- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT02967406
Impact of Lifestyle Modification on the Development of Dementia, Chronic Kidney Disease, Diabetes, Chronic Obstructive Pulmonary Disease, Cancers and Cardiovascular Disease in a Thai General Population
Impact of Lifestyle Modification on Prevention of Dementia, Chronic Kidney Disease, Diabetes, Chronic Obstructive Pulmonary Disease, Cancers and Cardiovascular Disease in a Thai General Population: Cluster Randomized Controlled Trial
Przegląd badań
Status
Warunki
Interwencja / Leczenie
Szczegółowy opis
This is a community-based cluster randomized control trial aimed to investigate the impact of lifestyle modification (diet, physical activity, alcohol drinking and smoking) on the development of dementia, diabetes, chronic kidney disease, cancers, chronic obstructive pulmonary disease and cardiovascular disease in an intermediate risk population in mixed urban-rural areas of Ubon Ratchathani.
Objectives:
- examine the impact of lifestyle modification on the development of dementia, diabetes, chronic kidney disease, cancers, chronic obstructive pulmonary disease and cardiovascular disease in an intermediate risk population in Ubon Ratchathani
- examine the economic impact of lifestyle modification on prevention of dementia, diabetes, chronic kidney disease, cancers, chronic obstructive pulmonary disease and cardiovascular disease in an intermediate risk population in Ubon Ratchathani
Study design: community-based cluster randomized control trial
Setting: 60 villages randomly selected from mixed urban-rural areas in 15 districts of Ubon Ratchathani province.
Study population: 3,600 apparently healthy men and women aged 45-75 years who have resided in the village selected for at least one year. 4,000 men and women will be approached and screened.
Screening and baseline assessment:
After community consent, potential participants will be informed about the details of the project. For those who are willing to participate, written informed consent will be given before carrying out all research procedures. Participants will be questioned about their demographic characteristics, medical and family history, health behaviours including diet, physical activity, alcohol drinking and smoking. Physical activity will be assess using the Global Physical Activity Questionnaire (GPAQ) and diet will be assessed using 24 hour food recall. Their cognitive function will be assessed using the Mini-Mental State Exam (MMSE), Thai version, and clock drawing test and depression test will also be performed. Physical examination includes weight, height, blood pressure, waist and hip circumference as well as physical fitness test.
Fasting blood samples will be collected for the following laboratory tests: Complete blood count, creatinine, estimated glomerular filtration rate (eGFR), fasting plasma glucose, glycated haemoglobin (HbA1c), total cholesterol, triglyceride, HDL and estimated LDL-cholesterol, serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), thyroid stimulating hormone (TSH), Ca++, PO4-, urine creatinine/albumin, urine sodium & potassium.
Interventions:
Participants in 30 villages in the intervention group will be given 4x4 lifestyle modification intervention, which will address four health behaviors (diet, physical activity, alcohol drinking and smoking) at four different levels: individual, household, knowledge management and community levels. A new computer program called 'iActive' will be used. The program was adapted from the GPAQ with add-on functions to allow real-time assessment and presentation of the energy expenditure along with recommendations specific to each individual. Dietary counseling will be given individually following assessment using a new dietary assessment program called Dietary Assessment Scanning Calculator (DISC). Home visit will be done every 3 months by responsible nurses and village health volunteers in order to assess and give simple counseling about health behaviors. Knowledge management will be undertaken through meetings and forums between participants and villages with support from trained nurses. Situation analysis and agreed community action will be encouraged to address community problems concerning four health behaviors. A combination of these intensive interventions will be given for 3 years.
Follow-up and outcome ascertainment:
Participants will be followed at 1, 2, 5 and 10 years after baseline assessment for the development of the outcomes of interest. In each follow-up, procedures identical to baseline assessment will be done.
Primary outcome: Incident dementia Incident dementia will be ascertained by a battery of screening test (MMSE, clock drawing and depression tests) and those with abnormal test results will be referred to neuro-medicine specialists at the regional hospital for further investigations and diagnosis.
Secondary outcomes:
- Type 2 diabetes mellitus
- chronic kidney disease
- cancers
- chronic obstructive pulmonary disease
- cardiovascular disease
- body mass index
- waist circumference
- blood pressure
- Fasting plasma glucose
- HbA1c
- Lipids (total cholesterol, triglyceride, HDL and estimated LDL)
Tertiary outcomes:
- MMSE scores or Cognitive decline
- Alzheimer's disease
- Physical activity levels
- Dietary intake
- prevalence of current smokers
- prevalence of alcohol consumption
Typ studiów
Zapisy (Oczekiwany)
Faza
- Nie dotyczy
Kontakty i lokalizacje
Lokalizacje studiów
-
-
Ubon Ratchathani
-
Muaeng, Ubon Ratchathani, Tajlandia, 34000
- Sanpasitthiprasong Hospital
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Thai nationality
- Age 45-75 years
- Have resided in the Ubon Ratchathani's villages for at least 1 year
- Those giving written informed consent to participate in the research project
Exclusion Criteria:
- Known case of dementia, chronic kidney disease, diabetes, chronic obstructive pulmonary disease, cancers and cardiovascular disease
- Unable to communicate well in Thai
- Unable to move or get physical exercise
- Those at risk of having complications from performing physical exercise
- Those diagnosed with cancers of any system/ organ or those in the end of life period
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Zapobieganie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Pojedynczy
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
---|---|
Eksperymentalny: Lifestyle modification
4 x 4 lifestyle modification intervention, addressing four health behaviors including physical activity, diet, smoking and alcohol drinking, at four different levels, i.e. individual, household, group/ knowledge management, and community levels
|
Participants in the intervention group will be given 4x4 lifestyle modification intervention, which will address four health behaviors (diet, physical activity, alcohol drinking and smoking) at four different levels: individual, household, knowledge management and community levels.
A new computer program called 'iActive' adapted from the GPAQ with add-on functions to allow real-time assessment and presentation of the energy expenditure along with recommendations specific to each individual will be used.
Dietary counseling will be given individually following assessment using a new dietary assessment program called Dietary Assessment Scanning Calculator.
Home visit will be done every 3 months by responsible nurses and village health volunteers.
Knowledge management will be done through meetings between participants and villages with support from trained nurses.
Situation analysis and community action will be encouraged to address four health behaviors.
|
Brak interwencji: Control
No special intervention will be given.
Prevention and treatment in normal practice is allowed
|
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
---|---|---|
Dementia
Ramy czasowe: 10 years
|
Number of participants with dementia.
Incident dementia will be diagnosed by medical specialists (Neuro-Med) following a battery of screening tests, including mini-mental state exam, depression and clock drawing tests.
|
10 years
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
---|---|---|
Type 2 diabetes mellitus
Ramy czasowe: 3, 5 and 10 years
|
Number of participants with type 2 diabetes mellitus.
Diabetes mellitus is biochemically and clinically diagnosed.
|
3, 5 and 10 years
|
Cardiovascular disease
Ramy czasowe: 5 and 10 years
|
Number of participants with cardiovascular disease.
Clinical diagnosis of cardiovascular disease.
Diagnostic information will be obtained from medical records review and service reimbursement data.
|
5 and 10 years
|
Cancers
Ramy czasowe: 5 and 10 years
|
Number of participants with cancers.
Diagnostic information will be obtained from medical records review and service reimbursement data.
|
5 and 10 years
|
Chronic obstructive pulmonary disease
Ramy czasowe: 5 and 10 years
|
Number of participants with physician-diagnosed chronic obstructive pulmonary disease.
Diagnostic information will be obtained from medical records review and service reimbursement data.
|
5 and 10 years
|
Mortality
Ramy czasowe: 5 and 10 years
|
All-cause mortality retrieved from death certificate database, which captures deaths nationwide, dates of death and related causes.
|
5 and 10 years
|
Blood sugar
Ramy czasowe: 1, 2, 5 and 10 years
|
Blood sugar assessed as fasting plasma glucose and glycated hemoglobin (HbA1c)
|
1, 2, 5 and 10 years
|
Blood lipids
Ramy czasowe: 1, 2, 5 and 10 years
|
Blood lipids include total, LDL- and HDL-cholesterol and triglyceride
|
1, 2, 5 and 10 years
|
Inne miary wyników
Miara wyniku |
Opis środka |
Ramy czasowe |
---|---|---|
Physical activity levels
Ramy czasowe: 1, 2, 5 and 10 years
|
Physical activity levels assessed using the global physical activity questionnaire (GPAQ)
|
1, 2, 5 and 10 years
|
Diet
Ramy czasowe: 1, 2, 5 and 10 years
|
Diet assessed by 24 hour food recall
|
1, 2, 5 and 10 years
|
Prevalence of current smokers
Ramy czasowe: 1, 2, 5 and 10 years
|
Percentage of current smokers in the study samples
|
1, 2, 5 and 10 years
|
Prevalence of alcohol consumption
Ramy czasowe: 1, 2, 5 and 10 years
|
Percentage of those who report alcohol consumption
|
1, 2, 5 and 10 years
|
Cognitive function
Ramy czasowe: 2, 5 and 10 years
|
Cognitive function assessed by MMSE score
|
2, 5 and 10 years
|
Współpracownicy i badacze
Sponsor
Współpracownicy
Śledczy
- Dyrektor Studium: Prasert Boongird, MD, Dementia Association of Dementia
- Główny śledczy: Parinya Chamnan, MD, PhD, Sanpasitthiprasong Hospital
- Główny śledczy: Wannee Nitiyanant, MD, Siriraj Hospital
- Główny śledczy: Wichai Aekplakorn, MD, PhD, Ramathibodi Hospital, Mahidol University
- Główny śledczy: Chanida Pachotikarn, PhD, Thai Dietetic Society
- Główny śledczy: Chaicharn Deerochanawong, MD, Rajvithi Hospital
- Główny śledczy: Surasak Kantachuvesiri, MD, PhD, Ramathibodi Hospital, Mahidol University
- Główny śledczy: Wallaya Jongjaroenprasert, MD, Ramathibodi Hospital, Mahidol University
- Główny śledczy: Atiporn Ingsathit, MD, PhD, Ramathibodi Hospital, Mahidol University
- Główny śledczy: Win Techakehakij, MD, PhD, Lampang Hospital
- Główny śledczy: Phanida Krittayapoositpot, MD, Dementia Association of Thailand
- Główny śledczy: Worawan Chailimpamontri, MD, Bhumibol Adulyadej Hospital
- Główny śledczy: Ampika Mangklabruks, MD, Faculty of medicine, Chiangmai University
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów
Zakończenie podstawowe (Oczekiwany)
Ukończenie studiów (Oczekiwany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Oszacować)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Zaburzenia psychiczne
- Zaburzenia metabolizmu glukozy
- Choroby metaboliczne
- Choroby mózgu
- Choroby ośrodkowego układu nerwowego
- Choroby Układu Nerwowego
- Choroby Układu Oddechowego
- Choroby Urologiczne
- Zaburzenia neurokognitywne
- Choroby układu hormonalnego
- Niewydolność nerek
- Choroby układu krążenia
- Cukrzyca
- Choroby nerek
- Niewydolność nerek, przewlekła
- Choroby płuc
- Choroby płuc, obturacyjne
- Choroba płuc, przewlekła obturacja
- Demencja
Inne numery identyfikacyjne badania
- CMR-571
- HSRI 59-069 (Inny numer grantu/finansowania: Health System Research Institute)
- TCTR20161116001 (Identyfikator rejestru: Thai Clinical Trials Registry)
- 59-00-0228 (Inny numer grantu/finansowania: Thai Health Promotion Foundation)
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .
Badania kliniczne na 4 x 4 lifestyle modification
-
Norwegian University of Science and TechnologySt. Olavs HospitalZakończony
-
Hospices Civils de LyonZakończony
-
Assiut UniversityNieznanyPrzewlekła białaczka limfocytowa
-
Mediprobe Research Inc.Emblation LimitedRekrutacyjny
-
Ananda Basu, MDNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK); DexCom... i inni współpracownicyZakończonyCukrzyca typu 1Stany Zjednoczone
-
Daniel Hägi-PedersenCopenhagen Trial Unit, Center for Clinical Intervention ResearchZakończony
-
Emergent BioSolutionsZakończony
-
University of California, San FranciscoXencor, Inc.Aktywny, nie rekrutującyCzerniak przerzutowy | Zaawansowany czerniakStany Zjednoczone
-
Ixchelsis LimitedZakończony
-
Alexza Pharmaceuticals, Inc.Atlanta Center for Medical ResearchZakończonyWolontariusze na przewlekłych, stabilnych schematach przeciwpsychotycznychStany Zjednoczone