Longitudinal Assessment of Cardiovascular and Metabolic Parameters in Obese and Lean Children
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Purpose
The investigators hypothesize that cardiovascular and metabolic alterations due to obesity already manifest at childhood age.
To identify these alterations and risk factors, the investigators have established a cohort of 177 healthy obese and lean control children, age ranging from 6y to 18y, for evaluation of cardiovascular and metabolic parameters, as well as quantification of biomarkers of obesity and inflammation. Follow-up analyses are planned after 2 years (completed) and additionally after 5, 7 and 9 years.
In addition, the investigators will assess the effects of increased physical activity and exercise on cardiovascular function.
| Condition |
|---|
|
Obesity |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Leipzig Artherobesity Childhood Cohort |
- cardiovascular dysfunction [ Time Frame: 7 years ] [ Designated as safety issue: No ]Assessment of endothelial function, carotid intima media thickness, blood pressure, echocardiography, exercise capacity, insulin sensitivity by oGTT, serum lipids
Biospecimen Retention: Samples With DNA
Serum samples, samples from oral glucose tolerance tests, EDTA/DNA samples, primary cells (endothelial progenitor cells), peripheral blood mononuclear cells), urine
| Estimated Enrollment: | 200 |
| Study Start Date: | April 2007 |
| Groups/Cohorts |
|---|
|
Lean children
n=100 (anticipated), n=70 currently Age: 6-25 years BMI-SDS: -1.88 to +1.23 , currently -0.25±0.77; Height-SDS: > - 2 SDS, currently 0.03±1.07;
|
|
Obese children
n=106 Age: 6-25 years BMI-SDS: >1.23 , currently 2.41±0.52; Height-SDS: > - 2 SDS, currently 0.80±1.18;
|
|
Obese Exercise Group
Obese children will engage in increased physical activity (one to two lessons per week) at 40-60 and 60-80% of maximal exercise capacity (n=50 each anticipated). Within the frame of the study we will assess the effect of the exercise on cardiovascular outcomes.
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Classical Lifestyle Intervention
Obese children will receive a classical lifestyle intervention, including dietary, activity and psychosocial counselling (n=50 anticipated). Within the frame of the study we will assess the effect of the exercise on cardiovascular outcomes.
|
Eligibility| Ages Eligible for Study: | 6 Years to 25 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Obese children from our out-patient department in Leipzig, Germany Lean children community-based from Leipzig
Inclusion Criteria:
- height -2 to +2 SDS
- pubertal stage adequate for age
- no medications
- written consent of guardians and children≥12y
- weight ≥ -2 SDS
Exclusion Criteria:
- secondary/syndromal obesity
- known existing hypertension
- chronic disease (eg. errors of metabolism)
- acute illness (eg. respiratory tract infection)
- previous hypertensive or antidiabetic treatment- weight loss attempts 6 weeks prior to assessment
Contacts and Locations| Germany | |
| University Leipzig Medical Center, Department of Women and Child Health, Center for Pediatric Research | |
| Leipzig, Saxony, Germany, 04103 | |
| Principal Investigator: | Antje Körner, MD | University of Leipzig |
More Information
Additional Information:
Publications:
| Responsible Party: | Prof. Dr. Antje Koerner, Prof. Dr., University of Leipzig |
| ClinicalTrials.gov Identifier: | NCT01605123 History of Changes |
| Other Study ID Numbers: | KFO152/SFB1052-C5 |
| Study First Received: | May 22, 2012 |
| Last Updated: | May 23, 2012 |
| Health Authority: | Germany: Ethical Commitee, University Leipzig |
Keywords provided by University of Leipzig:
|
endothelial function children obesity cardiovascular dysfunction |
carotid intima media thickness blood pressure oral glucose tolerance test |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 22, 2013