Esta página se tradujo automáticamente y no se garantiza la precisión de la traducción. por favor refiérase a versión inglesa para un texto fuente.

Translational Study for Obesity Management in Mexican Adults Using the "Group Lifestyle Balance Program" (GLBOMEX)

20 de mayo de 2016 actualizado por: Rolando Giovanni Díaz Zavala, Universidad de Sonora

Translational Study for Overweight and Obesity Management in Adults Using the "Group Lifestyle Balance Program" in Primary Care Clinics and Public Hospitals From Sonora, México

Obesity is the main modifiable risk factor for the development of chronic diseases in Mexico. Several randomized controlled trials have shown that intensive lifestyle programs are efficacious for the management of obesity. These programs include frequent sessions (14 or more contacts in the first 6 months) focused on diet and physical activity and use a behavior change protocol. In Mexico most primary care clinics and public hospitals apply traditional treatments for obesity management, which have limited effect on weight loss. This study would provide scientific evidence for an effective model for obesity management. Objective. The purpose of this study is to evaluate the effectiveness of the "Group Lifestyle Balance Program" for overweight and obesity management in adults, in primary care clinics and public hospitals from Sonora. This is a translational clinical study. Healthcare providers from the participating clinics will be trained with the Group Lifestyle Balance Program before its implementation. The primary outcome measurement is the change in body weight from baseline to 6 months and 12 months. Changes in body mass index, waist circumference, systolic and diastolic blood pressure, depression, quality of life and stress scales will be measured in patients receiving the program before and 6 and 12 months after starting the program. Additionally, biochemical parameters (fasting glucose, total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, fasting insulin, Homeostatic Model Assessment- Insulin Resistance (HOMA-IR) and liver enzymes [Aspartate transaminase (AST), Alanine Aminotransferase (ALT)] will be evaluated from baseline to 12 months.

Descripción general del estudio

Estado

Desconocido

Condiciones

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Actual)

258

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

  • México
    • Sonora
      • Hermosillo, Sonora, México, 83000
        • Centro de Promoción de Salud Nutricional (CPSN)
      • Hermosillo, Sonora, México, 83000
        • Centro de Salud Urbano Dr. Domingo Olivares
      • Hermosillo, Sonora, México, 83000
        • Hospital General del Estado de Sonora
      • Hermosillo, Sonora, México, 83000
        • Hospital Ignacio Chávez
      • Hermosillo, Sonora, México, 83180
        • Centro Avanzado de Atención a la Salud (CAAPS)

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 65 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • Adults (>18 years of age and <65)
  • Overweight or Obese (BMI >25 kg/m2 y <50 kg/m2)
  • Availability and motivation to attend the intervention program
  • Patients who would benefit from participating in the program according to the health providers
  • Signing an informed consent

Exclusion Criteria:

  • Medical conditions affecting body weight significantly
  • Pregnancy or nursing
  • Bariatric surgery
  • Being unable to participate in regular moderate physical activity
  • Blood pressure >160 mm/Hg
  • HbA1c>9

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: N / A
  • Modelo Intervencionista: Asignación de un solo grupo
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Group Lifestyle Balance Program

Participants will be assigned to an adaptation of the "Group Lifestyle Balance Program", a behavioral curriculum implemented in the Diabetes Prevention Program Study. The Group Lifestyle Balance Program will be provided weekly for the first 3.5 months, bi-weekly from 3.5 to 6 months and then monthly until 12 months. Health care providers will be trained for the implementation of the intervention.

Additionally, participants will attend at least one monthly visit with a nutritionist (individually).

The lifestyle objectives for participants will be as follows:

  1. To lose 5-10% of initial weight through healthy eating.
  2. To do 150 minutes of physical activity each week.
Conductual: Group Lifestyle Balance Program

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Periodo de tiempo
Change in body weight
Periodo de tiempo: Change in body weight from baseline to 6 months and change in body weight from baseline to 12 months
Change in body weight from baseline to 6 months and change in body weight from baseline to 12 months

Medidas de resultado secundarias

Medida de resultado
Periodo de tiempo
Change in waist circumference
Periodo de tiempo: Change in waist circumference from baseline to 6 months and change in waist circumference from baseline to 12 months
Change in waist circumference from baseline to 6 months and change in waist circumference from baseline to 12 months
Change in body fat percentage
Periodo de tiempo: Change in body fat percentage from baseline to 6 months and change in body fat percentage from baseline to 12 months
Change in body fat percentage from baseline to 6 months and change in body fat percentage from baseline to 12 months
Change in the Beck Depression Inventory score
Periodo de tiempo: Change in the Beck Depression Inventory score from baseline to 6 months and change in in the Beck Depression Inventory score from baseline to 12 months
Change in the Beck Depression Inventory score from baseline to 6 months and change in in the Beck Depression Inventory score from baseline to 12 months
Change in the Short Form-36 Health Survey score
Periodo de tiempo: Change in the Short Form-36 Health Survey score from baseline to 6 months and change in the SF-36 Health Survey score from baseline to 12 months
Change in the Short Form-36 Health Survey score from baseline to 6 months and change in the SF-36 Health Survey score from baseline to 12 months
Change in the Perceived Stress Scale (PSS) -14 score
Periodo de tiempo: Change in the Perceived Stress Scale (PSS) -14 score from baseline to 6 months and change in the Perceived Stress Scale PSS-14 score from baseline to 12 months
Change in the Perceived Stress Scale (PSS) -14 score from baseline to 6 months and change in the Perceived Stress Scale PSS-14 score from baseline to 12 months
Change in systolic and diastolic blood pressure
Periodo de tiempo: Change in systolic and diastolic blood pressure from baseline to 6 months and change in systolic and diastolic blood pressure from baseline to 12 months
Change in systolic and diastolic blood pressure from baseline to 6 months and change in systolic and diastolic blood pressure from baseline to 12 months
Change in fasting glucose
Periodo de tiempo: Change in fasting glucose from baseline to 12 months
Change in fasting glucose from baseline to 12 months
Change in total cholesterol
Periodo de tiempo: Change in total colesterol from baseline to 12 months
Change in total colesterol from baseline to 12 months
Change in LDL-cholesterol
Periodo de tiempo: Change in LDL-cholesterol from baseline to 12 months
Change in LDL-cholesterol from baseline to 12 months
Change in HDL-cholesterol
Periodo de tiempo: Change in HDL-cholesterol from baseline to 12 months
Change in HDL-cholesterol from baseline to 12 months
Change in triglycerides
Periodo de tiempo: Change in triglycerides from baseline to 12 months
Change in triglycerides from baseline to 12 months
Change in fasting insulin
Periodo de tiempo: Change in fasting insulin from baseline to 12 months
Change in fasting insulin from baseline to 12 months
Change in HOMA-IR
Periodo de tiempo: Change in HOMA-IR from baseline to 12 months
Change in HOMA-IR from baseline to 12 months
Change in liver enzymes [AST and ALT]
Periodo de tiempo: Change in liver enzymes [AST and ALT] from baseline to 12 months
Change in liver enzymes [AST and ALT] from baseline to 12 months

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Universidad de Sonora

Investigadores

  • Investigador principal: Rolando G Díaz, Ph.D., Universidad de Sonora

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de septiembre de 2015

Finalización primaria (Anticipado)

1 de abril de 2017

Finalización del estudio (Anticipado)

1 de abril de 2017

Fechas de registro del estudio

Enviado por primera vez

25 de agosto de 2015

Primero enviado que cumplió con los criterios de control de calidad

28 de agosto de 2015

Publicado por primera vez (Estimar)

2 de septiembre de 2015

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

23 de mayo de 2016

Última actualización enviada que cumplió con los criterios de control de calidad

20 de mayo de 2016

Última verificación

1 de mayo de 2016

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • DPPMEX-077

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

Suscribir