- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07661160
The Impact of Laser Acupuncture on Type 2 Diabetes (LA/ABSI)
The Impact of Laser Acupuncture on Body Shape Index in Type 2 Diabetes
Laser Acupuncture for Type 2 Diabetes and Body Shape The goal of this clinical trial is to learn if laser acupuncture can help improve body shape and overall health in women with Type 2 Diabetes (T2D).
The main question it aims to answer is:
Does laser acupuncture lead to a better A Body Shape Index (ABSI) score in women with T2D compared to a sham (inactive) laser treatment?
The A Body Shape Index (ABSI) is a way to measure body shape that is linked to health risks like diabetes complications and early death. A lower ABSI score is better.
The Laser Acupuncture Group will be compared to a Sham Laser Acupuncture Group to see if the active laser treatment is more effective.
Participants will:
Be women aged 40 to 50 with uncontrolled T2D (HbA1c ≥7.5%) and a BMI between 30 and 35 (obesity class I).
Be randomly placed into one of two groups (Laser Acupuncture or Sham Laser Acupuncture).
Both groups will adhere to a low-glycemic-index (LGI) diet designed and prescribed by the Nutrition Clinic at the National Institute of Diabetes and Endocrinology (NIDE).
Receive treatment twice a week for 12 weeks (24 sessions total). The laser or sham laser will be applied to specific points on the body (acupoints) for 24 seconds each.
Complete evaluations before and after the 12-week program, which will include:
Measuring their ABSI (calculated using waist size, height, and weight).
Measuring their HbA1c (a blood test that shows average blood sugar over the past 3 months).
Filling out questionnaires about sleep quality and diabetes-related emotional distress.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
This study is a randomized, double-blind, sham-controlled clinical trial designed to test the effectiveness of Laser Acupuncture (LA) as an add-on treatment for women with Type 2 Diabetes Mellitus (T2DM). The core aim is to see if LA can significantly improve the A Body Shape Index (ABSI), a crucial measure that predicts diabetes-related health risks and overall mortality.
Significance The study addresses the need for non-pharmacological, non-invasive therapies for T2DM management. A positive finding would support integrating LA into standard care to potentially reduce complication and mortality risks by improving metabolic health indicators like ABSI.
Treatment Protocol
The active laser acupuncture uses a non-invasive, painless ,wavelength of 850 nm at a power density of 200 mW.
The treatment involves applying the laser (or sham) to 9 specific acupoints, with the goal of improving insulin resistance, decreasing Body Shape Index and lowering blood glucose.
Tipo di studio
Iscrizione (Effettivo)
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
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Cairo Governorate
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Cairo, Cairo Governorate, Egitto, 4260010
- The National Institute of Diabetes and Endocrinology
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Female patients 40 -50 years.
- Patients with uncontrolled diabetes type 2 (HbA1c ≥ 7.5%)
- Clinically stable
- Sedentary active on Physical Activity Rating scale (Dicks et al., 2019).
- BMI 30-35 Kg/m2.
- No prior acupuncture treatment.
- Patients that have diabetes type 2, started more than 5 year ago.
Exclusion Criteria:
- Pregnant women.
- Positive and negative smokers
- Patients with a cardiac pacemaker
- Autoimmune diseases related to diabetes
- History of malignancy or Cancer patients.
- History of uncontrolled cardiovascular complications.
- Photo-sensitivity or any skin conditions that may interfere with laser application.
- Participants diagnosed with pre-diabetes, gestational diabetes, or Type1 diabetes.
- Patients with severe diabetes complication
- Patients with Thyroid problems.
- Patients with severe psychological problems.
- Patients who receive anti-inflammatory steroid therapy and medications for hypercholesterolemia
- Patients with kidney or liver complications.
- Patients with chronic digestive disorders more than 3 month
- Patients who perform regular exercise.
- Patients with a history of seizures
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Doppio
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: LA
This group will receive active laser acupuncture (low-intensity laser beams )(Wavelength:850nm, power density of 200 mW, Duration:24s per acupoint) to 9 specified body acupoints ( ST36, ST25, SP6, SP15, LI4, LI11, CV4, CV9 and CV12) Treatment frequency is 2 times/week for 12 weeks.
All patients will adhere to the same Diet Plan that follow the guidelines for a low-glycemic-index (LGI) diet designed and prescribed by the Nutrition Clinic at the National Institute of Diabetes and Endocrinology.
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Application of low-intensity laser beams (Wavelength:850nm, power density of 200 mW, Duration:24s per acupoint) to 9 specified body acupoints. Treatment frequency is 2 times/week for 12 weeks. All patients will adhere to the same Diet Plan that follow the guidelines for a low-glycemic-index (LGI) diet designed and prescribed by the Nutrition Clinic at the National Institute of Diabetes and Endocrinology. Treatment frequency is 2 times/week for 12 weeks. |
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Comparatore fittizio: Sham LA
This group will receive Sham Laser Acupuncture (procedure without turning the device on) at the same specified acupoints 2 times/week for 12 weeks All patients will adhere to the same Diet Plan that follow the guidelines for a low-glycemic-index (LGI) diet designed and prescribed by the Nutrition Clinic at the National Institute of Diabetes and Endocrinology. |
The same procedure as Laser Acupuncture, but the device is applied without turning it on (inactive).
All patients will adhere to the same Diet Plan that follow the guidelines for a low-glycemic-index (LGI) diet designed and prescribed by the Nutrition Clinic at the National Institute of Diabetes and Endocrinology.
Treatment frequency is 2 times/week for 12 weeks.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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A Body Shape Index (ABSI)
Lasso di tempo: 3 Months (Measured at baseline and after 12 weeks of treatment)
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An allometric index calculated from WC, height, and weight.
It is calculated as follows: ABSI=WC/ (BMI^ (2/3) ×height^ (1/2))
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3 Months (Measured at baseline and after 12 weeks of treatment)
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HbA1c:
Lasso di tempo: 3 Months (Measured at baseline and after 12 weeks of treatment)
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It indicates the long-term glycemic control, providing an average blood glucose value over the lifespan of the red blood cell (approximately 2-3 months).
It is measured by the turbidimetric inhibition immunoassay (TINIA) method.
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3 Months (Measured at baseline and after 12 weeks of treatment)
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Waist Circumstance:
Lasso di tempo: 3 Months (Measured at baseline and after 12 weeks of treatment)
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Measured by using a non-elastic measuring tape to monitor the smallest circumference between the costal margin and the iliac crest
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3 Months (Measured at baseline and after 12 weeks of treatment)
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Body weight:
Lasso di tempo: 3 Months (Measured at baseline and after 12 weeks of treatment)
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Measured by a digital weighting scale.
The participant stands with minimal movement with hands by their side.
Shoes and excess clothing were removed.
Weight was approximated to the nearest 0.5 kg.
It can be used with the Height to measure the BMI.
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3 Months (Measured at baseline and after 12 weeks of treatment)
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Height Measurement:
Lasso di tempo: 3 Months (Measured at baseline and after 12 weeks of treatment)
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Standing height should be measured with the head, shoulder, buttocks, and heels touching the wall or back of the stadiometer.
Eyes are straight ahead, shoulders relaxed, arms at the side, legs straight with knees together, and feet flat on the ground and almost together.
Height, recorded in inches or centimeters.
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3 Months (Measured at baseline and after 12 weeks of treatment)
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BMI Calculation:
Lasso di tempo: 3 Months (Measured at baseline and after 12 weeks of treatment)
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BMI is calculated as body weight in kilograms divided by the square of the height in meters (kg/m2) to be fallen into one of the following categories (underweight: <18.5 kg/m2, normal weight: 18.5-24.9
kg/m2, overweight (pre-obesity): 25-29.9
kg/m2, obesity class I: 30-34.9
kg/m2, obesity class II: 35-39.9
kg/m2 and obesity class III: ≥40 kg/m2)
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3 Months (Measured at baseline and after 12 weeks of treatment)
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Sleep Quality
Lasso di tempo: 3 Months (Measured at baseline and after 12 weeks of treatment)
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Assessed using the Pittsburgh Sleep Quality Index (PSQI), a self-report questionnaire for subjective sleep quality. It is a sum of seven component scores, with each component ranging from 0 to 3. Good Sleep Quality: A Global Score of ≤ 5 Poor Sleep Quality/Significant Sleep Disturbance: A Global Score of > 5 (Higher scores indicate worse sleep quality). |
3 Months (Measured at baseline and after 12 weeks of treatment)
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Diabetes Distress
Lasso di tempo: 3 Months (Measured at baseline and after 12 weeks of treatment)
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Assessed using the Diabetes Distress - Screening Scale (DDS17), a validated 17-item measure rated on a 6-point scale. 1 (not a problem) to 6 (a very significant problem) Little or No Distress: Mean item score < 2.0 Moderate Distress: Mean item score 2.0 - 2.9 (Clinically significant) High Distress: Mean item score ≥ 3.0 (Strongly warrants clinical attention)
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3 Months (Measured at baseline and after 12 weeks of treatment)
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Collaboratori e investigatori
Sponsor
Investigatori
- Direttore dello studio: Rana H Elbanna, Ph.D, Cairo University
- Direttore dello studio: Heba R Mohamed, Ph.D, The National Institute of Diabetes and Endocrinology
- Cattedra di studio: Nesreen G Elnahas, Ph.D, Cairo University
- Investigatore principale: Noha S Gaballah, B.P.T., Cairo University
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Inizio studio (Effettivo)
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- P.T.REC/012/005998
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