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Mobile Health (M-health) Intervention to Reduce the Epigenetic Signature in Metabolic Syndrome (MetS)

Not Applicable
Recruiting
Conditions
Obesity
Metabolic Syndrome
Interventions
Other: mobile health lifestyle intervention
Registration Number
NCT06448806
Lead Sponsor
Aga Khan University
Brief Summary

The goal of this interventional study is to learn about the improvement in body composition effects of lifestyle intervention in subjects with metabolic syndrome. The main question it aims to answer is:

Does life style intervention lower body fat% and gene methylation levels in subjects with metabolic syndrome? Participants will answer survey questions and get blood and body composition testing done at day 0, at 6 months and 12 months. Keep a diary of their food and activity and the number of times they use mobile health application.

Detailed Description

This is same as above.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
50
Inclusion Criteria
  1. Less than 5 kg body weight fluctuation in the 6 months prior to recruitment.
  2. Ideal body weight for height falling according to the South Asian Criteria as per WHO recommended i.e. Body Mass Index (BMI) of 18.5 to 22.9 kg/m2 (normal-weight) and above 23kg/m2 (overweight/ obese).
  3. Any one of the following characteristics "according to the modified National Cholesterol Education Program (NCEP) ATPIII guidelines i) waist circumference ii) hyper triglyceridemia (triglycerides ≥150 mg/dl) or low High density lipoprotein (HDL) cholesterol (HDL cholesterol ≤40 mg/dl for men and ≤50 mg/dl for women iii) elevated blood pressure (systolic blood pressure ≥130 mmHg and/or diastolic blood pressure ≥85 mmHg or current use of antihypertensive drugs) iv) impaired fasting glucose (fasting plasma glucose ≥100mg/dl) v) waist circumference (90 cm in men and 80 cm in women)".
  4. Have access to a smart phone/mobile and not using the fitness application
Exclusion Criteria
  1. Age <18 or above 65 year
  2. Pregnant women
  3. Individuals with other comorbidities such as cancers, hepatic and/or renal impairment, or on hormonal supplements and/or anti-inflammatory drugs etc.
  4. Unfit for blood testing or no smart phone available

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Lifestyle modification through m-healthmobile health lifestyle interventionIndividuals recruited will be followed for a year and offered lifestyle intervention
Primary Outcome Measures
NameTimeMethod
Weight in kilograms, height in meter (will be combined to report BMI in kg/m^2)one year

A weighing scale will be used for this and values recorded on a questionnaire

Advance glycation end product (U/mL) from serumone year

This serum biomarker level will be assessed by Enzyme linked immunosorbent assay (ELISA) at the laboratory. Values will be recorded as Units per milliliter on a questionnaire.

Body fat percentage1 year

Body composition will be measured by Bioelectrical impedance matching (BIA) and computerized topography (CT) scans. The reports will be shared with the participants and values will be recorded on a questionnaire.

Secondary Outcome Measures
NameTimeMethod
Methylation level of genes1 year

From the blood samples collected, DNA will be used to measure the methylation level of genes of interest such as Leptin, Ghrelin, fat mass obesity, chemerin etc. These molecular biology testing of this physiological parameter will be conducted in the laboratory and results will be recorded on a questionnaire.

Meal quality and calorie count1 year

Participants will be asked to make a meal diary and write all their food intake and physical activity on a mobile app. They will share their monthly progress with the investigator via WhatsApp (m-health) .

Trial Locations

Locations (1)

DBBS

🇵🇰

Karachi, Sind, Pakistan

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