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Non-Alcoholic Fatty Liver DiseaseMAUCO+NCT05618626

Prevention of NAFLD and CVD Through Lifestyle Intervention

A study testing Physical exercise and dietary intervention for NAFLD in people with Non-Alcoholic Fatty Liver Disease and Gallstone Disease, run by Pontificia Universidad Catolica de Chile at 1 site in Chile.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Prevention of non-alcoholic fatty liver disease (NAFLD) and cardiovascular disease (CVD) through lifestyle intervention (MAUCO+) is a clinical trial that aims to improve sarcopenia, aerobic capacity, body composition, and lipid profile, insulin resistance, cardiovascular risk, NAFLD, and maintain a healthier… Read more about this study

Who is it for?
Ages 45 to 60 yearsHealthy volunteers can take part
What is being tested?
Physical exercise and dietary intervention for NAFLD
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
1 siteChile
Study dates
27 Sep 2021to 30 Apr 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

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 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • With and without gallstones disease
  • With various degrees of NAFLD (none too severe)

Who cannot join

  • Any significant comorbidity or physical limitation to undergo resistance exercise program
  • Use of medications that alter muscle mass (e.g., corticosteroids)
  • History of hepatitis B or C
  • Use of hepatotoxic drugs

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Laura A Huidobro, PhD contact

+56 9 9219 6618

leahuidobro@gmail.com

Catterina Ferreccio, MD contact

+56 9 95788658

catferre@gmail.com

Chile1 site, 1 recruiting
  • Centro MAUCO+

    Molina, Maule Region

    Laura A Huidobro, MD, PhD, ahuidobro@ucm.cl

    Recruiting

Other trials in Chile

About this study

Official title: Cardiovascular Diseases (CVD) and Nonalcoholic Fatty Liver Diseases (NAFLD) Among Gallstone and Cholecystectomy Patients and the Impact of a Novel Diet and Muscle Training Program

Prevention of non-alcoholic fatty liver disease (NAFLD) and cardiovascular disease (CVD) through lifestyle intervention (MAUCO+) is a clinical trial that aims to improve sarcopenia, aerobic capacity, body composition, and lipid profile, insulin resistance, cardiovascular risk, NAFLD, and maintain a healthier lifestyle. Through the implementation of physical activity and nutritional programs.

Read the detailed description

BACKGROUND. Gallstone disease (GSD), including gallstones and cholecystectomy, is a common digestive disease worldwide, and Chile has one of the highest reported rates of gallstone prevalence. GSD, in particular cholecystectomy, has been associated with nonalcoholic fatty liver disease (NAFLD). In previous studies, investigators confirmed the association of cholecystectomy with a higher risk of NAFLD only in men. Additionally, reasearchers found a higher cardiovascular event risk in 3 years for male gallstone carriers. Investigators aim to step forward toward translational research by evaluating the effectiveness of a risk-reduction strategy customized to our population.

STUDY GOALS. To evaluate a metabolic risk reduction strategy based on: 1. A Physical exercise trial to increase muscle mass and strength, and 2. A nutritional intervention based on an anti-inflammatory diet, sleep hygiene, and prolonged fasting periods.

METHODS. Intensive Lifestyle Intervention, Randomized Controlled Trial: 300 participants will be randomly allocated to control (n=150) or an experimental group (n=150). The control group will receive standard prevention recommendations, personalized advice, educational material regarding lifestyle and metabolic diseases, and follow-up evaluation of physical activity, physical condition, anthropometry, diet, and sleep habits. The intervention group will receive, tailored to each participant: 3.1 An Exercise Program consisting of directly supervised and home-based telehealth sessions emphasizing muscle building, and 3.2. A Nutritional plus Program based on a diet rich in anti-inflammatory components and legumes, low in fat and refined carbohydrates, controlled energy according to BMI, extended nocturnal fasting periods, and healthy sleep habits. The programs will have a 6-month intensive phase of bi-weekly directly supervised exercise sessions in a municipality gym and a weekly telehealth session, followed by six months of telephone support and bi-monthly direct supervision to reinforce adherence and early identification of risk factors for abandonment. Intervention outcomes measured at baseline and years 1 and 2 are changes in non-invasive serum and ultrasound-based biomarkers of NAFLD; improvement in sarcopenia, aerobic capacity, body composition, lipid profile, insulin resistance, and cardiovascular risk; among overweight participants, permanent loss of at least 5% body weight; the decrease of depression symptoms, improvement of quality of life scores, and maintenance of a healthier lifestyle.

EXPECTED RESULTS: is expected that a 12-month intervention of a personalized physical activity program together with a metabolic protective diet will improve markers of metabolic syndrome and NAFLD and decrease CVD risk scores in all participants who adhere to more than 50% of both interventions, with a clear dose-response effect.

Being tested
Physical exercise and dietary intervention for NAFLD
Keywords
Anti-inflammatory diet, Lifestyle modification, Physical Activity
Medical subject headings
Non-alcoholic Fatty Liver Disease, Cholelithiasis, Motor Activity

What participants receive

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

  • Physical exercise and dietary intervention for NAFLDOther

    Investigators will assess the efficiency of the intervention by measuring adherence to physical exercise and nutritional diet.

Study groups in NCT05618626
Study groupRoleWhat they receive
Physical exercise and dietary intervention for NAFLDExperimentalThe exercise program will consist of muscular strength and aerobic exercises; additionally, each session will start and end with low intensity warm-up and cool down periods. The program will be divided in months. Months 1-2, twice a week directly-supervised exercises group sessions, and 1 telehealth session. Months 3-6, once a week directly-supervised group session and twice a week home-based telehealth. Months 7-12, Monthly telephone support. Months 12, 24 and 36, All participants (control and intervention arms) will receive a full evaluation. In the dietary intervention, investigators proposed a diet rich in anti-inflammatory components, legumes and in dietary fiber. The baseline evaluation of nutritional condition includes: anthropometry, bioimpedance analysis, hepatobiliary ultrasound, Fibroscan,blood lipids, and a battery of metabolic markers and a diet survey, Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24). Both interventions are performed in parallel.
Receives: Other: Physical exercise and dietary intervention for NAFLD
Standard of careNo interventionParticipants in the control arm first have a baseline evaluation of the nutritional condition, with anthropometry evaluation, bioimpedance analysis, hepatobiliary ultrasound, Fibroscan, blood lipids, a battery of metabolic markers, and a diet survey, Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24). After the evaluation period, participants received one counseling session, including written material, with advice to follow a healthy diet rich in fruits and vegetables, whole-grain foods, low in salt and sugars, and recommendations for an exercise plan of at least 30 minutes of aerobic exercise three times a week.

What is being measured

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

  1. Presence and severity of Non-Alcoholic Fatty liver Disease (NAFLD) at baseline and 12 month later.

    It will be measured through the liver steatosis marker "Controlled Attenuation Parameter (CAP)" (dB/m).

    Measured: 36 months

Secondary outcomes (17)
  1. Framingham Cardiovascular risk score

    It will be measured at baseline and 12 months.

    Measured: 36 months

  2. HDL cholesterol (mg/dL)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  3. Triglycerides (mg/dL)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  4. Glycemia (mg/dL)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  5. Insulin (uU/mL)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  6. HBA1c

    It will be measured at baseline and 12 months.

    Measured: 36 months

  7. usPCR (mg/L)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  8. AST:ALT ratio

    It will be measured at baseline and 12 months.

    Measured: 36 months

  9. Total cholesterol (mg/dL)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  10. Platelets (#cells/uL)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  11. HOMA-IR

    It will be measured at baseline and 12 months.

    Measured: 36 months

  12. Total Bilirrubin (mg/dL)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  13. Alkaline phosphatase (UI/l)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  14. Glutamiz oxaloacetic transaminase (GOT) (UI/l)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  15. Glutamic pyruvic trasaminase (GPT) (UI/l)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  16. Gamma-glutamyl Transferase (GGT) (UI/l)

    It will be measured at baseline and 12 months.

    Measured: 36 months

  17. Metabolic syndrome

    To be diagnosed with metabolic syndrome it is necessary to meet 3 or more conditions. (abdominal obesity, high triglycerides, low HDL cholesterol, high blood pressure and high fasting glucose). Metabolic syndrome will be measure at baseline and 12 month.

    Measured: 36 months

Timeline

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

  1. First posted16 Nov 2022
  2. Study start27 Sep 2021
  3. Primary completion28 Apr 2025 (estimated)
  4. Study completion30 Apr 2025 (estimated)

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05618626
Sponsor's protocol ID
FN1212066
Acronym
MAUCO+
Status last verified
Nov 2024
First submitted
17 Jun 2022
Last updated
19 Nov 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Stinton LM, Shaffer EA. Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 2012 Apr;6(2):172-87. doi: 10.5009/gnl.2012.6.2.172. Epub 2012 Apr 17.

    PubMed 22570746
  • Latorre S G, Ivanovic-Zuvic S D, Corsi S O, Valdivia C G, Margozzini M P, Olea O R, Chianale B J, Miquel P JF. [Coverage of the gallbladder cancer prevention strategy in Chile: results from the 2009-2010 National Health Survey]. Rev Med Chil. 2015 Feb;143(2):158-67. doi: 10.4067/S0034-98872015000200002. Spanish.

    PubMed 25860357
  • Bertran E, Heise K, Andia ME, Ferreccio C. Gallbladder cancer: incidence and survival in a high-risk area of Chile. Int J Cancer. 2010 Nov 15;127(10):2446-54. doi: 10.1002/ijc.25421.

    PubMed 20473911
  • Hundal R, Shaffer EA. Gallbladder cancer: epidemiology and outcome. Clin Epidemiol. 2014 Mar 7;6:99-109. doi: 10.2147/CLEP.S37357. eCollection 2014.

    PubMed 24634588
  • Lammert F, Gurusamy K, Ko CW, Miquel JF, Mendez-Sanchez N, Portincasa P, van Erpecum KJ, van Laarhoven CJ, Wang DQ. Gallstones. Nat Rev Dis Primers. 2016 Apr 28;2:16024. doi: 10.1038/nrdp.2016.24.

    PubMed 27121416
  • Buch S, Schafmayer C, Volzke H, Becker C, Franke A, von Eller-Eberstein H, Kluck C, Bassmann I, Brosch M, Lammert F, Miquel JF, Nervi F, Wittig M, Rosskopf D, Timm B, Holl C, Seeger M, ElSharawy A, Lu T, Egberts J, Fandrich F, Folsch UR, Krawczak M, Schreiber S, Nurnberg P, Tepel J, Hampe J. A genome-wide association scan identifies the hepatic cholesterol transporter ABCG8 as a susceptibility factor for human gallstone disease. Nat Genet. 2007 Aug;39(8):995-9. doi: 10.1038/ng2101. Epub 2007 Jul 15.

    PubMed 17632509
  • Bustos BI, Perez-Palma E, Buch S, Azocar L, Riveras E, Ugarte GD, Toliat M, Nurnberg P, Lieb W, Franke A, Hinz S, Burmeister G, von Schonfels W, Schafmayer C, Volzke H, Volker U, Homuth G, Lerch MM, Santos JL, Puschel K, Bambs C, Roa JC, Gutierrez RA, Hampe J, De Ferrari GV, Miquel JF. Variants in ABCG8 and TRAF3 genes confer risk for gallstone disease in admixed Latinos with Mapuche Native American ancestry. Sci Rep. 2019 Jan 28;9(1):772. doi: 10.1038/s41598-018-35852-z.

    PubMed 30692554
  • Nervi F, Miquel JF, Alvarez M, Ferreccio C, Garcia-Zattera MJ, Gonzalez R, Perez-Ayuso RM, Rigotti A, Villarroel L. Gallbladder disease is associated with insulin resistance in a high risk Hispanic population. J Hepatol. 2006 Aug;45(2):299-305. doi: 10.1016/j.jhep.2006.01.026. Epub 2006 Feb 17.

    PubMed 16516330
  • Lin IC, Yang YW, Wu MF, Yeh YH, Liou JC, Lin YL, Chiang CH. The association of metabolic syndrome and its factors with gallstone disease. BMC Fam Pract. 2014 Jul 29;15:138. doi: 10.1186/1471-2296-15-138.

    PubMed 25070766
  • Shaffer EA. Epidemiology and risk factors for gallstone disease: has the paradigm changed in the 21st century? Curr Gastroenterol Rep. 2005 May;7(2):132-40. doi: 10.1007/s11894-005-0051-8.

    PubMed 15802102
  • Haas JT, Francque S, Staels B. Pathophysiology and Mechanisms of Nonalcoholic Fatty Liver Disease. Annu Rev Physiol. 2016;78:181-205. doi: 10.1146/annurev-physiol-021115-105331. Epub 2015 Nov 30.

    PubMed 26667070
  • Riquelme A, Arrese M, Soza A, Morales A, Baudrand R, Perez-Ayuso RM, Gonzalez R, Alvarez M, Hernandez V, Garcia-Zattera MJ, Otarola F, Medina B, Rigotti A, Miquel JF, Marshall G, Nervi F. Non-alcoholic fatty liver disease and its association with obesity, insulin resistance and increased serum levels of C-reactive protein in Hispanics. Liver Int. 2009 Jan;29(1):82-8. doi: 10.1111/j.1478-3231.2008.01823.x. Epub 2008 Jul 16.

    PubMed 18647235
  • Younossi Z, Anstee QM, Marietti M, Hardy T, Henry L, Eslam M, George J, Bugianesi E. Global burden of NAFLD and NASH: trends, predictions, risk factors and prevention. Nat Rev Gastroenterol Hepatol. 2018 Jan;15(1):11-20. doi: 10.1038/nrgastro.2017.109. Epub 2017 Sep 20.

    PubMed 28930295
  • Bellentani S. The epidemiology of non-alcoholic fatty liver disease. Liver Int. 2017 Jan;37 Suppl 1:81-84. doi: 10.1111/liv.13299.

    PubMed 28052624
  • Arrese M, Cortes V, Barrera F, Nervi F. Nonalcoholic fatty liver disease, cholesterol gallstones, and cholecystectomy: new insights on a complex relationship. Curr Opin Gastroenterol. 2018 Mar;34(2):90-96. doi: 10.1097/MOG.0000000000000416.

    PubMed 29266009

Questions about this trial

What is this clinical trial studying?

A study testing Physical exercise and dietary intervention for NAFLD in people with Non-Alcoholic Fatty Liver Disease and Gallstone Disease, run by Pontificia Universidad Catolica de Chile at 1 site in Chile.

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 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: looking for participants now, as of the sponsor's last update on 19 Nov 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 Chile. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Laura A Huidobro, PhD (+56 9 9219 6618, leahuidobro@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Presence and severity of Non-Alcoholic Fatty liver Disease (NAFLD) at baseline and 12 month later. (time frame: 36 months). 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 NCT05618626, which also lists 101 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 Nov 2024; AzTrials last refreshed its copy on 7 Nov 2026.

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