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| ID | Type | Description | Link |
|---|---|---|---|
| T1070RUSRA | Other Identifier | Helsinki University Central Hospital registry |
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| Name | Class |
|---|---|
| Turku University Hospital | OTHER_GOV |
| Novo Nordisk A/S | INDUSTRY |
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional weight loss treatment group | Active Comparator | Eating and physical activity counseling and behavioral therapy for weight loss. |
|
| Cryo group | Experimental | Eating and physical activity counseling and behavioral therapy for weight loss will be provided to all subjects. The subjects in the cryo group will be given whole-body cryotherapy 1-3 times a week for the 4-month-treatment period |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Whole body cryotherapy | Biological | Cryotherapy: The whole-cody cryotherapy device (Univers Cryo-Combi;Oy MJG Univers Ab, Helsinki, Finland) consists of 3 chambers set at different temperatures. The first 2 chambers are meant for precooling (-30°Cand-60°C), and the patient remains in these for a very short time. The third chamber temperature reaches -110°C, and the patient remains inside for 3-4 minutes wearing a bathing suit or trunks, acral parts covered. |
| Measure | Description | Time Frame |
|---|---|---|
| weight loss | Effect of chronic intermittent cold exposure and conventional treatment on weight loss | looking forward using periodic observations collected predominantly during 12 months following subject enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Glucose uptake | Effect of chronic intermittent cold exposure and conventional treatment on glucose uptake of brown and white adipose tissue, liver, myocardium, skeletal muscle and brain (PET-scan). | 4 months from admission |
| energy metabolism |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kirsi H Pietilainen, MD, PhD | Obesity research Unit, Department of Medicine, Helsinki University Central Hospital | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41507695 | Derived | van der Kolk BW, Heinonen S, White JW, Wagner A, Karppinen JE, Saari S, Muniandy M, Metsikko S, Dillon ET, Groop PH, Saarinen T, Le Roux CW, Virtanen KA, Docherty NG, Pirinen E, Juuti A, Pietilainen KH. Human Skeletal Muscle Mitochondria Responses to Weight Loss Induced by Bariatric Surgery or Lifestyle Intervention. Acta Physiol (Oxf). 2026 Feb;242(2):e70150. doi: 10.1111/apha.70150. | |
| 40903800 |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D015431 | Weight Loss |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D003376 | Counseling |
| D001521 | Behavior Therapy |
| ID | Term |
|---|---|
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D003153 | Community Health Services |
| D006296 | Health Services |
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|
| counseling and behavioral therapy for weight loss | Behavioral | Weight loss intervention with Very Low Calory Diet (VLCD, 500-1000 kcal / d + dietary supplements) and group and individual treatment (eating, physical activity counseling and behavioural therapy). |
|
Effect of chronic intermittent cold exposure and conventional treatment on energy metabolism
| 12 months from admission |
| behavioural patterns | Effect of chronic intermittent cold exposure and conventional treatment on behavioural patterns | 12 months from admission |
| muscle metabolism | Effect of chronic intermittent cold exposure and conventional treatment on muscle metabolism | 12 months from admission |
| white adipose tissue metabolism | Effect of chronic intermittent cold exposure and conventional treatment on white adipose tissue metabolism | 12 months from admission |
| Derived |
| Karppinen JE, Suojanen L, Heinonen S, Kaye S, van der Kolk BW, White JW, Orava J, Lee SHT, Dillon E, Muniandy M, Rissanen A, le Roux CW, Docherty N, Pajukanta P, Virtanen KA, Pietilainen KH. Effects of Whole-Body Cryotherapy Combined With Conventional Obesity Management Versus Obesity Management Alone: A Clinical Trial. Obesity (Silver Spring). 2025 Nov;33(11):2112-2127. doi: 10.1002/oby.70019. Epub 2025 Sep 3. |
| 33560372 | Derived | van der Kolk BW, Muniandy M, Kaminska D, Alvarez M, Ko A, Miao Z, Valsesia A, Langin D, Vaittinen M, Paakkonen M, Jokinen R, Kaye S, Heinonen S, Virtanen KA, Andersson DP, Mannisto V, Saris WH, Astrup A, Ryden M, Blaak EE, Pajukanta P, Pihlajamaki J, Pietilainen KH. Differential Mitochondrial Gene Expression in Adipose Tissue Following Weight Loss Induced by Diet or Bariatric Surgery. J Clin Endocrinol Metab. 2021 Apr 23;106(5):1312-1324. doi: 10.1210/clinem/dgab072. |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001836 | Body Weight Changes |
| D005159 | Health Care Facilities Workforce and Services |
| D011613 | Psychotherapy |