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HealthyNCT02682537

IC-BASAROTs: New Practice Method for More Accurate Bed-side Assessment of Individual Energy Expenditure

An observational study of Healthy and Body Weight, run by University of Applied Sciences Neubrandenburg at 6 sites in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Assessment of resting energy expenditure (REE) by indirect calorimetry (IC) in 1400 healthy individuals for arithmetical transformation into an bedside tool to estimate energy requirements in dietary practice (BASAROTs). A multinational, multicenter, prospective cross-sectional study. Read more about this study

Who is it for?
Ages 18 to 100 yearsHealthy volunteers can take part
Conditions the study is for
Healthy, Body Weight, Overweight
How many people
1,400 participants
Where
6 sitesGermany
Study dates
Mar 2015to Dec 2020
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Minimum sample size of n = 1400: 700 mostly healthy people (50% women, aged 18-100 years, BMI 16.5 to 39.9 kg / m²), 420 underweight individuals (50% women, 18 years to 100 years, BMI from 14.0 to 16.4 kg/m²), 280 morbidly obese (50% women,18 years to 100 years, BMI 40.0-49,9 kg/m²). Recruitment of volunteers is performed in the local trial centers.

Who may be able to join

  • female, male
  • 18 years to 85 years
  • Body Mass Index: 14,0 - 49,9 kg/m²
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (Grade 0 or 1)
  • normal thyroid function
  • subjective health in dependence of BMI (underweight, normal weight, obesity, morbid obesity)

Who cannot join

  • implanted pacemaker
  • amputations
  • paresis (mono- and diparesis)
  • Asian or African descent
  • above-average physical activity (competitive sport)
  • present or suspicion of malignant neoplasms (tumors, metastases, hemato-oncological diseases)
Show all 24Show fewer
  • severe diseases (organ diseases, neurological diseases)
  • severe dementia (MMSE < 20 points)
  • pregnancy
  • participation in other trials
  • subjects with expect non-compliance to protocol guidelines
  • intake of:
  • lithium compound
  • neuroleptics: Olanzapine (Zyprexa ®), Clozapine, Sertindole, Ziprasidone, Haloperidol, Thioridazine
  • anticonvulsant (Carbamazepin, Valproic Acid, Topiramate)
  • noradrenalin-reuptake-inhibitor (NARI): Reboxetine , Atomoxetine
  • tricyclic antidepressants (Amitryptiline, Clomipramine, Doxepin, Imipramine, Trimipramin)
  • Lorcaserin
  • interferon-alfa, interferon-beta
  • Baclofen
  • Orciprenaline
  • Amiodarona
  • Insulin
  • corticoid therapy (oral)

Trial locations and contacts

6 sites in 1 country.

Luzia Valentini, Prof. Dr. contact

+49 395 5693 ext. 2512

valentini@hs-nb.de

Sara Ramminger, M.Sc. contact

+49 395 5693 ext. 1507

ramminger@hs-nb.de

6 sites in 1 country

Germany6 sites, 6 recruiting
  • Fulda University of Applied Sciences

    Fulda, Hesse, 36030

    Kathrin Kohlenberg-Müller, Prof. Dr., +49 661 9649 378, kathrin.kohlenberg-mueller@he.hs-fulda.de

    Recruiting
  • Leipzig University - Medical Center IFB AdiposityDiseases

    Leipzig, Saxony, 04103

    Tanja Schütz, Dr., +49 341 97 15 957, tatjana.schuetz@medizin.uni-leipzig.de

    Recruiting
  • Profil Institut for Metabolic Research

    Mainz, Rhineland-Palatinate, 55116

    Leona Plum-Mörschel, Dr, leona.plum-moerschel@profil.com

    Recruiting
  • Technical University of Munich

    Munich, Bavaria, 80992

    Christina Holzapfel, Dr., christina.holzapfel@tum.de

    Recruiting
  • Dietrich Bonheoffer Hospital of Neubrandenburg

    Neubrandenburg, Mecklenburg-Vorpommern, 17033

    Peter Keil, Dr. med., +49 0375 775 3700, keiljp@dbknb.de

    Recruiting
  • University of Applied Sciences Neubrandenburg

    Neubrandenburg, Mecklenburg-Vorpommern, 17033

    Luzia Valentini, Prof. Dr., +49 395 5693 2512, valentini@hs-nb.de

    Sara Ramminger, M. Sc., +49 395 5693 1507, ramminger@hs-nb.de

    Recruiting

Other trials in Germany

About this study

Official title: IC-BASAROTs: Verification of a New Practice Method for More Accurate Bed-side Assessment of Individual Energy Expenditure

Assessment of resting energy expenditure (REE) by indirect calorimetry (IC) in 1400 healthy individuals for arithmetical transformation into an bedside tool to estimate energy requirements in dietary practice (BASAROTs). A multinational, multicenter, prospective cross-sectional study.

Read the detailed description

The assessment of energy expenditure is the basic requirement for any nutritional therapy. Nevertheless, there is still no accurate, scientifically validated and practical bedside tool.

The reference method for energy expenditure measurement is indirect calorimetry (IC). High costs, time requirements and the need for trained personal are main reasons for its limited use in clinical practice. Also arithmetical calculations, such as the Harris-Benedict equation, are not widely accepted.

In general energy expenditure is often estimated by so called rules of thumbs, a method requiring only one multiplication with body weight (for example: 25 kcal/kg body weight). Sex, age and BMI are usually not considered, although they are independent predictors of energy expenditure. Thus, energy expenditure estimations are often inaccurate, especially in older and overweight/obese persons.

Therefore, it is important to develop a bedside tool that is more accurate but simple enough to be accepted by practitioners. In 2004, the Austrian Society of Clinical Nutrition published the first BMI, aged and sex adapted rule of thumbs, called BASAROTs (BMI Age Sex Adjusted Rule Of Thumbs). Those were, however, based on results of the Harris Benedict equation.

The main objective of the present study is, therefore, to replace the existing BASAROTs by BASAROTs based on actual measurements of resting energy expenditure by indirect calorimetry (IC-BASAROTs).

Keywords
Resting energy expenditure, Calorie requirements, Indirect Calorimetry
Medical subject headings
Body Weight, Overweight, Thinness

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02682537
Study groupRoleWhat they receive
Female, BMI: 14,00-16,49 kg/m²Age: 18 - 100 Years
Female, BMI: 16,50-18,49 kg/m²Age: 18 - 100 years
Female, BMI: 18,50-19,99 kg/m²Age: 18 - 100 years
Female, BMI: 20,00-24,99 kg/m²Age: 18 - 100 years
Female, BMI: 25,00-29,99 kg/m²Age: 18 - 100 years
Female, BMI: 30,00-34,99 kg/m²Age: 18 - 100 years
Female, BMI: 35,00-39,99 kg/m²Age: 18 - 100 years
Female, BMI: 40,00-44,99 kg/m²Age: 18 - 100 years
Female, BMI: 45,00-49,99 kg/m²Age: 18 - 100 years
Male, BMI: 14,00-16,49 kg/m²Age: 18 - 100 years
Male, BMI: 16,50-18,49 kg/m²Age: 18 - 100 years
Male, BMI: 18,50-19,99 kg/m²Age: 18 - 100 years
Male, BMI: 20,00-24,99 kg/m²Age: 18 - 100 years
Male, BMI: 25,00-29,99 kg/m²Age: 18 - 100 years
Male, BMI: 30,00-34,99 kg/m²Age: 18 - 100 years
Male, BMI: 35,00-39,99 kg/m²Age: 18 - 100 years
Male, BMI: 40,00-44,99 kg/m²Age: 18 - 100 years
Male, BMI: 45,00-49,99 kg/m²Age: 18 - 100 years

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. resting energy expenditure (REE) (kcal)

    Assessed by indirect calorimetry

    Measured: 15 minutes

Secondary outcomes (17)
  1. blood pressure (mm Hg)

    upper arm measurement by certified medical device

    Measured: one single (baseline) measurement under standardized conditions

  2. Body temperature (°C)

    measured axillar, by infra-red ear thermometer and non-contact thermoscan

    Measured: one single (baseline) measurement under standardized conditions

  3. Heart rate (bpm)

    measured by heart rate band and blood pressure device

    Measured: one single (baseline) measurement under standardized conditions

  4. Body weight (kg)

    measured by electronic scale integrated in BIA device

    Measured: one single (baseline) measurement under standardized conditions

  5. Body height (m)

    measured by digital stationary stadiometer

    Measured: one single (baseline) measurement under standardized conditions

  6. Fat mass (FM) (kg)

    measured by bioelectrical impedance analysis (BIA)

    Measured: one single (baseline) measurement under standardized conditions

  7. Fat-free mass (FFM) (kg)

    measured by bioelectrical impedance Analysis (BIA)

    Measured: one single (baseline) measurement under standardized conditions

  8. Fat-free mass index (FFMI) (kg/m²)

    measured by bioelectrical impedance Analysis (BIA)

    Measured: one single (baseline) measurement under standardized conditions

  9. Fat mass index (FMI) (kg/m²)

    measured by bioelectrical impedance Analysis (BIA)

    Measured: one single (baseline) measurement under standardized conditions

  10. Skeletal muscle mass (SMM) (kg)

    measured by bioelectrical impedance Analysis (BIA)

    Measured: one single (baseline) measurement under standardized conditions

  11. Total body water (TBW) (l)

    measured by bioelectrical impedance Analysis (BIA)

    Measured: one single (baseline) measurement under standardized conditions

  12. Extracellular water (ECW) (l)

    measured by bioelectrical impedance Analysis (BIA)

    Measured: one single (baseline) measurement under standardized conditions

  13. Resistance (R) (Ω)

    measured by bioelectrical impedance Analysis (BIA)

    Measured: one single (baseline) measurement under standardized conditions

  14. Reactance (Xc) (Ω)

    measured by bioelectrical impedance Analysis (BIA)

    Measured: one single (baseline) measurement under standardized conditions

  15. Phase angle (°)

    measured by bioelectrical impedance Analysis (BIA)

    Measured: one single (baseline) measurement under standardized conditions

  16. Waist circumference (cm)

    measured by measuring tape

    Measured: one single (baseline) measurement under standardized conditions

  17. International Physical Activity Questionnaire (IPAQ) short form

    Measured: one single (baseline) interview

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Feb 2016 (estimated)
  2. Study startMar 2015
  3. Primary completionDec 2019 (estimated)
  4. Study completionDec 2020 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
1,400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02682537
Sponsor's protocol ID
BB023/15
Status last verified
Apr 2018
First submitted
8 Feb 2016
Last updated
11 Apr 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
Yes: The other study centers forward us pseudonymised participant data for evaluation. It might also be possible that we share selected pseudonymised participant data with the other study centers.

Publications

  • Elizabeth Weekes C. Controversies in the determination of energy requirements. Proc Nutr Soc. 2007 Aug;66(3):367-77. doi: 10.1017/S0029665107005630.

    PubMed 17637089
  • Schoeller DA. Making indirect calorimetry a gold standard for predicting energy requirements for institutionalized patients. J Am Diet Assoc. 2007 Mar;107(3):390-2. doi: 10.1016/j.jada.2007.01.030. No abstract available.

    PubMed 17324655
  • Valentini L, Roth E, Jadrna K, Postrach E, Schulzke JD. The BASA-ROT table: an arithmetic-hypothetical concept for easy BMI-, age-, and sex-adjusted bedside estimation of energy expenditure. Nutrition. 2012 Jul;28(7-8):773-8. doi: 10.1016/j.nut.2011.11.020.

    PubMed 22704700
  • Lawrence M. Predicting energy requirements: is energy expenditure proportional to the BMR or to body weight? An analysis of data collected in rural Gambian women. Eur J Clin Nutr. 1988 Nov;42(11):919-27.

    PubMed 3074920
  • Piers LS, Soares MJ, McCormack LM, O'Dea K. Is there evidence for an age-related reduction in metabolic rate? J Appl Physiol (1985). 1998 Dec;85(6):2196-204. doi: 10.1152/jappl.1998.85.6.2196.

    PubMed 9843543
  • Muller MJ, Bosy-Westphal A, Kutzner D, Heller M. Metabolically active components of fat-free mass and resting energy expenditure in humans: recent lessons from imaging technologies. Obes Rev. 2002 May;3(2):113-22. doi: 10.1046/j.1467-789x.2002.00057.x.

    PubMed 12120418
  • Dickerson RN. Optimal caloric intake for critically ill patients: first, do no harm. Nutr Clin Pract. 2011 Feb;26(1):48-54. doi: 10.1177/0884533610393254.

    PubMed 21266697
  • Berger MM, Pichard C. Development and current use of parenteral nutrition in critical care - an opinion paper. Crit Care. 2014 Aug 8;18(4):478. doi: 10.1186/s13054-014-0478-0.

    PubMed 25184816
  • Heidegger CP, Berger MM, Graf S, Zingg W, Darmon P, Costanza MC, Thibault R, Pichard C. Optimisation of energy provision with supplemental parenteral nutrition in critically ill patients: a randomised controlled clinical trial. Lancet. 2013 Feb 2;381(9864):385-93. doi: 10.1016/S0140-6736(12)61351-8. Epub 2012 Dec 3.

    PubMed 23218813
  • Bader N, Bosy-Westphal A, Dilba B, Muller MJ. Intra- and interindividual variability of resting energy expenditure in healthy male subjects -- biological and methodological variability of resting energy expenditure. Br J Nutr. 2005 Nov;94(5):843-9. doi: 10.1079/bjn20051551.

    PubMed 16277790
  • Bosy-Westphal A, Eichhorn C, Kutzner D, Illner K, Heller M, Muller MJ. The age-related decline in resting energy expenditure in humans is due to the loss of fat-free mass and to alterations in its metabolically active components. J Nutr. 2003 Jul;133(7):2356-62. doi: 10.1093/jn/133.7.2356.

    PubMed 12840206
  • Gonnissen HK, Adam TC, Hursel R, Rutters F, Verhoef SP, Westerterp-Plantenga MS. Sleep duration, sleep quality and body weight: parallel developments. Physiol Behav. 2013 Sep 10;121:112-6. doi: 10.1016/j.physbeh.2013.04.007. Epub 2013 May 3.

    PubMed 23643826
  • Chaput JP, St-Onge MP. Increased food intake by insufficient sleep in humans: are we jumping the gun on the hormonal explanation? Front Endocrinol (Lausanne). 2014 Jul 15;5:116. doi: 10.3389/fendo.2014.00116. eCollection 2014. No abstract available.

    PubMed 25076940
  • Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003 Aug;35(8):1381-95. doi: 10.1249/01.MSS.0000078924.61453.FB.

    PubMed 12900694
  • Rutten A, Abu-Omar K. Prevalence of physical activity in the European Union. Soz Praventivmed. 2004;49(4):281-9. doi: 10.1007/s00038-004-3100-4.

    PubMed 15357531

Questions about this trial

What is this clinical trial studying?

An observational study of Healthy and Body Weight, run by University of Applied Sciences Neubrandenburg at 6 sites in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 11 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Luzia Valentini, Prof. Dr. (+49 395 5693 ext. 2512, valentini@hs-nb.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

resting energy expenditure (REE) (kcal) (time frame: 15 minutes). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02682537, which also lists 17 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Apr 2018.

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Clinical Trial NCT02682537 | AzTrials