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Exercise and Nutrition on Obese Microbiome

3 januari 2020 bijgewerkt door: Wesley Smith, University of Miami

The Effects of a Calorie-Restrictive Low-Carbohydrate Diet Versus an Unrestrictive Ancestral Diet on Microbiota and Cardiometabolic Disease Markers of Obese Individuals Performing an Intense Exercise Program

The purpose of this study is to examine the effects nine weeks of intense exercise training will have on weight, inflammation, and intestinal bacteria composition of overweight and obese adults.

Studie Overzicht

Studietype

Ingrijpend

Inschrijving (Werkelijk)

31

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • Florida
      • Miami, Florida, Verenigde Staten, 33146
        • University of Miami

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 65 jaar (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion criteria:

  1. Individuals who are overweight (BMI ≥ 25) and/or obese (BMI ≥ 30).
  2. Individuals who volunteer for the 54-day exercise program.
  3. Individuals with no history of diabetes mellitus (type I or II) or sickle cell disease.
  4. Individuals who are not taking antibiotics and have not taken antibiotics within 3 months.
  5. Individuals who are not taking probiotics.
  6. Individuals who are not taking Metformin.
  7. Individuals who are cleared by their physician to perform strenuous exercise.
  8. Individuals with no physically debilitating injuries that would keep them from being able to perform the exercises prescribed.
  9. Individuals who are between 18 and 60.

Exclusion criteria:

1. Any subjects who do not meet all of the inclusion criteria and/or are unable to consent.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Ander
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Exercise Only Group (EX)
Participants will only receive the exercise protocol without nutrition education or counseling and instructed to continue to consume their regular diet.
The exercise protocol consists of a nine-week progressive intense-conditioning program involving six consecutive days (Monday-Saturday) of one-hour exercises and one-day rest weekly for a total of 54 days of exercise. Exercises are performed in person as a group with other participating subjects and lead by certified instructors. Exercises will involve a variety of activities ranging from running, cycling, whole-body functional movements, power movements, and open-chain weight lifting with barbells and resistance bands.
Experimenteel: Exercise with CR-LC Group
Participants will receive the exercise protocol and CR-LC Diet regimen.
The exercise protocol consists of a nine-week progressive intense-conditioning program involving six consecutive days (Monday-Saturday) of one-hour exercises and one-day rest weekly for a total of 54 days of exercise. Exercises are performed in person as a group with other participating subjects and lead by certified instructors. Exercises will involve a variety of activities ranging from running, cycling, whole-body functional movements, power movements, and open-chain weight lifting with barbells and resistance bands.
Consists of weekly nutrition plans, counseling and monitoring by on-site registered dietitians and nutritionists for nine weeks. CR-LC consists of caloric and macronutrient restrictions. Caloric restrictions involves a 40% deficit from calculated total daily energy expenditure. Macronutrient restriction involves a high protein, low carbohydrate diet (35% protein, 25% carbohydrate and 40% fat).
Experimenteel: Exercise with Ancestral Diet (AD) Group
Participants will receive the exercise protocol and AD regimen.
The exercise protocol consists of a nine-week progressive intense-conditioning program involving six consecutive days (Monday-Saturday) of one-hour exercises and one-day rest weekly for a total of 54 days of exercise. Exercises are performed in person as a group with other participating subjects and lead by certified instructors. Exercises will involve a variety of activities ranging from running, cycling, whole-body functional movements, power movements, and open-chain weight lifting with barbells and resistance bands.
Consists of weekly nutrition plans, counseling and monitoring by on-site registered dietitians and nutritionists for nine weeks. AD consists of consuming only whole foods and avoiding processed foods. Emphasis will be on food quality with no caloric or macronutrient restrictions.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Change in fecal microbiota diversity
Tijdsspanne: Baseline, 9 weeks
Change in fecal microbiota alpha-diversity will be assessed via stool sample evaluation
Baseline, 9 weeks
Change in Bacteriodetes/Firmicutes ratio
Tijdsspanne: Baseline, 9 weeks
Change in Bacteriodetes/Firmicutes ratio as assessed via stool sample evaluation
Baseline, 9 weeks
Percent change in fecal microbiota composition
Tijdsspanne: Baseline, 9 weeks
Percent change in Bacteriodetes phyla and percent change of short-chain fatty acid-producing species as assessed via stool sample evaluation
Baseline, 9 weeks
Change in inflammatory markers
Tijdsspanne: Baseline, 9 weeks
Change in serum inflammatory markers including Interleukin (IL)-1ß, IL-6, Tumor Necrosis Factor (TNF)-α and liposaccharide (LPS) evaluated in pg/ml.
Baseline, 9 weeks
Change in leptin/adiponectin ratio
Tijdsspanne: Baseline, 9 weeks
Change in serum adipose markers assessed as change in leptin/adiponectin ratio.
Baseline, 9 weeks
Correlation of serum triglycerides with leptin levels
Tijdsspanne: Baseline, 9 weeks
The correlation of the serum triglyceride levels will be evaluated against serum leptin levels.
Baseline, 9 weeks
Change in body weight
Tijdsspanne: Baseline, 9 weeks
Change in body composition as evaluated as change in body weight measured in lbs.
Baseline, 9 weeks
Change in resting metabolic rate
Tijdsspanne: Baseline, 9 weeks
Change in body composition as evaluated as change in resting metabolic rate measured in Calories per day.
Baseline, 9 weeks
Change in body composition
Tijdsspanne: Baseline, 9 weeks
Change in body composition as evaluated as change in body fat and lean body mass percentage
Baseline, 9 weeks
Change in waist circumference
Tijdsspanne: Baseline, 9 weeks
Change in waist circumference measured in inches.
Baseline, 9 weeks
Change in blood pressure
Tijdsspanne: Baseline, 9 weeks
Change in blood pressure assessed as systolic and diastolic pressure in mmHg.
Baseline, 9 weeks
Change in visceral fat
Tijdsspanne: Baseline, 9 weeks
Change in visceral fat levels will be measured using InBody570 with scores ranging from 1-20, with the higher score indicating increased visceral fat (worse outcome).
Baseline, 9 weeks

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Hoofdonderzoeker: Wesley Smith, Ph.D., University of Miami

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

21 oktober 2019

Primaire voltooiing (Werkelijk)

21 december 2019

Studie voltooiing (Werkelijk)

21 december 2019

Studieregistratiedata

Eerst ingediend

22 oktober 2019

Eerst ingediend dat voldeed aan de QC-criteria

22 oktober 2019

Eerst geplaatst (Werkelijk)

24 oktober 2019

Updates van studierecords

Laatste update geplaatst (Werkelijk)

7 januari 2020

Laatste update ingediend die voldeed aan QC-criteria

3 januari 2020

Laatst geverifieerd

1 januari 2020

Meer informatie

Termen gerelateerd aan deze studie

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • 20190936

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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