Low-calorie Diet and Body Composition Prior to Roux-en-Y Gastric Bypass

NCT ID: NCT02144597

Last Updated: 2021-03-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2014-04-30

Brief Summary

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Losing weight before undergoing Roux-en-Y gastric bypass (RYGB) surgery may reduce liver fat content and size thereby improving surgical outcomes. This study aims to investigate whether a 2-week or 6-week pre-operative liquid formula low-calorie diet (LCD) reduces liver fat further than a conventional food diet prior to RYGB using magnetic resonance imaging (MRI). The hypothesis is that the 2-week and 6-week liquid formula LCD will reduce liver fat further than the conventional food pre-operative diet.

Detailed Description

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The morbidly obese subjects (BMI higher then 40 kg/m2) were randomised and assessed at baseline (week 0). After 2 weeks on a low-calorie diet (LCD), participants underwent either Roux-en-Y gastric bypass (RYGB) or continued with a LCD for 4 weeks.The participants will reassess at week 6.

Conditions

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Morbid Obesity Liver Fat

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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2-week LCD and Roux-en-Y gastric bypass (RYGB)

A 2-week liquid formula low-calorie diet (LCD) will be administered for 2 weeks prior to Roux-en-Y gastric bypass. The diet will provide 800kcal per day in the form of powdered milkshakes and soups

Group Type ACTIVE_COMPARATOR

Liquid formula low-calorie diet (LCD)

Intervention Type DIETARY_SUPPLEMENT

The liquid formula low-calorie diet (LCD) will provide 800kcal/day from powdered milkshakes and soups. The diet will be provided by Cambridge Weight Plan.

Roux-en-Y gastric bypass (RYGB)

Intervention Type PROCEDURE

Participant went through Roux-en-Y gastric bypass (RYGB) surgery

6-week LCD

A 6-week liquid formula low-calorie diet (LCD) will be administered for 6 weeks prior to Roux-en-Y gastric bypass. The diet will provide 800kcal per day in the form of powdered milkshakes and soups

Group Type ACTIVE_COMPARATOR

Liquid formula low-calorie diet (LCD)

Intervention Type DIETARY_SUPPLEMENT

The liquid formula low-calorie diet (LCD) will provide 800kcal/day from powdered milkshakes and soups. The diet will be provided by Cambridge Weight Plan.

Control diet

1000 calorie diet

Group Type OTHER

Roux-en-Y gastric bypass (RYGB)

Intervention Type PROCEDURE

Participant went through Roux-en-Y gastric bypass (RYGB) surgery

Control diet

Intervention Type OTHER

Interventions

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Liquid formula low-calorie diet (LCD)

The liquid formula low-calorie diet (LCD) will provide 800kcal/day from powdered milkshakes and soups. The diet will be provided by Cambridge Weight Plan.

Intervention Type DIETARY_SUPPLEMENT

Roux-en-Y gastric bypass (RYGB)

Participant went through Roux-en-Y gastric bypass (RYGB) surgery

Intervention Type PROCEDURE

Control diet

Intervention Type OTHER

Other Intervention Names

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LCD LED Cambridge Weight Plan

Eligibility Criteria

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Inclusion Criteria

* patients undergoing Roux-en-Y gastric bypass at Imperial Weight Centre
* aged 18 to 60 years
* boby mass index of 35 to 55 kg/m2

Exclusion Criteria

* Claustrophobia
* Pacemaker, metal implant, clips, implanted device, shrapnel or bullets, metal in eyes that precludes magnetic resonance imaging
* Current pregnancy or breast feeding for females (as determined by a pregnancy test)
* A full term pregnancy within the last year for females
* Treatment with any medication that might affect the study outcomes
* Haemorrhagic disorders and anticoagulant treatment
* History of cancer, excluding skin cancer
* History of severe or multiple allergies, severe adverse drug reaction or leucopenia
* Smokers
* Regular drinkers of more than three units of alcohol daily
* History of, or current evidence of, abuse of alcohol or any drug substance, licit or illicit
* Regular intake of over-the-counter (OTC) medication (other than the occasional paracetamol/aspirin)
* Poor compliers or subjects unlikely to commit to the 26 week study duration
* Blood donation within the 12 week period before the initial study dose
* Use of monoamine oxidase inhibitors (MAOIs) as anti depressant
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cambridge Weight Plan Limited

INDUSTRY

Sponsor Role collaborator

Imperial College London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Prof Gary S Frost, RD PhD

Role: PRINCIPAL_INVESTIGATOR

Imperial College London

Locations

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Imperial Clinical research facility

London, Greater London, United Kingdom

Site Status

Countries

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United Kingdom

References

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Bottin JH, Balogun B, Thomas EL, Fitzpatrick JA, Moorthy K, Leeds AR, Bell JD, Frost GS. Changes in body composition induced by pre-operative liquid low-calorie diet in morbid obese patients undergoing Roux-en-Y gastric bypass. Obesity reviews (March 2014), 15 (suppl 2): 129-176. (T5:S24.05). doi: 10.1111/obr.12151

Reference Type RESULT

Other Identifiers

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CRO1668

Identifier Type: -

Identifier Source: org_study_id

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