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| Name | Class |
|---|---|
| Conselho Nacional de Desenvolvimento Científico e Tecnológico | OTHER_GOV |
| Fundação de Amparo à Pesquisa do Estado de São Paulo | OTHER_GOV |
| Coordination for the Improvement of Higher Education Personnel |
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The aim of the research study will be assess the effectiveness of a long-term interdisciplinary lifestyle in many aspects including food intake, psychological symptoms, physical activity habits, energy expenditure, body composition and anthropometric measurements in adults obese.
Participants will be recruited after dissemination of the program in the local media and internet.
They will go through a short interview to evaluate inclusion and exclusion criteria. Thus, all obese adults will be submitted to an interdisciplinary lifestyle modification therapy according the inclusion criteria.
The interdisciplinary therapy will consist of nutritional, physical exercise, psychological and physiotherapy support during the course of one year, according the literature the investigators promote a long term therapy to control obesity and metabolic diseases.
The participants will be evaluated at baseline and after the therapy in accordance with Ethical guidelines.
The main purpose of this therapy is to enhance the quality of life of the participants promoting an active lifestyle and quality of life, adherence a healthy nutritional habits and a healthy weight loss.
Our focus will be on teaching strategies to maintain a healthy life style behaviors after therapy, our protocol is in agreement with public health field in this way.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interdisciplinary Therapy | Experimental | The Therapy includes: Physical Exercise (three times week - 180 minutes); Nutrition, Psychology, Physiotherapy (once a week - 60 minutes each one) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interdisciplinary Therapy | Behavioral | The nutrition intervention will consist of group meetings and prescription of individual diets. Participants will have dietary lessons, with information related to the improvement of food consumption and nutritional quality. Exercise program will be focused on improving activity habits, leading to increased energy expenditure. They will undergo training sessions containing aerobic and resistance training. In Psychological program, participants will be monitored in the support group and, if necessary, individual psychological therapy is recommended. The sessions will discuss common psychological aspects commonly associated with obesity (depression, anxiety, stress, family problems, body image, eating disorders and others). The physiotherapy interventions aim to increase functional capacity. |
| Measure | Description | Time Frame |
|---|---|---|
| Body Mass | Body Mass (kg) | one year |
| Physical Activity | Quadrimensional accelerometer | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Total Cholesterol. | Blood lipid fraction (mg/dL) after 12h overnight fasting. | one year |
| High Density Lipoprotein - Cholesterol | HDL-c; Blood lipid fraction (mg/dL) after 12h overnight fasting. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Danielle A Caranti, PhD | Federal University of São Paulo | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GEO - Obesity Study Group | Santos | São Paulo | 11045301 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26372897 | Background | Jamar G, Pisani LP, Medeiros A, Oyama LM, Masquio DC, Colantonio E, Garcia S, Sanches RB, dos Santos Moraes A, Belote C, Caranti DA. Effect of Fat Intake on the Inflammatory Process and Cardiometabolic Risk in Obesity After Interdisciplinary Therapy. Horm Metab Res. 2016 Feb;48(2):106-11. doi: 10.1055/s-0035-1548871. Epub 2015 Sep 15. | |
| 23670346 |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D024821 | Metabolic Syndrome |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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|
|
| one year |
| Triglycerides | Blood lipid fraction (mg/dL) after 12h overnight fasting. | one year |
| Glucose levels. | Glucose levels (mg/dL) after 12h overnight fasting. | one year |
| Waist circumference | Anthropometric measure (cm) | one year |
| Blood Pressure | Systolic and Diastolic Blood pressure (mmHg) | one year |
| Improvement in Quality of Life | WHO - Quality of life Brief Questionnaire | One year |
| Cardiorespiratory parameters | Maximal ergometer test. Maximal oxygen uptake. | One year |
| Resting Metabolic Rate | Indirect calorimetry test (kcal/day) | One year |
| Psychological Parameters - Anxiety | Anxiety, Beck´s Anxiety Inventory Questionnaire (Score) | one year |
| Psychological Parameters - Depression | Depression; Beck´s Depression Inventory Questionnaire (Score) | one year |
| Physiotherapy parameters | Functional capacity - Health Assessment Questionnaire (Score) | one year |
| Nutritional parameters | Macronutrient, micronutrient and calorie intakes | one year |
| Inflammatory markers | adipokines status | one year |
| Moraes Ados S, Pisani LP, Corgosinho FC, Carvalho LO, Masquio DC, Jamar G, Sanches RB, Oyama LM, Damaso AR, Belote C, Caranti DA. The role of leptinemia state as a mediator of inflammation in obese adults. Horm Metab Res. 2013 Aug;45(8):605-10. doi: 10.1055/s-0033-1343450. Epub 2013 May 13. |
| 23409690 | Background | Jamar G, Pisani LP, Oyama LM, Belote C, Masquio DC, Furuya VA, Carvalho-Ferreira JP, Andrade-Silva SG, Damaso AR, Caranti DA. Is the neck circumference an emergent predictor for inflammatory status in obese adults? Int J Clin Pract. 2013 Mar;67(3):217-24. doi: 10.1111/ijcp.12041. |
| 25923071 | Background | Carvalho-Ferreira JP, Cipullo MA, Caranti DA, Masquio DC, Andrade-Silva SG, Pisani LP, Damaso AR. Interdisciplinary lifestyle therapy improves binge eating symptoms and body image dissatisfaction in Brazilian obese adults. Trends Psychiatry Psychother. 2012;34(4):223-33. doi: 10.1590/s2237-60892012000400008. |
| Background | Sanches RB, Andrade-Silva SG, Rossi S, Fidalgo JPN, Moraes AS, Jamar GGQ, Colantonio E, Botero JP, dos Santos RVT, Caranti DA. Body composition and aerobic fitness in obese women: beneficial effects of interdisciplinary therapy. Brazilian Journal of Physical Activity and Health 18(3):354-362, 2013 |
| 33681273 | Derived | Moraes ADS, Padovani RDC, La Scala Teixeira CV, Cuesta MGS, Gil SDS, de Paula B, Dos Santos GM, Goncalves RT, Damaso AR, Oyama LM, Gomes RJ, Caranti DA. Cognitive Behavioral Approach to Treat Obesity: A Randomized Clinical Trial. Front Nutr. 2021 Feb 18;8:611217. doi: 10.3389/fnut.2021.611217. eCollection 2021. |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007333 | Insulin Resistance |
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |