- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03416439
Effectiveness of a Lifestyle Intervention on Metabolic Syndrome.
Effectiveness of a Lifestyle Intervention on Metabolic Syndrome. A Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Intensive lifestyle intervention significantly reduces the progression to diabetes in high-risk individuals. It is unknown if a less intensive program might also be effective in the general population.
The investigators' aim was to compare the effectiveness of two different modalities that recommend a healthier lifestyle to reduce multiple metabolic abnormalities-a lifestyle intervention program with general recommendations carried out by trained professionals and standard unstructured information given by the family physician-in a dysmetabolic population-based cohort.
All subjects aged 45-64 (n=1,877) from 6 family physicians, representative of the local Health Districts of Asti (Northern Italy), were contacted. A metabolic screening was carried out on 1,658 subjects (88.3%) who accepted to participate.
Out of those subjects, 375 patients had either the metabolic syndrome (MS) or two components of the MS plus high-sensitivity C-reactive protein (CRP) serum values ≥3 mg/L, the cutoff point that differentiates high-risk groups for future cardiovascular events, and did not have any of the exclusion criteria.
Then,187 were randomly allocated to the intervention arm and 188 to the control arm; 18 and 22 individuals refused to participate, respectively. Finally, 169 patients were assigned to the lifestyle intervention program carried out by trained professionals (intervention arm) and 166 to the standard, unstructured information given by the family physicians (control arm). All participants received verbal, not-written, information, emphasizing the importance of a healthy lifestyle from their family physicians, who had previously participated in 3 meetings on standard practice lifestyle recommendations. No further individualized programs were offered to the control arm.
The intervention arm received detailed verbal and written individualized diet and exercise recommendations from trained professionals during five 60-min sessions covering diet, exercise, and behavior modifications (the first was a one-to-one meeting, the following were group sessions).
Anthropometric measurements and blood samples were collected from all participants at the beginning and at the trial end, after 1-year.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects aged 45-64 from 6 family physicians, representative of the local Health Districts of Asti (Northern Italy)
- Presence of the metabolic syndrome (MS) or hs-CRP>3mg/l and 2 components of the MS
Exclusion Criteria:
- diabetes, cardiovascular diseases, chronic liver or kidney disease, advanced cancer
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: intervention arm
lifestyle intervention program carried out by trained professionals
|
lifestyle intervention program carried out by trained professionals
|
No Intervention: control arm
standard, unstructured information given by the family physicians
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Between-group change in the prevalence of the metabolic syndrome, defined by the National Cholesterol Education Program criteria
Time Frame: 1 year after randomization
|
Metabolic syndrome was defined by the National Cholesterol Education Program criteria as the presence of ≥3 of the following five criteria: fasting glucose ≥6.1 mmol/L; blood pressure ≥ 130/85 mmHg; triglycerides ≥1.69 mmol/L; high-density lipoprotein (HDL) cholesterol <1.29 mmol/L (females) or <1.04 mmol/L (males), and waist circumference >88 cm (females) or >102 cm (males).
|
1 year after randomization
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Within- and between-group variations in arterial blood pressure
Time Frame: 1 year after randomization
|
1 year after randomization
|
Within- and between-group variations in weight values
Time Frame: 1 year after randomization
|
1 year after randomization
|
Within- and between-group variations in fasting glucose
Time Frame: 1-year after randomization
|
1-year after randomization
|
Within- and between-group variations in C-reactive protein values
Time Frame: 1-year after randomization
|
1-year after randomization
|
Within- and between-group variations in triglyceride values
Time Frame: 1-year after randomization
|
1-year after randomization
|
Within- and between-group variations in HDL-cholesterol values
Time Frame: 1-year after randomization
|
1-year after randomization
|
Collaborators and Investigators
Sponsor
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 (Actual)
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
- AT2004
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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