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Metabolic Syndrome XBELLUGATNCT02832453

Metabolic Risk Management, Physical Exercise and Lifestyle Counselling in Low-active Adults; Controlled Randomized Trial

A study testing Lifestyle, Aerobic interval training and Traditional continous training in people with Metabolic Syndrome X and Lifestyle-related Condition, run by INEFC-Lleida 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
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Trial summary

The purpose of this study is evaluate the effectiveness of different doses of supervised exercise training intensity -concomitant to lifestyle counselling- as a Primary Health Care intervention tool for the management of the metabolic syndrome in low active adults with one or more metabolic risk factors. Read more about this study

Who is it for?
Ages 30 to 52 years
What is being tested?
Lifestyle, Aerobic interval training and Traditional continous training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
77 participants
Where
1 siteSpain
Study dates
Feb 2016to 31 Dec 2017
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 30 to 52 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Low active (achieving less than 150 minutes/week of moderate-to-vigorous physical activity or have not participated in any supervised exercise programs for at least the last 6 months).
  • Having one or more risk factors for metabolic syndrome (Marcuello et al., 2013) (waist circumference >94.5 cm for men and >89.5 cm for women; blood pressure ≥130/85 mmHg; triglycerides in plasma ≥150 mg/dL; high density lipoprotein cholesterol in plasma <40 mg/dL for men and <50 mg/dL for women; fasting glycaemia ≥100 mg/dL).
  • Accept and sign the written informed consent.
  • Accept the randomized group assignment.

Who cannot join

  • Couples or individuals living in the same house
  • Morbid obesity (BMI ≥ 40).
  • A past/current history and/or physical examination or laboratory findings of significant diseases of cardiovascular, respiratory, neuromuscular, psychiatric diseases/disorders.
  • Diseases/disorders that may contraindicate performing physical exercise or a stress test.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • INEFC-Lleida

    Lleida, 25192

Other trials in Spain

About this study

Official title: Supervised Physical Exercise and Lifestyle Counselling in the Management of Metabolic Risk in Low-active Adults; a Controlled Randomized Trial. Belluga't de CAP a Peus

The purpose of this study is evaluate the effectiveness of different doses of supervised exercise training intensity -concomitant to lifestyle counselling- as a Primary Health Care intervention tool for the management of the metabolic syndrome in low active adults with one or more metabolic risk factors.

Secondary aims of the study are to investigate the effects of these interventions on systemic inflammation and adipose tissue function, cardiorespiratory fitness, physical activity and sedentary habits, and the cost-effectiveness of the intervention with regard to health related quality of life.

Read more

The general hypothesis is that adults with risk factors for metabolic syndrome participating in interventions for the promotion of a healthy lifestyle that together with counselling strategies will include supervised physical exercise of vigorous intensity will present greater improvements in terms of metabolic risk, physical condition, physical activity/sedentary behaviours and psychological parameters at the end of the intervention and at 6-months follow-up than participants in interventions for the promotion of a healthy lifestyle that will include counselling plus physical exercise of low-to-moderate intensity or interventions based exclusively on counselling.

It is a three arms controlled randomized clinical trial implemented in the Primary Health Care setting and of 10 months duration.

Read the detailed description

The purpose of this study is evaluate the effectiveness of different doses of supervised exercise training intensity -concomitant to lifestyle counselling- as a Primary Health Care intervention tool for the management of the metabolic syndrome in low active adults with one or more metabolic risk factors.

Secondary aims of the study are to investigate the effects of these interventions on systemic inflammation and adipose tissue function, cardiorespiratory fitness, physical activity and sedentary habits, and the cost-effectiveness of the intervention with regard to health related quality of life.

The general hypothesis is that adults with risk factors for metabolic syndrome participating in interventions for the promotion of a healthy lifestyle that together with counselling strategies will include supervised physical exercise of vigorous intensity will present greater improvements in terms of metabolic risk, physical condition, physical activity/sedentary behaviours and psychological parameters at the end of the intervention and at 6-months follow-up than participants in interventions for the promotion of a healthy lifestyle that will include counselling plus physical exercise of low-to-moderate intensity or interventions based exclusively on counselling.

It is a three arms controlled randomized clinical trial implemented in the Primary Health Care setting and of 10 months duration.

Adults aged 30 to 52 years with metabolic risk factors will be randomized in three intervention groups that will be given one of the following: assessment on healthy lifestyle plus high intensity physical exercise supervision (3 individual and 6 group sessions + 16 supervised training lessons); assessment plus low-to-moderate intensity physical exercise supervision (3 individual and 6 group sessions + 16 supervised training lessons) or assessment-based programme without physical exercise supervision (3 individual and 6 group sessions).

The main output variables evaluated will be: a) risk factors for the metabolic syndrome (waist circumference, blood pressure, and plasma triglycerides, high density lipoproteins and glucose), systemic inflammation and adipose tissue functionality, physical activity habits and sedentary conducts, dietary habits, quality of life related to health, self-efficacy and empowerment. The economic cost will also be analysed to determine the cost-effectiveness of the program. These variables will be assessed 3 times alongside the study: at baseline, at the end of the 4 months intervention, and at 6 months follow-up. It has been estimated to recruit 33 participants per group, which are 100 participants.

Being tested
Lifestyle, Aerobic interval training, Traditional continous training
Keywords
High intensity physical exercise, Primary health care, Behaviour change interventions
Medical subject headings
Metabolic Syndrome, Mental Disorders, Risk Reduction Behavior

What participants receive

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

  • LifestyleBehavioural

    The counselling program consists of 6 group meetings of 1 hour and 3 individual consultations of at least 15 minutes each. Sessions will be set up with the aim to enhance knowledge and empowerment related to physical activity, sedentary conducts, dietary habits, as well as strategies for behaviour change will be given. Individual consultations will focus on establishing realistic objectives and to involve the participants in taking decisions.

  • Aerobic interval trainingBehavioural

    The supervised aerobic interval training will consist of 16 supervised group training lessons lasting 60 minutes and 32 individual nonsupervised training lessons that would be self-administered by each participant. The main part of the training lessons will consist of 4 series of 4 minutes of cycling at a heart rate of 80% of the VO2peak interspersed with active pauses of 2 minutes at 60% of the VO2peak .

  • Traditional continous trainingBehavioural

    The supervised traditional continous training will consist of 16 supervised group training lessons lasting 60 minutes and 32 individual nonsupervised training lessons that would be self-administered by each participant. The main part of the training lessons will consist of activities such as walking, cycling, or tonification exercises always at an intensity of 60% of the VO2peak.

Study groups in NCT02832453
Study groupRoleWhat they receive
Lifestyle counselingOtherThis group will receive lifestyle counselling but not supervised exercise training sessions
Receives: Behavioral: Lifestyle
Aerobic interval trainingExperimentalThis group will receive lifestyle counselling plus supervised high intensity (80%VO2max) interval exercise training sessions
Receives: Behavioral: Lifestyle; Behavioral: Aerobic interval training
Traditional continous trainingActive comparatorThis group will receive lifestyle counselling plus supervised moderate intensity (60%VO2max) continous exercise training sessions
Receives: Behavioral: Lifestyle; Behavioral: Traditional continous training

What is being measured

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

  1. Change from baseline in metabolic risc score

    A continuous metabolic syndrome risk score (cMSSy) will be calculated as described by Wijndaele (Wijndaele et al., 2006). The score contains the five risk factors considered in the definition of the metabolic syndrome (Expert panel on detection, 2001; Marcuello et al., 2013), that is waist circumference, triglycerides, high density lipoproteins cholesterol, systolic blood pressure and plasma glucose.

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

Secondary outcomes (11)
  1. Change from baseline in cardiorespiratory fitness

    Improvement of peak oxygen uptake (VO2peak). Cardiorespiratory fitness will be assessed by means of voluntary maximal graded exercise on a cycle ergometer while measuring oxygen consumption (VO2).

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

  2. Change from baseline in active lifestyle

    Daily time spent at moderate-to-vigorous physical activity. Participants will wear Actigraph accelerometers (GT3X+ models) during all day for seven consecutive days. Cut points for moderate-to-vigorous physical activity will be set above 2020 counts per minute.

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

  3. Change from baseline in sedentary time

    Reduction of the daily time devoted to sedentary conducts. Participants will wear Actigraph accelerometers (GT3X+ models) during all day for seven consecutive days. Cut points for sedentary conducts will be set under 100 counts per minute.

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

  4. Change from baseline in dietary habits

    Improvement of healthy eating index

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

  5. Change from baseline in physical activity self-efficacy questionnaire

    Spanish version of the physical activity scale (Fernández-Cabrera, Medina, Rueda, Ordoñez, \& León, 2012)

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

  6. Change from baseline in empowerment

    Health Empowerment Scale (HES) (Serrani, 2014)

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

  7. Change from baseline in health related quality of life at the end of the intervention

    Quality of life questionaire (EQ-5D)

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

  8. Change from baseline in health related quality of life

    Quality of life questionaire (EQ-5D)

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

  9. Change from baseline in interleucin-6

    Fasting blood samples will be drawn to determine interleukin by cytometry.

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

  10. Change from baseline in adiponectin

    Fasting blood samples will be drawn to determine adiponectin by cytometry.

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

  11. Change from baseline in plasma metabolome

    Fasting blood samples will be drawn to determine plasma metabolome.

    Measured: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.

Timeline

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

  1. First posted14 Jul 2016 (estimated)
  2. Study startFeb 2016
  3. Primary completionJun 2017
  4. Study completion31 Dec 2017

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
Single blind
Who is masked
Outcomes assessor
Enrolment
77 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02832453
Sponsor's protocol ID
2014-PINEFC00003
Acronym
BELLUGAT
Status last verified
Aug 2019
First submitted
6 Jul 2016
Last updated
21 Aug 2019
Results posted
No
Data monitoring committee
No
Individual data sharing
Undecided: At present we have not planned to share data. Probably at the end of the trail we will put them on the repository of the University of Lleida.

Publications

  • Ensenyat A, Espigares-Tribo G, Machado-Da-Silva L, Sinfreu-Bergues X, Blanco A. Semisupervised Physical Exercise and Lifestyle Counseling in Cardiometabolic Risk Management in Sedentary Adults: Controlled Randomized Trial (BELLUGAT). J Phys Act Health. 2020 Jun 12;17(7):744-755. doi: 10.1123/jpah.2019-0409.

    PubMed 32531762
  • Ensenyat A, Espigares-Tribo G, Machado L, Verdejo FJ, Rodriguez-Arregui R, Serrano J, Miret M, Galindo G, Blanco A, Marsal JR, Sarriegui S, Sinfreu-Bergues X, Serra-Paya N. Metabolic risk management, physical exercise and lifestyle counselling in low-active adults: controlled randomized trial (BELLUGAT). BMC Public Health. 2017 Mar 14;17(1):257. doi: 10.1186/s12889-017-4144-8.

    PubMed 28292282

Questions about this trial

What is this clinical trial studying?

A study testing Lifestyle, Aerobic interval training and Traditional continous training in people with Metabolic Syndrome X and Lifestyle-related Condition, run by INEFC-Lleida 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 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 21 Aug 2019. 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?

Change from baseline in metabolic risc score (time frame: 3 time points: at baseline, 4 months (end of the intervention) and at 6 months after the end of the intervention.). 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 NCT02832453, which also lists 2 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 21 Aug 2019.

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