Reprogramming Energy Homeostasis in Overweight Individuals Via Exercise, Cognitive, and Social Training

NCT ID: NCT06931730

Last Updated: 2025-04-17

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

RECRUITING

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-08

Study Completion Date

2025-12-31

Brief Summary

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The RESILIENT project is a clinical trial investigating leptin sensitivity in both children and adults with overweight or obesity. The study examines the additive effects of Cognitive Training (CT) and Social Training (ST) on leptin sensitivity, compared to stand-alone Intensive Health Behaviour Treatment (IHBT), which includes diet and Physical Activity (PA).

The intervention will last for 8 weeks, followed by a 12-week washout period. A multilevel assessment will be conducted, evaluating in vivo leptin sensitivity (through the ratio of leptin levels to caloric intake) as well as ex vivo molecular analysis of leptin signaling in Peripheral Blood Mononuclear Cells (PBMCs). Additionally, clinical, psychological, cognitive, and physiological assessments will be performed to assess the efficacy of each intervention. By investigating leptin resistance as a potential molecular bridge between metabolic dysregulation and cognitive dysfunctions, this study may contribute to the development of more effective, long-term treatments for obesity and overweight. Additionally, in vivo investigation of leptin sensitivity may be particularly important for providing evidence of the metabolic and cognitive effects necessary for developing novel anti-obesity treatments.

Detailed Description

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Conditions

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Obesity and Overweight Leptin Resistance Childhood Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intensive Health Behavior Treatment group: Physical Activity and Diet

Participants will be provided with a personalized dietary plan and a Physical Activity training

Group Type ACTIVE_COMPARATOR

Nutritional Intervention

Intervention Type OTHER

Participants will receive comprehensive dietary education from the nutritionists of the research team, aimed at improving their baseline diet by incorporating nutritional recommendations based on the Mediterranean diet and the Italian dietary guidelines for healthy eating.

Physical Activity training

Intervention Type OTHER

Participants will engage in a structured exercise program designed to improve motor competence and confidence. Tailored to each individual's baseline physical abilities and cardiorespiratory capacity, the program will focus on enhancing aerobic fitness, flexibility, and coordination.

Cognitive Training group: Physical Activity, Diet and an online cognitive training

Participants will be provided with personalized dietary plan, a Physical Activity training, and an online cognitive training.

Group Type ACTIVE_COMPARATOR

Nutritional Intervention

Intervention Type OTHER

Participants will receive comprehensive dietary education from the nutritionists of the research team, aimed at improving their baseline diet by incorporating nutritional recommendations based on the Mediterranean diet and the Italian dietary guidelines for healthy eating.

Physical Activity training

Intervention Type OTHER

Participants will engage in a structured exercise program designed to improve motor competence and confidence. Tailored to each individual's baseline physical abilities and cardiorespiratory capacity, the program will focus on enhancing aerobic fitness, flexibility, and coordination.

Cognitive training

Intervention Type OTHER

Participants will undergo an online cognitive training program, with a particular focus on memory enhancement.

Social Training group: Physical Activity, Diet and cognitive training

Participants will be provided with personalized dietary plan, a Physical Activity training, and a peer interaction program in ecological context.

Group Type ACTIVE_COMPARATOR

Nutritional Intervention

Intervention Type OTHER

Participants will receive comprehensive dietary education from the nutritionists of the research team, aimed at improving their baseline diet by incorporating nutritional recommendations based on the Mediterranean diet and the Italian dietary guidelines for healthy eating.

Physical Activity training

Intervention Type OTHER

Participants will engage in a structured exercise program designed to improve motor competence and confidence. Tailored to each individual's baseline physical abilities and cardiorespiratory capacity, the program will focus on enhancing aerobic fitness, flexibility, and coordination.

Social Training

Intervention Type OTHER

A peer interaction program within an ecological setting, meant as a natural context of daily life, will be offered to participants. The program aims to improve active listening skills, comprehension of various communication styles (passive, assertive, aggressive), and the efficient recognition and management of emotions.

Interventions

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Nutritional Intervention

Participants will receive comprehensive dietary education from the nutritionists of the research team, aimed at improving their baseline diet by incorporating nutritional recommendations based on the Mediterranean diet and the Italian dietary guidelines for healthy eating.

Intervention Type OTHER

Physical Activity training

Participants will engage in a structured exercise program designed to improve motor competence and confidence. Tailored to each individual's baseline physical abilities and cardiorespiratory capacity, the program will focus on enhancing aerobic fitness, flexibility, and coordination.

Intervention Type OTHER

Cognitive training

Participants will undergo an online cognitive training program, with a particular focus on memory enhancement.

Intervention Type OTHER

Social Training

A peer interaction program within an ecological setting, meant as a natural context of daily life, will be offered to participants. The program aims to improve active listening skills, comprehension of various communication styles (passive, assertive, aggressive), and the efficient recognition and management of emotions.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* a condition of overweight or obesity
* Intelligence Quotient (IQ) ≥ 85

Exclusion Criteria

* genetic or syndromic obesity;
* reduced mobility;
* systemic diseases;
* ongoing pharmacological treatment for chronic conditions.
Minimum Eligible Age

6 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bambino Gesù Hospital and Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Melania Manco

Medical Director, Preventive and Predictive Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ospedale Pediatrico Bambino Gesù

Rome, Italy, Italy

Site Status RECRUITING

Bambino Gesù Hospital and Research Institute,

Rome, Rome, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Melania Manco

Role: CONTACT

+39 3317775547

Facility Contacts

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Chiara Mennini

Role: primary

06-68592572

References

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Russo V, Menghini D, Mainardi M, Fintini D, Aureli A, Gianni N, Rava L, Rea MA, Scozia G, Spiezia C, Scabia G, Furini G, Vicari S, Cianfarani S, Maffei M, Manco M. Reprogramming energy homeostasis in children with overweight through cognitive training and social interaction. A study protocol to estimate leptin sensitivity. Front Endocrinol (Lausanne). 2025 Jun 18;16:1606132. doi: 10.3389/fendo.2025.1606132. eCollection 2025.

Reference Type DERIVED
PMID: 40607230 (View on PubMed)

Other Identifiers

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PNRR-MAD-2022-12376459

Identifier Type: -

Identifier Source: org_study_id

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