Additional Metabolic and Vascular Effects of Exercise in Patients on Diet-based Weight Loss Programs
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Purpose
This study tests the hypothesis that exercise training can confer additional benefit to patients in weight-loss programs in the form of improvements in either metabolic or vascular parameters or both. Patients will be randomized to either diet plus conventional physical activity or diet plus a planned exercise training. The interventions will be carried out until the patients lose between 5% and 7.5% of their initial weight. At entry and at the end, all subjects will be evaluated for outcomes such as blood glucose, lipid profile, insulin, c-reactive protein, fibrinogen, vascular reactivity (doppler ultrasound) and total and abdominal visceral fat (CT-scan). Both groups will be compared.
| Condition | Intervention |
|---|---|
|
Obesity |
Behavioral: General lifestyle, diet and physical activity counselling Behavioral: Exercise training |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label |
| Official Title: | Effect of Weight Loss Through Dietary Energy Restriction With or Without Exercise on Vascular and Metabolic Parameters in Subjects With Obesity |
- Reduction in homeostasis model assessment of insulin resistance (HOMA-IR) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Change in lipid profile [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Reduction in abdominal (visceral) fat [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Change in vascular reactivity [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- C-reactive protein [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Fibrinogen [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- vonWillebrand factor [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Waist circumference [ Time Frame: 6 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 50 |
| Study Start Date: | February 2009 |
| Estimated Study Completion Date: | March 2012 |
| Estimated Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Lifestyle counseling
Patients will receive dietary counseling and a general advice on physical activity
|
Behavioral: General lifestyle, diet and physical activity counselling
Low-calorie, balanced diet and a general advice on the importance of regular physical activity
|
|
Experimental: Exercise training
patients will receive dietary counseling and will be enrolled in supervised exercise training
|
Behavioral: Exercise training
Subject will receive dietary counselling (low-calorie, balanced diet) and will be enrolled in a supervised, 3 times a week, exercise training program
|
Eligibility| Ages Eligible for Study: | 20 Years to 45 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- BMI> 30 and <40
Exclusion Criteria:
- Diabetes mellitus
- Active endocrine disease
- Active heart disease
- Active smoking
- Medical contra-indications for exercise
- Using anti-obesity drugs
Contacts and Locations| Brazil | |
| Hospital de Clínicas de Porto Alegre | |
| Porto Alegre, RS, Brazil, 90035-903 | |
| Principal Investigator: | Rogério Friedman, MD, PhD | Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul |
More Information
No publications provided
| Responsible Party: | Hospital de Clinicas de Porto Alegre |
| ClinicalTrials.gov Identifier: | NCT00929890 History of Changes |
| Other Study ID Numbers: | 08282 |
| Study First Received: | June 29, 2009 |
| Last Updated: | October 25, 2011 |
| Health Authority: | Brazil: Comissão Nacional de Ética em Pesquisa |
Keywords provided by Hospital de Clinicas de Porto Alegre:
|
Obesity Exercise Diet Lifestyle Vascular reactivity |
Body composition Lipids Glucose Insulin resistance |
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 19, 2013