Effect Of Biomechanical Stimulation On Skeletal Health In Adolescent And Young Women With Anorexia Nervosa

NCT ID: NCT01100567

Last Updated: 2017-05-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2015-05-31

Brief Summary

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This study will evaluate the effects of a novel, non-pharmacologic intervention for the prevention of deleterious changes in bone density and strength in adolescents with anorexia nervosa (AN), a disease commonly treated with extended periods of bed rest and immobilization. The primary focus of the trial is to conduct a prospective short-term intervention to prevent an uncoupling of bone turnover in inpatients hospitalized for AN, and to determine the long-term effects of a biomechanical intervention on skeletal health in ambulatory adolescents with AN.

Detailed Description

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Conditions

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Anorexia Nervosa

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Placebo platform

Randomized to stand on placebo platform for 10 minutes/day

Group Type PLACEBO_COMPARATOR

Low-magnitude mechanical stimulation platform

Intervention Type DEVICE

Low-magnitude mechanical stimulation platform

Low-magnitude mechanical stimulation

Randomized to stand on LMMS platform 10 minutes/daily

Group Type ACTIVE_COMPARATOR

Low-magnitude mechanical stimulation platform

Intervention Type DEVICE

Low-magnitude mechanical stimulation platform

Interventions

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Low-magnitude mechanical stimulation platform

Low-magnitude mechanical stimulation platform

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age 11-25 years
* Diagnosis of anorexia nervosa based on DSM-IV criteria
* Female gender
* English-speaking

Exclusion Criteria

* • Concomitant chronic diseases which affect bone health, such as cystic fibrosis, inflammatory bowel disease, celiac disease, renal disease, or diabetes mellitus

* Use of medications known to affect bone metabolism in the last 3 months, such as:

* Glucocorticoid therapy (including inhaled steroids)
* Anticonvulsants
* Combined estrogen/progestin contraceptive agents (oral contraceptive pills)
* Depot medroxyprogesterone (Depo-Provera) use in the last 12 months
* Current pregnancy
Minimum Eligible Age

11 Years

Maximum Eligible Age

25 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

Boston Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Amy DiVasta

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amy D DiVasta, MD, MMSc

Role: PRINCIPAL_INVESTIGATOR

Boston Children's Hospital

Locations

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Children's Hospital Boston

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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DiVasta AD, Stamoulis C, Rubin CT, Gallagher JS, Kiel DP, Snyder BD, Gordon CM. Low-Magnitude Mechanical Signals to Preserve Skeletal Health in Female Adolescents With Anorexia Nervosa: A Randomized Clinical Trial. JAMA Netw Open. 2024 Oct 1;7(10):e2441779. doi: 10.1001/jamanetworkopen.2024.41779.

Reference Type DERIVED
PMID: 39480424 (View on PubMed)

Lin JA, Stamoulis C, DiVasta AD. Associations between nutritional intake, stress and hunger biomarkers, and anxiety and depression during the treatment of anorexia nervosa in adolescents and young adults. Eat Behav. 2023 Dec;51:101822. doi: 10.1016/j.eatbeh.2023.101822. Epub 2023 Oct 26.

Reference Type DERIVED
PMID: 38504970 (View on PubMed)

Other Identifiers

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08-10-0461

Identifier Type: -

Identifier Source: org_study_id

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