Effects of Non-invasive Neuromodulation on Food Desire, Chewing Pattern, Executive Functions and Oxidative Stress.

NCT ID: NCT05046145

Last Updated: 2022-11-02

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

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-13

Study Completion Date

2022-10-31

Brief Summary

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From the change in self-regulation, memory is inhibited, allowing individuals to suppress or ignore unwanted or outdated associations and thus help to filter information relevant to dietary goals from irrelevant information. Provoking changes in neuroplasticity and cortical excitability contribute to the regulation of neural activity. Both could be modified by applying direct electrical current to the sensorimotor cortex, with polarity/current-dependent results, and their effect would last for hours after the end of stimulation. Transcranial Direct Current Stimulation (tDCS), translated into Portuguese as Estimulação Transcraniana por Corrente Contínua (ETCC) is a neuromodulating tool in which a low-intensity electrical current is applied to the scalp to modulate neuronal activity.

Detailed Description

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Conditions

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Craving Mastication Disorder Memory Disorders Executive Dysfunction Transcranial Direct Current Stimulation Inflammation Oxidative Stress

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study will be a randomized, double-blind, parallel clinical trial. Participants will receive real tDCS or tDCS sham for 10 sessions during the treatment period. The interstice period of the total intervention will be 15 days (2 subsequent weeks, 10 working days, to apply the intervention). The probabilistic, simple randomized sample will consist of participants with randomized food cravings into two groups, there will be subdivision to receive or not neuromodulation, according to the flowchart.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Participants do not know what treatment they will receive. The outcomes assessor does not know treatment aplicado in participants sham or real).

Study Groups

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tDCS + speech therapy+ sham

Participants will receive real tDCS and tDCS sham for 5 sessions during each treatment period. The interstice period of the total intervention will be 25 days, with 15 days of wash out between the two interventions. The probabilistic, simple randomized sample will consist of participants with food cravings randomized into two groups, according to the presence or absence of changes in eating behavior and within each group there will be subdivision to receive or not neuromodulation, according to the flowchart

Group Type EXPERIMENTAL

speech therapy for chewing + real tDCS

Intervention Type BEHAVIORAL

participants will be instructed to chew their food correctly during the tDCS session, but the participant does not know if the tdcs is real or sham.

sham + tDCS + speech therapy

Participants will receive real tDCS and tDCS sham for 5 sessions during each treatment period. The interstice period of the total intervention will be 25 days, with 15 days of wash out between the two interventions. The probabilistic, simple randomized sample will consist of participants with food cravings randomized into two groups, according to the presence or absence of changes in eating behavior and within each group there will be subdivision to receive or not neuromodulation, according to the flowchart

Group Type EXPERIMENTAL

speech therapy for chewing + real tDCS

Intervention Type BEHAVIORAL

participants will be instructed to chew their food correctly during the tDCS session, but the participant does not know if the tdcs is real or sham.

Interventions

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speech therapy for chewing + real tDCS

participants will be instructed to chew their food correctly during the tDCS session, but the participant does not know if the tdcs is real or sham.

Intervention Type BEHAVIORAL

Other Intervention Names

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speech therapy for chewing + sham tDCS

Eligibility Criteria

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Inclusion Criteria

* being a health professional at the HU-UFPI (higher and technical levels);
* both sexes;
* Age between 20 and 59 years old.

Exclusion Criteria

* Participants with communication disabilities (outbound or inbound);
* Type 1 and 2 diabetes
* low Body Mass Index (BMI; below 18.5),
* intracranial metal clip and/or prostheses;
* Abrupt change in weight (\> 5 kg) in the last six months;
* the use will be excluded recreational use of psychoactive drugs,
* Being a smoker or using nicotine (tablet / absorbent),
* Having had significant recent trauma or traumatic brain injury,
* Present history of epilepsy,
* to be pregnant or under suspicion
* Missing teeth;
* Medical diagnosis of eating disorder or any psychiatric disorder,
* Having or having had cancer,
* Diagnosis of heart disease.
Minimum Eligible Age

18 Years

Maximum Eligible Age

59 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universidade Federal do Piauí

OTHER

Sponsor Role lead

Responsible Party

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Marta Maria da Silva Lira Batista

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital Universitário Do Piauí

Teresina, Piauí, Brazil

Site Status

Countries

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Brazil

References

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Ljubisavljevic M, Maxood K, Bjekic J, Oommen J, Nagelkerke N. Long-Term Effects of Repeated Prefrontal Cortex Transcranial Direct Current Stimulation (tDCS) on Food Craving in Normal and Overweight Young Adults. Brain Stimul. 2016 Nov-Dec;9(6):826-833. doi: 10.1016/j.brs.2016.07.002. Epub 2016 Jul 15.

Reference Type BACKGROUND
PMID: 27498606 (View on PubMed)

Martin AA, Davidson TL, McCrory MA. Deficits in episodic memory are related to uncontrolled eating in a sample of healthy adults. Appetite. 2018 May 1;124:33-42. doi: 10.1016/j.appet.2017.05.011. Epub 2017 May 4.

Reference Type BACKGROUND
PMID: 28479407 (View on PubMed)

Lefaucheur JP, Aleman A, Baeken C, Benninger DH, Brunelin J, Di Lazzaro V, Filipovic SR, Grefkes C, Hasan A, Hummel FC, Jaaskelainen SK, Langguth B, Leocani L, Londero A, Nardone R, Nguyen JP, Nyffeler T, Oliveira-Maia AJ, Oliviero A, Padberg F, Palm U, Paulus W, Poulet E, Quartarone A, Rachid F, Rektorova I, Rossi S, Sahlsten H, Schecklmann M, Szekely D, Ziemann U. Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014-2018). Clin Neurophysiol. 2020 Feb;131(2):474-528. doi: 10.1016/j.clinph.2019.11.002. Epub 2020 Jan 1.

Reference Type BACKGROUND
PMID: 31901449 (View on PubMed)

Lefaucheur JP, Antal A, Ayache SS, Benninger DH, Brunelin J, Cogiamanian F, Cotelli M, De Ridder D, Ferrucci R, Langguth B, Marangolo P, Mylius V, Nitsche MA, Padberg F, Palm U, Poulet E, Priori A, Rossi S, Schecklmann M, Vanneste S, Ziemann U, Garcia-Larrea L, Paulus W. Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS). Clin Neurophysiol. 2017 Jan;128(1):56-92. doi: 10.1016/j.clinph.2016.10.087. Epub 2016 Oct 29.

Reference Type BACKGROUND
PMID: 27866120 (View on PubMed)

Kane MJ, Engle RW. Working-memory capacity and the control of attention: the contributions of goal neglect, response competition, and task set to Stroop interference. J Exp Psychol Gen. 2003 Mar;132(1):47-70. doi: 10.1037/0096-3445.132.1.47.

Reference Type BACKGROUND
PMID: 12656297 (View on PubMed)

Bikson M, Grossman P, Thomas C, Zannou AL, Jiang J, Adnan T, Mourdoukoutas AP, Kronberg G, Truong D, Boggio P, Brunoni AR, Charvet L, Fregni F, Fritsch B, Gillick B, Hamilton RH, Hampstead BM, Jankord R, Kirton A, Knotkova H, Liebetanz D, Liu A, Loo C, Nitsche MA, Reis J, Richardson JD, Rotenberg A, Turkeltaub PE, Woods AJ. Safety of Transcranial Direct Current Stimulation: Evidence Based Update 2016. Brain Stimul. 2016 Sep-Oct;9(5):641-661. doi: 10.1016/j.brs.2016.06.004. Epub 2016 Jun 15.

Reference Type BACKGROUND
PMID: 27372845 (View on PubMed)

Santos Ferreira I, Teixeira Costa B, Lima Ramos C, Lucena P, Thibaut A, Fregni F. Searching for the optimal tDCS target for motor rehabilitation. J Neuroeng Rehabil. 2019 Jul 17;16(1):90. doi: 10.1186/s12984-019-0561-5.

Reference Type BACKGROUND
PMID: 31315679 (View on PubMed)

Diamond A. Executive functions. Annu Rev Psychol. 2013;64:135-68. doi: 10.1146/annurev-psych-113011-143750. Epub 2012 Sep 27.

Reference Type BACKGROUND
PMID: 23020641 (View on PubMed)

Diamond A. Executive functions. Handb Clin Neurol. 2020;173:225-240. doi: 10.1016/B978-0-444-64150-2.00020-4.

Reference Type BACKGROUND
PMID: 32958176 (View on PubMed)

Related Links

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https://pubmed.ncbi.nlm.nih.gov/27498606/

Ljubisavljevic M, Maxood K, Bjekic J, Oommen J, Nagelkerke N.

https://pubmed.ncbi.nlm.nih.gov/28479407/

Martin AA, Davidson TL, McCrory MA

Other Identifiers

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tDCSONCRAVINGFOOD

Identifier Type: -

Identifier Source: org_study_id

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