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Sarcopenic ObesitySARCONCT05143398

Nutritional Supplementation in Sarcopenic Obesity

A study testing Diet + protein, Diet + EAA and Diet + EAA and TCA in people with Sarcopenic Obesity, run by Istituto Auxologico Italiano at 1 site in Italy.

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

The obese patient presents a quantitative and qualitative deficit of muscle mass as occurs in the elderly subject that was named Sarcopenic Obesity (SO). The use of a diet that includes protein supplements and / or essential amino acids seems to improve this condition in the elderly; there are no similar studies in… Read more about this study

Who is it for?
Ages 50 to 65 years, men only
Conditions the study is for
Sarcopenic Obesity
What is being tested?
Diet + protein, Diet + EAA and Diet + EAA and TCA
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteItaly
Study dates
1 Sep 2018to 10 Mar 2021
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 50 to 65 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • patients with obesity (BMI> 35kg / m2)
  • sarcopenia (criteria described in Coltorti A et al).

Who cannot join

  • renal insufficiency
  • diabetes
  • muscular pathologies
  • neurological-neurodegenerative pathologies
  • cognitive decline

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Amelia Brunani

    Verbania, VB, 28921

Other trials in Italy

About this study

Official title: Effectiveness of a Rehabilitation Program (Nutritional + Physical Activity) in Sarcopenic Obesity

The obese patient presents a quantitative and qualitative deficit of muscle mass as occurs in the elderly subject that was named Sarcopenic Obesity (SO). The use of a diet that includes protein supplements and / or essential amino acids seems to improve this condition in the elderly; there are no similar studies in obese subjects, in particular during a low-calorie diet and physical activity program that can produce further loss of muscle mass. This study aims to verify whether the administration of these supplements (protein or amino acid) in the obese patient are effective in improving anthropometric and functional parameters and some serum markers of muscle metabolism. The results obtained could represent new therapeutic protocols in the treatment of obesity.

Read the detailed description

Several studies have confirmed that adequate nutrition, especially protein intake, including at breakfast, or supplementation with amino acids, in association with adequate physical activity plays an important role in the treatment of SO.

The supplementation of protein or amino acid preparations (in particular with the 9 essential amino acids including, the branched - leucine, isoleucine, valine), marketed in different formulations, has already allowed to document a significant therapeutic efficacy in the treatment of elderly sarcopenic subjects. In fact, the use of these preparations improves physical performance and muscle strength by inducing the synthesis of proteins involved in the biogenesis and functionality of mitochondria - that is, the cellular organelles responsible for the production of energy in the form of ATP - and of myofibrillar proteins (which constitute the large percentage of muscle mass), both in laboratory animals and in humans.

Being tested
Diet + protein, Diet + EAA, Diet + EAA and TCA, Diet

What participants receive

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

  • Diet + proteinDietary supplement

    Comparison of the efficacy

  • Diet + EAADietary supplement

    Comparison of the efficacy

  • Diet + EAA and TCADietary supplement

    Comparison of the efficacy

  • DietOther

    Comparison of the efficacy

Study groups in NCT05143398
Study groupRoleWhat they receive
Diet ArmActive comparatorlow-calorie diet normoproteic with an energy deficit of 15% compared to what emerged from the calorimetric value (basal REE)
Receives: Other: Diet
Protein ArmActive comparatorlow-calorie diet normoproteic + an integration of 8.72 g of protein in the form of a nutritional supplement (18-20% protein)
Receives: Dietary Supplement: Diet + protein
EAA ArmActive comparatorlow-calorie diet normoproteic + amino acid supplement (2 sachet/daily; 1 sachet contains protein 0 gr, carbohydrates 6.69 gr , lipids 0 gr, i-leucine 1,2 gr, i-isoleucine 0,6 gr, i-valine 0,6 gr).
Receives: Dietary Supplement: Diet + EAA
EAA + TCAActive comparatorlow-calorie diet normoproteic + an amino acid supplement (2 stick/daily; 1 stick pack contains protein 0 gr, carbohydrates 1,046 gr, lipids 0.074 gr, i-leucine 1.2 gr, i-isoleucine 0.6 gr, i-valine 0.6 gr, citric acid, succinic acid and malic acid)
Receives: Dietary Supplement: Diet + EAA and TCA

What is being measured

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

  1. Change of Body weight

    weight in kilograms

    Measured: basal and at 4 weeks

  2. Change of Height

    height in meters

    Measured: basal and at 4 weeks

  3. Change of BMI

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

    Measured: basal and at 4 weeks

  4. Change of Waist

    waist circumference in centimeters

    Measured: basal and at 4 weeks

  5. Change of FM

    Fat Mass (FM) in % of body weight in kilograms

    Measured: basal and at 4 weeks

  6. Change of FFM

    Free Fat Mass (FFM) in % of body weight in kilograms

    Measured: basal and at 4 weeks

  7. Change of MM

    Muscle Mass (MM) in % of body weight in kilograms

    Measured: basal and at 4 weeks

  8. Change of Muscle strenght

    muscle streght at the hand (right and left) in kg

    Measured: basal and at 4 weeks

  9. Change of Walking

    6 minute walk test (6MWT), meters walking in 6 minutes

    Measured: basal and at 4 weeks

  10. Change of TUG

    time, in second, to up from the chair, walks 3 meters, turns around, walks back to the chair and sits down

    Measured: basal and at 4 weeks

  11. Change of Metabolic profile

    glycaemia, total cholesterol, LDL cholesterol, triglycerides all in mg/dl

    Measured: basal and at 4 weeks

  12. Change of Insulin secretion

    insulin pasma levels in mU/l

    Measured: basal and at 4 weeks

  13. Change of Homa index

    glycaemia and insulin will be combined to report Homa index in mmol/l/mU/l

    Measured: basal and at 4 weeks

  14. Change of Muscle function

    irisin and procollagen type III N-terminal peptide (P3NP) in ng/ml

    Measured: basal and at 4 weeks

  15. Change of Muscle wasting

    C-terminal agrin fragment (CAF) in pg/ml

    Measured: basal and at 4 weeks

Timeline

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

  1. First posted3 Dec 2021
  2. Study start1 Sep 2018
  3. Primary completion15 Oct 2020
  4. Study completion10 Mar 2021

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
After 1 week of standard diet (1650kcal/day with 18% protein) without physical activity, patients will be randomized into one of the 4 arms described below (20 subjects per study arm): 1st arm: low-calorie diet normoproteic with an energy deficit of 15% compared to what emerged from the calorimetric value (basal REE); 2nd arm: low-calorie diet normoproteic + an integration of 8.72 g of protein in the form of a nutritional supplement (18-20% protein; 3rd diet: low-calorie diet normoproteic + amino acid supplement (2 sachet/daily; 1 sachet contains protein 0 gr, carbohydrates 6.69 gr , lipids 0 gr, i-leucine 1,2 gr, i-isoleucine 0,6 gr, i-valine 0,6 gr). 4th diet: low-calorie diet normoproteic + an amino acid supplement (2 stick/daily; 1 stick pack contains protein 0 gr, carbohydrates 1,046 gr, lipids 0.074 gr, i-leucine 1.2 gr, i-isoleucine 0.6 gr, i-valine 0.6 gr, citric acid, succinic acid and malic acid). All patients perform daily aerobic physical activity/5 days/week for 4 weeks.
Masking
None (open label)
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05143398
Sponsor's protocol ID
2018_06_28_05
Acronym
SARCO
Status last verified
Nov 2021
First submitted
10 Nov 2021
Last updated
3 Dec 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hsu KJ, Liao CD, Tsai MW, Chen CN. Effects of Exercise and Nutritional Intervention on Body Composition, Metabolic Health, and Physical Performance in Adults with Sarcopenic Obesity: A Meta-Analysis. Nutrients. 2019 Sep 9;11(9):2163. doi: 10.3390/nu11092163.

    PubMed 31505890
  • Wang X, Miller GD, Messier SP, Nicklas BJ. Knee strength maintained despite loss of lean body mass during weight loss in older obese adults with knee osteoarthritis. J Gerontol A Biol Sci Med Sci. 2007 Aug;62(8):866-71. doi: 10.1093/gerona/62.8.866.

    PubMed 17702878
  • Frimel TN, Sinacore DR, Villareal DT. Exercise attenuates the weight-loss-induced reduction in muscle mass in frail obese older adults. Med Sci Sports Exerc. 2008 Jul;40(7):1213-9. doi: 10.1249/MSS.0b013e31816a85ce.

    PubMed 18580399
  • Malafarina V, Uriz-Otano F, Malafarina C, Martinez JA, Zulet MA. Effectiveness of nutritional supplementation on sarcopenia and recovery in hip fracture patients. A multi-centre randomized trial. Maturitas. 2017 Jul;101:42-50. doi: 10.1016/j.maturitas.2017.04.010. Epub 2017 Apr 22.

    PubMed 28539168
  • Rondanelli M, Opizzi A, Antoniello N, Boschi F, Iadarola P, Pasini E, Aquilani R, Dioguardi FS. Effect of essential amino acid supplementation on quality of life, amino acid profile and strength in institutionalized elderly patients. Clin Nutr. 2011 Oct;30(5):571-7. doi: 10.1016/j.clnu.2011.04.005. Epub 2011 Jun 1.

    PubMed 21636183
  • D'Antona G, Ragni M, Cardile A, Tedesco L, Dossena M, Bruttini F, Caliaro F, Corsetti G, Bottinelli R, Carruba MO, Valerio A, Nisoli E. Branched-chain amino acid supplementation promotes survival and supports cardiac and skeletal muscle mitochondrial biogenesis in middle-aged mice. Cell Metab. 2010 Oct 6;12(4):362-372. doi: 10.1016/j.cmet.2010.08.016.

    PubMed 20889128
  • Solerte SB, Gazzaruso C, Bonacasa R, Rondanelli M, Zamboni M, Basso C, Locatelli E, Schifino N, Giustina A, Fioravanti M. Nutritional supplements with oral amino acid mixtures increases whole-body lean mass and insulin sensitivity in elderly subjects with sarcopenia. Am J Cardiol. 2008 Jun 2;101(11A):69E-77E. doi: 10.1016/j.amjcard.2008.03.004.

    PubMed 18514630
  • Valerio A, D'Antona G, Nisoli E. Branched-chain amino acids, mitochondrial biogenesis, and healthspan: an evolutionary perspective. Aging (Albany NY). 2011 May;3(5):464-78. doi: 10.18632/aging.100322.

    PubMed 21566257
  • Coltorti A, Scalfi L, Borrelli R, Contaldo F, Diaz E. [Validity of 5 bioelectric impedance equations for the estimation of lean body mass in women]. Minerva Endocrinol. 1991 Jan-Mar;16(1):37-41. Italian.

    PubMed 1944015
  • Brunani A, Cancello R, Gobbi M, Lucchetti E, Di Guglielmo G, Maestrini S, Cattaldo S, Pitera P, Ruocco C, Milesi A, Valerio A, Capodaglio P, Nisoli E. Comparison of Protein- or Amino Acid-Based Supplements in the Rehabilitation of Men with Severe Obesity: A Randomized Controlled Pilot Study. J Clin Med. 2023 Jun 25;12(13):4257. doi: 10.3390/jcm12134257.

    PubMed 37445292

Questions about this trial

What is this clinical trial studying?

A study testing Diet + protein, Diet + EAA and Diet + EAA and TCA in people with Sarcopenic Obesity, run by Istituto Auxologico Italiano at 1 site in Italy.

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 2 inclusion and 5 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 3 Dec 2021. 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 Italy. 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 of Body weight (time frame: basal and at 4 weeks). The study lists 15 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 NCT05143398, which also lists 10 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 3 Dec 2021.

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