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Effects of a Clinical Dietary Intervention During Inpatient Treatment (FASTA)

10. maj 2021 opdateret af: Andreas Michalsen, Charite University, Berlin, Germany

Effects of a Clinical Dietary Intervention During Inpatient Treatment (Modified Fasting in Metabolic Syndrome, Osteoarthritis of the Hip or Knee, Rheumatoid Arthritis and Fibromyalgia)

The purpose of the study is a scientific and prospective documentation of the clinical effects of an inpatient treatment at the Immanuel Hospital of Berlin, in the department for complementary and integrative medicine, with the use of a modified fasting regime. A pre- and post- as well as group comparisons are planned. Patients that are admitted to the inpatient department for metabolic syndrome, osteoarthritis of the hip or knee, rheumatoid arthritis and fibromyalgia will be enrolled in the study.

Studieoversigt

Status

Aktiv, ikke rekrutterende

Intervention / Behandling

Detaljeret beskrivelse

At the beginning, during and at the end of the treatment at the inpatient department routine blood parameters, anthropometric parameters and certain scores and parameters specific to the different conditions will be measured. Questionnaires will be filled out by patients before and after the treatment as well as 3, 6 and 12 months after leaving the inpatient department.

Undersøgelsestype

Observationel

Tilmelding (Forventet)

500

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Berlin
      • Berlin-Wannsee, Berlin, Tyskland, 14109
        • Immanuel Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 85 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Sandsynlighedsprøve

Studiebefolkning

Regular hospitalised patients

Beskrivelse

Inclusion Criteria:

  • The patient is consents to participating in the trial during the first 24h of his or her stay in the inpatient naturopathic department of the Immanuel Hospital.
  • Written informed consent is given
  • The referral diagnosis is one of the following: diabetes mellitus type 2/metabolic syndrome, osteoarthritis of the hip, osteoarthritis of the knee, rheumatoid arthritis, fibromyalgia.

Exclusion Criteria:

  • Language barries to understanding the instructions of the study personnel
  • Dementia or other strong cognitive impairment
  • Pregnant or lactating women
  • Taking part in another study at the same time

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Fibromyalgia Impact Questionnaire (FIQ)
Tidsramme: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire; The FIQ is scored in such a way that a higher score indicates a greater impact of the syndrome on the person. Each of the 10 items has a maximum possible score of 10. Thus the maximum possible score is 100. The average FM patient scores about 50, severely afflicted patients are usually 70 plus.
Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Disease Activity Score 28 (DAS 28)
Tidsramme: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire with Clinical Examination; Change from Baseline in the DAS-28, range from 2.0 to 10.0 while higher values meaning a higher disease activity and below of 2.6 meaning remission
Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Health Assessment Questionnaire (HAQ)
Tidsramme: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire; Change from Baseline in the HAQ, range from 0 to 3 while higher values meaning a higher grade of disability
Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Tidsramme: Change Baseline, 2 weeks, 3 months, 6 months, 12 months

Questionnaire consisting of 24 items divided into 3 subscales: Pain (5items), Stiffness (2 items), Physical Function (17 items). The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4).

The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function. Higher values meaning a higher grade of disability.

Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Summary of Diabetes Self Care Activities Measure (SDSCA)
Tidsramme: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire; 11 items with each item scored on a scale of 0-7.
Change Baseline, 2 weeks, 3 months, 6 months, 12 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pain on Visual Analogue Scale (VAS)
Tidsramme: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire
Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Hospital Anxiety and Depression Scale (HADS)
Tidsramme: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire; HADS: Assessing full scale, range 0-42, lower score meaning a better outcome
Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Perceived Stress Scale (PSS)
Tidsramme: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire; Change from Baseline in the PSS, range from 0 to 4 in each item. Scores are obtained by reversing responses (e.g., 0 = 4, 1 = 3, 2 = 2, 3 = 1 & 4 = 0) to the positively stated items and then summing across all scale items while higher values meaning a higher grade of perceived stress.
Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Quality of Life (WHO-5)
Tidsramme: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire; Change from Baseline in the WHO-5, range from 0 to 100 % while higher values meaning a higher grade of well-being
Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Body-Mass-Index (BMI)
Tidsramme: Change Baseline, 2 weeks
Anthropometry
Change Baseline, 2 weeks
Blood pressure
Tidsramme: Change Baseline, 2 weeks
Measuring systolic and diastolic blood pressure in mmHg
Change Baseline, 2 weeks
24h-Blood pressure
Tidsramme: Change Baseline, 2 weeks
Measuring systolic and diastolic blood pressure with Device "Mobil-O-Graph"
Change Baseline, 2 weeks
Blood count
Tidsramme: Change Baseline, 2 weeks
Laboratory test
Change Baseline, 2 weeks
Glomerular filtration rate (GFR)
Tidsramme: Change Baseline, 2 weeks
Laboratory test
Change Baseline, 2 weeks
Blood lipids
Tidsramme: Change Baseline, 2 weeks
triglycerides (mmol/L), total cholesterol (mmol/L), LDL (mmol/L), HDL (mmol/L), fasting glucose (mmol/L)
Change Baseline, 2 weeks
CRP
Tidsramme: Change Baseline, 2 weeks
CRP in milligram per liter (mg/L)
Change Baseline, 2 weeks
Liver enzymes (GOT, GPT)
Tidsramme: Change Baseline, 2 weeks
Hepatic transaminases (GPT, GOT in U/L)
Change Baseline, 2 weeks
Stepcounter
Tidsramme: Change Baseline, 2 weeks
With Device "Everion"
Change Baseline, 2 weeks
Heart Rate Variability
Tidsramme: Change Baseline, 2 weeks
With Device "Faros 180"
Change Baseline, 2 weeks
Heart Rate
Tidsramme: Change Baseline, 2 weeks
With Device "Everion"
Change Baseline, 2 weeks
Blood Oxygenation
Tidsramme: Change Baseline, 2 weeks
With Device "Everion"
Change Baseline, 2 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Andreas Michalsen, Prof. Dr., study principal investigator

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. februar 2018

Primær færdiggørelse (Forventet)

1. marts 2022

Studieafslutning (Forventet)

1. marts 2022

Datoer for studieregistrering

Først indsendt

20. december 2018

Først indsendt, der opfyldte QC-kriterier

20. december 2018

Først opslået (Faktiske)

24. december 2018

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

12. maj 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

10. maj 2021

Sidst verificeret

1. maj 2021

Mere information

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