Multicomponent Intervention on Lifestyle, Anthropometric Measurements, Glycemic Control and Quality of Life in Patients Obese People With Type II Diabetes
NCT ID: NCT06222775
Last Updated: 2024-02-14
Study Results
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.
RECRUITING
NA
100 participants
INTERVENTIONAL
2023-12-04
2025-12-31
Brief Summary
Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.
Related Clinical Trials
Explore similar clinical trials based on study characteristics and research focus.
Intensive Life-Style Intervention in Type 2 Diabetes Patients
NCT01813708
Lifestyle Intervention in Individuals With Low or High Genetic Risk for Type 2 Diabetes
NCT02709057
Diabetes em Movimento® - Community-based Lifestyle Intervention Program for Patients With Type 2 Diabetes
NCT02631902
Promotion of Healthy Eating Behaviors in Type 2 Diabetes Patients
NCT05714852
DEMOJUAN- DEMOnstration Area for Primary Prevention of Type 2 Diabetes, JUAN Mina and Barranquilla, Colombia
NCT01296100
Detailed Description
Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.
The objective of this study will be to evaluate the effectiveness of a multicomponent intervention on nutritional recommendations and physical activity on glycemic control in obese patients with Type II Diabetes (DM2) in three places at the Algodonera Health Center of the Integrated Care Management. from Talavera de la Reina.
For this purpose, a clinical trial will be carried out with two parallel arms, random assignment and blind evaluation by third parties. The study will be carried out on obese patients with DM2 between 40 and 75 years old at the "Algodonera" Health Center of the Integrated Care Management of Talavera de la Reina over a period of 1 year, from the subject's admission to the hospital. study until the last follow-up evaluation at one year. Selected patients must have a Barthel index \> 90 and must travel to the health center independently.
Conditions
See the medical conditions and disease areas that this research is targeting or investigating.
Study Design
Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.
RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
Review each arm or cohort in the study, along with the interventions and objectives associated with them.
Control group
Control group receive activities on diabetes and obesity by Primary Care professionals on a care routine
Control Intervention 1
They will be given written information about the convenience of moderate physical activity and they will be informed of the importance of following an appropriate diet for diabetes and we will encourage weight loss.
Control Intervention 2
Your controls will be carried out according to the usual diabetes protocol established in the individual scheduled diabetes consultation reviews.
Control Intervention 3
These patients will also be given a written document about living with diabetes, advice on physical activity, and a pre-established diet will be given according to the number of calories needed previously calculated
Control Intervention 4
In addition to verbal recommendations. This document will be made after the act of assigning the control or experimental group.
Experimental group
Experimental group receive multicomponent intervention based on:
De Cos AI, Gutiérrez Medina S, Luca B, Galdón A, Simon Chacín J, De Mingo ML, et al. Recommendations for clinical practice in diabetes and obesity. The Madrid Agreements. Document agreed by the working groups of the scientific societies: SENDIMAD, SOMAMFYC, SEMG Madrid, SEMERGEN Madrid and RedGDPS. Nutr Hosp \[Internet\]. 2018;35(4):971-8. Disponible en: http://dx.doi.org/10.20960/nh.1646 Kojdamanian Favetto V. Guía NICE 2022: actualización en el manejo de la diabetes mellitus tipo 2 en personas adultas. Evid actual pract ambul \[Internet\]. 2022;25(2):e007015. Disponible en: http://dx.doi.org/10.51987/evidencia.v25i3.7015
Group session 1
This session will have 3 editions in which the 50 participants of the experimental group will be distributed, with about 16 to 17 participants per edition.
Its objective is to know the group and their expectations, in addition to providing basic knowledge about diabetes and a healthy lifestyle.
Group session 2
The sessions for the 5 groups will take place within 2 weeks. Two weeks after the 1st session, the 2nd session-workshop will be scheduled with no more than 10 participants. For this, 5 groups will be made. An attempt will be made to ensure that the participants in the groups remain stable.
Its objective is to pave the way for the change to a healthy eating lifestyle and provide patients with sufficient knowledge so that with theory they can prepare a daily group menu according to the caloric needs of each of the participants.
Group session 3
Its general objective is to motivate the change towards healthy eating. And the specific ones develop a weekly menu according to calorie needs.
Group session 4
Its general objective is to reinforce a healthy lifestyle-eating, and the specific ones are to learn to read labels, preparing a weekly menu in a group.
Group session 5
Its general objective is to reinforce lifestyle-physical activity. And the specific objectives are to recognize that it is a moderate physical activity and the goal to achieve of recommended physical activity per week and plan a week of physical activity.
Group session 6
Its general objective is to reinforce a lifestyle-healthy eating and physical activity. And the specific ones are to reinforce the concept of physical activity in diabetes, what to do with hypoglycemia and adjust diet and exercise to current weight and needs.
Group session 7 to 8
The objective will be to maintain a healthy lifestyle and adjust menus and physical activity to current caloric needs, in addition to sharing experiences.
Group session 9
In the final session, a certificate of adherence to healthy living will be delivered, reminding you to continue with the acquired habits and attend scheduled consultations and tests.
The days of the sessions are indicative, but they must be held in the week when the specified period of time between session and session is met.
Interventions
Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.
Group session 1
This session will have 3 editions in which the 50 participants of the experimental group will be distributed, with about 16 to 17 participants per edition.
Its objective is to know the group and their expectations, in addition to providing basic knowledge about diabetes and a healthy lifestyle.
Group session 2
The sessions for the 5 groups will take place within 2 weeks. Two weeks after the 1st session, the 2nd session-workshop will be scheduled with no more than 10 participants. For this, 5 groups will be made. An attempt will be made to ensure that the participants in the groups remain stable.
Its objective is to pave the way for the change to a healthy eating lifestyle and provide patients with sufficient knowledge so that with theory they can prepare a daily group menu according to the caloric needs of each of the participants.
Group session 3
Its general objective is to motivate the change towards healthy eating. And the specific ones develop a weekly menu according to calorie needs.
Group session 4
Its general objective is to reinforce a healthy lifestyle-eating, and the specific ones are to learn to read labels, preparing a weekly menu in a group.
Group session 5
Its general objective is to reinforce lifestyle-physical activity. And the specific objectives are to recognize that it is a moderate physical activity and the goal to achieve of recommended physical activity per week and plan a week of physical activity.
Group session 6
Its general objective is to reinforce a lifestyle-healthy eating and physical activity. And the specific ones are to reinforce the concept of physical activity in diabetes, what to do with hypoglycemia and adjust diet and exercise to current weight and needs.
Group session 7 to 8
The objective will be to maintain a healthy lifestyle and adjust menus and physical activity to current caloric needs, in addition to sharing experiences.
Group session 9
In the final session, a certificate of adherence to healthy living will be delivered, reminding you to continue with the acquired habits and attend scheduled consultations and tests.
The days of the sessions are indicative, but they must be held in the week when the specified period of time between session and session is met.
Control Intervention 1
They will be given written information about the convenience of moderate physical activity and they will be informed of the importance of following an appropriate diet for diabetes and we will encourage weight loss.
Control Intervention 2
Your controls will be carried out according to the usual diabetes protocol established in the individual scheduled diabetes consultation reviews.
Control Intervention 3
These patients will also be given a written document about living with diabetes, advice on physical activity, and a pre-established diet will be given according to the number of calories needed previously calculated
Control Intervention 4
In addition to verbal recommendations. This document will be made after the act of assigning the control or experimental group.
Other Intervention Names
Discover alternative or legacy names that may be used to describe the listed interventions across different sources.
Eligibility Criteria
Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.
Inclusion Criteria
* Obese patients with a BMI \> 30.
* Patients with Barthel index \> 90
* Possibility of walking to the Health Center.
* Know how to read and write
* That they agree to participate in the study and sign the informed consent.
Exclusion Criteria
* Inability to perform physical exercise, defined as such, that appears in your current medical history or that your PCP considers.
* Patients with complete deafness.
* Patients with blindness.
* Moderate or severe cognitive impairment.
* Participation in another clinical trial.
* Pregnant or breastfeeding women
* Any condition, laboratory parameter or concomitant therapy that, in the opinion of the investigator, may be a risk to the potential participant or that participation in the study is not in the best interest of the patient.
40 Years
75 Years
ALL
No
Sponsors
Meet the organizations funding or collaborating on the study and learn about their roles.
Castilla-La Mancha Health Service
OTHER
Responsible Party
Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.
Principal Investigators
Learn about the lead researchers overseeing the trial and their institutional affiliations.
Maria Salobrar Labrador García, Medical
Role: PRINCIPAL_INVESTIGATOR
Gerencia de Atención Integrada de Talavera de la Reina
Locations
Explore where the study is taking place and check the recruitment status at each participating site.
Gerencia de Atención Integrada de Talavera de la Reina Centro de Salud La Algodonera
Talavera de la Reina, Toledo, Spain
Countries
Review the countries where the study has at least one active or historical site.
Central Contacts
Reach out to these primary contacts for questions about participation or study logistics.
Facility Contacts
Find local site contact details for specific facilities participating in the trial.
References
Explore related publications, articles, or registry entries linked to this study.
Lecube A, Monereo S, Rubio MA, Martinez-de-Icaya P, Marti A, Salvador J, Masmiquel L, Goday A, Bellido D, Lurbe E, Garcia-Almeida JM, Tinahones FJ, Garcia-Luna PP, Palacio E, Gargallo M, Breton I, Morales-Conde S, Caixas A, Menendez E, Puig-Domingo M, Casanueva FF. Prevention, diagnosis, and treatment of obesity. 2016 position statement of the Spanish Society for the Study of Obesity. Endocrinol Diabetes Nutr. 2017 Mar;64 Suppl 1:15-22. doi: 10.1016/j.endonu.2016.07.002. Epub 2016 Aug 16. No abstract available. English, Spanish.
Diabetes [Internet]. Who.int. [citado el 8 de julio de 2023]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/diabetes
OECD (2019), The Heavy Burden of Obesity: The Economics of Prevention, OECD Health Policy Studies, OECD Publishing, Paris, https://doi.org/10.1787/67450d67-en.
Ampudia-Blanco FJ, Mata M. Diabetes tipo 2 en Atención Primaria. Evidencia y práctica clínica. Euromedice Ed Médicas. 2015;39-45
Soriguer F, Goday A, Bosch-Comas A, Bordiu E, Calle-Pascual A, Carmena R, Casamitjana R, Castano L, Castell C, Catala M, Delgado E, Franch J, Gaztambide S, Girbes J, Gomis R, Gutierrez G, Lopez-Alba A, Martinez-Larrad MT, Menendez E, Mora-Peces I, Ortega E, Pascual-Manich G, Rojo-Martinez G, Serrano-Rios M, Valdes S, Vazquez JA, Vendrell J. Prevalence of diabetes mellitus and impaired glucose regulation in Spain: the [email protected] Study. Diabetologia. 2012 Jan;55(1):88-93. doi: 10.1007/s00125-011-2336-9. Epub 2011 Oct 11.
Astrup A, Finer N. Redefining type 2 diabetes: 'diabesity' or 'obesity dependent diabetes mellitus'? Obes Rev. 2000 Oct;1(2):57-9. doi: 10.1046/j.1467-789x.2000.00013.x.
Brunton SA. Diabesity. Clin Diabetes. 2022 Fall;40(4):392-393. doi: 10.2337/cd22-0088. No abstract available.
Costo-Muriel C, Martín-Carmona J, Pérez-Belmonte LM. Complicaciones macrovasculares de la diabetes. Medicine [Internet]. 2020;13(16):891-9. Disponible en: http://dx.doi.org/10.1016/j.med.2020.09.011
Evert AB, Dennison M, Gardner CD, Garvey WT, Lau KHK, MacLeod J, Mitri J, Pereira RF, Rawlings K, Robinson S, Saslow L, Uelmen S, Urbanski PB, Yancy WS Jr. Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report. Diabetes Care. 2019 May;42(5):731-754. doi: 10.2337/dci19-0014. Epub 2019 Apr 18. No abstract available.
Pérez-Rodrigo C, Hervás Bárbara G, Gianzo Citores M, Aranceta-Bartrina J. Prevalencia de obesidad y factores de riesgo cardiovascular asociados en la población general española: estudio ENPE. Rev Esp Cardiol [Internet]. 2022;75(3):232-41. Disponible en: http://dx.doi.org/10.1016/j.recesp.2020.12.013
Thom G, Messow CM, Leslie WS, Barnes AC, Brosnahan N, McCombie L, Al-Mrabeh A, Zhyzhneuskaya S, Welsh P, Sattar N, Taylor R, Lean MEJ. Predictors of type 2 diabetes remission in the Diabetes Remission Clinical Trial (DiRECT). Diabet Med. 2021 Aug;38(8):e14395. doi: 10.1111/dme.14395. Epub 2020 Sep 27.
Leslie WS, Ford I, Sattar N, Hollingsworth KG, Adamson A, Sniehotta FF, McCombie L, Brosnahan N, Ross H, Mathers JC, Peters C, Thom G, Barnes A, Kean S, McIlvenna Y, Rodrigues A, Rehackova L, Zhyzhneuskaya S, Taylor R, Lean ME. The Diabetes Remission Clinical Trial (DiRECT): protocol for a cluster randomised trial. BMC Fam Pract. 2016 Feb 16;17:20. doi: 10.1186/s12875-016-0406-2.
Lean ME, Leslie WS, Barnes AC, Brosnahan N, Thom G, McCombie L, Peters C, Zhyzhneuskaya S, Al-Mrabeh A, Hollingsworth KG, Rodrigues AM, Rehackova L, Adamson AJ, Sniehotta FF, Mathers JC, Ross HM, McIlvenna Y, Stefanetti R, Trenell M, Welsh P, Kean S, Ford I, McConnachie A, Sattar N, Taylor R. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. Lancet. 2018 Feb 10;391(10120):541-551. doi: 10.1016/S0140-6736(17)33102-1. Epub 2017 Dec 5.
Brosnahan N, Leslie W, McCombie L, Barnes A, Thom G, McConnachie A, Messow CM, Sattar N, Taylor R, Lean MEJ. Brief formula low-energy-diet for relapse management during weight loss maintenance in the Diabetes Remission Clinical Trial (DiRECT). J Hum Nutr Diet. 2021 Jun;34(3):472-479. doi: 10.1111/jhn.12839. Epub 2021 Jan 6.
Riobo Servan P. Obesity and diabetes. Nutr Hosp. 2013 Sep;28 Suppl 5:138-43. doi: 10.3305/nh.2013.28.sup5.6929.
Ballesteros Pomar MD, Vilarrasa Garcia N, Rubio Herrera MA, Barahona MJ, Bueno M, Caixas A, Calanas Continente A, Ciudin A, Cordido F, de Hollanda A, Diaz MJ, Flores L, Garcia Luna PP, Garcia Perez-Sevillano F, Goday A, Lecube A, Lopez Gomez JJ, Minambres I, Morales Gorria MJ, Morinigo R, Nicolau J, Pellitero S, Salvador J, Valdes S, Breton Lesmes I. The SEEN comprehensive clinical survey of adult obesity: Executive summary. Endocrinol Diabetes Nutr (Engl Ed). 2021 Feb;68(2):130-136. doi: 10.1016/j.endinu.2020.05.003. Epub 2020 Sep 12. English, Spanish.
De Cos AI, Gutierrez Medina S, Luca B, Galdon A, Simon Chacin J, De Mingo ML, Trifu D, Artola S, Egocheaga I, Soriano T, Vazquez C. [Recommendations for clinical practice in diabetes and obesity. The Madrid Agreements. Document agreed by the working groups of the scientific societies: SENDIMAD, SOMAMFYC, SEMG Madrid, SEMERGEN Madrid and RedGDPS]. Nutr Hosp. 2018 Aug 2;35(4):971-978. doi: 10.20960/nh.1646. Spanish.
Kojdamanian Favetto V. Guía NICE 2022: actualización en el manejo de la diabetes mellitus tipo 2 en personas adultas. Evid actual pract ambul [Internet]. 2022;25(2):e007015. Disponible en: http://dx.doi.org/10.51987/evidencia.v25i3.7015
Europa.eu. 2012 [citado el 31 de agosto de 2023]. Disponible en: https://www.ema.europa.eu/en/documents/scientific-guideline/guideline-clinical-investigation-medicinal-products-treatment-prevention-diabetes-mellitus-revision_en.pdf
FDA. [citado el 31 de agosto de 2023].Guidance for Industry. Type 2 diabetes mellitus: evaluating the safety of new drugs for improving glycemic control. Draft; March 2020. Disponible en: https://www.fda.gov/media/135936/download
Gummesson A, Nyman E, Knutsson M, Karpefors M. Effect of weight reduction on glycated haemoglobin in weight loss trials in patients with type 2 diabetes. Diabetes Obes Metab. 2017 Sep;19(9):1295-1305. doi: 10.1111/dom.12971. Epub 2017 May 22.
Organización Panamericana de la Salud (2019) [citado el 31 de agosto de 2023]. HEARTS Paquete técnico para el manejo de las enfermedades cardiovasculares en la atención primaria de salud. Hábitos y estilos de vida saludables: asesoramiento para los pacientes. Washington, D.C.: 2019. Disponible en: https://iris.paho.org/handle/10665.2/50805
Córdoba García R, Camarelles Guillem F, Muñoz Seco E, Gómez Puente JM, San José Arango J, Ramírez Manent JI, et al. Recomendaciones sobre el estilo de vida. Actualización PAPPS 2022. Aten Primaria [Internet]. 2022;54(102442):102442. Disponible en: http://dx.doi.org/10.1016/j.aprim.2022.102442
Orozco-Beltrán D, Brotons Cuixart C, Banegas Banegas JR, Gil Guillén VF, Cebrián Cuenca AM, Martín Rioboó E, et al. Recomendaciones preventivas cardiovasculares. Actualización PAPPS 2022. Aten Primaria [Internet]. 2022;54(102444):102444. Disponible en: http://dx.doi.org/10.1016/j.aprim.2022.102444
Carrera Y . Cuestionario Internacional de actividad física Revista Enfermería del Trabajo 2017; 7:I1(49-54)
Sociedad española de nutrición parenteral y enteral. Reunión de consenso sobre la metodología de las encuestas alimentarias, tipificación de la actividad física y estilos de vida saludables. Nutrición Hospitalaria, Laguardia 2014Vol. 31. Suplemento 3. marzo 2015.Disponible en: https://www.fen.org.es/anibes/archivos/documentos/nutr_hosp_supl_v31_2015.pd
Schroder H, Fito M, Estruch R, Martinez-Gonzalez MA, Corella D, Salas-Salvado J, Lamuela-Raventos R, Ros E, Salaverria I, Fiol M, Lapetra J, Vinyoles E, Gomez-Gracia E, Lahoz C, Serra-Majem L, Pinto X, Ruiz-Gutierrez V, Covas MI. A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. J Nutr. 2011 Jun;141(6):1140-5. doi: 10.3945/jn.110.135566. Epub 2011 Apr 20.
Salas-Salvado J, Diaz-Lopez A, Ruiz-Canela M, Basora J, Fito M, Corella D, Serra-Majem L, Warnberg J, Romaguera D, Estruch R, Vidal J, Martinez JA, Aros F, Vazquez C, Ros E, Vioque J, Lopez-Miranda J, Bueno-Cavanillas A, Tur JA, Tinahones FJ, Martin V, Lapetra J, Pinto X, Daimiel L, Delgado-Rodriguez M, Matia P, Gomez-Gracia E, Diez-Espino J, Babio N, Castaner O, Sorli JV, Fiol M, Zulet MA, Bullo M, Goday A, Martinez-Gonzalez MA; PREDIMED-Plus investigators. Effect of a Lifestyle Intervention Program With Energy-Restricted Mediterranean Diet and Exercise on Weight Loss and Cardiovascular Risk Factors: One-Year Results of the PREDIMED-Plus Trial. Diabetes Care. 2019 May;42(5):777-788. doi: 10.2337/dc18-0836. Epub 2018 Nov 2.
Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000 Jul;23(7):943-50. doi: 10.2337/diacare.23.7.943.
Caro-Bautista J, Morilla-Herrera JC, Villa-Estrada F, Cuevas-Fernandez-Gallego M, Lupianez-Perez I, Morales-Asencio JM. [Spanish cultural adaptation and psychometric validation of the Summary of Diabetes Self-Care Activities measure (SDSCA) among persons with type 2 diabetes mellitus]. Aten Primaria. 2016 Aug-Sep;48(7):458-67. doi: 10.1016/j.aprim.2015.08.005. Epub 2015 Dec 24. Spanish.
Collado Mateo D, Garcia Gordillo MA, Olivares PR, Adsuar JC. NORMATIVE VALUES OF EQ-5D-5L FOR DIABETES PATIENTS FROM SPAIN. Nutr Hosp. 2015 Oct 1;32(4):1595-602. doi: 10.3305/nh.2015.32.4.9605.
Herdman M, Badia X, Berra S. [EuroQol-5D: a simple alternative for measuring health-related quality of life in primary care]. Aten Primaria. 2001 Oct 15;28(6):425-30. doi: 10.1016/s0212-6567(01)70406-4. No abstract available. Spanish.
Ferriz, R., Sicilia, Á., & Lirola, M. J. "Cuestionario de la motivación para adoptar un estilo de vida saludable": Adaptación del Treatment Self-Regulation Questionnaire [Motivation Questionnaire to Adopt a Healthy Lifestyle: Adaptation of the Treatment SelfRegulation Questionnaire]. Behavioral Psychology, 2017 25(1), 79-97.
Rubiales E. Consumo Energético Basal, según Mifflin [Internet]. SAMIUC. 2018 [citado el 9 de julio de 2023]. Disponible en: https://www.samiuc.es/consumo-energeticobasal-segun-mifflin
Thom G, Gerasimidis K, Rizou E, Alfheeaid H, Barwell N, Manthou E, Fatima S, Gill JMR, Lean MEJ, Malkova D. Validity of predictive equations to estimate RMR in females with varying BMI. J Nutr Sci. 2020 May 26;9:e17. doi: 10.1017/jns.2020.11.
Cancello R, Soranna D, Brunani A, Scacchi M, Tagliaferri A, Mai S, Marzullo P, Zambon A, Invitti C. Analysis of Predictive Equations for Estimating Resting Energy Expenditure in a Large Cohort of Morbidly Obese Patients. Front Endocrinol (Lausanne). 2018 Jul 25;9:367. doi: 10.3389/fendo.2018.00367. eCollection 2018.
Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010 Mar 23;340:c332. doi: 10.1136/bmj.c332.
Other Identifiers
Review additional registry numbers or institutional identifiers associated with this trial.
39/2023
Identifier Type: -
Identifier Source: org_study_id
More Related Trials
Additional clinical trials that may be relevant based on similarity analysis.