Translational Study for Obesity Management in Mexican Adults Using the "Group Lifestyle Balance Program" (GLBOMEX)
20 maj 2016 uppdaterad av: 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.
Studieöversikt
Status
Okänd
Intervention / Behandling
Studietyp
Interventionell
Inskrivning (Faktisk)
258
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
Sonora
-
Hermosillo, Sonora, Mexiko, 83000
- Centro de Promoción de Salud Nutricional (CPSN)
-
Hermosillo, Sonora, Mexiko, 83000
- Centro de Salud Urbano Dr. Domingo Olivares
-
Hermosillo, Sonora, Mexiko, 83000
- Hospital General del Estado de Sonora
-
Hermosillo, Sonora, Mexiko, 83000
- Hospital Ignacio Chávez
-
Hermosillo, Sonora, Mexiko, 83180
- Centro Avanzado de Atención a la Salud (CAAPS)
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år till 65 år (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
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
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: 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:
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
|---|---|
|
Change in body weight
Tidsram: 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
|
Sekundära resultatmått
Resultatmått |
Tidsram |
|---|---|
|
Change in waist circumference
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: Change in fasting glucose from baseline to 12 months
|
Change in fasting glucose from baseline to 12 months
|
|
Change in total cholesterol
Tidsram: Change in total colesterol from baseline to 12 months
|
Change in total colesterol from baseline to 12 months
|
|
Change in LDL-cholesterol
Tidsram: Change in LDL-cholesterol from baseline to 12 months
|
Change in LDL-cholesterol from baseline to 12 months
|
|
Change in HDL-cholesterol
Tidsram: Change in HDL-cholesterol from baseline to 12 months
|
Change in HDL-cholesterol from baseline to 12 months
|
|
Change in triglycerides
Tidsram: Change in triglycerides from baseline to 12 months
|
Change in triglycerides from baseline to 12 months
|
|
Change in fasting insulin
Tidsram: Change in fasting insulin from baseline to 12 months
|
Change in fasting insulin from baseline to 12 months
|
|
Change in HOMA-IR
Tidsram: 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]
Tidsram: Change in liver enzymes [AST and ALT] from baseline to 12 months
|
Change in liver enzymes [AST and ALT] from baseline to 12 months
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Huvudutredare: Rolando G Díaz, Ph.D., Universidad de Sonora
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 september 2015
Primärt slutförande (Förväntat)
1 april 2017
Avslutad studie (Förväntat)
1 april 2017
Studieregistreringsdatum
Först inskickad
25 augusti 2015
Först inskickad som uppfyllde QC-kriterierna
28 augusti 2015
Första postat (Uppskatta)
2 september 2015
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
23 maj 2016
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
20 maj 2016
Senast verifierad
1 maj 2016
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- DPPMEX-077
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .