NCT03762629

Brief Summary

Prevalence rates of childhood obesity have reached alarming levels. As childhood obesity may already be associated with serious comorbidities, obese adolescents are at significantly higher risk for obesity and increased morbidity and mortality during adulthood. Combined lifestyle interventions, which include regular physical activity and dietary restriction, have been shown to result in most significant improvements in cardiovascular function and their associated factors in the pediatric and adolescent population with obesity. The aim of this study is to investigate the effects of a combined exercise and diet intervention on cardiovascular function and their associated factors in obese children.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
90

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jul 2017

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2017

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

July 2, 2017

Completed
1.4 years until next milestone

First Posted

Study publicly available on registry

December 4, 2018

Completed
27 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2018

Completed
Last Updated

December 4, 2018

Status Verified

December 1, 2018

Enrollment Period

1.5 years

First QC Date

July 2, 2017

Last Update Submit

December 3, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change from flow-mediated dilation (FMD) at 6 weeks

    for brachial endothelial function assessment

    before and after the 6-week intervention

Secondary Outcomes (4)

  • Change from circulating exosome-derived miRNAs at 6 weeks

    before and after the 6-week intervention

  • Change from circulating irisin levels at 6 weeks

    before and after the 6-week intervention

  • Change from pulse wave velocity at 6 weeks

    before and after the 6-week intervention

  • Change from heart rate variability at 6 weeks

    before and after the 6-week intervention

Other Outcomes (2)

  • Change from the composition of gut microbiota at 6 weeks

    before and after the 6-week intervention

  • Change from short chain fatty acids (SCFAs) concentractions at 6 weeks

    before and after the 6-week intervention

Study Arms (2)

Obese intervention group

EXPERIMENTAL

Obese children were received exercise and diet intervention for 6 weeks.

Behavioral: Exercise

Normal weight control group

NO INTERVENTION

Normal weight children were recruited as a control group without any intervention.

Interventions

ExerciseBEHAVIORAL

Subjects were provided with energy-restricted diets of 1300-2200 kcal/day based on weight. The energy percentages provided by protein, fat and carbohydrate were 20%, 20% and 60%, respectively, while energy distributions at breakfast, lunch and dinner were 30%, 40% and 30%, respectively. Subjects performed a series of endurance exercise such as bicycling, walking, running, dancing and ball games for 5 hour/day, supplemented with resistance exercise. Training interventions were performed 5-6 day/week for 6 weeks. The exercise program was designed to result in an energy expenditure of 1500-2500 kcal/day.

Also known as: diet restriction
Obese intervention group

Eligibility Criteria

Age7 Years - 17 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Participants aged 7-17 years
  • Participants satisfied the obesity diagnosis criteria is based on "Body mass index reference standards for the screening of overweight and obesity in Chinese children and adolescents" released in 2004, with cut-off points of p(95) for obesity

You may not qualify if:

  • Metabolic disease
  • Gastrointestinal disease
  • Cardiac disease
  • Taking medications which affected energy expenditure
  • Losing weight in the past three months whether by diet, taking weight-loss medication or more physical exercise than normal

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Guangzhou Sport University

Guangzhou, Guangdong, 510000, China

RECRUITING

Related Publications (2)

  • Huang J, Liao J, Fang Y, Deng H, Yin H, Shen B, Hu M. Six-Week Exercise Training With Dietary Restriction Improves Central Hemodynamics Associated With Altered Gut Microbiota in Adolescents With Obesity. Front Endocrinol (Lausanne). 2020 Dec 7;11:569085. doi: 10.3389/fendo.2020.569085. eCollection 2020.

  • Liao J, Huang J, Wang S, Xiang M, Wang D, Deng H, Yin H, Xu F, Hu M. Effects of exercise and diet intervention on appetite-regulating hormones associated with miRNAs in obese children. Eat Weight Disord. 2021 Mar;26(2):457-465. doi: 10.1007/s40519-020-00869-9. Epub 2020 Feb 18.

MeSH Terms

Conditions

Pediatric Obesity

Interventions

Exercise

Condition Hierarchy (Ancestors)

ObesityOverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • Min Hu, PhD

    Guangzhou Sport University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of Guangdong Provincial Key Laboratory of Sports and Health Promotion

Study Record Dates

First Submitted

July 2, 2017

First Posted

December 4, 2018

Study Start

July 1, 2017

Primary Completion

December 31, 2018

Study Completion

December 31, 2018

Last Updated

December 4, 2018

Record last verified: 2018-12

Locations