NCT07535333

Brief Summary

To investigate the effects of simple dietary management and diet combined with exercise capacity-targeted intelligent lifestyle management on improving metabolic indicators in patients with overweight/obesity and metabolic syndrome.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
435

participants targeted

Target at P75+ for not_applicable

Timeline
13mo left

Started May 2026

Status
not yet recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress2%
May 2026Jun 2027

First Submitted

Initial submission to the registry

January 6, 2026

Completed
3 months until next milestone

First Posted

Study publicly available on registry

April 17, 2026

Completed
14 days until next milestone

Study Start

First participant enrolled

May 1, 2026

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2026

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2027

Last Updated

April 17, 2026

Status Verified

April 1, 2026

Enrollment Period

7 months

First QC Date

January 6, 2026

Last Update Submit

April 9, 2026

Conditions

Keywords

mhealthMetabolic SyndromeLifestyle (sedentary behavior and physical activity)Mediterranean DietOverweight , Obesity

Outcome Measures

Primary Outcomes (1)

  • metabolic syndrome prevalence

    The change in metabolic syndrome prevalence before and after the intervention in the diet-enhanced group, and a comparison of the changes in metabolic syndrome prevalence before and after the intervention between the comprehensive lifestyle intervention group and the diet-enhanced group.

    From enrollment to the end of treatment at 3 months and 6 months

Secondary Outcomes (5)

  • Cardiorespiratory fitness and exercise performance

    From enrollment to the end of treatment at 3 months and 6months

  • Metabolic syndrome indicator values

    From enrollment to the end of treatment at 3 months and 6months.

  • Body composition parameters

    From enrollment to the end of treatment at 6 months and 12 months.

  • Glycometabolism metabolism related indicators

    From enrollment to the end of treatment at 3months and 6 months.

  • Lipid metabolism indicators

    From enrollment to the end of treatment at 3months and 6 months.

Study Arms (3)

Control

PLACEBO COMPARATOR

Routine Clinical Treatment Protocol:Metabolic Syndrome Prevention and Education: Maintain an ideal body weight, engage in appropriate exercise, modify dietary structure to reduce caloric intake, restrict salt consumption, reduce intake of sugar-sweetened or artificially sweetened beverages, quit smoking, avoid excessive alcohol consumption, and maintain a positive emotional state.

Behavioral: Metabolic Syndrome Prevention and Education

Diet-Enhanced Group: Dietary Prescription + Exercise Advice

EXPERIMENTAL

Dietary Prescription: Using the Mediterranean diet or DASH diet as reference models, dietary prescriptions will be formulated based on the nutritional assessment results of the participants: 1. Energy and Macronutrient Intake: The daily energy intake standard will be estimated according to each participant's Basal Metabolic Rate (BMR) and physical activity level. The macronutrient ratio will be personalized by the dietitian based on the participant's metabolic indicators. 2. Personalized Dietary Guidance: Based on the baseline dietary assessment and specific metabolic syndrome indicators, dietitians will develop personalized dietary prescriptions. The diet encourages the consumption of raw nuts, fruits, vegetables (including dark-colored vegetables such as spinach, rape, leeks, broccoli, etc.), whole grains, legumes, lean meats, fish, and low-fat dairy products.

Behavioral: Dietary Prescription

Comprehensive Lifestyle Intervention Group: Dietary Prescription + Personalized Exercise Prescriptio

EXPERIMENTAL

Dietary Prescription(same with arm 2)+Personalized Exercise Prescription: Based on the baseline functional fitness tests and cardiopulmonary exercise testing (CPET) results, a personalized exercise training regimen will be established. The program will be primarily delivered through instructional videos and monitored via an APP-based exercise log. The specific exercise components include: respiratory muscle training, aerobic training, upper and lower limb resistance training, and flexibility training.

Behavioral: Dietary PrescriptionBehavioral: Personalized Exercise Prescription

Interventions

Dietary Prescription: Using the Mediterranean diet or DASH diet as reference models, dietary prescriptions will be formulated based on the nutritional assessment results of the participants: 1. Energy and Macronutrient Intake: The daily energy intake standard will be estimated according to each participant's Basal Metabolic Rate (BMR) and physical activity level. The macronutrient ratio will be personalized by the dietitian based on the participant's metabolic indicators. 2. Personalized Dietary Guidance: Based on the baseline dietary assessment and specific metabolic syndrome indicators, dietitians will develop personalized dietary prescriptions. The diet encourages the consumption of raw nuts, fruits, vegetables (including dark-colored vegetables such as spinach, rape, leeks, broccoli, etc.), whole grains, legumes, lean meats, fish, and low-fat dairy products.

Comprehensive Lifestyle Intervention Group: Dietary Prescription + Personalized Exercise PrescriptioDiet-Enhanced Group: Dietary Prescription + Exercise Advice

Based on the baseline functional fitness tests and cardiopulmonary exercise testing (CPET) results, a personalized exercise training regimen will be established. The program will be primarily delivered through instructional videos and monitored via an APP-based exercise log. The specific exercise components include: respiratory muscle training, aerobic training, upper and lower limb resistance training, and flexibility training.

Comprehensive Lifestyle Intervention Group: Dietary Prescription + Personalized Exercise Prescriptio

Maintain an ideal body weight, engage in appropriate exercise, modify dietary structure to reduce caloric intake, restrict salt consumption, reduce intake of sugar-sweetened or artificially sweetened beverages, quit smoking, avoid excessive alcohol consumption, and maintain a positive emotional state.

Control

Eligibility Criteria

Age20 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Aged between 20 and 60 years.
  • Overweight or obese, with a Body Mass Index (BMI) ≥ 24 kg/m² and \< 40 kg/m².
  • Patients with impaired metabolic parameters regarding glucose, lipids, and blood pressure,meet at least two of the following criteria:
  • Central obesity: Waist circumference ≥ 90 cm for males or ≥ 85 cm for females.
  • Hyperglycemia: Fasting plasma glucose (FPG) ≥ 6.1 mmol/L, or 2-hour plasma glucose ≥ 7.8 mmol/L during an oral glucose tolerance test (OGTT), and/or currently receiving treatment for previously diagnosed diabetes.
  • Hypertension: Blood pressure ≥ 130/85 mmHg, and/or currently receiving treatment for previously diagnosed hypertension.
  • Elevated fasting triglycerides (TG): ≥ 1.7 mmol/L.
  • Reduced fasting high-density lipoprotein cholesterol (HDL-C): \< 1.04 mmol/L.

You may not qualify if:

  • History of cardiovascular or cerebrovascular disease, or in the acute phase, including: angina pectoris, myocardial infarction, coronary revascularization surgery, stroke (ischemic or hemorrhagic, including transient ischemic attack), symptomatic peripheral artery disease requiring surgery or diagnosed via angiographic techniques, ventricular arrhythmias, uncontrolled atrial fibrillation, congestive heart failure (New York Heart Association class III or IV), hypertrophic cardiomyopathy, history of aneurysm with diameter ≥ 5.5 cm, or history of aneurysm surgery.
  • Malignancy or history of malignancy within the past five years.
  • Religious restrictions or dysphagia preventing adherence to the recommended diet.
  • Contraindications to exercise, such as orthopedic disorders.
  • Participation in other weight-loss programs (\> 5 kg weight loss) within the six months prior to the screening visit.
  • History of bariatric surgery or intention to undergo bariatric surgery within the next 12 months.
  • History of small or large bowel resection or inflammatory bowel disease.
  • Obesity due to endocrine disorders of unknown cause (excluding treated hypothyroidism).
  • Allergy to any food components of the Mediterranean diet.
  • Immunodeficiency or HIV positive status.
  • Cirrhosis or liver failure.
  • Severe psychiatric disorders, including schizophrenia, bipolar disorder, eating disorders, or depression requiring hospitalization in the past 6 months.
  • Severe comorbidities with a life expectancy of less than 24 months.
  • Alcoholism, addiction, or drug abuse in the past six months (or daily alcohol consumption \> 50 g).
  • History of major organ transplantation.
  • +8 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • PUNTHAKEE Z, GOLDENBERG R, KATZ P, et al. Definition, Classification and Diagnosis of Diabetes, Prediabetes and Metabolic Syndrome [J]. Can J Diabetes, 2018, 42 Suppl 1: S10-S5.

    RESULT

MeSH Terms

Conditions

Metabolic SyndromeSedentary BehaviorMotor ActivityOverweightObesity

Interventions

Educational Status

Condition Hierarchy (Ancestors)

Insulin ResistanceHyperinsulinismGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesBehaviorOvernutritionNutrition DisordersBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Socioeconomic FactorsPopulation Characteristics

Central Study Contacts

Yifan Wu, master

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 6, 2026

First Posted

April 17, 2026

Study Start

May 1, 2026

Primary Completion (Estimated)

December 1, 2026

Study Completion (Estimated)

June 1, 2027

Last Updated

April 17, 2026

Record last verified: 2026-04