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| Name | Class |
|---|---|
| Sir Run Run Shaw Hospital | OTHER |
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This is an exploratory controlled before-after study, which involves 112 participants, of whom 28 are with normal weight and 84 are overweight or obese. Twelve weeks of caloric-restriction dietary intervention will be conducted in the overweight or obese participants. Before and after the 12-week intervention, metabolic health will be characterized by metabolic homeostasis, determined via comprehensive measurements of dynamic postprandial metabolic responses to a standardized mixed macronutrient tolerance test (75 g glucose, 60 g fat, 20 g protein) in a whole-room indirect calorimeter. The objectives of this study are
The objectives of this study are 1) to characterize dynamic metabolic response elicited by acute nutritional and acute exercise challenges, 2) to elucidate biological mechanisms underlying inter-individual heterogeneity in these responses, and 3) to predict prospective weight loss over the intervention using heterogeneous metabolic responses to acute challenges.
In this study, 84 overweight or obese participants (BMI ≥ 24 kg/m2) and 28 normal weight participants (18.5 ≤ BMI<24 kg/m2) will be recruited and receive 12-week caloric-restriction dietary or weight maintenance interventions. Before and after the 12-week interventions, metabolic homeostasis will be used to characterize metabolic health and to be determined using comprehensive measurements of dynamic changes in postprandial metabolic responses (including energy metabolism, multiple clinical biomarkers, metabolomic signatures, gut microbiota, genetic signatures etc.) after standardized mixed macronutrient tolerance test (75 g glucose, 60 g fat and 20 g protein) in whole room indirect calorimeter under both resting and exercise conditions. In addition, data from dietary intake, anthropometric measurements, body composition, psychosocial measures, behavior questionnaires and 14-day continuous glucose monitoring will also be collected to characterize metabolic homeostasis. During the interventions, participants will receive personalized dietary advice, behavior guidance and nutritional and lifestyle education by dietitian and physicians. APP-connected wearable devices will be utilized to monitor their dietary intakes, physical activities and sleep conditions, and an application-connected scale will be used to monitor their weight changes during interventions. The study's protocol has been approved by the Ethics Committee of Sir Run Run Shaw Hospital.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy Comparators | Placebo Comparator | They will receive general lifestyle and nutritional education. |
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| Overweight/Obese Group | Experimental | They will receive personalized nutritional and lifestyle weight reduction intervention including dietary advice, behavior guidance and nutritional and lifestyle education by dietitian and physicians. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| General lifestyle and nutritional education | Behavioral | Participants will receive general dietary advice, behavior guidance and nutritional and lifestyle education based on dietary guidelines. |
| Measure | Description | Time Frame |
|---|---|---|
| Fasting and postprandial energy metabolic response at baseline and post-intervention | Energy metabolism is characterized by four primary indicators: energy expenditure (EE), respiratory quotient (RQ), carbohydrate oxidation rate (CarbOx), and fat oxidation rate (FatOx). EE denotes the rate of energy expenditure per minute (typically expressed in kcal/min). RQ, defined as the ratio of carbon dioxide produced to oxygen consumed (VCOâ‚‚/VOâ‚‚), reflects whole-body substrate utilization. CarbOx and FatOx represent the respective oxidation rates of carbohydrate and fat, quantifying the contribution of each macronutrient to total energy production. | Baseline and Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Body Weight at 12 Weeks | The change between the baseline and after 12-week lifestyle intervention. Weight will be assessed by Seca-255 (ScalesGalore). | Baseline and Week 12 |
| Change from Baseline in Body Mass Index at 12 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Xu Lin, PhD | Institute for Nutritional Sciecnes, CAS; Hangzhou Institute for Advanced Study, UCAS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences | Hangzhou | Zhejiang | 310024 | China |
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| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D009750 | Nutritional and Metabolic Diseases |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D001835 | Body Weight |
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| Personalized nutritional and lifestyle weight reduction intervention | Behavioral | Participants will receive personalized dietary advice, behavior guidance and nutritional and lifestyle education by dietitian and physicians. APP-connected wearable devices will be utilized to monitor their dietary intakes, physical activities and sleep conditions and APP-connected scale will be used to monitor their weight changes during interventions. |
|
The change between the baseline and after 12-week lifestyle intervention. Weight and height will be assessed by Seca-255 (ScalesGalore).
| Baseline and Week 12 |
| Change from Baseline in Waist Circumference at 12 Weeks | The change between the baseline and after 12-week lifestyle intervention. Waist circumference will be assessed by Seca-201(ScalesGalore). | Baseline and Week 12 |
| Change from Baseline in Hip Circumference at 12 Weeks | The change between the baseline and after 12-week lifestyle intervention. Waist circumference will be assessed by Seca-201(ScalesGalore). | Baseline and Week 12 |
| Change from Baseline in Blood Pressure at 12 Weeks | The change of systolic and diastolic blood pressures between the baseline and after 12-week lifestyle intervention. Both systolic pressure and diastolic pressure will be assessed using electronic blood pressure monitor (Omron J750). | Baseline and Week 12 |
| Change from Baseline in Heart Rate at 12 Weeks | The change of systolic and diastolic blood pressures between the baseline and after 12-week lifestyle intervention. Heart rate will be assessed using Omron J750. | Baseline and Week 12 |
| Change from Baseline in Body Composition at 12 Weeks | The change between the baseline and after 12-week lifestyle intervention. Body composition will assessed using dual energy x-ray absorptiometry (DXA) (GE). | Baseline and Week 12 |
| Change from Baseline in Energy Expenditure at 12 Weeks | The change between the baseline and after 12-week lifestyle intervention. Energy expenditure will be assessed using whole room indirect calorimeter. | Baseline and Week 12 |
| Change from Baseline in Respiratory Quotient at 12 Weeks | The change between the baseline and after 12-week lifestyle intervention. Respiratory quotient will be assessed using whole room indirect calorimeter. | Baseline and Week 12 |
| Change from Baseline in Glucose Homeostasis at 12 Weeks | The change between the baseline and after 12-week lifestyle intervention. Glucose homeostasis will be assessed by Continuous Glucose Monitoring (FreeStyle Libre). | Baseline and Week 12 |
| Change from Baseline in Glucose at 12 Weeks | The dynamic change of glucose from 0 to 30, 60, 120, 180, 240, 300 minutes pre- and post-oral mixed-nutrient dietary challenge between the baseline and after 12-week lifestyle intervention. | Baseline and Week 12 |
| Change from Baseline in C-peptide at 12 Weeks | The dynamic change of C-peptide from 0 to 30, 60, 120, 180, 240, 300 minutes pre- and post-oral mixed-nutrient dietary challenge between the baseline and after 12-week lifestyle intervention. | Baseline and Week 12 |
| Change from Baseline in Insulin Indices at 12 Weeks | The dynamic change of insulin indices from 0 to 30, 60, 120, 180, 240, 300 minutes pre- and post-oral mixed-nutrient dietary challenge between the baseline and after 12-week lifestyle intervention. | Baseline and Week 12 |
| Change from Baseline in Lipid Parameters at 12 Weeks | The dynamic change of lipid parameters from 0 to 30, 60, 120, 180, 240, 300 minutes pre- and post-oral mixed-nutrient dietary challenge between the baseline and after 12-week lifestyle intervention. | Baseline and Week 12 |
| Change from Baseline in Protein and Amino Acids Metabolites at 12 Weeks | The dynamic change from 0 to 30, 60, 120, 180, 240, 300 minutes pre- and post-oral mixed-nutrient dietary challenge between the baseline and after 12-week lifestyle intervention. | Baseline and Week 12 |
| Change from Baseline in Inflammatory Biomarkers and Cytokines at 12 Weeks | The dynamic change from 0 to 30, 60, 120, 180, 240, 300 minutes pre- and post-oral mixed-nutrient dietary challenge between the baseline and after 12-week lifestyle intervention. | Baseline and Week 12 |
| Change from Baseline in Gastrointestinal Hormones at 12 Weeks | The dynamic change in gastrointestinal hormones from 0 to 30, 60, 120, 180, 240, 300 minutes pre- and post-oral mixed-nutrient dietary challenge between the baseline and after 12-week lifestyle intervention. | Baseline and Week 12 |
| Change from Baseline in Cell Adhesion Molecules at 12 Weeks | The dynamic change in cell adhesion molecules from 0 to 30, 60, 120, 180, 240, 300 minutes pre- and post-oral mixed-nutrient dietary challenge between the baseline and after 12-week lifestyle intervention. | Baseline and Week 12 |
| Change from Baseline in Adipokines at 12 Weeks | The dynamic change in adipokines from 0 to 30, 60, 120, 180, 240, 300 minutes pre- and post-oral mixed-nutrient dietary challenge between the baseline and after 12-week lifestyle intervention. | Baseline and Week 12 |
| Change from Baseline in Metabolomics at 12 Weeks | The dynamic change in metabolomics including profiling of free fatty acids and other metabolites from 0 to 30, 60, 120, 180, 240, 300 minutes pre- and post-oral mixed-nutrient dietary challenge between the baseline and after 12-week lifestyle intervention. Metabolomics will be measured by LC-MS. | Baseline and Week 12 |
| Single nucleotide polymorphism (SNPs) | Mutations at specific sites will be detected by gene chip. | Baseline |
| Gut microbiota 16S rDNA sequencing | Gut microbiota 16S rDNA will be sequenced and community composition will be analyzed. | Baseline and Week 12 |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |