l) | From baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) | |
Secondary | Change in Biochemistry Determinations In Plasma (protein metabolism) | PROTEIN METABOLISM Uric Acid (mg/dl) Urea (mg/dl) Creatinine (mg/dl) Bilirubin (mg/dl) | From baseline ( 0 weeks) to follow-up (10 weeks) and detraining effects (after 4 weeks sedentary lifestyle) |
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