AzTrials
AzTrials

Sarcopenic ObesitySarcoFitNCT04771377

Effect of Protein Supplementation and a Structured Exercise Program on Muscle in Women After Bariatric Surgery.

A study testing Protein Supplementation in people with Sarcopenic Obesity and Bariatric Surgery Candidate, run by Hospital Clinic of Barcelona at 1 site in Spain.

Completed

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

Official record
Search all trials

Trial summary

Obesity is considered a chronic disease that increases the risk of developing diseases that reduce life expectancy. The treatment of obesity is complex. However, treatments based exclusively on dietary changes have not shown long-term efficacy especially in people with severe obesity. Read more about this study

Who is it for?
Ages 45 to 75 years, women only
What is being tested?
Protein Supplementation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
75 participants
Where
1 siteSpain
Study dates
10 Nov 2020to 30 Jun 2023
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 45 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • women ≥45 years of age who meet CB criteria: Body mass index (BMI) ≥40.0 kg / m2 or between 35.0 and 39.9 kg / m2 with comorbidities (metabolic diseases, cardiorespiratory diseases), sedentary lack of regular physical activity: <30 minutes / day and <3 days / week).

Who cannot join

  • presence of severe joint disease, severe liver disease, history of cardiovascular event or known heart disease, renal failure (defined as a FG <30 ml / min), type 1 or type 2 diabetes with HbA1c> 10%, being treated with drugs that may affect body composition (such as corticosteroids), exercise muscle strength-endurance regularly (more than 2 times / week), have previously undergone obesity surgery.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Hospital Clinic Barcelona

    Barcelona, 08036

Other trials in Spain

About this study

Official title: Effect of Protein Supplementation and a Structured Physical Exercise Program on Changes in Body Composition, Metabolic Flexibility (Energy Consumption of Substrates), and Functionality in Women During Weight Loss Induced by BS

Obesity is considered a chronic disease that increases the risk of developing diseases that reduce life expectancy. The treatment of obesity is complex. However, treatments based exclusively on dietary changes have not shown long-term efficacy especially in people with severe obesity. In contrast, in this group of people bariatric surgery (BS) has shown good long-term results in weight loss and maintenance. These changes are accompanied by significant improvements in health, improved quality of life, and reduced mortality. However, the changes in the digestive system created by BS and the high level of dietary restriction, affect the nutritional status and require a proper supplementation of vitamins and minerals during the follow-up. Intense weight loss during the first few months, coupled with an insufficient amount of protein in the diet, can lead to a loss of muscle mass. Excessive muscle loss during the short-term period can lead to functional repercussions (decreased strength and physical function) and reduced calories that the body burns daily. Naturally, this is especially important in people suffering from sarcopenia before BS, and it occurs more frequently in postmenopausal women. Despite this is known, specific protein intake recommendations after BS have not yet been defined based on scientific evidence. In this context, the first part of our proposal will assess the effect of two levels of protein supplementation: standard (S-PS) versus high (H-PS) on changes in a) body composition, b) energy expenditure, c) metabolic flexibility d) the physical condition during weight loss that follows BS. In addition, in patients with H-PS, the added effect of a physical exercise program, carried out with a personal trainer (professional of sports medicine trainer) virtually, will be evaluated. Protein supplementation and the virtual exercise program will be done during the 4 months following BS, and the results will be studied at 4, 8, and 12 months. Once the results have been defined, it is essential to transfer the recommendations to the real world. In a second part, and to achieve knowledge transfer to clinical practice, the investigators will explore the key elements that influence patient experience (XPA).

Read the detailed description

Obesity is considered a chronic disease that increases the risk of developing diseases that reduce life expectancy. The treatment of obesity is complex. However, treatments based exclusively on dietary changes have not shown long-term efficacy especially in people with severe obesity. In contrast, in this group of people bariatric surgery (BS) has shown good long-term results in weight loss and maintenance. These changes are accompanied by significant improvements in health, improved quality of life, and reduced mortality. However, the changes in the digestive system created by BS and the high level of dietary restriction, affect the nutritional status and require a proper supplementation of vitamins and minerals during the follow-up. Intense weight loss during the first few months, coupled with an insufficient amount of protein in the diet, can lead to a loss of muscle mass. Excessive muscle loss during the short-term period can lead to functional repercussions (decreased strength and physical function) and reduced calories that the body burns daily. Naturally, this is especially important in people suffering from sarcopenia before BS, and it occurs more frequently in postmenopausal women. Despite this is known, specific protein intake recommendations after BS have not yet been defined based on scientific evidence. In this context, the first part of our proposal will assess the effect of two levels of protein supplementation: standard (SP-S) versus high (SP-A) on changes in a) body composition, b) energy expenditure, c) metabolic flexibility d) the physical condition during weight loss that follows BS. In addition, in patients with SP-Alta, the added effect of a physical exercise program, carried out with a personal trainer (professional of sports medicine trainer) virtually, will be evaluated. Protein supplementation and the virtual exercise program will be done during the 4 months following CO, and the results will be studied at 4, 8, and 12 months. Once the results have been defined, it is essential to transfer the recommendations to the real world. In a second part, and to achieve knowledge transfer to clinical practice, the investigators will explore the key elements that influence patient experience (XPA). The investigators will define indicators to assess it, especially those that are related to adherence to nutritional recommendations and to changes in lifestyle. The investigators are currently in the recruitment phase of the study. I have studied the necessary elements, ambitions and included the components that will help to define the dietary and lifestyle recommendations for our population. Aim to facilitate and define the performance of the professionals providing realistic, based on the XPA and in this way to improve the impact of the CO on health and quality of life. This is an ambitious and necessary study and includes all the component that will help define dietary and lifestyle recommendations for our population. It aims to facilitate and define the action of professionals provides realistic tools, based on XPA and thus improve the impact of BS on health and quality of life.

Description of the population to study sedentary women, candidates for BS at our institution.

Being tested
Protein Supplementation
Keywords
Sarcopenia, Physical training, Postmenopausal Women
Medical subject headings
Malnutrition, Sarcopenia

What participants receive

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

  • Protein SupplementationDietary supplement

    Also called Physical training, standard protein supplementation

    protein supplements will be supplied to participants at no cost physical activity Will be performed virtually by PT

Study groups in NCT04771377
Study groupRoleWhat they receive
standard protein supplementation (SPS)Experimental0.8g protein/ IBW/ day
Receives: Dietary Supplement: Protein Supplementation
High protein supplementation (HPS)Experimental1.2g protein/ IBW/ day
Receives: Dietary Supplement: Protein Supplementation
HPS + PAExperimental1.2g protein/ IBW/ day + PA 3 times a week/ 12 weeks
Receives: Dietary Supplement: Protein Supplementation

What is being measured

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

  1. effect of PS and PA on Changes in fat mass and Fat free mass (kg)

    change from baseline in DEXA values

    Measured: 4 months after BS

  2. effect of PS and PA on Changes in fat mass and Fat free mass (kg)

    change from baseline in DEXA values

    Measured: 8 months after BS

  3. effect of PS and PA on Changes in fat mass and Fat free mass (kg)

    change from baseline in DEXA values

    Measured: 12 months after BS

  4. effect of PS and PA on resting energy expenditure (REE) (Kcal/ day)

    change from baseline in estimated REE from indirect calorimety

    Measured: 4 months after BS

  5. effect of PS and PA on resting energy expenditure (REE) (Kcal/ day)

    change from baseline in estimated REE from indirect calorimety

    Measured: 8 months after BS

  6. effect of PS and PA on resting energy expenditure (REE) (Kcal/ day)

    change from baseline in estimated REE from indirect calorimety

    Measured: 12 months after BS

  7. Strength

    changes from baseline on prediction of ne repetition máximum (1-RM) and hang grip.

    Measured: 4 months after BS

  8. Strength

    changes from baseline on prediction of ne repetition máximum (1-RM) and hang grip.

    Measured: 8 months after BS

  9. Strength

    changes from baseline on prediction of ne repetition máximum (1-RM) and hang grip.

    Measured: 12 months after BS

  10. Functionality

    changes from baseline on sit and stand

    Measured: 4 months after BS

  11. Functionality

    changes from baseline on sit and stand

    Measured: 8 months after BS

  12. Functionality

    changes from baseline on sit and stand

    Measured: 12 months after BS

  13. Metabolic flexibility - oxidation of substrates: VO2 peak

    change in VO2 peak measured by Ergocard during half-effort test

    Measured: 4 months after BS

  14. Metabolic flexibility - oxidation of substrates: VO2 peak

    change in VO2 peak measured by Ergocard

    Measured: 8 months after BS

  15. Metabolic flexibility - oxidation of substrates: VO2 peak

    change in VO2 peak measured by Ergocard during half-effort test

    Measured: 12 months after BS

  16. Respiratory quotient

    change in RQ determined by Ergocard during half-effort test

    Measured: 4 months after BS

  17. Respiratory quotient

    change in RQ determined by Ergocard during half-effort test

    Measured: 8 months after BS

  18. Respiratory quotient

    change in RQ determined by Ergocard during half-effort test

    Measured: 12 months after BS

  19. Fat oxidation (FatMax) during during half-effort test

    Time to spend to reach the cross over pony for RQ=1 determined by Ergocard during half-effort test (min)

    Measured: 4 months after BS

  20. Fat oxidation (FatMax) during during half-effort test

    Time to spend to reach the cross over pony for RQ=1 determined by Ergocard during half-effort test (min)

    Measured: 8 months after BS

  21. Fat oxidation (FatMax) during during half-effort test

    Time to spend to reach the cross over pony for RQ=1 determined by Ergocard during half-effort test (min)

    Measured: 12 months after BS

  22. Adherence to PS (BCAA biomarker)

    serum change in BCAA (mcg)

    Measured: 4 months after BS

  23. Adherence to PS (BCAA biomarker)

    serum change in BCAA (mcg)

    Measured: 8 months after BS

  24. Adherence to PS (BCAA biomarker)

    serum change in BCAA (mcg)

    Measured: 12 months after BS

  25. Adherence to PS (urinary nitrogen 24hs.)

    Nitrogen (mg) values quantified in 24hs urine

    Measured: 4 months after BS

  26. Adherence to PS (urinary nitrogen 24hs.)

    Nitrogen (mg) values quantified in 24hs urine

    Measured: 8 months after BS

  27. Adherence to PS (urinary nitrogen 24hs.)

    Nitrogen (mg) values quantified in 24hs urine

    Measured: 12 months after BS

  28. Understand patients' priorities and the "painful points" of the care process. Explore the magnitude of these "painful points." This should make it possible to prioritize the areas to be evaluated. Test assessment tools

    identify by focus group patient reported outcomes by cualitative study

    Measured: 12 months after BS

Secondary outcomes (6)
  1. Changes in BMI

    weight and height will be combined to report BMI in kg/m^2

    Measured: 4 months after BS

  2. Changes in BMI

    weight and height will be combined to report BMI in kg/m^2

    Measured: 8 months after BS

  3. Changes in BMI

    weight and height will be combined to report BMI in kg/m^2

    Measured: 12 months after BS

  4. Insulin sensitivity (HOMA-IR)

    fasting glucose (mg) and insulin (miliunits/ liter) will be combined to report Insulin sensitivity in

    Measured: 4 months after BS

  5. Insulin sensitivity (HOMA-IR)

    fasting glucose (mg) and insulin (miliunits/ liter) will be combined to report Insulin sensitivity in

    Measured: 8 months after BS

  6. Insulin sensitivity (HOMA-IR)

    fasting glucose (mg) and insulin (miliunits/ liter) will be combined to report Insulin sensitivity in

    Measured: 12 months after BS

Timeline

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

  1. First posted25 Feb 2021
  2. Study start10 Nov 2020
  3. Primary completion10 Jan 2023
  4. Study completion30 Jun 2023

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
Model description
2:2:1.
Masking
None (open label)
Enrolment
75 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04771377
Sponsor's protocol ID
HCB/2020/0028
Acronym
SarcoFit
Status last verified
Feb 2023
First submitted
11 Feb 2021
Last updated
14 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Protein Supplementation in people with Sarcopenic Obesity and Bariatric Surgery Candidate, run by Hospital Clinic of Barcelona at 1 site in Spain.

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 1 inclusion and 1 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 14 Feb 2024. 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 Spain. 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?

effect of PS and PA on Changes in fat mass and Fat free mass (kg) (time frame: 4 months after BS). The study lists 28 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 14 Feb 2024.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in