Pilot Project on Interdisciplinary Therapy of Obesity

NCT ID: NCT01344525

Last Updated: 2018-10-26

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

RECRUITING

Clinical Phase

NA

Total Enrollment

480 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-05-31

Study Completion Date

2029-05-31

Brief Summary

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Obese individuals that undergo major intervention such as a low-calorie formula diet program or bariatric surgery with the result of substantial weight loss (\> 10%) are included and followed-up for at least 3 years. Weight changes and excess weight loss as well as measures of quality of life are monitored. In addition, biomaterials will be collected from these individuals every 6 months for measurement of parameters related to obesity-associated gastrointestinal (GI) impairments such as change in GI hormone levels, change in GI microbiota, or enhanced bacterial translocation. Moreover, micronutrient and metabolomics analysis will be performed. This project allows comparison of non-surgical and surgical intervention and enables to asses the anticipated relationship between obesity and the GI tract in humans in the future.

Detailed Description

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A database and a biomaterial bank will be established to assess, if the role of the gut for the development of obesity and obesity-related diseases such as fatty liver are of relevance in humans, e.g. for classification of afflicted individuals regarding risk or outcome after intervention. During 3 years, the investigators will include 480 obese individuals (4 cohorts of 120 individuals) who undergo a treatment program (either surgical or non-surgical), and follow them up for at least 3 years. Every 6 months, a visit is planned at the obesity center where the initial intervention has been performed. Within the visits, anthropometry (Body Mass Index (BMI), excess body weight (EBW), bioelectrical impedance analysis (BIA)), quality of life (SF36 score, Impact Of Weight On Quality Of Life (IWQOL) questionnaire), and sample collection for laboratory analyses (inflammatory markers, hormones, flora composition, micronutrients, metabolomics etc.) will be performed. Patients will be recruited from 3 centers in Germany. The long-term expectation from this model project is to find gastrointestinal parameters allowing to predict outcome and sustainability of different intervention strategies. In addition, intervention programs will be compared regarding long-term outcome and quality of life changes.

Conditions

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Obesity Weight Loss

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control group

Nutritional counselings every 6 months, no further intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

"low-calorie-diet (LCD)"-based lifestyle intervention

12 months multidisciplinary weight loss program including three months low-calorie formula diet (800 kcal) (OPTIFAST®52 program)

Group Type EXPERIMENTAL

Multidisciplinary lifstyle intervention

Intervention Type PROCEDURE

Multidisciplinary lifstyle intervention (OPTIFAST®52-program)

Laparoscopic gastric sleeve intervention

Group Type EXPERIMENTAL

Laparoscopic gastric sleeve

Intervention Type PROCEDURE

Laparoscopic gastric sleeve

Conventional bariatric surgery

Gastric Banding and Gastric Bypass

Group Type EXPERIMENTAL

Gastric Banding

Intervention Type PROCEDURE

Gastric Banding

Roux-en-Y Bypass

Intervention Type PROCEDURE

Roux-en-Y Bypass

Interventions

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Laparoscopic gastric sleeve

Laparoscopic gastric sleeve

Intervention Type PROCEDURE

Gastric Banding

Gastric Banding

Intervention Type PROCEDURE

Multidisciplinary lifstyle intervention

Multidisciplinary lifstyle intervention (OPTIFAST®52-program)

Intervention Type PROCEDURE

Roux-en-Y Bypass

Roux-en-Y Bypass

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adults (18-65 years at time of inclusion)
* Obesity defined as BMI \> 30 kg/m2
* Obesity treatment (multidisciplinary life style intervention with LCD or bariatric surgery) resulting in an estimated body weight loss of \>10% of the initial body weight within 6 month

Exclusion Criteria

* Body weight loss after intervention \< 10%
* Follow-up period \< 1 year or number of consultations within 3 years \< 3
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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German Federal Ministry of Education and Research

OTHER_GOV

Sponsor Role collaborator

University of Hohenheim

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephan C. Bischoff, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

University of Hohenheim, Institute of Nutritional Medicine

Locations

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University of Heidelberg

Heidelberg, , Germany

Site Status RECRUITING

University of Hohenheim

Stuttgart, , Germany

Site Status RECRUITING

University of Tübingen

Tübingen, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Antje Damms-Machado, Dipl. troph.

Role: CONTACT

+49 711 451017707

Katrin Stingel, Dipl. troph.

Role: CONTACT

+49 711 451017705

References

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Damms-Machado A, Louis S, Schnitzer A, Volynets V, Rings A, Basrai M, Bischoff SC. Gut permeability is related to body weight, fatty liver disease, and insulin resistance in obese individuals undergoing weight reduction. Am J Clin Nutr. 2017 Jan;105(1):127-135. doi: 10.3945/ajcn.116.131110. Epub 2016 Nov 9.

Reference Type DERIVED
PMID: 28049662 (View on PubMed)

Damms-Machado A, Mitra S, Schollenberger AE, Kramer KM, Meile T, Konigsrainer A, Huson DH, Bischoff SC. Effects of surgical and dietary weight loss therapy for obesity on gut microbiota composition and nutrient absorption. Biomed Res Int. 2015;2015:806248. doi: 10.1155/2015/806248. Epub 2015 Feb 1.

Reference Type DERIVED
PMID: 25710027 (View on PubMed)

Damms-Machado A, Weser G, Bischoff SC. Micronutrient deficiency in obese subjects undergoing low calorie diet. Nutr J. 2012 Jun 1;11:34. doi: 10.1186/1475-2891-11-34.

Reference Type DERIVED
PMID: 22657586 (View on PubMed)

Damms-Machado A, Friedrich A, Kramer KM, Stingel K, Meile T, Kuper MA, Konigsrainer A, Bischoff SC. Pre- and postoperative nutritional deficiencies in obese patients undergoing laparoscopic sleeve gastrectomy. Obes Surg. 2012 Jun;22(6):881-9. doi: 10.1007/s11695-012-0609-0.

Reference Type DERIVED
PMID: 22403000 (View on PubMed)

Other Identifiers

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OGIT-FKZ01GI0843

Identifier Type: -

Identifier Source: org_study_id

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