Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2017-A00817-46 | Other Identifier | 2017-A00817-46 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Tza Nou - Maison médicale pour enfants et adolescentes - 230, rue Vercingétorix - B.P. 77 - 63150 La Bourboule | UNKNOWN |
| SSR Nutrition-Obésité - 33-35 rue Maréchal Leclerc - 63000 Clermont-Ferrand | UNKNOWN |
| Laboratoire AME2P. Campus universitaire des cezeaux, 63170 Aubiere, Cedex |
Not provided
Not provided
Not provided
Not provided
Not provided
The aim of the present study is to compare the effect of two weight loss interventions inducing the same energy deficit but one based on exercise and one using dietary restriction, on appetite control in obese adolescents. Investigator hypothesis that daily energy intake and hunger will be increased in the dietary restriction group but not in response to the exercise program.
The present study will compare the nutritional responses to two 4-month weight loss programs inducing the same energy deficit in obese adolescents, one based on exercise and the other one using dietary restriction. After a first 4-month phase stabilizing the adolescents' daily energy intake and expenditure, half of the sample with increase their physical activity to induce a 10% increase of their daily energy expenditure (maintaining the same energy intake) while the other half will stick with the same physical activity program but reduce their daily intake to match for the same 10% energy deficit. Before, at the end and 4 months after the intervention, Investigator will assess the adolescents' energy intake and appetite control by measuring: ad libitum energy intake, appetite feelings throughout the day, food preferences, food reward. But also all the potential underneath mechanisms based on gastro-peptides and adipokines. Finally, sleep metabolism will be assessed using polysomnography as a potential link between weight loss and appetite control. Body composition, quality of life, aerobic capacities and resting metabolic rate will also be measured at each time point.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DEF-EI | Experimental | these adolescents will follow a dietary restriction of 10% of their daily energy intake. |
|
| DEF-EX | Experimental | these adolescents will increase their physical activity-induced energy expenditure by 10% per day. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DEF-EI : Energy restriction induced energy deficit | Behavioral | DEF-EI : Energy restriction induced energy deficit The content of their energy intake will be decreased by 10% daily compared with the phase one of the protocol (stabilization of intake). This decrease will be allowed by the internship nature of the clinical program; all the meals are prepared and served by the personal of the clinical centre. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in energy intake at lunch time | food intake will be measured ad libitum during a lunch time buffet. The adolescents will be offered an ad libitum buffet-type meal composed based on their food intake preferences. Their intake will be assessed by a member of the investigation team | Before, after 10 months and 4 month after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| change in FM | Fat mass (FM) was assessed using DXA following standardized procedures | Before, after 10 months and 4 month after the intervention |
| Aerobic capacity | VO2peak will be measured during a graded exhaustive cycling test performed by a specialized medical investigator from the Department of Sports Medicine, Functional and Respiratory Rehabilitation (Clermont-Ferrand University Hospital). The initial power will be set at 30 W for three minutes and followed by 15 W increments every 1.5 minutes. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Patrick LACARIN | Contact | 04 73 75 11 95 | placarin@chu-clermontferrand.fr |
| Name | Affiliation | Role |
|---|---|---|
| Yves BOIRIE | University Hospital, Clermont-Ferrand | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Clermont-Ferrand | Recruiting | Clermont-Ferrand | 63003 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32008915 | Derived | Roche J, Corgosinho FC, Damaso AR, Isacco L, Miguet M, Fillon A, Guyon A, Moreira GA, Pradella-Hallinan M, Tufik S, Tulio de Mello M, Gillet V, Pereira B, Duclos M, Boirie Y, Masurier J, Franco P, Thivel D, Mougin F. Sleep-disordered breathing in adolescents with obesity: When does it start to affect cardiometabolic health? Nutr Metab Cardiovasc Dis. 2020 Apr 12;30(4):683-693. doi: 10.1016/j.numecd.2019.12.003. Epub 2019 Dec 16. |
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| D009765 | Obesity |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
Not provided
Not provided
| UNKNOWN |
Not provided
Not provided
Not provided
Not provided
|
| DEF-EX : Exercise induced energy deficit | Behavioral | DEF-EX : Exercise induced energy deficit While their intake will remain the same as phase 1, they will increase their physical activity energy expenditure by 10% thanks to an increase of their prescribed exercise intensities or durations. |
|
| Before, after 10 months and 4 month after the intervention |
| Insulin concentration | : Insulin will be assessed thanks to a fasting blood sample taken by a specialized nurse. | Before, after 10 months and 4 month after the intervention |
| Glycaemia concentration | glycaemia, will be assessed thanks to a fasting blood sample taken by a specialized nurse. | Before, after 10 months and 4 month after the intervention |
| total cholesterol concentration | cholesterol total will be assessed thanks to a fasting blood sample taken by a specialized nurse. | Before, after 10 months and 4 month after the intervention. |
| HDL-C concentration | HDL-C will be assessed thanks to a fasting blood sample taken by a specialized nurse | Before, after 10 months and 4 month after the intervention |
| LDL-C concentration | LDL-C will be assessed thanks to a fasting blood sample taken by a specialized nurse. | Before, after 10 months and 4 month after the intervention |
| Triglycerides concentration | Triglycerides concentration will be assessed thanks to a fasting blood sample taken by a specialized nurse. | Before, after 10 months and 4 month after the intervention |
| Acylated Ghrelin concentration | Acylated Ghrelin concentration will be assessed thanks to a fasting blood sample taken by a specialized nurse | Before, after 10 months and 4 month after the intervention |
| Leptin concentration | Leptin concentration will be assessed thanks to a fasting blood sample taken by a specialized nurse | Before, after 10 months and 4 month after the intervention |
| Sleep metabolism | sleep duration will be assessed during an overnight polysomnography. | Before, after 10 months and 4 month after the intervention |
| appetite feelings | hunger satiety will be assessed using visual analogue scale at regular interval through a test day | Before, after 10 months and 4 month after the intervention |
| Quality of life Score | A total Quality of life score will be obtain thanks to the "SF36" questionnaire. This is a self-reported questionnaire. A member of the investigation team will be present to help and guide the adolescents if needed | Before, after 10 months and 4 month after the intervention |
| Health Perception | A total Health Perception score will be obtain thanks to the "Health Perception Questionnaire ". This is a self-reported questionnaire. A member of the investigation team will be present to help and guide the adolescents if needed. | Before, after 10 months and 4 month after the intervention |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |