Physical Activity and Protein Supplementation After Bariatric Surgery (PAPAB)

NCT ID: NCT02128698

Last Updated: 2016-10-26

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2015-11-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to determine wether regular physical activity in combination with protein supplementation after bariatric surgery can reduce the loss of muscle mass and wether a computer-assisted exercise program is more effective than a usual exercise program regarding frequency of physical activity, fitness and muscular strength.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Bariatric surgery has become a major treatment option for severe obesity in adults. Despite the advantages of bariatric surgery, attention needs to be paid to the possible risks following the surgical treatment. Postoperative risks include protein deficiency and pronounced muscle mass loss. Indeed, numerous studies indicate a significant reduction in lean body mass resulting from protein deficiency after bariatric surgery.

Dietary proteins have shown to play an important role in body weight regulation. A protein-rich diet attains satiety and thereby facilitates reduction in overall energy intake. It has also shown to enhance food-induced thermogenesis. Furthermore, a protein-rich diet - ideally in combination with exercise - preserves lean body mass and thus resting energy expenditure leading to an improvement of long-term energy balance. Therefore, protein-rich diets or protein supplements, respectively, might facilitate weight loss, especially body fat loss and protect against loss in muscle mass in patients who underwent bariatric surgery. The aim of the present randomized, placebo-controlled, double blind pilot study was to test the possible benefit of proteins in combination with exercise in patients undergoing bariatric surgery, and to examine, whether computer-assisted exercise is advantageous when comparing it to a usual exercise program using written exercise instructions. Therefore, we study the influence of postoperative protein supplementation in combination with computer-assisted exercise on body composition changes, and body weight reduction, as well as physical fitness, protein status and muscle function in obese patients after bariatric surgery.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Bariatric Surgery Candidate

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Bariatric surgery Protein supplementation Physical activity Muscle mass Weight loss Physical fitness Muscle strength

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Protein and computer-assisted exercise

Patient group which takes daily protein supplements and is advised to do exercise 4 times per week by using Nintendo Wii Balance Board and Wii Fit Plus Software during 6 months after bariatric surgery.

Group Type EXPERIMENTAL

Protein

Intervention Type DIETARY_SUPPLEMENT

Postoperative intake of 25 g per day starting on the first day after hospital discharge until 6 months postoperatively.

Computer-assisted exercise

Intervention Type BEHAVIORAL

Postoperative regular computer-assisted exercise using Nintendo Wii Mini, Nintendo Wii Balance Board and Wii Fit Plus Software. Exercise is advised to be done 4 times per week.

Placebo and computer-assisted exercise

Patient group which takes daily control product and is advised to do exercise 4 times per week by using Nintendo Wii Balance Board and Wii Fit Plus Software during 6 months after bariatric surgery.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Postoperative intake of 25 g per day starting on the first day after hospital discharge until 6 months postoperatively.

Computer-assisted exercise

Intervention Type BEHAVIORAL

Postoperative regular computer-assisted exercise using Nintendo Wii Mini, Nintendo Wii Balance Board and Wii Fit Plus Software. Exercise is advised to be done 4 times per week.

Protein and usual exercise

Patient group which takes daily protein supplements and is advised to do exercise 4 times per week by using written exercise instructions during 6 months after bariatric surgery.

Group Type ACTIVE_COMPARATOR

Protein

Intervention Type DIETARY_SUPPLEMENT

Postoperative intake of 25 g per day starting on the first day after hospital discharge until 6 months postoperatively.

Usual exercise

Intervention Type BEHAVIORAL

Postoperative regular exercise using written exercise instructions. Exercise is advised to be done 4 times per week.

Placebo and usual exercise

Patient group which takes daily control product and is advised to do exercise 4 times per week by using written exercise instructions during 6 months after bariatric surgery.

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Postoperative intake of 25 g per day starting on the first day after hospital discharge until 6 months postoperatively.

Usual exercise

Intervention Type BEHAVIORAL

Postoperative regular exercise using written exercise instructions. Exercise is advised to be done 4 times per week.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Protein

Postoperative intake of 25 g per day starting on the first day after hospital discharge until 6 months postoperatively.

Intervention Type DIETARY_SUPPLEMENT

Placebo

Postoperative intake of 25 g per day starting on the first day after hospital discharge until 6 months postoperatively.

Intervention Type DIETARY_SUPPLEMENT

Computer-assisted exercise

Postoperative regular computer-assisted exercise using Nintendo Wii Mini, Nintendo Wii Balance Board and Wii Fit Plus Software. Exercise is advised to be done 4 times per week.

Intervention Type BEHAVIORAL

Usual exercise

Postoperative regular exercise using written exercise instructions. Exercise is advised to be done 4 times per week.

Intervention Type BEHAVIORAL

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Resource Instant Protein 88, Néstle Health Nutrition Resource Maltodextrin, Néstle Health Nutrition

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Age of 18 - 65 years
* Body weight of ≤ 150 kg
* BMI \> 35 kg/m2
* Indication for laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. The decision about the type of surgery is performed independent of the study by the surgeons in charge according to the German S3 guideline.

Exclusion Criteria

* Kidney diseases of any kind
* Serious gastrointestinal diseases (e.g. Morbus Crohn, Colitis Ulcerosa, etc.)
* Serious musculoskeletal diseases
* Serious heart diseases (Myocardial infarction, stent implantation, stroke, etc.)
* Intake of blood thinning medicine (e.g. ASS, Marcumar, etc.)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

University Hospital Tuebingen

OTHER

Sponsor Role collaborator

University of Hohenheim

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Alfred Königsrainer, Professor

Role: STUDY_DIRECTOR

Department of General, Visceral, and Transplant Surgery, University Hospital of Tübingen, Tübingen, Germany

Tobias Meile, MD

Role: PRINCIPAL_INVESTIGATOR

Department of General, Visceral, and Transplant Surgery, University Hospital of Tübingen, Tübingen, Germany

Stephan C Bischoff, Professor

Role: STUDY_CHAIR

Department of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Department of General, Visceral, and Transplant Surgery, University Hospital of Tübingen

Tübingen, , Germany

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Germany

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

ZEM_Minigrad_CH

Identifier Type: -

Identifier Source: org_study_id