Diet and Physical Activity on NAFLD and Erytrocyte Membrane Lipid Profile.

NCT ID: NCT02347696

Last Updated: 2016-07-26

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-31

Study Completion Date

2016-12-31

Brief Summary

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This study aims to evaluate the effect of two programs of different intensity level of physical activity, of low glycemic index Mediterranean Diet and of the interaction of both, on NAFLD score and on the lipid composition of the erythrocyte membrane.

Detailed Description

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The surveys conducted on the populations of Castellana Grotte and Putignano (Bari, Italy) evidenced that Non-Alcoholic Fatty liver Disease (NAFLD) reaches a prevalence of 30%, especially among aged and male individuals. Being a crucial outcome of several metabolic alterations, it becomes imperative for Public Health to adopt strategies aimed to control the factors responsible for NAFLD onset.

The objective of this study is to evaluate the effect of two programs of different intensity level of physical activity, of low glycemic index Mediterranean Diet and of the interaction of both, on NAFLD score and on the lipid composition of the erythrocyte membrane.

Study participants responding to the inclusion criteria of this trial will be chosen both in the hospital setting and in the general practitioners' clinics. At the enrollement, anthropometric and biochemical variables will be measured, as well as bioimpedenziometric and calorimetric parameters; participants will also undergo Fibroscan-CAP to measure the outcome and will be asked about their medical history and life-style. Subjects will be randomized to the different arms of the trial and be followed-up at the end of the sixth and the twelfth week of enrollement.

All data will be statistically analysed by applying the Chi-Square test and t-test for discrete and continuous variables, respectively. As it deals with the analysis of data repeatedly measured on the same subject, the Generalized Estimating Equation (GEE) will be applied to evaluate the effect of the intervention on the outcomes.

Conditions

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NAFLD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Control

The subjects will follow a diet based on INRAN guidelines without doing any physical activity.

Group Type OTHER

Control

Intervention Type BEHAVIORAL

Subjects will follow a diet based on INRAN guidelines without doing any physical activity.

LGIMD

The subjects will follow a Low Glycemic Index Mediterranean Diet without doing any physical activity.

Group Type OTHER

LGIMD

Intervention Type BEHAVIORAL

Subjects will follow a Low Glycemic Index Mediterranean Diet (LGIMD) without doing any physical activity.

Endurance Activity (EA)

The subjects will follow a program of endurance (aerobic) activity (EA) without following a specific diet.

Group Type OTHER

Endurance Activity (EA)

Intervention Type BEHAVIORAL

Subject will follow a program of endurance activity as follows:

Frequency: 3 times/week Duration: 60 minutes

Intensity:

* weeks 1-4: 14.2 kcal\*kg-1\*week-1;
* weeks 5-8: 18.9 kcal\*kg-1\*week-1;
* weeks 9-12: 23.6 kcal\*kg-1\*week-1.

EA+Resistance Training (RT)

The subjects will follow a program of endurance activity (EA) and resistance training (RT) without following a specific diet.

Group Type OTHER

EA+Resistance Training (RT)

Intervention Type BEHAVIORAL

Subject will follow a program of endurance activity as follows:

Frequency: 3 times/week Duration: 60 minutes

Intensity (for Endurance activity):

* weeks 1-4: 14.2 kcal\*kg-1\*week-1;
* weeks 5-8: 18.9 kcal\*kg-1\*week-1;
* weeks 9-12: 23.6 kcal\*kg-1\*week-1.

Resistance activity:

Muscolation: Training of the bigger muscle groups (chest, shoulders, arms, abdomen, back, glutes and legs);

* Progression: increase of 1-2.5 kg\*week-1
* Training of all muscle groups in the same session

LGIMD+EA

The subjects will follow a Low Glycemic Index Mediterranean Diet (LGIMD) togheter with a program of endurance activity (EA).

Group Type OTHER

LGIMD+EA

Intervention Type BEHAVIORAL

Subjects will follow a Low Glycemic Index Mediterranean Diet together with a program of endurance activity.

LGIMD+EA/RT

The subjects will follow a Low Glycemic Index Mediterranean Diet (LGIMD) togheter with a program of endurance activity (EA) and resistance training (RT).

Group Type OTHER

LGIMD+EA/RT

Intervention Type BEHAVIORAL

Subjects will follow a Low Glycemic Index Mediterranean Diet together with a program of both endurance activity and resistance training.

Interventions

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Control

Subjects will follow a diet based on INRAN guidelines without doing any physical activity.

Intervention Type BEHAVIORAL

LGIMD

Subjects will follow a Low Glycemic Index Mediterranean Diet (LGIMD) without doing any physical activity.

Intervention Type BEHAVIORAL

Endurance Activity (EA)

Subject will follow a program of endurance activity as follows:

Frequency: 3 times/week Duration: 60 minutes

Intensity:

* weeks 1-4: 14.2 kcal\*kg-1\*week-1;
* weeks 5-8: 18.9 kcal\*kg-1\*week-1;
* weeks 9-12: 23.6 kcal\*kg-1\*week-1.

Intervention Type BEHAVIORAL

EA+Resistance Training (RT)

Subject will follow a program of endurance activity as follows:

Frequency: 3 times/week Duration: 60 minutes

Intensity (for Endurance activity):

* weeks 1-4: 14.2 kcal\*kg-1\*week-1;
* weeks 5-8: 18.9 kcal\*kg-1\*week-1;
* weeks 9-12: 23.6 kcal\*kg-1\*week-1.

Resistance activity:

Muscolation: Training of the bigger muscle groups (chest, shoulders, arms, abdomen, back, glutes and legs);

* Progression: increase of 1-2.5 kg\*week-1
* Training of all muscle groups in the same session

Intervention Type BEHAVIORAL

LGIMD+EA

Subjects will follow a Low Glycemic Index Mediterranean Diet together with a program of endurance activity.

Intervention Type BEHAVIORAL

LGIMD+EA/RT

Subjects will follow a Low Glycemic Index Mediterranean Diet together with a program of both endurance activity and resistance training.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* BMI ≥ 25.0
* Moderate or severe NAFLD
* 30 \< age \<60

Exclusion Criteria

* Overt cardiovascular disease and revascularization procedures;
* Stroke;
* Clinical peripheral artery disease;
* Type-2 Diabetes Mellitus (current treatment with insulin or oral hypoglycemic drugs, fasting glucose \>126 mg/dl, or casual glucose \>200 mg/dl);
* Severe medical condition that may impair the person to participate in a nutritional intervention study;
* Impossibility to follow Mediterranean Diet for religious or other reasons.
Minimum Eligible Age

30 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda Ospedaliera Specializzata in Gastroenterologia Saverio de Bellis

OTHER

Sponsor Role lead

Responsible Party

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Alberto R Osella

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alberto R Osella, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

IRCCS "Saverio De Bellis"

Locations

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Laboratory of Epidemiology and Biostatistics-IRCCS Saverio de Bellis

Castellana Grotte, BA, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Alberto R Osella, MD, PhD

Role: CONTACT

00390804994655

Facility Contacts

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Isabella Franco, BSc

Role: primary

00390804994650

Other Identifiers

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NUTRIATT

Identifier Type: -

Identifier Source: org_study_id

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