- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02161926
Assessments of Dietary Restrictions in Young and Elderly Obese Men : Metabolism Obesity Nutrition Age (MONA)
Dietary Restrictions Implications on Metabolic Changes in Obese Men : Comparison Between Two Groups of Different Ages (60-70 Years Old Versus 30-40 Years Old)
The prevalence of obesity is growing in elderly with heavy consequences in term of medical complications and mortality, so that this is nowadays an important public health issue.
The major therapeutic solution is dietary restrictions, but and the advantages and the metabolic consequences are not well known in elderly. The MONA study main aim is to assess the metabolic changes in this population, after dietary restrictions, compared to young people.
Study Overview
Detailed Description
Primary endpoint : Study the metabolic adaptations of the subcutaneous adipose tissue after a diet in elderly obese men compared to young obese men.
Secondary endpoints : Study the metabolic adaptations of skeletal muscle, the genetic adaptations of subcutaneous adipose tissue and skeletal muscle, the inflammatory and fibrosis modifications of subcutaneous adipose tissue, the insulinosensibility modifications, the modifications on the physical composition, modifications of the energy expenditure in resting state and the oxidation of the substrata, study the lipoproteins metabolism and identify new biomarkers. All those endpoints are studied comparing elderly obese subjects versus young obese subjects.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Toulouse, France, 31 059
- University Hospital Toulouse
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 30 < years old < 40 OR 60 < years old < 70
- obesity : 30 < BMI < 40
- stable blood pressure (diastolic <90mmHg, systolic < 140mmHg)
- glycemia < 1,26g/L, LDL cholest <1,9-1,6g/L, Triglycerides <2,5g/L
- risk factors concerning high blood pressure, diabetes and dyslipidemia under control
Exclusion Criteria:
- Insulin dependent diabetes, non-insulin dependent diabetes
- high blood pressure
- dyslipidemia
- history of cardiovascular diseases or bariatric surgery
- undernutrition
- HbA1C >7%
- non authorized treatments : Glucagon-like peptide-1 agonists,
- incapacity to do physical activity
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: obese men from 60 to 70 years old
Dietary restrictions in obese men (30<Body Mass Index<40 kg/m2)
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Dietary restrictions during 8 weeks
Other Names:
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Active Comparator: obese men from 30 to 40 years old
Dietary restrictions in obese men (30<Body Mass Index<40 kg/m2)
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Dietary restrictions during 8 weeks
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lipolysis at resting and during physical activity test
Time Frame: Change after 8 weeks dietary restrictions
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Determine lipolysis at resting and during physical activity test by microdialysis, before dietary restrictions and after dietary restrictions (20% dietary restrictions)
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Change after 8 weeks dietary restrictions
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Metabolic parameters in skeletal muscle
Time Frame: Change after 8 weeks dietary restrictions
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To assess metabolic parameters before dietary restrictions and after dietary restrictions (20 % dietary restrictions)
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Change after 8 weeks dietary restrictions
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Genetic markers
Time Frame: Change after 8 weeks dietary restrictions
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To assess genetic markers in adipose tissue and skeletal tissue before dietary restrictions and after dietary restrictions
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Change after 8 weeks dietary restrictions
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Fibrosis and inflammatory markers in adipose tissue
Time Frame: Change after 8 weeks dietary restrictions
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To assess markers in adipose tissue before dietary restrictions and after dietary restrictions (20 % dietary restrictions)
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Change after 8 weeks dietary restrictions
|
|
insulinosensibility
Time Frame: Change after 8 weeks dietary restrictions
|
To determine insulinosensibility before dietary restrictions and after dietary restrictions (20 % dietary restrictions)
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Change after 8 weeks dietary restrictions
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Fat and muscles rates in the whole body
Time Frame: Change after 8 weeks dietary restrictions
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To determine fat and muscles rates by Dexa before dietary restrictions and after dietary restrictions
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Change after 8 weeks dietary restrictions
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Energetic consumption
Time Frame: Change after 8 weeks dietary restrictions
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energetic consumption at resting and during physical activity, before dietary restrictions and after dietary restrictions
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Change after 8 weeks dietary restrictions
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Lipoproteins metabolism
Time Frame: Change after 8 weeks dietary restrictions
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Before dietary restrictions and after dietary restrictions
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Change after 8 weeks dietary restrictions
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biomarkers identification
Time Frame: Change after 8 weeks dietary restrictions
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New urinary and intestinal biomarkers identification, before dietary restrictions and after dietary restrictions
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Change after 8 weeks dietary restrictions
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Claire Thalamas, MD PhD, University Hospital, Toulouse
Publications and helpful links
General Publications
- Vion J, Sramkova V, Montastier E, Marques MA, Caspar-Bauguil S, Duparc T, Martinez LO, Bourlier V, Harant I, Larrouy D, Moussaoui N, Bonnel S, Vindis C, Dray C, Valet P, Saulnier-Blache JS, Schanstra JP, Thalamas C, Viguerie N, Moro C, Langin D. Metabolic and cardiovascular adaptations to an 8-wk lifestyle weight loss intervention in younger and older obese men. Am J Physiol Endocrinol Metab. 2021 Sep 1;321(3):E325-E337. doi: 10.1152/ajpendo.00109.2021. Epub 2021 Jul 12.
- Laurens C, Parmar A, Murphy E, Carper D, Lair B, Maes P, Vion J, Boulet N, Fontaine C, Marques M, Larrouy D, Harant I, Thalamas C, Montastier E, Caspar-Bauguil S, Bourlier V, Tavernier G, Grolleau JL, Bouloumie A, Langin D, Viguerie N, Bertile F, Blanc S, de Glisezinski I, O'Gorman D, Moro C. Growth and differentiation factor 15 is secreted by skeletal muscle during exercise and promotes lipolysis in humans. JCI Insight. 2020 Mar 26;5(6):e131870. doi: 10.1172/jci.insight.131870.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 13 149 03
- 2013-A01543-42 (Other Identifier: RCB number)
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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