Identification of Predictors of Success for Lifestyle Modifications in Overweight Pre-diabetic Subjects
Recruitment status was Active, not recruiting
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Purpose
The primary objective of the study is to identify baseline and early predictors of favorable and unfavorable response to lifestyle intervention. As a secondary objective, the investigators would like to validate our questionnaire or other identified predictors as clinical tools to guide us in selection of the most suitable candidates for lifestyle intervention programs. Assuming the same capacity of our questionnaire to predict an absence of weight loss (≥5%) or a loss to follow-up (likelihood ratio for a positive test, LR+ = 9.9), 70 subjects need to be included in this study in order to find a lower limit of the 95% confidence interval above 2.0 for this LR+, which is the limit of an acceptable test. The investigators will enroll participants with pre-diabetes and BMI 27-40 in our program and administer to them at baseline and at 3 months the designed questionnaire, as well as other already well validated questionnaires assessing state of change and readiness to implement diet or exercise modifications.
| Condition | Intervention |
|---|---|
|
Glucose Intolerance Obesity |
Behavioral: Lifestyle modification counselling |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Identification of Predictors of Success for Lifestyle Modifications in Overweight Pre-diabetic Subjects |
- 5% weight loss [ Time Frame: 1 year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 70 |
| Study Start Date: | November 2008 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Lifestyle counseling |
Behavioral: Lifestyle modification counselling
Patients meet individually every six weeks, a nurse or kinesiologist, and a dietitian (as well as a psychologist, if needed) and every three months an endocrinologist. A unique patient chart is shared by members of the interdisciplinary team, allowing sharing of the information and avoiding repetitions. Individualized behavioural intervention is proposed and focuses on attainable goals and progressive but sustained small changes in nutrition and physical activity. In addition, the participants have access to 24 weekly group seminars, on different aspects of excess weight and modification of lifestyle, to reinforce behaviour and commitment to lifestyle changes. Our approach meets all criteria suggested for clinical intervention in the 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- BMI between 27-40 kg/m2
- impaired glucose tolerance, confirmed by an oral glucose tolerance test (OGTT = fasting glucose lower than 7.0 mmol/l and glucose 2 hours post 75g of glucose between 7.8-11.0 mmol/l), or impaired fasting glucose (6.1-6.9 mmol/L)
- 18 years old or more
- Being able to read and give an informed consent
Exclusion Criteria:
- Conditions that affects weight or glucose metabolism
Contacts and Locations| Canada, Quebec | |
| Universitaire de Sherbrooke | |
| Sherbrooke, Quebec, Canada, J1H 5N4 | |
| Principal Investigator: | Marie-France Langlois | Universitaire de Sherbrooke |
| Principal Investigator: | Jean-Patrice Baillargeon, MD, M.Sc. | Universitaire de Sherbrooke |
More Information
No publications provided
| Responsible Party: | Marie-France Langlois- Principal Investigator, Université de Sherbrooke |
| ClinicalTrials.gov Identifier: | NCT00969007 History of Changes |
| Other Study ID Numbers: | 08-083 |
| Study First Received: | August 28, 2009 |
| Last Updated: | May 7, 2010 |
| Health Authority: | Canada: Health Canada |
Additional relevant MeSH terms:
|
Obesity Glucose Intolerance Prediabetic State Overweight Overnutrition Nutrition Disorders Body Weight |
Signs and Symptoms Hyperglycemia Glucose Metabolism Disorders Metabolic Diseases Diabetes Mellitus Endocrine System Diseases |
ClinicalTrials.gov processed this record on May 21, 2013