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临床试验/NCT05055154
NCT05055154已完成不适用

Oxidative Stress and L-CBMN Cytome Assay Parameters Levels in Severely Obese With BMI ≥ 35kg/m2 After 3 Weeks 567 kcal Hospital Controlled VLCD

Special Hospital for Extended Treatment of Duga Resa2 个研究点 分布在 1 个国家目标入组 26 人开始时间: 2019年6月14日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
26
试验地点
2
主要终点
The changes in body mass index

研究概览

简要总结

Obesity leads to physiological imbalance resulting in hyperglycemia, dyslipidaemia and inflammation and can generate systematic oxidative stress through multiple biochemical mechanisms. Oxidative stress (OS) can induce DNA damage and inhibit DNA repair mechanisms. Very low calorie diet (VLCD) have rapid positive effect on weight loss, glucose homeostasis, insulin resistance, inflammation and OS. The aim of this study is to determine the effect of a three-week VLCD on anthropometric, biochemical and genomic parameters in individuals with BMI ≥ 35kg/m2.

详细描述

Obesity is a complex chronic multifactorial disease associated with concomitant or increased risk for chronic inflammation, insulin resistance, dyslipidemia, oxidative stress, type 2 diabetes, cardiovascular disease, stroke and multiple cancer types. Oxidative stress (OS) can cause permanent DNA damage which could be detected with lymphocytes cytokinesis-block micronucleus (L-CBMN) cytome assay. Weight loss and improvement of dietary habits in people with obesity can affect genome stability and have beneficial effects on insulin sensitivity, inflammation and OS. Effects of very low calorie diet (VLCD) on DNA damage are scarce. The aim of this study is to determine the effect of a three-week VLCD used in Special Hospital for extended treatment of Duga Resa in patients with BMI ≥ 35kg/m2 on permanent DNA damage, lipid profile, insulin resistance, inflammation and anthropometric parameters.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • body mass index ≥ 35 kg/m2

排除标准

  • pregnancy
  • actual tumor diseases
  • recent diagnostic or treatment exposures to ionizing radiation in the period of one year
  • individuals not willing to stay 3 weeks under supervision under full 24 h surveillance from the medical stuff

结局指标

主要结局

The changes in body mass index

时间窗: Baseline, after 3 weeks of VLCD

Body mass index is calculated by dividing body mass (kg) with square of body height (m)

The changes in the body fat mass

时间窗: Baseline, after 3 weeks of VLCD

Body fat mass (kg) assessed with bioelectrical impedance method

The changes in the skeletal muscle mass

时间窗: Baseline, after 3 weeks of VLCD

Skeletal muscle mass (kg) assessed with bioelectrical impedance method

The changes in the percent body fat

时间窗: Baseline, after 3 weeks of VLCD

Percent body fat (%) assessed with bioelectrical impedance method

The changes in fasting glucose concentration

时间窗: Baseline, after 3 weeks of VLCD

Concentration of glucose (mmol/L)

The changes in urea concentration

时间窗: Baseline, after 3 weeks of VLCD

Concentration of urea (mmol/L)

The changes in lipid profile

时间窗: Baseline, after 3 weeks of VLCD

Concentrations of triglycerides (mmo/L), LDL (mmol/L), HDL (mmol/L) cholesterol (mmol/L)

The changes in insulin concentration

时间窗: Baseline, after 3 weeks of VLCD

Concentration of insulin (mIU/L)

The changes in homeostatic model assessment (HOMA) index

时间窗: Baseline, after 3 weeks of VLCD

HOMA index is calculated according to the following formula: glucose (mmol/L) x insulin (mIU/L)/22.5

The changes in inflammation parameters

时间窗: Baseline, after 3 weeks of VLCD

Concentration of C-reactive protein (mg/L) and total white blood cell count

次要结局

  • The changes in oxidative stress(Baseline, after 3 weeks of VLCD)
  • The changes in DNA damage(Baseline, after 3 weeks of VLCD)

研究者

发起方
Special Hospital for Extended Treatment of Duga Resa
申办方类型
Other Gov
责任方
Sponsor

研究点 (2)

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