EFFECTS OF SUPERVISED PHYSICAL EXERCISE AFTER BARIATRIC SURGERY ON MUSCLE MASS AND BONE DENSITY (OBEFIT STUDY) (BARIATRIC)
CLINICAL TRIAL ON THE EFFECT OF SUPERVISED PHYSICAL EXERCISE AFTER BARIATRIC SURGERY ON MUSCLE MASS AND BONE DENSITY (OBEFIT STUDY)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Introduction Background and rationale Obesity is currently a complex disease that has reached pandemic proportions and affects millions of people worldwide. Bariatric surgery can generate adverse side effects such as loss of bone mineral density, loss of muscle mass, reduction in cardiorespiratory capacity. Therefore, accompanying medical treatment with an individualised physical exercise intervention can generate a multitude of health benefits for the patient.
Objectives
As main objective the investigators focus on:
- To determine the differences in muscle mass and bone density in patients undergoing bariatric surgery who have undergone a post-operative supervised physical exercise programme and no exercise programme.
- To determine the differences in muscle function using the hand grip test.
- To determine BMD loss using densitometry.
Secondary objectives:
- To analyse maximal fat oxidation throughout the whole process from metabolic inflexibility to metabolic flexibility).
- To determine differences in body composition.
- To determine the resolution of type 2 diabetes mellitus and arterial hypertension (AHT).
- To determine the improvement in quality of life by means of an accredited test.
Null hypothesis:
1. There are no differences in muscle mass and bone density in patients who undergo supervised physical exercise postoperatively versus patients who do not exercise.
Alternative hypothesis:
1. There are differences in muscle mass and bone density in patients undergoing supervised physical exercise postoperatively versus non-exercising patients.
Trial design The trial will consist of a randomised controlled study of patients currently on the surgical waiting list for bariatric surgery who meet the inclusion criteria until the sample size is completed.
Two groups (control and intervention) will be established and will come in waves.
Methods Participants, interventions and results Scope of the study The assessment and intervention of the study will take place at the Pablo de Olavide University in Seville. The medical assessment and surgical intervention will be carried out at the General and Digestive System Surgery Management Unit of the Virgen del Rocío University Hospital in Seville.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Isaias Alarcon, MD PhD
- Phone Number: +34646357875
- Email: isaiasalarcon@gmail.com
Study Locations
-
-
Sevilla
-
Seville, Sevilla, Spain, 41013
- Recruiting
- Hospital Virgen del Rocío
-
Contact:
- Isaias Alarcon del Agua. Isaias Alarcon del Agua., PHD
- Phone Number: 646357875
- Email: isaiasalarcon@gmail.com
-
Contact:
- Ana Senent Boza, PHD
- Phone Number: 687243532
- Email: asenentboza@gmail.com
-
Sub-Investigator:
- Francisco José Almoguera González, MSc
-
Principal Investigator:
- Isaías Alarcón del Agua, PHD
-
Sub-Investigator:
- Ana Senent Boza, PHD
-
Seville, Sevilla, Spain, 41013
- Recruiting
- Universidad Pablo de Olavide
-
Contact:
- Diego Munguía izquierdo, PHD
- Phone Number: 637725733
- Email: dmunizq@upo.es
-
Contact:
- Manuel Pinelo, MSC
- Phone Number: 685373684
- Email: pinelomanuel7@gmail.com
-
Sub-Investigator:
- Javier Bueno Antequera, PHD
-
Sub-Investigator:
- Manuel Antonio Pinelo Trancoso, MSc
-
Principal Investigator:
- Diego Munguía izquierdo, PHD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
INCLUSION CRITERIA
Patients who are on the waiting list for bariatric surgery (gastric bypass or sleeve) at the Hospital Universitario Virgen del Rocío in Seville, in addition to:
- Be 18 years of age or older.
- Suitable for physical exercise.
- Signature of informed consent. EXCLUSION CRITERIA.
- Body weight greater than 150kg.
- Distance from the place of residence to the Pablo de Olavide University in Seville greater than 60 km or 45 minutes by car.
- Having any of the following conditions: lipedema, cancer survivors, metabolic bone diseases, consumption of medication or presence of pathology that affects bone health.
- Patients undergoing dialysis.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: physical exercise program
he primary objective is to try to minimise the loss of muscle mass that occurs in the patient.
During the first 4 weeks of training, the objective is to familiarise the patient with the type of training to be carried out.
The patient will do an initial block of strength work, followed by a block of cardiovascular work on a cycloergometer (continuous and variable) in the same session.
Work will be done in order to progress in volume and intensity.
Training sessions of approximately 50-60 minutes will be carried out 2 days a week for 12 months.
|
patients undergoing bariatric surgery who have undergone a post-operative supervised physical exercise programme and no exercise programme.
|
|
No Intervention: Standard of care
They will have all the follow-up provided by the hospital in the same way as the intervention group in addition to the relevant assessments carried out throughout the clinical trial, throughout the study they will be encouraged to have an active lifestyle.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Differences in muscle mass
Time Frame: 12 months
|
To determine the differences in muscle mass and bone density in patients undergoing bariatric surgery who have undergone a post-operative supervised physical exercise programme and no exercise programme. o To determine the differences in muscle function using the hand grip test. |
12 months
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
differences in bone density
Time Frame: 12 months
|
To determine the differences in bone density in patients undergoing bariatric surgery who have undergone a post-operative supervised physical exercise programme and no exercise programme. o To determine BMD loss using densitometry. |
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- OBEFIT STUDY
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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