Effect of Weight Loss and Lifestyle Changes on Vascular Inflammatory Markers in Obese Women
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Purpose
Obesity is an independent risk factor for cardiovascular disease, which may be mediated by increased secretion of proinflammatory cytokines by adipose tissue.
To determine the effect of a program of changes in lifestyle designed to obtain a sustained reduction of body weight on markers of systemic vascular inflammation and insulin resistance.
Randomized single-blind trial conducted from February 1999 to February 2002 at a university hospital in Italy.
One hundred twenty premenopausal obese women (body mass index 30) aged 20 to 46 years without diabetes, hypertension, or hyperlipidemia.
The 60 women randomly assigned to the intervention group received detailed advice about how to achieve a reduction of weight of 10% or more through a low-energy Mediterranean-style diet and increased physical activity. The control group (n = 60) was given general information about healthy food choices and exercise.
| Condition | Intervention |
|---|---|
|
Obesity |
Behavioral: lifestyle changes Behavioral: Control - general information |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Effect of Weight Loss and Lifestyle Changes on Vascular Inflammatory Markers in Obese Women |
- Vascular inflammatory markers (IL-6, IL-18, CRP, Adiponectin) [ Time Frame: 24 months ] [ Designated as safety issue: No ]
- Insulin resistance (HOMA) [ Time Frame: 24 months ] [ Designated as safety issue: No ]
| Enrollment: | 120 |
| Study Start Date: | February 1999 |
| Study Completion Date: | February 2002 |
| Primary Completion Date: | December 2001 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Detailed advice about how to achieve a reduction of weight of 10% or more through a low-energy Mediterranean-style diet and increased physical activity.
|
Behavioral: lifestyle changes
Detailed advice about how to achieve a reduction of weight of 10% or more through a low-energy Mediterranean-style diet and increased physical activity.
Other Name: lifestyle
|
|
Active Comparator: 2
General information about healthy food choices and exercise
|
Behavioral: Control - general information
General information about healthy food choices and exercise
Other Name: control
|
Eligibility| Ages Eligible for Study: | 20 Years to 46 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- obese premenopausal women,
- aged 20 to 46 years
- sedentary (<1 h/wk of physical activity)
- with no evidence of participation in diet reduction programs within the last 6 months.
Exclusion Criteria:
- type 2 diabetes mellitus or impaired glucose tolerance (plasma glucose levels of 140-200 mg/dL [7.8-11.1 mmol/L] 2 hours after a 75-g oral glucose load)
- hypertension (blood pressure >140/90 mm Hg)
- cardiovascular disease, psychiatric problems
- history of alcohol abuse (intake of 500 g/wk in the last year)
- current smoking
- any medication use.
Contacts and Locations| Italy | |
| Department of Geriatrics and Metabolic Diseases | |
| Naples, Italy, 80138 | |
| Principal Investigator: | Dario Giugliano, MD,PhD | Department of Geriatrics and metabolic Diseases |
More Information
Publications:
| Responsible Party: | Dario Giugliano, MD, Department of Geriatrics and Metabolic Diseases, Second University of Naples |
| ClinicalTrials.gov Identifier: | NCT00666874 History of Changes |
| Other Study ID Numbers: | DGGM/02/1999 |
| Study First Received: | April 23, 2008 |
| Last Updated: | April 23, 2008 |
| Health Authority: | Italy: Ministry of Health |
Keywords provided by Second University of Naples:
|
Obesity, lifestyle, vascular inflammation |
Additional relevant MeSH terms:
|
Obesity Weight Loss Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms Body Weight Changes |
ClinicalTrials.gov processed this record on May 22, 2013