Maâthermes: Spa Treatment for Overweight and Obesity

NCT ID: NCT01258114

Last Updated: 2010-12-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Study Completion Date

2010-12-31

Brief Summary

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Public health campaigns and industry-supported changes in our food supply have obviously failed to control the epidemic to date. However, customized life style modification programs (LSMP) comprising diet, physical activity and behavioral therapy (a set of principles designed to help patients achieve their goals) induce weight loss of 10% of baseline body weight after 16 to 26 weeks of intervention . Long-term weight control is then facilitated by an appropriate weight-loss maintenance strategy such as continued patient-therapist contact (whether provided in person or by telephone or e-mail). This strategy allows patients to stabilize at an average of 5% and 3% loss of baseline body weight after 1 and 2 years, respectively. Numerous reports have concluded that this modest weight loss contributes to important health benefits.

However, the high dropout rate during weight-management strategies presumably means that treatment is mainly effective in highly motivated patients, as the highest success rates are likely to be reported among study completers. Many individuals appear to conclude that the benefits of weight-management strategies are not worth the cost (i.e. time, money, and continued unrewarding efforts). This underlines the critical need to implement new, practical and affordable strategies to induce and maintain weight loss that can be achieved by most patients.

The main objective of this study is to test the hypothesis that a 3 week intensive course of spa therapy can reduce the weight (and/or BMI) of overweight or obese patient at 14 months (BMI from 27 to 35).

Detailed Description

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Spa therapy, or mineral spring water therapy, is a 3-week LSMP that has been shown to be sufficiently effective to control overweight and obesity to be approved and subsidized by French national health insurance. However, good quality scientific evidence is still required to support the benefit of spa therapy. An unpublished pilot study conducted in 2004, in several French spa resorts, showed that an additional 25% decrease in BMI was obtained for overweight and obese individuals enrolled in spa therapy as compared to individuals receiving classic weight management (-1.4 kg/m² and -1.05 kg/m2 respectively). However, no scientific conclusions can be drawn in the absence of relevant methodological and clinical information. This multicenter, controlled trial was designed to obtain sufficient statistical power to assess the benefits of spa therapy based on an evidence- based medicine approach.

The primary objective of this study was to assess whether a 3- week course of spa therapy is effective to achieve sustained weight loss over a period of 14 months among overweight and obese individuals

Conditions

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Overweight Obesity

Keywords

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Overweight Obesity Balneotherapy Spa Therapy balneology hydrotherapy SF 12 Nutritional counselling Zelen double consent Lifestyle modification program IMC

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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SPA treatment (ST)

Drug : spa treatment during 18 days soon after randomization the most adapted to the concerned pathology and common to all of spa resorts (mineral water drinking, bath with automatic air (bubble bathing), mud body wrapping, manual massages, water exercises) ;

* nutritional counseling (french nutritional recommendations booklet) ;
* caloric restriction and physical training on demand (non mandatory).

Group Type ACTIVE_COMPARATOR

SPA treatment (ST)

Intervention Type OTHER

Drug: spa treatment soon after randomization :

Spa treatment of 18 days. Spa treatment : the most adapted to the concerned pathology and common to all of spa resorts (mineral water drinking, bath with automatic air (bubble bathing), mud body wrapping, manual massages, water exercises ;

* nutritional counseling (french nutritional recommendations booklet) ;
* caloric restriction and physical training on demand (non mandatory).

Non SPA treatment (NST)

Drug: General practitioner (GP) counselling After randomisation Verbal and/or written advice based on the "French national guidelines for a healthy life style" brochure (given to the patient by the GP at baseline)

Group Type SHAM_COMPARATOR

Non SPA treatment (NST)

Intervention Type OTHER

Drug: General practitioner (GP) counselling After randomisation Verbal and/or written advice based on the "French national guidelines for a healthy life style" brochure (given to the patient by the GP at baseline)

Interventions

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SPA treatment (ST)

Drug: spa treatment soon after randomization :

Spa treatment of 18 days. Spa treatment : the most adapted to the concerned pathology and common to all of spa resorts (mineral water drinking, bath with automatic air (bubble bathing), mud body wrapping, manual massages, water exercises ;

* nutritional counseling (french nutritional recommendations booklet) ;
* caloric restriction and physical training on demand (non mandatory).

Intervention Type OTHER

Non SPA treatment (NST)

Drug: General practitioner (GP) counselling After randomisation Verbal and/or written advice based on the "French national guidelines for a healthy life style" brochure (given to the patient by the GP at baseline)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Both sexes, more than 20 years and less than 70 years old patients with overweight (BMI\>27) or obesity (BMI\<35). Available for a spa treatment during 18 days, and a follow-up period of 14 months
* Voluntary to participate to the study,informed consent form signed after appropriate information
* Affiliation to the social security system or equivalent

Exclusion Criteria

* Previous spa therapy for weight problems
* Pregnancy
* Major eating disorders (compulsive over eating)
* Poor french proficiency
* Involvement in another clinical trial
* Other contra-indications to spa therapy (severe general weakness, inflammatory bowel disease, cirrhosis, severe disability, psychosis and dementia, or Immunodeficiency, cancer in progress).
* Refusal to consent
* Refusal of spa treatment
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Université Joseph Fourier

OTHER

Sponsor Role collaborator

Université Victor Segalen Bordeaux 2

OTHER

Sponsor Role collaborator

HAT Consultant

UNKNOWN

Sponsor Role collaborator

AXONAL S.A.

UNKNOWN

Sponsor Role collaborator

Association Francaise pour la Recherche Thermale

OTHER

Sponsor Role lead

Responsible Party

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Association Francaise pour la Recherche Thermale

Principal Investigators

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Patrick SEROG, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital PARIS

Thierry HANH, MD

Role: STUDY_DIRECTOR

PARIS HAT Consultant

Locations

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Cabinet Médical

Brides-les-Bains, , France

Site Status

Cabinet Medical

Capvern-les-Bains, , France

Site Status

Cabinet Medical

Vals-les-Bains, , France

Site Status

Cabinet Medical

Vichy, , France

Site Status

Cabinet Medical

Vittel, , France

Site Status

Countries

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France

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Other Identifiers

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MAATHERMES

Identifier Type: -

Identifier Source: org_study_id