Congenital Heart DiseaseSHTNCT02980393
Smart Heart Trial: Structured Lifestyle Intervention for Overweight and Obese Youth With Operated Heart Defects
A study testing Lifestyle intervention in people with Congenital Heart Disease and Pediatric Obesity, run by Kambiz Norozi.
Trial summary
This study is to assess whether a lifestyle intervention with diet, exercise and counselling in young patients will have a positive influence on their weight and overall well-being. Read more about this study
- Who is it for?
- Ages 7 to 17 years
- Conditions the study is for
- Congenital Heart Disease, Pediatric Obesity
- What is being tested?
- Lifestyle intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- No sites listed yet
- Study dates
- May 2012to Nov 2016
- Phase
- Interventional
- 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 7 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- overweight or obese (BMI> 85%) patients
- between 7-17 years of age
- operated or non-operated congenital heart disease
- reside in Southwestern Ontario
Who cannot join
- inability to comply with research testing or intervention components due to mental and/or physical disabilities, medications or comorbidities affecting weight or metabolic condition
- involvement in any concurrent lifestyle intervention program
About this study
Official title: The Impact of a Structured Lifestyle Intervention on Body Composition and Exercise Capacity in Overweight Children With Operated Heart Defects
This study is to assess whether a lifestyle intervention with diet, exercise and counselling in young patients will have a positive influence on their weight and overall well-being. This study will enrol patients between the ages of 7 to 17 years of age, who have congenital heart disease, and have been identified being overweight or obese. A total of 40 individuals will participate in this study. The study duration will last for 1 year.
- Conditions
- Congenital Heart Disease, Pediatric Obesity
- Being tested
- Lifestyle intervention
- Keywords
- congenital heart disease, smart mobile technology, children, adolescents, lifestyle counselling, nutrition, physical activity
- Medical subject headings
- Heart Defects, Congenital, Pediatric Obesity, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Lifestyle interventionBehavioural
The structured lifestyle intervention involves alternating weekly phone calls with two health coaches: a registered dietitian and a fitness specialist. A total of 50 phone calls (25 nutrition-related and 25 physical activity-related) are delivered over the one-year study. After six months in the program, participants are introduced to supporting program-specific software that they can access online, as an additional way to interact with the program, set goals, and record their progress. Client and family-centred nutrition and physical activity counselling includes an initial and regular behavioural assessment, and subsequent conversations (i.e., phone calls) using motivational interviewing techniques intended to increase knowledge or skills, and improve behaviours.
| Study group | Role | What they receive |
|---|---|---|
| Lifestyle intervention | Experimental | Participants are guided by a fitness specialist who will help the participants to incorporate physical activity into their daily life. Based on the cardiologist assessment, an individual home-based exercise program will be developed. Participants are also guided and advised on nutrition with emphasis on low fat content and increased fiber. The nutrition counseling will focus on sustainable changes and will help participants to make healthy food choices. Receives: Behavioral: Lifestyle intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Baseline Body Mass Index (BMI) at 1 year
BMI is derived from body mass divided by the square of the body height
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Fat Mass at 1 year
Dual energy x-ray absorptiometry (DEXA) will measure fat mass.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Lean Mass at 1 year
Dual energy x-ray absorptiometry (DEXA) will measure lean mass.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Percent Fat at 1 year
Dual energy x-ray absorptiometry (DEXA) will measure percent fat.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Percent Android Fat at 1 year
Dual energy x-ray absorptiometry (DEXA) will measure percent android fat.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Visceral Adipose Tissue at 1 year
Dual energy x-ray absorptiometry (DEXA) will measure visceral adipose tissue.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Bone Mineral Content at 1 year
Dual energy x-ray absorptiometry (DEXA) will measure bone mineral content.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Maximum Oxygen Consumption at 1 year
Maximal exercise graded treadmill test will determine maximal oxygen consumption.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Secondary outcomes (15)
Change in Baseline Average Caloric Intake at 1 year
Average caloric intake is estimated from three-day food records.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Self-Report Physical Activity Levels at 1 year
Physical activity levels will also be measured by the Physical Activity Questionnaire for Older Children
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Physical Activity Levels at 1 year
Physical activity levels will be measured from accelerometers
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Quality of Life at 1 year
Pediatric Quality of Life Inventory Generic Core Scales
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Muscle function at 1 year
Leonardo Mechanograph® Ground Reaction Force Plate will assess jumping height.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Electrocardiographic measurement at 1 year
Electrocardiogram
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Transthoracic echocardiographic measurement at 1 year
Echo-cardiogram will be employed.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Endothelial vasodilator function at 1 year
Peripheral arterial tonometry will assess endothelial vasodilator function.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Lipid Profile at 1 year
Blood is drawn from patients who have been asked to fast for at least 10 hours.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Electrolytes at 1 year
Blood is drawn from patients who have been asked to fast for at least 10 hours.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Creatinine at 1 year
Blood is drawn from patients who have been asked to fast for at least 10 hours.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Urea at 1 year
Blood is drawn from patients who have been asked to fast for at least 10 hours.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Fasting Glucose at 1 year
Blood is drawn from patients who have been asked to fast for at least 10 hours.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Serum Insulin at 1 year
Blood is drawn from patients who have been asked to fast for at least 10 hours.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Adiponectin at 1 year
Blood is drawn from patients who have been asked to fast for at least 10 hours.
Measured: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2016 (estimated)
- Study startMay 2012
- Primary completionNov 2016
- Study completionNov 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Congenital Heart DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kambiz Norozi
- Sponsor type
- University, hospital or other
- Collaborators
- London Health Sciences Centre
- Responsible party
- Sponsor-investigator, Kambiz Norozi, Western University, Canada
- Investigators
- Kambiz Norozi, MD, PhD, Principal investigator, London Health Science Centre
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02980393
- Sponsor's protocol ID
- 102392
- Other IDs
- 18843
- Acronym
- SHT
- Status last verified
- Dec 2016
- First submitted
- 24 Nov 2016
- Last updated
- 22 Dec 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Rombeek M, De Jesus S, Altamirano-Diaz L, Welisch E, Prapavessis H, Seabrook JA, Norozi K. The use of smartphones to influence lifestyle changes in overweight and obese youth with congenital heart disease: a single-arm study: Pilot and feasibility study protocol: Smart Heart Trial. Pilot Feasibility Stud. 2017 Nov 15;3:59. doi: 10.1186/s40814-017-0207-y. eCollection 2017.
PubMed 29167745
Study at a glance
From the registry record, last updated by the sponsor on 22 Dec 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Impact of a Structured Lifestyle Intervention on Body Composition and Exercise Capacity in Overweight Children With Operated Heart Defects
- ClinicalTrials.gov ID
- NCT02980393
- Acronym / sponsor ID
- SHT / 102392
- Conditions
- Congenital Heart Disease, Pediatric Obesity
- Keywords
- congenital heart disease, smart mobile technology, children, adolescents, lifestyle counselling, nutrition, physical activity
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- Kambiz NoroziUniversity, hospital or other
- Collaborators
- London Health Sciences Centre
- Study start
- May 2012
- Primary completion
- Nov 2016 (actual)
- Study completion
- Nov 2016 (actual)
- First posted
- 2 Dec 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is to assess whether a lifestyle intervention with diet, exercise and counselling in young patients will have a positive influence on their weight and overall well-being. This study will enrol patients between the ages of 7 to 17 years of age, who have congenital heart disease, and have been identified being overweight or obese. A total of 40 individuals will participate in this study. The study duration will last for 1 year.
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Lifestyle intervention | Experimental | Behavioral: Lifestyle interventionParticipants are guided by a fitness specialist who will help the participants to incorporate physical activity into their daily life. Based on the cardiologist assessment, an individual home-based exercise program will be developed. Participants are also guided and advised on nutrition with emphasis on low fat content and increased fiber. The nutrition counseling will focus on sustainable changes and will help participants to make healthy food choices. |
Who may qualify
- Ages
- 7 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- overweight or obese (BMI> 85%) patients
- between 7-17 years of age
- operated or non-operated congenital heart disease
- reside in Southwestern Ontario
Key exclusion criteria (2 listed)
- inability to comply with research testing or intervention components due to mental and/or physical disabilities, medications or comorbidities affecting weight or metabolic condition
- involvement in any concurrent lifestyle intervention program
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Lifestyle interventionThe structured lifestyle intervention involves alternating weekly phone calls with two health coaches: a registered dietitian and a fitness specialist. A total of 50 phone calls (25 nutrition-related and 25 physical activity-related) are delivered over the one-year study. After six months in the program, participants are introduced to supporting program-specific software that they can access online, as an additional way to interact with the program, set goals, and record their progress. Client and family-centred nutrition and physical activity counselling includes an initial and regular behavioural assessment, and subsequent conversations (i.e., phone calls) using motivational interviewing techniques intended to increase knowledge or skills, and improve behaviours. | Behavioural | Lifestyle intervention |
Primary outcome
Change in Baseline Body Mass Index (BMI) at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
BMI is derived from body mass divided by the square of the body height
Change in Baseline Fat Mass at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Dual energy x-ray absorptiometry (DEXA) will measure fat mass.
Change in Baseline Lean Mass at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Dual energy x-ray absorptiometry (DEXA) will measure lean mass.
Change in Baseline Percent Fat at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Dual energy x-ray absorptiometry (DEXA) will measure percent fat.
Change in Baseline Percent Android Fat at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Dual energy x-ray absorptiometry (DEXA) will measure percent android fat.
Change in Baseline Visceral Adipose Tissue at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Dual energy x-ray absorptiometry (DEXA) will measure visceral adipose tissue.
Change in Baseline Bone Mineral Content at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Dual energy x-ray absorptiometry (DEXA) will measure bone mineral content.
Change in Baseline Maximum Oxygen Consumption at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Maximal exercise graded treadmill test will determine maximal oxygen consumption.
15 secondary outcomes
Change in Baseline Average Caloric Intake at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Self-Report Physical Activity Levels at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Physical Activity Levels at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Quality of Life at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Muscle function at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Electrocardiographic measurement at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Transthoracic echocardiographic measurement at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Endothelial vasodilator function at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Lipid Profile at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Electrolytes at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Creatinine at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Urea at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Fasting Glucose at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Serum Insulin at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Change in Baseline Adiponectin at 1 year
Time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Dec 2016.
- Derived from this study: PubMed 29167745Rombeek M, De Jesus S, Altamirano-Diaz L, Welisch E, Prapavessis H, Seabrook JA, Norozi K. The use of smartphones to influence lifestyle changes in overweight and obese youth with congenital heart disease: a single-arm study: Pilot and feasibility study protocol: Smart Heart Trial. Pilot Feasibility Stud. 2017 Nov 15;3:59. doi: 10.1186/s40814-017-0207-y. eCollection 2017.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kambiz Norozi, MD, PhD principal investigator
London Health Science Centre
Questions about this trial
What is this clinical trial studying?
A study testing Lifestyle intervention in people with Congenital Heart Disease and Pediatric Obesity, run by Kambiz Norozi.
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 4 inclusion and 2 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: finished, as of the sponsor's last update on 22 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.
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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Baseline Body Mass Index (BMI) at 1 year (time frame: This outcome was measured at Baseline, 6 months, 1 year within the 1 year time frame). The study lists 8 primary outcomes in all. 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 NCT02980393, which also lists 1 linked publication.
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 22 Dec 2016.