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Inflammatory ResponseINDIEXNCT04315376

Exercise and Diet Intervention Attenuated Inflammation Through ASC Gene and Inflammatory Markers in Obese Adults

A study testing Exercise-Diet Intervention and Diet Intervention in people with Inflammatory Response and Obesity, run by University of Guadalajara at 1 site in Mexico.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Background: Obesity is one of the most important health problems worldwide, several factors related to lifestyle as physical inactivity and unbalanced diets increase their development. This condition is characterized by low-chronic inflammation by excess of adipose tissue. Read more about this study

Who is it for?
Ages 25 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Inflammatory Response, Obesity, Abdominal Obesity
What is being tested?
Exercise-Diet Intervention and Diet Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
37 participants
Where
1 siteMexico
Study dates
10 Feb 2018to 15 Feb 2019
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 25 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • BMI greater than 30 kg/m^2
  • Sedentary individuals
  • Both genres
  • Waist circumference greater than 80 centimeters in women and greater than 90 centimeters in men

Who cannot join

  • Pregnant or breastfeeding women
  • Diagnosis of any metabolic disease or cancer
  • Alcohol or tobacco consumption
  • Muscle or joint injury

Trial locations and contacts

1 site in 1 country.

Mexico1 site
  • Erika Martínez-López

    Guadalajara, Jalisco, 44340

Other trials in Mexico

About this study

Official title: Exercise Program and Diet Intervention Attenuated Inflammation Through Down-regulation of ASC Gene and Inflammatory Markers in Obese Adults

Background: Obesity is one of the most important health problems worldwide, several factors related to lifestyle as physical inactivity and unbalanced diets increase their development. This condition is characterized by low-chronic inflammation by excess of adipose tissue. The apoptosis-associated speck-like protein containing a caspase recruitment domain (ASC) protein is part of NLRP3 inflammasome, a complex related to inflammation and metabolic alterations.

Purpose: The aim of this study was to evaluate the effect of physical exercise program on ASC gene expression and inflammatory markers in obese adults.

Methods: 37 obese individuals were randomized to exercise-diet group or diet-group during a 4-month follow-up period. The dietary evaluation was analyzed by Nutritionist Pro software. Body composition was evaluated by bioimpedance (InBody 370). All biochemical determinations were analyzed by dry chemistry (Vitros 350). ASC messenger ribonucleic acid (mRNA) expression was performed by real-time polymerase chain reaction (PCR) using Taqman probes and by the 2-ΔΔcq quantification method. Cytokine levels was performed using the Bio-PlexPro™ HumanTh17Cytokine Assays (MagPix) panel. Statistical analysis was performed with Statistical Package for the Social Sciences (SPSS) v.22 software.

Read the detailed description

A randomized clinical trial was conducted in the Institute of Translational Nutrigenetics and Nutrigenomics, Department of Molecular Biology in Medicine, Health Sciences Center, at the University of Guadalajara, Guadalajara, Jalisco, Mexico, from February of 2018 to February of 2019. All participants were recruited through flyers and social media invitations. Sample size was determined according to the mean difference formula for clinical trials. To achieve a statistical power of 80% and an alpha of 5%, a sample size of 13 participants in each study group was required. However, 37 obese individuals who met the selection criteria were randomized in exercise-diet group or diet-group. Blood sample, height and weight were measured after 8-12 hour fast and wearing light clothes. The participants in the exercise-diet group were cited in the Respiratory Unit of the University of Guadalajara with the indication of not consuming caffeine, tobacco or energy drinks 24 hours before the test, and not having eaten food at least two hours before the Astrand-rhyming Test. This study was approved by the Ethics and Biosafety Committee of the Health Sciences Center, University of Guadalajara (registry number CUCS/CINV/0476/18). The procedures were in accordance with this institution's guidelines and all the participants signed a written consent-informed.

Being tested
Exercise-Diet Intervention, Diet Intervention
Keywords
Nutrition, Exercise, Diet, Inflammation, Obesity
Medical subject headings
Obesity, Obesity, Abdominal, Feeding Behavior, Motor Activity, Inflammation

What participants receive

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

  • Exercise-Diet InterventionBehavioural

    The participants who performed exercise-diet intervention performed an Astrand-rhyming test before and after the exercise program intervention. Participants followed a progressive exercise-program during four months according to initial physical fitness. The main exercises consisted of improving aerobic, speed and resistance performance. During all single sessions, breathlessness and fatigue were measured using 0 to10 Borg scale. A personal trainer certified by American College of Sports Medicine (ACSM) supervised three sessions per week, the other two unsupervised training days the subjects were given the detailed training program to do in house/park. And also, this group received a diet intervention that consisted of a 20 percentage reduction of total energy expenditure estimated by the Mifflin formula with a nutrients distribution as follows: 50% carbohydrates, 30% lipids, and 20% proteins.

  • Diet InterventionBehavioural

    This group received a diet intervention that consisted of a 20 percentage reduction of total energy expenditure estimated by the Mifflin formula with a nutrients distribution as follows: 50% carbohydrates, 30% lipids, and 20% proteins.

Study groups in NCT04315376
Study groupRoleWhat they receive
Exercise-Diet GroupExperimentalThe participants receive a personal exercise program according to Astrand-rhyming test baseline results, and a hypo-caloric diet intervention
Receives: Behavioral: Exercise-Diet Intervention
Diet GroupActive comparatorThe participants no receive a personal exercise program, only the hypo-caloric diet
Receives: Behavioral: Diet Intervention

What is being measured

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

  1. Change in ASC mRNA Expression

    The polymorphonuclear cells were separated using Dextran treatment from peripheral blood samples. Subsequently, TRIzol® reagent was using according to the manufacturer´s instructions. The complementary DNA (cDNA) synthesis was performed according to standard techniques.

    Quantitative real-time PCR was performed using TaqMan® probes in Light Cycler 96 equipment considering standards PCR conditions to analyze ASC mRNA relative expression by 2-ΔΔcq method. The amplification reactions were performed in duplicate using β-Actin gene as constitutive gene to normalized the samples.

    Measured: Mean change from baseline (0 Month) to end of treatment at 4th Month.

  2. Change in Pro-inflammatory and Anti-inflammatory Cytokines

    The pro-inflammatory and anti-inflammatory cytokines quantification were using Bio-Plex Pro™ Human cytokine Standard 17-Plex, Group I kit following the supplier's instructions, and the read was immediately by MAGPIX™ analyzer.

    Measured: Mean change from baseline (0 Month) to end of treatment at 4th Month.

  3. Change in Astrand-rhyming Submaximal Test

    The Astrand-rhyming submaximal test was performed as described by Astrand.

    Measured: Mean change from baseline (0 Month) to end of treatment at 4th Month.

Secondary outcomes (12)
  1. Changes in Height

    Height in meters using a stadiometer.

    Measured: At the baseline (0 Month) and 1st month, 2nd month, 3th month and the 4th month. 1st month, 2nd month, 3th month and the 4th month.

  2. Changes in Weight

    The weight was measured in kilograms on InBody 370.

    Measured: At the baseline (0 Month) and 1st month, 2nd month, 3th month and the 4th month.

  3. Changes in Body Mass Index (BMI)

    Weight and height were be combined to report BMI in kg/m^2

    Measured: At the baseline (0 Month) and 1st month, 2nd month, 3th month and the 4th month.

  4. Changes in Waist Circumference

    Waist circumference was measured at the narrowest point between the edge of the inner rib and the iliac crest, with the participant in an abducted and relaxed position, after expiration using a Lufkin Executive® tape.

    Measured: At the baseline (0 Month) and 1st month, 2nd month, 3th month and the 4th month.

  5. Changes in Fat Mass

    The Fat Mass was measured in kilograms by electrical bioimpedance on InBody 370.

    Measured: At the baseline (0 Month) and 1st month, 2nd month, 3th month and the 4th month.

  6. Changes in Musculoskeletal Mass

    The musculoskeletal mass was measured in kilograms by electrical bioimpedance on InBody 370.

    Measured: At the baseline (0 Month) and 1st month, 2nd month, 3th month and the 4th month.

  7. Changes in Serum Glucose

    It was measured in mg/dL using a dry chemistry system in Vitros 350 equipment.

    Measured: At the baseline (0 Month) and 1st month, 2nd month, 3th month and the 4th month.

  8. Changes in Serum Insulin

    Were determined through Insulin Model ELISA kit following the supplier's instructions.

    Measured: At the baseline (0 Month), 3th month and the 4th month.

  9. Changes in homeostatic model assessment - insulin resistance (HOMA-IR)

    Serum glucose and Insulin levels were be combined to report HOMA-IR calculated as described by Matthews.

    Measured: At the baseline (0 Month), 3th month and the 4th month.

  10. Changes in Total Cholesterol

    It was measured in mg/dL using a dry chemistry system in Vitros 350 equipment.

    Measured: At the baseline (0 Month) and 1st month, 2nd month, 3th month and the 4th month.

  11. Changes in High-density lipoprotein (c-HDL)

    It was measured in mg/dL using a dry chemistry system in Vitros 350 equipment.

    Measured: At the baseline (0 Month) and 1st month, 2nd month, 3th month and the 4th month.

  12. Changes in Atherogenic Index

    Serum total cholesterol and c-HDL were be combined to report atherogenic index, calculated through formula [Total cholesterol (mg/dL) / HDL-c (mg/dL)].

    Measured: At the baseline (0 Month) and 1st month, 2nd month, 3th month and the 4th month.

Timeline

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

  1. First posted19 Mar 2020
  2. Study start10 Feb 2018
  3. Primary completion15 Feb 2019
  4. Study completion15 Feb 2019

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
37 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04315376
Sponsor's protocol ID
CI-08518
Acronym
INDIEX
Status last verified
Mar 2020
First submitted
15 Mar 2020
Last updated
19 Mar 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The individual participant data will not be shared to protect and safeguard the confidentiality data of the participants.

Publications

  • ASTRAND PO, RYHMING I. A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during sub-maximal work. J Appl Physiol. 1954 Sep;7(2):218-21. doi: 10.1152/jappl.1954.7.2.218. No abstract available.

    PubMed 13211501
  • Lin CH, Chiang SL, Tzeng WC, Chiang LC. Systematic review of impact of lifestyle-modification programs on metabolic risks and patient-reported outcomes in adults with metabolic syndrome. Worldviews Evid Based Nurs. 2014 Dec;11(6):361-8. doi: 10.1111/wvn.12069.

    PubMed 25488565
  • Ozaki E, Campbell M, Doyle SL. Targeting the NLRP3 inflammasome in chronic inflammatory diseases: current perspectives. J Inflamm Res. 2015 Jan 16;8:15-27. doi: 10.2147/JIR.S51250. eCollection 2015.

    PubMed 25653548
  • Ross R, Hudson R, Stotz PJ, Lam M. Effects of exercise amount and intensity on abdominal obesity and glucose tolerance in obese adults: a randomized trial. Ann Intern Med. 2015 Mar 3;162(5):325-34. doi: 10.7326/M14-1189.

    PubMed 25732273
  • Taniguchi S, Sagara J. Regulatory molecules involved in inflammasome formation with special reference to a key mediator protein, ASC. Semin Immunopathol. 2007 Sep;29(3):231-8. doi: 10.1007/s00281-007-0082-3. Epub 2007 Sep 6.

    PubMed 17805543
  • You T, Arsenis NC, Disanzo BL, Lamonte MJ. Effects of exercise training on chronic inflammation in obesity : current evidence and potential mechanisms. Sports Med. 2013 Apr;43(4):243-56. doi: 10.1007/s40279-013-0023-3.

    PubMed 23494259
  • Barron-Cabrera E, Gonzalez-Becerra K, Rosales-Chavez G, Mora-Jimenez A, Hernandez-Canaveral I, Martinez-Lopez E. Low-grade chronic inflammation is attenuated by exercise training in obese adults through down-regulation of ASC gene in peripheral blood: a pilot study. Genes Nutr. 2020 Aug 27;15(1):15. doi: 10.1186/s12263-020-00674-0.

    PubMed 32854610

Questions about this trial

What is this clinical trial studying?

A study testing Exercise-Diet Intervention and Diet Intervention in people with Inflammatory Response and Obesity, run by University of Guadalajara at 1 site in Mexico.

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 4 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 19 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Mexico. 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?

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 ASC mRNA Expression (time frame: Mean change from baseline (0 Month) to end of treatment at 4th Month.). The study lists 3 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 NCT04315376, which also lists 7 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 19 Mar 2020.

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