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Assessments of Dietary Restrictions in Young and Elderly Obese Men : Metabolism Obesity Nutrition Age

Not Applicable
Completed
Conditions
Obesity
Interventions
Other: dietary restrictions
Registration Number
NCT02161926
Lead Sponsor
University Hospital, Toulouse
Brief Summary

The prevalence of obesity is growing in elderly with heavy consequences in term of medical complications and mortality, so that this is nowadays an important public health issue.

The major therapeutic solution is dietary restrictions, but and the advantages and the metabolic consequences are not well known in elderly. The MONA study main aim is to assess the metabolic changes in this population, after dietary restrictions, compared to young people.

Detailed Description

Primary endpoint : Study the metabolic adaptations of the subcutaneous adipose tissue after a diet in elderly obese men compared to young obese men.

Secondary endpoints : Study the metabolic adaptations of skeletal muscle, the genetic adaptations of subcutaneous adipose tissue and skeletal muscle, the inflammatory and fibrosis modifications of subcutaneous adipose tissue, the insulinosensibility modifications, the modifications on the physical composition, modifications of the energy expenditure in resting state and the oxidation of the substrata, study the lipoproteins metabolism and identify new biomarkers. All those endpoints are studied comparing elderly obese subjects versus young obese subjects.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
71
Inclusion Criteria
  • 30 < years old < 40 OR 60 < years old < 70
  • obesity : 30 < BMI < 40
  • stable blood pressure (diastolic <90mmHg, systolic < 140mmHg)
  • glycemia < 1,26g/L, LDL cholest <1,9-1,6g/L, Triglycerides <2,5g/L
  • risk factors concerning high blood pressure, diabetes and dyslipidemia under control
Exclusion Criteria
  • Insulin dependent diabetes, non-insulin dependent diabetes
  • high blood pressure
  • dyslipidemia
  • history of cardiovascular diseases or bariatric surgery
  • undernutrition
  • HbA1C >7%
  • non authorized treatments : Glucagon-like peptide-1 agonists,
  • incapacity to do physical activity

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
obese men from 60 to 70 years olddietary restrictionsDietary restrictions in obese men (30\<Body Mass Index\<40 kg/m2)
obese men from 30 to 40 years olddietary restrictionsDietary restrictions in obese men (30\<Body Mass Index\<40 kg/m2)
Primary Outcome Measures
NameTimeMethod
Lipolysis at resting and during physical activity testChange after 8 weeks dietary restrictions

Determine lipolysis at resting and during physical activity test by microdialysis, before dietary restrictions and after dietary restrictions (20% dietary restrictions)

Secondary Outcome Measures
NameTimeMethod
Metabolic parameters in skeletal muscleChange after 8 weeks dietary restrictions

To assess metabolic parameters before dietary restrictions and after dietary restrictions (20 % dietary restrictions)

Genetic markersChange after 8 weeks dietary restrictions

To assess genetic markers in adipose tissue and skeletal tissue before dietary restrictions and after dietary restrictions

insulinosensibilityChange after 8 weeks dietary restrictions

To determine insulinosensibility before dietary restrictions and after dietary restrictions (20 % dietary restrictions)

Fibrosis and inflammatory markers in adipose tissueChange after 8 weeks dietary restrictions

To assess markers in adipose tissue before dietary restrictions and after dietary restrictions (20 % dietary restrictions)

Fat and muscles rates in the whole bodyChange after 8 weeks dietary restrictions

To determine fat and muscles rates by Dexa before dietary restrictions and after dietary restrictions

Lipoproteins metabolismChange after 8 weeks dietary restrictions

Before dietary restrictions and after dietary restrictions

biomarkers identificationChange after 8 weeks dietary restrictions

New urinary and intestinal biomarkers identification, before dietary restrictions and after dietary restrictions

Energetic consumptionChange after 8 weeks dietary restrictions

energetic consumption at resting and during physical activity, before dietary restrictions and after dietary restrictions

Trial Locations

Locations (1)

University Hospital Toulouse

🇫🇷

Toulouse, France

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