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Type 2 Diabetes Mellitus (T2DM)OCES-2NCT06694012

Osaka Cardiometabolic Epidemiological Study: Ohtori Study Part 2

An observational study of Type 2 Diabetes Mellitus (T2DM) and Type 2 Diabetes, run by Osaka Metropolitan University at 1 site in Japan.

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Trial summary

The aim of this study is to investigate the relationship between body fat distribution measured by CT scan and related risk factors with the risk of incident metabolic and cardiovascular disease in a prospective cohort study of Japanese men and women. Read more about this study

Who is it for?
Ages 20 years and older
How many people
2,000 participants
Where
1 siteJapan
Study dates
1 Nov 2024to 31 Mar 2050
Phase
Observational

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 20 years and older
  • All sexes
  • Adult, Older adult

Study population: Japanese men and women aged 20 years or older who plan to undergo a health examination at the Ohtori Health Promotion Center in Sakai, Osaka, Japan, after November 2024 and who agree to participate in this study.

Who may be able to join

  • -

Who cannot join

  • Women who may be pregnant

Trial locations and contacts

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

Tomoshige Hayashi, MD, PhD contact

81-6-6645-3751

thayashi@omu.ac.jp

Kyoko Sato, MD, PhD contact

81-6-6645-3751

ksato@omu.ac.jp

Japan1 site, 1 recruiting
  • The Ohtori Health Promotion Center

    Sakai, Osaka, 5938324

    Yonezo Hikita, MD, PhD, ocespart2@gmail.com

    Recruiting

Other trials in Japan

About this study

The aim of this study is to investigate the relationship between body fat distribution measured by CT scan and related risk factors with the risk of incident metabolic and cardiovascular disease in a prospective cohort study of Japanese men and women. The investigators will also investigate novel risk factors for metabolic and cardiovascular disease using molecular weight-based metallomics analysis.

Read the detailed description

Obesity is on the rise worldwide and is the most important risk factor for lifestyle-related diseases, including type 2 diabetes, hypertension, dyslipidemia, metabolic syndrome, ischemic heart disease, cerebrovascular disease, hyperuricemia, and chronic kidney disease. In addition, it has been reported that the distribution of fat is more important than the total amount of fat in the body, and the importance of visceral fat accumulation in the abdomen has been reported.

Although visceral fat accumulation and insulin resistance have been reported to be important upstream factors in the development of lifestyle-related diseases, the major target organs of insulin are not only adipose tissue, but also extremely important tissues such as muscle and liver, and ectopic fat accumulation in these tissues has attracted attention. However, there are few prospective cohort studies that have evaluated fat accumulation in adipose tissue, liver, and muscle simultaneously.

It has been reported that Japanese people have more visceral fat than Caucasians in the United States, even at the same body mass index level, and are at high risk for type 2 diabetes, so research on Japanese people is of great importance.

In addition, the role of trace elements in the body is attracting attention. In this cohort study, the investigators will also examine the relationship between trace elements in the body and the prevalence and incidence of lifestyle-related diseases.

The purpose of this study is to establish a prospective cohort study that evaluates visceral fat, subcutaneous fat, intrahepatic fat accumulation, and intramuscular fat using computed tomography imaging and to clarify the relationship with lifestyle-related diseases such as type 2 diabetes, hypertension, dyslipidemia, metabolic syndrome, ischemic heart disease, cerebrovascular disease, hyperuricemia, and chronic kidney disease.

Keywords
Type 2 Diabetes Mellitus, Hypertension, Hyperlipidemia, Dyslipidemia, Hyperuricemia, obesity, Abdominal obesity, Visceral fat, Visceral adiposity, Chronic Kidney Disease, Japanese, Metabolic Syndrome, Insulin Sensitivity, Insulin Resistance
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus, Hypertension, Hyperglycemia, Hyperlipidemias, Dyslipidemias, Hyperuricemia, Gout

What is being measured

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

  1. Type 2 diabetes is diagnosed based on the results of a fasting blood glucose test and medication history.

    Type 2 diabetes at baseline and follow-up examination is defined if the fasting plasma glucose level is ≥126 mg/dL, if the A1c level is ≥6.5%, or if the participant is taking medications or using injectables such as insulin to lower blood glucose levels at the baseline and follow-up examinations.

    Measured: Investigators plan to conduct follow-up examinations at intervals of one to two years.

  2. Hypertension is diagnosed based on the results of blood pressure measurement and medication history.

    Hypertension is diagnosed if the systolic blood pressure is ≥140 mmHg, the diastolic blood pressure is ≥90 mmHg, or the participant is taking antihypertensive medications.

    Measured: Investigators plan to conduct follow-up examinations at intervals of one to two years. plan to conduct follow-up examinations at intervals of one to two years.

  3. Dyslipidemia is diagnosed based on the National Cholesterol Education Program (NCEP) Adult Treatment Panel III guidelines.

    Dyslipidemia is diagnosed based on the following criteria:Total cholesterol: ≥200 mg/dL (high); LDL cholesterol: ≥130 mg/dL (high); HDL cholesterol: <40 mg/dL (low in men), <50 mg/dL (low in women); or triglycerides: ≥150 mg/dL (high).

    Measured: Investigators plan to conduct follow-up examinations at intervals of one to two years. plan to conduct follow-up examinations at intervals of one to two years.

  4. Metabolic syndrome is diagnosed based on the Joint Interim Statement published in Circulation. 2009 Oct 20;120(16):1640-5.

    An individual is diagnosed with metabolic syndrome if they meet three or more of the following criteria:

    1. Abdominal obesity (waist circumference): Men: ≥90 cm Women: ≥80 cm
    2. Elevated triglycerides: Triglycerides ≥150 mg/dL, or receiving treatment for elevated triglycerides.
    3. Low HDL cholesterol: Men: <40 mg/dL Women: <50 mg/dL, or receiving treatment for low HDL cholesterol.
    4. Elevated blood pressure: Systolic blood pressure ≥130 mmHg, diastolic blood pressure ≥85 mmHg, or receiving antihypertensive treatment.
    5. Elevated fasting blood glucose:

    Fasting blood glucose ≥100 mg/dL, or receiving treatment for elevated blood glucose.

    Measured: Investigators plan to conduct follow-up examinations at intervals of one to two years. plan to conduct follow-up examinations at intervals of one to two years.

  5. Hyperuricemia is defined based on fasting serum uric acid levels and the use of oral medication.

    Hyperuricemia is diagnosed if the fasting serum uric acid levels is >7.0 mg/dL for men, >7.0 mg/dL for women, or if the participant is taking uric acid-lowering medication.

    Measured: Investigators plan to conduct follow-up examinations at intervals of one to two years. plan to conduct follow-up examinations at intervals of one to two years.

  6. Low eGFR was define based on the Modification of Diet in Renal Disease study equation for Japanese.

    Low eGFR was defined if eGFR was less than 60 mL/min/1.73 m², regardless of the presence of proteinuria.

    Measured: Investigators plan to conduct follow-up examinations at intervals of one to two years. plan to conduct follow-up examinations at intervals of one to two years.

Timeline

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

  1. First posted19 Nov 2024
  2. Study start1 Nov 2024
  3. Primary completion31 Mar 2050 (estimated)
  4. Study completion31 Mar 2050 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
2,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06694012
Sponsor's protocol ID
2024-030
Other IDs
JP23K17444
Acronym
OCES-2
Status last verified
Nov 2024
First submitted
15 Nov 2024
Last updated
4 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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