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| ID | Type | Description | Link |
|---|---|---|---|
| 15048 | Other Grant/Funding Number | Kazakh Academy of Nutrition |
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The goal of this clinical trial is to learn if a structured high-protein diet with meal replacements can help with weight loss in adults with overweight or obesity. The main questions it aims to answer are:
Does this diet help participants lose more body weight? Does this diet improve body composition and blood markers such as glucose and cholesterol?
Researchers will compare a structured diet program with meal replacements to a standard low-calorie diet to see if it leads to better weight loss and health outcomes.
Participants will:
Follow a calorie-restricted diet for the duration of the study Be assigned to either a meal replacement program or a standard diet Attend study visits for body measurements and blood tests Report their feelings of hunger and fullness
This randomized, controlled clinical trial is designed to evaluate the effectiveness of a structured, high-protein, calorie-restricted diet that includes standardized protein-based meal replacement products and additional dietary supplements in capsule form compared to a standard low-calorie diet in adults with overweight or obesity.
Approximately 60 participants aged 25 to 60 years will be enrolled and randomly assigned to one of two groups. The intervention group will follow a structured nutrition program that includes replacing two main meals per day with a protein-based meal replacement shake and taking additional dietary supplements in capsule form twice daily with snacks. The control group will follow a conventional calorie-restricted diet based on general nutritional recommendations without meal replacement products or additional dietary supplements.
Participants in both groups will follow individualized meal plans tailored to their caloric needs.
Daily energy intake in both groups will be approximately 1400-1600 kcal, with an estimated energy deficit of about 500 kcal. Protein intake is expected to be higher in the intervention group compared to the control group.
The primary outcomes of the study include changes in body weight, body mass index, and body composition assessed by bioimpedance analysis. Secondary outcomes include metabolic parameters such as glucose, insulin, and lipid profile, as well as subjective measures including hunger, satiety, and overall well-being.
Participants will attend scheduled visits for anthropometric measurements and laboratory testing. Safety will be monitored throughout the study, including vital signs and the recording of any adverse events.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High-Protein Diet with Meal Replacements | Experimental | Participants follow a structured, calorie-restricted, high-protein diet that includes replacing two main meals per day with a protein-based meal replacement shake and taking additional dietary supplements in capsule form twice daily with snacks. Participants also receive individualized meal plans tailored to their caloric needs. |
|
| Standard Low-Calorie Diet | Active Comparator | Participants follow a standard calorie-restricted diet based on general nutritional recommendations without meal replacement products. Participants also receive individualized meal plans tailored to their caloric needs. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Meal Replacement and Dietary Supplementation | Dietary Supplement | Participants replace two main meals per day with a protein-based meal replacement shake and take additional dietary supplements in capsule form twice daily with snacks as part of a structured, calorie-restricted diet. Participants also follow individualized meal plans tailored to their caloric needs. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in body weight (kg) | Change in body weight measured in kilograms. Body weight will be assessed at baseline and monthly during the study | Baseline to 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in body fat percentage (%) | Change in body fat percentage measured by bioimpedance analysis. Assessments will be performed at baseline and monthly during the study | Baseline to 3 months |
| Change in lean body mass (kg) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aliya Kaldybai | Kazakh Academy of Nutrition, Almaty, Kazakhstan | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kazakh Academy of Nutrition LLP | Almaty | 050010 | Kazakhstan |
Individual participant data (IPD) will not be shared due to privacy and confidentiality considerations and the absence of a predefined data sharing plan.
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D015431 | Weight Loss |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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| ID | Term |
|---|---|
| D019587 | Dietary Supplements |
| D031204 | Caloric Restriction |
| ID | Term |
|---|---|
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
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Participants will be randomly assigned to one of two parallel groups. One group will follow a structured high-protein, calorie-restricted diet with meal replacements, while the other group will follow a standard calorie-restricted diet. Participants in both groups will follow individualized meal plans tailored to their caloric needs.
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This is an open-label study. Both participants and researchers are aware of group assignments.
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| Calorie-Restricted Diet | Behavioral | Participants follow a standard calorie-restricted diet based on general nutritional recommendations without meal replacement products or additional dietary supplements. Participants also follow individualized meal plans tailored to their caloric needs. |
|
Change in lean body mass measured by bioimpedance analysis. Assessments will be performed at baseline and monthly during the study
| Baseline to 3 months |
| Change in body mass index (BMI, kg/m²) | Change in body mass index calculated as weight in kilograms divided by height in meters squared. Assessments will be performed at baseline and monthly during the study | Baseline to 3 months |
| Change in blood glucose concentration (mmol/L) | Change in fasting blood glucose concentration measured in mmol/L at baseline and at 3 months | Baseline to 3 months |
| Change in total cholesterol (mmol/L) | Change in total cholesterol levels measured in mmol/L at baseline and at 3 months | Baseline to 3 months |
| Change in LDL cholesterol (mmol/L) | Change in low-density lipoprotein (LDL) cholesterol levels measured in mmol/L at baseline and at 3 months | Baseline to 3 months |
| Change in HDL cholesterol (mmol/L) | Change in high-density lipoprotein (HDL) cholesterol levels measured in mmol/L at baseline and at 3 months | Baseline to 3 months |
| Change in triglycerides (mmol/L) | Change in triglyceride levels measured in mmol/L at baseline and at 3 months | Baseline to 3 months |
| Change in appetite-related scores assessed by Visual Analog Scale (VAS) | Change in self-reported appetite-related sensations assessed using a Visual Analog Scale (VAS), ranging from 0 to 10, where 0 indicates minimal intensity and 10 indicates maximal intensity of the measured sensation. The questionnaire includes multiple domains such as hunger, satiety, desire to eat, food intake capacity, food satisfaction, cravings, emotional influence on eating, and dietary control. Assessments will be performed at baseline and monthly during the study | Baseline to 3 months |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001836 | Body Weight Changes |
| D004035 |
| Diet Therapy |
| D044623 | Nutrition Therapy |
| D013812 | Therapeutics |
| D002149 | Energy Intake |
| D004032 | Diet |
| D009747 | Nutritional Physiological Phenomena |