- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01461226
Endothelial Dysfunction in Obese Children (EDOC)
Adolescent Obesity: What Determines Vascular Endothelial Dysfunction And Is The Process Reversible?
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The favorable responses of combined treatment strategies, consisting of exercise training and proper diet change, for childhood and adolescent obesity on vascular health are poorly understood. The overall objective of this research project is to investigate the underlying pathophysiological mechanisms that mediate these beneficial effects.
Particularly, the following aims are set forth:
- To establish the effect of a combined lifestyle intervention, i.e. an individualized exercise training and caloric restriction program, on vascular function (primary endpoint) and structure in a substantial population of obese adolescents.
- To characterize causal pathways between obesity and endothelial dysfunction with focus on classical risk factors, oxidative and inflammatory stress, metabolic adaptations, bone marrow derived progenitor cells, and blood microparticles.
This research knowledge will be instrumental for risk stratification and clinical management aimed to improve endothelial function by limiting damage and reinforcing regenerative mechanisms in obese adolescents.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Viviane M Conraads, M.D., PhD
- Phone Number: 0032 38215672
- Email: viviane.conraads@uza.be
Study Contact Backup
- Name: Luc Bruyndonckx, M.D.
- Phone Number: 0032 38215222
- Email: luc.bruyndonckx@uza.be
Study Locations
-
-
-
De Haan, Belgium, 8420
- Zeepreventorium
-
Edegem, Belgium, 2650
- Dienst Cardiale Revalidatie, Cardiologie, Universitair Ziekenhuis Antwerpen
-
Edegem, Belgium, 2650
- Dienst Pediatrie, Universitair Ziekenhuis Antwerpen
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria: Children with severe obesity
- Younger than 16 yrs: BMI ≥97th sex and age specific BMI-percentile
- Older than 16 yrs: BMI ≥35 kg/m²
Exclusion Criteria:
- Acute or chronic inflammatory process, use of non-steroidal anti- inflammatory drugs or immunosuppressive drugs. (including inhalation corticosteroids).
- Structural heart disease or other cardiac diseases.
- Active malignant hematological disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Exercise training
Individualized and progressively increased supervised aerobic exercise program on a daily base (3-4hours per day, hypocaloric diet and psychological guidance
|
Individualized and progressively increased supervised aerobic exercise program on a daily base (3-4hours per day, hypocaloric diet and psychological guidance
|
Other: Usual Care
Nutritional assessment and dietary advice by general practitioner, promotion of sports activities
|
Nutritional assessment and dietary advice by general practitioner, promotion of sports activities
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change From Baseline in Reactive Hyperemia Index at 5 and 10 Months
Time Frame: Baseline - 5 months - 10 months
|
Reactive Hyperemia Index as assessed using endoPAT (R) is used as a marker for endothelial function
|
Baseline - 5 months - 10 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change From Baseline in Exercise Capacity at 5 and 10 Months
Time Frame: Baseline - 5 months - 10 months
|
Exercise capacity will be assessed using bicycle ergometry at baseline and at 5 and 10 Months
|
Baseline - 5 months - 10 months
|
Change From Baseline in Body Mass Index and Body Composition at 5 and 10 Months
Time Frame: Baseline - 5 months - 10 months
|
Weight and Length will be assessed to calculate Body Mass Index(BMI) at baseline and after 5 and 10 months
|
Baseline - 5 months - 10 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Viviane M Conraads, M.D., PhD, Dienst Cardiale Revalidatie, Cardiologie, Universitair Ziekenhuis Antwerpen
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- EC 11/11/100
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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