ObesityOBELEXNCT03300388
Obesity, Inflammation and Aging: Effects of Physical Exercise and Omega-3 Fatty Acids.
A study testing Omega-3 (DHA-rich dietary supplement) and Resistance training in people with Obesity and Aging, run by Clinica Universidad de Navarra, Universidad de Navarra at 1 site in Spain.
Trial summary
Dysfunction of adipose tissue in obesity, inflammation and aging: mechanisms and effects of physical exercise and omega-3 fatty acids. Read more about this study
- Who is it for?
- Ages 55 to 70 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Obesity, Aging, Inflammation
- What is being tested?
- Omega-3 (DHA-rich dietary supplement) and Resistance training
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 85 participants
- Where
- 1 siteSpain
- Study dates
- 21 Aug 2017to 13 Jun 2019
- 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 55 to 70 years
- Women only
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Post-menopausal women
- Age between 55 and 70 years
- Body Mass Index (BMI) between 27.5 and 35 kg/m²
- Weight unchanged (± 3 kg) for the last 3 months
- Overall physical and psychological condition that the investigator believes is in accordance with the overall aim of the study
Who cannot join
- Use of regular prescription medication: specially statins, antidiabetic drugs, menopausal hormone replacement therapy
- To suffer from any chronic metabolic condition: severe dislipidemia, type 1 or 2 diabetes, hepatic (cirrhosis), renal disease, cardiovascular disease, neuromuscular disease, arthritic disease, pulmonary disease and/or other debilitating diseases
- Food allergies and/or food intolerance expected to come up during the study
- Following special diets (Atkins, vegetarian, etc.) prior three months the start of the study
- Eating disorders
- Surgically treated obesity
- Alcohol or drug abuse
Trial locations and contacts
1 site in 1 country.
Spain1 site
Department of Nutrition, Food Science and Physiology. Centre for Nutrition Research.
Pamplona, Navarre, 31008
About this study
Official title: Dysfunction of Adipose Tissue in Obesity, Inflammation and Aging: Mechanisms and Effects of Physical Exercise and Omega-3 Fatty Acids.
Dysfunction of adipose tissue in obesity, inflammation and aging: mechanisms and effects of physical exercise and omega-3 fatty acids.
Read the detailed description
Obesity is associated with the development of metabolic diseases including type 2 diabetes and immune disorders. Obesity also leads to reduced lifespan and accelerated cellular processes similar to those of aging. On the other hand, aging is accompanied by the accumulation of visceral fat and the metabolic complications associated to obesity. Both obesity and aging have been identified as chronic, low-grade inflammation disorders. The inflammation in aging has been considered as a risk factor for the development of most of age-related diseases, and therefore for morbidity and mortality in the elderly. However, the specific mechanisms leading to inflammation in aging remain largely unknown.
Resolution of inflammation is an active process which involves production of several series of specialized pro-resolving lipid mediators such lipoxins, resolvin, protectins and maresin. The hypothesis of this trial is that the chronic inflammation associated to obesity and aging could be the result of an impaired production of these specialized pro-resolutive lipid mediators, mainly in adipose tissue. On the other hand, the investigators also propose that altered transcriptional pattern might be responsible for the development of the inflammation associated with the pathophysiology of obesity and aging. Therefore the first general aim of the current project will be to characterize the mechanisms involved in the unresolved chronic inflammation that arises during obesity and aging.
Because n-3 PUFAs (polyunsaturated fatty acids) serve as substrates for the synthesis of specialized pro-resolving lipid mediators and are important transcriptional regulators, the investigators propose that dietary supplementation with n-3 PUFAs, alone or in combination with regular physical exercise could promote the resolution of local and systemic inflammation and the subsequent metabolic disorders associated to obesity and aging. A trial in overweight/obese postmenopausal women will be carried out to characterize the potential beneficial effects of regular administration of a DHA-rich dietary supplement and/or a progressive resistance training (PRT) program on weight and fat mass loss, insulin sensitivity, inflammatory markers and gene/miRNA/lipidomic/metabolomic profile in serum and/or adipose tissue. Moreover, changes in gut microbiota will be also addressed.
- Conditions
- Obesity, Aging, Inflammation
- Being tested
- Omega-3 (DHA-rich dietary supplement), Placebo (olive oil), Resistance training
- Keywords
- Insulin resistance, Exercise, Omega-3 fatty acids, Adipose tissue
- Medical subject headings
- Obesity, Inflammation, Insulin Resistance, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Omega-3 (DHA-rich dietary supplement)Dietary supplement
Double-blind randomized placebo-controlled intervention with DHA-rich dietary supplement with or without resistance training program for 16 weeks.
Placebo (olive oil)Dietary supplement
Double-blind randomized placebo-controlled intervention with DHA-rich dietary supplement with or without resistance training program for 16 weeks.
Resistance trainingOther
Double-blind randomized placebo-controlled intervention with DHA-rich dietary supplement with or without resistance training program for 16 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Control | Placebo comparator | Dietary advice for a healthy diet supplemented with placebo (olive oil). Receives: Dietary Supplement: Placebo (olive oil) |
| Omega-3 | Experimental | Dietary advice for a healthy diet supplemented with DHA-rich dietary supplement (providing 1.650 mg/day of DHA). Receives: Dietary Supplement: Omega-3 (DHA-rich dietary supplement) |
| Resistance Training | Experimental | Dietary advice for a healthy diet supplemented with placebo (olive oil) and moderate resistance training program. Receives: Dietary Supplement: Placebo (olive oil); Other: Resistance training |
| Omega-3 + Resistance Training | Experimental | Dietary advice for a healthy diet supplemented with a DHA-rich dietary supplement (providing 1.650 mg/day of DHA) and moderate resistance training program. Receives: Dietary Supplement: Omega-3 (DHA-rich dietary supplement); Other: Resistance training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fat mass reduction
Evaluation of body fat mass changes induced by the different interventions, analyzed by Dual X-ray Absorptiometry (DXA).
Measured: Week 0 (baseline)
Fat mass reduction
Evaluation of body fat mass changes induced by the different interventions, analyzed by Dual X-ray Absorptiometry (DXA).
Measured: Week 16 (end of intervention)
Secondary outcomes (94)
Evolution of fat mass reduction
Evaluation of body fat mass changes induced by the different interventions analyzed by bioimpedance.
Measured: Week 0 (baseline)
Evolution of fat mass reduction
Evaluation of body fat mass changes induced by the different interventions analyzed by bioimpedance.
Measured: Week 2
Evolution of fat mass reduction
Evaluation of body fat mass changes induced by the different interventions analyzed by bioimpedance.
Measured: Week 4
Evolution of fat mass reduction
Evaluation of body fat mass changes induced by the different interventions analyzed by bioimpedance.
Measured: Week 6
Evolution of fat mass reduction
Evaluation of body fat mass changes induced by the different interventions analyzed by bioimpedance.
Measured: Week 8
Evolution of fat mass reduction
Evaluation of body fat mass changes induced by the different interventions analyzed by bioimpedance.
Measured: Week 10
Evolution of fat mass reduction
Evaluation of body fat mass changes induced by the different interventions analyzed by bioimpedance.
Measured: Week 12
Evolution of fat mass reduction
Evaluation of body fat mass changes induced by the different interventions analyzed by bioimpedance.
Measured: Week 14
Evolution of fat mass reduction
Evaluation of body fat mass changes induced by the different interventions analyzed by bioimpedance.
Measured: Week 16 (end of intervention)
Weight loss
Changes in body weight will be measured by a body weight scale to the nearest 0.1 kg
Measured: Week 0 (baseline)
Weight loss
Changes in body weight will be measured by a body weight scale to the nearest 0.1 kg
Measured: Week 2
Weight loss
Changes in body weight will be measured by a body weight scale to the nearest 0.1 kg
Measured: Week 4
Weight loss
Changes in body weight will be measured by a body weight scale to the nearest 0.1 kg
Measured: Week 6
Weight loss
Changes in body weight will be measured by a body weight scale to the nearest 0.1 kg
Measured: Week 8
Weight loss
Changes in body weight will be measured by a body weight scale to the nearest 0.1 kg
Measured: Week 10
Weight loss
Changes in body weight will be measured by a body weight scale to the nearest 0.1 kg
Measured: Week 12
Weight loss
Changes in body weight will be measured by a body weight scale to the nearest 0.1 kg
Measured: Week 14
Weight loss
Changes in body weight will be measured by a body weight scale to the nearest 0.1 kg
Measured: Week 16 (end of intervention)
Evolution of body composition
Evaluation of fat-free mass changes will be analyzed by bioimpedance.
Measured: Week 0 (baseline)
Evolution of body composition
Evaluation of fat-free mass changes will be analyzed by bioimpedance.
Measured: Week 2
Evolution of body composition
Evaluation of fat-free mass changes will be analyzed by bioimpedance.
Measured: Week 4
Evolution of body composition
Evaluation of fat-free mass changes will be analyzed by bioimpedance.
Measured: Week 6
Evolution of body composition
Evaluation of fat-free mass changes will be analyzed by bioimpedance.
Measured: Week 8
Evolution of body composition
Evaluation of fat-free mass changes will be analyzed by bioimpedance.
Measured: Week 10
Evolution of body composition
Evaluation of fat-free mass changes will be analyzed by bioimpedance.
Measured: Week 12
Evolution of body composition
Evaluation of fat-free mass changes will be analyzed by bioimpedance.
Measured: Week 14
Evolution of body composition
Evaluation of fat-free mass changes will be analyzed by bioimpedance.
Measured: Week 16 (end of intervention)
Hip circumference
Hip circumference will be measured with a measuring tape.
Measured: Week 0 (baseline)
Hip circumference
Hip circumference will be measured with a measuring tape.
Measured: Week 8
Hip circumference
Hip circumference will be measured with a measuring tape.
Measured: Week 16 (end of intervention)
Neck circumference
Neck circumference will be measured with a measuring tape.
Measured: Week 0 (baseline)
Neck circumference
Neck circumference will be measured with a measuring tape.
Measured: Week 8
Neck circumference
Neck circumference will be measured with a measuring tape.
Measured: Week 16 (end of intervention)
Waist circumference
Waist circumference will be measured with a measuring tape.
Measured: Week 0 (baseline)
Waist circumference
Waist circumference will be measured with a measuring tape.
Measured: Week 8
Waist circumference
Waist circumference will be measured with a measuring tape.
Measured: Week 16 (end of intervention)
Abdomen circumference
Abdomen circumference will be measured with a measuring tape.
Measured: Week 0 (baseline)
Abdomen circumference
Abdomen circumference will be measured with a measuring tape.
Measured: Week 8
Abdomen circumference
Abdomen circumference will be measured with a measuring tape.
Measured: Week 16 (end of intervention)
Arm circumference
Arm circumference will be measured with a measuring tape.
Measured: Week 0 (baseline)
Arm circumference
Arm circumference will be measured with a measuring tape.
Measured: Week 8
Arm circumference
Arm circumference will be measured with a measuring tape.
Measured: Week 16 (end of intervention)
Midthigh circumference
Midthigh circumference will be measured with a measuring tape.
Measured: Week 0 (baseline)
Midthigh circumference
Midthigh circumference will be measured with a measuring tape.
Measured: Week 8
Midthigh circumference
Midthigh circumference will be measured with a measuring tape.
Measured: Week 16 (end of intervention)
Midcalf circumference
Midcalf circumference will be measured with a measuring tape.
Measured: Week 0 (baseline)
Midcalf circumference
Midcalf circumference will be measured with a measuring tape.
Measured: Week 8
Midcalf circumference
Midcalf circumference will be measured with a measuring tape.
Measured: Week 16 (end of intervention)
Triceps skinfold
Triceps skinfold will be measured with a caliper.
Measured: Week 0 (baseline)
Triceps skinfold
Triceps skinfold will be measured with a caliper.
Measured: Week 8
Triceps skinfold
Triceps skinfold will be measured with a caliper.
Measured: Week 16 (end of intervention)
Thigh skinfold
Thigh skinfold will be measured with a caliper.
Measured: Week 0 (baseline)
Thigh skinfold
Thigh skinfold will be measured with a caliper.
Measured: Week 8
Thigh skinfold
Thigh skinfold will be measured with a caliper.
Measured: Week 16 (end of intervention)
Medial calf skinfold
Medial calf skinfold will be measured with a caliper.
Measured: Week 0 (baseline)
Medial calf skinfold
Medial calf skinfold will be measured with a caliper.
Measured: Week 8
Medial calf skinfold
Medial calf skinfold will be measured with a caliper.
Measured: Week 16 (end of intervention)
Blood pressure
Systolic and diastolic blood pressure will be measured with a tensiometer.
Measured: Week 0 (baseline)
Blood pressure
Systolic and diastolic blood pressure will be measured with a tensiometer.
Measured: Week 8
Blood pressure
Systolic and diastolic blood pressure will be measured with a tensiometer.
Measured: Week 16 (end of intervention)
Serum glucose
Fasting serum glucose will be measured after overnight fast.
Measured: Week 0 (baseline)
Serum glucose
Fasting serum glucose will be measured after overnight fast.
Measured: Week 16 (end of intervention)
Serum insulin
Fasting serum insulin will be measured after overnight fast.
Measured: Week 0 (baseline)
Serum insulin
Fasting serum insulin will be measured after overnight fast.
Measured: Week 16 (end of intervention)
Oral Glucose Tolerance Test
Oral Glucose Tolerance Test will be carried out after overnight fast.
Measured: Week 0 (baseline)
Oral Glucose Tolerance Test
Oral Glucose Tolerance Test will be carried out after overnight fast.
Measured: Week 16 (end of intervention)
Lipid metabolism biomarkers
Serum free fatty acids, triglycerides, total cholesterol, LDL-cholesterol and HDL-cholesterol concentrations will be measured after an overnight fast.
Measured: Week 0 (baseline)
Lipid metabolism biomarkers
Serum free fatty acids, triglycerides, total cholesterol, LDL-cholesterol and HDL-cholesterol concentrations will be measured after an overnight fast.
Measured: Week 16 (end of intervention)
Ketone bodies
Ketone bodies concentrations will be measured after an overnight fast.
Measured: Week 0 (baseline)
Ketone bodies
Ketone bodies concentrations will be measured after an overnight fast.
Measured: Week 16 (end of intervention)
Thyroid function (body metabolism)
TSH (thyroid-stimulating hormone), T3 and T4 hormones will be evaluated with ELISA kits
Measured: Week 0 (baseline)
Thyroid function (body metabolism)
TSH (thyroid-stimulating hormone), T3 and T4 hormones will be evaluated with ELISA kits
Measured: Week 16 (end of intervention)
Cardiovascular risk biomarkers
PAI-1 (plasminogen activator inhibitor-1), ADMA (asymmetric dimethylarginine) and VEGF (vascular endothelial growth factor) will be measured in plasma using ELISA kits
Measured: Week 0 (baseline)
Cardiovascular risk biomarkers
PAI-1 (plasminogen activator inhibitor-1), ADMA (asymmetric dimethylarginine) and VEGF (vascular endothelial growth factor) will be measured in plasma using ELISA kits
Measured: Week 16 (end of intervention)
Inflammation biomarkers
TNF-α (tumour necrosis factor-alpha), IL-6 (interleukin 6), C-reactive protein, serum A-amyloid, leptin, adiponectin, chemerin will be measured by ELISA kits
Measured: Week 0 (baseline)
Inflammation biomarkers
TNF-α (tumour necrosis factor-alpha), IL-6 (interleukin 6), C-reactive protein, serum A-amyloid, leptin, adiponectin, chemerin will be measured in plasma by ELISA kits
Measured: Week 16 (end of intervention)
Satiety and eating behavior traits
Satiety will be also estimated by using a VAS (visual analogue scale) questionnaire and eating behavior traits will be also evaluated with validated questionnaires
Measured: Week 0 (baseline)
Satiety and eating behavior traits
Satiety will be also estimated by using a VAS (visual analogue scale) questionnaire and eating behavior traits will be also evaluated with validated questionnaires
Measured: Week 16 (end of intervention)
Plasma adipokines and myo-kines
CT-1, irisin, FGF21 (fibroblast growth factor 21) and meteorin-like will be measured using ELISA kits
Measured: Week 0 (baseline)
Plasma adipokines and myo-kines
CT-1, irisin, FGF21 (fibroblast growth factor 21) and meteorin-like will be measured using ELISA kits
Measured: Week 16 (end of intervention)
Plasma lipids and bioactive lipid mediators
Lipidomic profile will be measured using targeted metabolomic-lipidomics by HPLC-MS (high pressure liquid chromatography-mass spectrometry).
Measured: Week 0 (baseline)
Plasma lipids and bioactive lipid mediators
Lipidomic profile will be measured using targeted metabolomic-lipidomics by HPLC-MS (high pressure liquid chromatography-mass spectrometry).
Measured: Week 16 (end of intervention)
Adipose tissue gene profiling
A biopsy (2 g) of subcutaneous abdominal periumbilical area adipose tissue will be obtained by liposuction under local anesthesia. RNA expression will be measured by RNA-seq or GeneChip Human Gene 2.1 ST Array (Affymetrix).
Measured: Week 0 (baseline)
Adipose tissue gene profiling
A biopsy (2 g) of subcutaneous abdominal periumbilical area adipose tissue will be obtained by liposuction under local anesthesia. RNA expression will be measured by RNA-seq or GeneChip Human Gene 2.1 ST Array (Affymetrix).
Measured: Week 16 (end of intervention)
Adipose tissue miRNA profiling
MiRNA expression will be measured by RNA-seq or GeneChip miRNA 4.0 Array (Affymetrix) in subcutaneous abdominal adipose tissue biopsies.
Measured: Week 0 (baseline)
Adipose tissue miRNA profiling
MiRNA expression will be measured by RNA-seq or GeneChip miRNA 4.0 Array (Affymetrix) in subcutaneous abdominal adipose tissue biopsies.
Measured: Week 16 (end of intervention)
Bioactive lipid mediators involved in inflammation in adipose tissue
Lipidomic profile will be measured using targeted metabolomic-lipidomics by HPLC-MS
Measured: Week 0 (baseline)
Bioactive lipid mediators involved in inflammation in adipose tissue
Lipidomic profile will be measured using targeted metabolomic-lipidomics by HPLC-MS
Measured: Week 16 (end of intervention)
Determination of telomeres length
Telomeres length will be measured in genomic DNA extracted from human peripheral blood and adipose tissue samples with a real-time quantitative PCR (polymerase chain reaction) approach.
Measured: Week 0 (baseline)
Determination of telomeres length
Telomeres length will be measured in genomic DNA extracted from human peripheral blood and adipose tissue samples with a real-time quantitative PCR (polymerase chain reaction) approach.
Measured: Week 16 (end of intervention)
Characterization of gut microbiota
Feces will collected and gut microbiota profiling will be carried out by high-throughput 16S (Svedberg units) rDNA (ribosomal deoxyribonucleic acid) amplicon sequencing approach.
Measured: Week 0 (baseline)
Characterization of gut microbiota
Feces will collected and gut microbiota profiling will be carried out by high-throughput 16S (Svedberg units) rDNA (ribosomal deoxyribonucleic acid) amplicon sequencing approach.
Measured: Week 16 (end of intervention)
Urine metabolomic profile
Urine will be collected and urinary metabolomic profile will be also evaluated by a HPLC-MS approach.
Measured: Week 0 (baseline)
Urine metabolomic profile
Urine will be collected and urinary metabolomic profile will be also evaluated by a HPLC-MS approach.
Measured: Week 16 (end of intervention)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Oct 2017
- Study start21 Aug 2017
- Primary completion13 Jun 2019
- Study completion13 Jun 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (21)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 85 participants (actual)
Sponsor and investigators
- Lead sponsor
- Clinica Universidad de Navarra, Universidad de Navarra
- Sponsor type
- University, hospital or other
- Collaborators
- Ministerio de Economía y Competitividad, Spain, Centro de Estudios, Investigación y Medicina del Deporte, Fundación Instituto de Investigación Sanitaria de Navarra
- Responsible party
- Sponsor
- Investigators
- María J Moreno-Aliaga, PhD, Principal investigator, University of NavarraSilvia Lorente-Cebrián, PhD, Principal investigator, University of Navarra
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03300388
- Sponsor's protocol ID
- OBELEX
- Acronym
- OBELEX
- Status last verified
- Mar 2017
- First submitted
- 7 Aug 2017
- Last updated
- 30 Nov 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Martinez-Fernandez L, Gonzalez-Muniesa P, Laiglesia LM, Sainz N, Prieto-Hontoria PL, Escote X, Odriozola L, Corrales FJ, Arbones-Mainar JM, Martinez JA, Moreno-Aliaga MJ. Maresin 1 improves insulin sensitivity and attenuates adipose tissue inflammation in ob/ob and diet-induced obese mice. FASEB J. 2017 May;31(5):2135-2145. doi: 10.1096/fj.201600859R. Epub 2017 Feb 10.
PubMed 28188173Lopez-Yoldi M, Stanhope KL, Garaulet M, Chen XG, Marcos-Gomez B, Carrasco-Benso MP, Santa Maria EM, Escote X, Lee V, Nunez MV, Medici V, Martinez-Anso E, Sainz N, Huerta AE, Laiglesia LM, Prieto J, Martinez JA, Bustos M, Havel PJ, Moreno-Aliaga MJ. Role of cardiotrophin-1 in the regulation of metabolic circadian rhythms and adipose core clock genes in mice and characterization of 24-h circulating CT-1 profiles in normal-weight and overweight/obese subjects. FASEB J. 2017 Apr;31(4):1639-1649. doi: 10.1096/fj.201600396RR. Epub 2017 Jan 17.
PubMed 28096235Laiglesia LM, Lorente-Cebrian S, Prieto-Hontoria PL, Fernandez-Galilea M, Ribeiro SM, Sainz N, Martinez JA, Moreno-Aliaga MJ. Eicosapentaenoic acid promotes mitochondrial biogenesis and beige-like features in subcutaneous adipocytes from overweight subjects. J Nutr Biochem. 2016 Nov;37:76-82. doi: 10.1016/j.jnutbio.2016.07.019. Epub 2016 Aug 26.
PubMed 27637001Huerta AE, Prieto-Hontoria PL, Fernandez-Galilea M, Escote X, Martinez JA, Moreno-Aliaga MJ. Effects of dietary supplementation with EPA and/or alpha-lipoic acid on adipose tissue transcriptomic profile of healthy overweight/obese women following a hypocaloric diet. Biofactors. 2017 Jan 2;43(1):117-131. doi: 10.1002/biof.1317. Epub 2016 Aug 10.
PubMed 27507611Huerta AE, Prieto-Hontoria PL, Sainz N, Martinez JA, Moreno-Aliaga MJ. Supplementation with alpha-Lipoic Acid Alone or in Combination with Eicosapentaenoic Acid Modulates the Inflammatory Status of Healthy Overweight or Obese Women Consuming an Energy-Restricted Diet. J Nutr. 2015 Apr 1;146(4):889S-896S. doi: 10.3945/jn.115.224105.
PubMed 26962183Milagro FI, Moreno-Aliaga MJ, Martinez JA. FTO Obesity Variant and Adipocyte Browning in Humans. N Engl J Med. 2016 Jan 14;374(2):190-1. doi: 10.1056/NEJMc1513316. No abstract available.
PubMed 26760097Prieto-Hontoria PL, Perez-Matute P, Fernandez-Galilea M, Lopez-Yoldi M, Sinal CJ, Martinez JA, Moreno-Aliaga MJ. Effects of alpha-lipoic acid on chemerin secretion in 3T3-L1 and human adipocytes. Biochim Biophys Acta. 2016 Mar;1861(3):260-8. doi: 10.1016/j.bbalip.2015.12.011. Epub 2015 Dec 22.
PubMed 26721419Martinez-Fernandez L, Laiglesia LM, Huerta AE, Martinez JA, Moreno-Aliaga MJ. Omega-3 fatty acids and adipose tissue function in obesity and metabolic syndrome. Prostaglandins Other Lipid Mediat. 2015 Sep;121(Pt A):24-41. doi: 10.1016/j.prostaglandins.2015.07.003. Epub 2015 Jul 26.
PubMed 26219838Mansego ML, Milagro FI, Zulet MA, Moreno-Aliaga MJ, Martinez JA. Differential DNA Methylation in Relation to Age and Health Risks of Obesity. Int J Mol Sci. 2015 Jul 24;16(8):16816-32. doi: 10.3390/ijms160816816.
PubMed 26213922Huerta AE, Prieto-Hontoria PL, Fernandez-Galilea M, Sainz N, Cuervo M, Martinez JA, Moreno-Aliaga MJ. Circulating irisin and glucose metabolism in overweight/obese women: effects of alpha-lipoic acid and eicosapentaenoic acid. J Physiol Biochem. 2015 Sep;71(3):547-58. doi: 10.1007/s13105-015-0400-5. Epub 2015 Mar 28.
PubMed 25820474Lorente-Cebrian S, Costa AG, Navas-Carretero S, Zabala M, Laiglesia LM, Martinez JA, Moreno-Aliaga MJ. An update on the role of omega-3 fatty acids on inflammatory and degenerative diseases. J Physiol Biochem. 2015 Jun;71(2):341-9. doi: 10.1007/s13105-015-0395-y. Epub 2015 Mar 11.
PubMed 25752887Huerta AE, Navas-Carretero S, Prieto-Hontoria PL, Martinez JA, Moreno-Aliaga MJ. Effects of alpha-lipoic acid and eicosapentaenoic acid in overweight and obese women during weight loss. Obesity (Silver Spring). 2015 Feb;23(2):313-21. doi: 10.1002/oby.20966. Epub 2014 Dec 31.
PubMed 25594166Gonzalez-Muniesa P, Marrades MP, Martinez JA, Moreno-Aliaga MJ. Differential proinflammatory and oxidative stress response and vulnerability to metabolic syndrome in habitual high-fat young male consumers putatively predisposed by their genetic background. Int J Mol Sci. 2013 Aug 22;14(9):17238-55. doi: 10.3390/ijms140917238.
PubMed 23975165Lorente-Cebrian S, Costa AG, Navas-Carretero S, Zabala M, Martinez JA, Moreno-Aliaga MJ. Role of omega-3 fatty acids in obesity, metabolic syndrome, and cardiovascular diseases: a review of the evidence. J Physiol Biochem. 2013 Sep;69(3):633-51. doi: 10.1007/s13105-013-0265-4. Epub 2013 Jun 22.
PubMed 23794360Lorente-Cebrian S, Bustos M, Marti A, Fernandez-Galilea M, Martinez JA, Moreno-Aliaga MJ. Eicosapentaenoic acid inhibits tumour necrosis factor-alpha-induced lipolysis in murine cultured adipocytes. J Nutr Biochem. 2012 Mar;23(3):218-27. doi: 10.1016/j.jnutbio.2010.11.018. Epub 2011 Apr 14.
PubMed 21497077
Study at a glance
From the registry record, last updated by the sponsor on 30 Nov 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Dysfunction of Adipose Tissue in Obesity, Inflammation and Aging: Mechanisms and Effects of Physical Exercise and Omega-3 Fatty Acids.
- ClinicalTrials.gov ID
- NCT03300388
- Acronym / sponsor ID
- OBELEX / OBELEX
- Conditions
- Obesity, Aging, Inflammation
- Keywords
- Insulin resistance, Exercise, Omega-3 fatty acids, Adipose tissue
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 85 participants (actual)
- Lead sponsor
- Clinica Universidad de Navarra, Universidad de NavarraUniversity, hospital or other
- Collaborators
- Ministerio de Economía y Competitividad, Spain, Centro de Estudios, Investigación y Medicina del Deporte, Fundación Instituto de Investigación Sanitaria de Navarra
- Study start
- 21 Aug 2017 (actual)
- Primary completion
- 13 Jun 2019 (actual)
- Study completion
- 13 Jun 2019 (actual)
- First posted
- 3 Oct 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Dysfunction of adipose tissue in obesity, inflammation and aging: mechanisms and effects of physical exercise and omega-3 fatty acids.
Detailed description
Obesity is associated with the development of metabolic diseases including type 2 diabetes and immune disorders. Obesity also leads to reduced lifespan and accelerated cellular processes similar to those of aging. On the other hand, aging is accompanied by the accumulation of visceral fat and the metabolic complications associated to obesity. Both obesity and aging have been identified as chronic, low-grade inflammation disorders. The inflammation in aging has been considered as a risk factor for the development of most of age-related diseases, and therefore for morbidity and mortality in the elderly. However, the specific mechanisms leading to inflammation in aging remain largely unknown.
Resolution of inflammation is an active process which involves production of several series of specialized pro-resolving lipid mediators such lipoxins, resolvin, protectins and maresin. The hypothesis of this trial is that the chronic inflammation associated to obesity and aging could be the result of an impaired production of these specialized pro-resolutive lipid mediators, mainly in adipose tissue. On the other hand, the investigators also propose that altered transcriptional pattern might be responsible for the development of the inflammation associated with the pathophysiology of obesity and aging. Therefore the first general aim of the current project will be to characterize the mechanisms involved in the unresolved chronic inflammation that arises during obesity and aging.
Because n-3 PUFAs (polyunsaturated fatty acids) serve as substrates for the synthesis of specialized pro-resolving lipid mediators and are important transcriptional regulators, the investigators propose that dietary supplementation with n-3 PUFAs, alone or in combination with regular physical exercise could promote the resolution of local and systemic inflammation and the subsequent metabolic disorders associated to obesity and aging. A trial in overweight/obese postmenopausal women will be carried out to characterize the potential beneficial effects of regular administration of a DHA-rich dietary supplement and/or a progressive resistance training (PRT) program on weight and fat mass loss, insulin sensitivity, inflammatory markers and gene/miRNA/lipidomic/metabolomic profile in serum and/or adipose tissue. Moreover, changes in gut microbiota will be also addressed.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Control | Placebo comparator | Dietary Supplement: Placebo (olive oil)Dietary advice for a healthy diet supplemented with placebo (olive oil). |
| Omega-3 | Experimental | Dietary Supplement: Omega-3 (DHA-rich dietary supplement)Dietary advice for a healthy diet supplemented with DHA-rich dietary supplement (providing 1.650 mg/day of DHA). |
| Resistance Training | Experimental | Dietary Supplement: Placebo (olive oil), Other: Resistance trainingDietary advice for a healthy diet supplemented with placebo (olive oil) and moderate resistance training program. |
| Omega-3 + Resistance Training | Experimental | Dietary Supplement: Omega-3 (DHA-rich dietary supplement), Other: Resistance trainingDietary advice for a healthy diet supplemented with a DHA-rich dietary supplement (providing 1.650 mg/day of DHA) and moderate resistance training program. |
Who may qualify
- Ages
- 55 to 70 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Post-menopausal women
- Age between 55 and 70 years
- Body Mass Index (BMI) between 27.5 and 35 kg/m²
- Weight unchanged (± 3 kg) for the last 3 months
- Overall physical and psychological condition that the investigator believes is in accordance with the overall aim of the study
Key exclusion criteria (7 listed)
- Use of regular prescription medication: specially statins, antidiabetic drugs, menopausal hormone replacement therapy
- To suffer from any chronic metabolic condition: severe dislipidemia, type 1 or 2 diabetes, hepatic (cirrhosis), renal disease, cardiovascular disease, neuromuscular disease, arthritic disease, pulmonary disease and/or other debilitating diseases
- Food allergies and/or food intolerance expected to come up during the study
- Following special diets (Atkins, vegetarian, etc.) prior three months the start of the study
- Eating disorders
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Omega-3 (DHA-rich dietary supplement)Double-blind randomized placebo-controlled intervention with DHA-rich dietary supplement with or without resistance training program for 16 weeks. | Dietary supplement | Omega-3, Omega-3 + Resistance Training |
| Placebo (olive oil)Double-blind randomized placebo-controlled intervention with DHA-rich dietary supplement with or without resistance training program for 16 weeks. | Dietary supplement | Control, Resistance Training |
| Resistance trainingDouble-blind randomized placebo-controlled intervention with DHA-rich dietary supplement with or without resistance training program for 16 weeks. | Other | Omega-3 + Resistance Training, Resistance Training |
Primary outcome
Fat mass reduction
Time frame: Week 0 (baseline)
Evaluation of body fat mass changes induced by the different interventions, analyzed by Dual X-ray Absorptiometry (DXA).
Fat mass reduction
Time frame: Week 16 (end of intervention)
Evaluation of body fat mass changes induced by the different interventions, analyzed by Dual X-ray Absorptiometry (DXA).
94 secondary outcomes
Evolution of fat mass reduction
Time frame: Week 0 (baseline)
Evolution of fat mass reduction
Time frame: Week 2
Evolution of fat mass reduction
Time frame: Week 4
Evolution of fat mass reduction
Time frame: Week 6
Evolution of fat mass reduction
Time frame: Week 8
Evolution of fat mass reduction
Time frame: Week 10
Evolution of fat mass reduction
Time frame: Week 12
Evolution of fat mass reduction
Time frame: Week 14
Evolution of fat mass reduction
Time frame: Week 16 (end of intervention)
Weight loss
Time frame: Week 0 (baseline)
Weight loss
Time frame: Week 2
Weight loss
Time frame: Week 4
Weight loss
Time frame: Week 6
Weight loss
Time frame: Week 8
Weight loss
Time frame: Week 10
Weight loss
Time frame: Week 12
Weight loss
Time frame: Week 14
Weight loss
Time frame: Week 16 (end of intervention)
Evolution of body composition
Time frame: Week 0 (baseline)
Evolution of body composition
Time frame: Week 2
Evolution of body composition
Time frame: Week 4
Evolution of body composition
Time frame: Week 6
Evolution of body composition
Time frame: Week 8
Evolution of body composition
Time frame: Week 10
Evolution of body composition
Time frame: Week 12
Evolution of body composition
Time frame: Week 14
Evolution of body composition
Time frame: Week 16 (end of intervention)
Hip circumference
Time frame: Week 0 (baseline)
Hip circumference
Time frame: Week 8
Hip circumference
Time frame: Week 16 (end of intervention)
Neck circumference
Time frame: Week 0 (baseline)
Neck circumference
Time frame: Week 8
Neck circumference
Time frame: Week 16 (end of intervention)
Waist circumference
Time frame: Week 0 (baseline)
Waist circumference
Time frame: Week 8
Waist circumference
Time frame: Week 16 (end of intervention)
Abdomen circumference
Time frame: Week 0 (baseline)
Abdomen circumference
Time frame: Week 8
Abdomen circumference
Time frame: Week 16 (end of intervention)
Arm circumference
Time frame: Week 0 (baseline)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Nov 2020.
- Background: PubMed 28188173Martinez-Fernandez L, Gonzalez-Muniesa P, Laiglesia LM, Sainz N, Prieto-Hontoria PL, Escote X, Odriozola L, Corrales FJ, Arbones-Mainar JM, Martinez JA, Moreno-Aliaga MJ. Maresin 1 improves insulin sensitivity and attenuates adipose tissue inflammation in ob/ob and diet-induced obese mice. FASEB J. 2017 May;31(5):2135-2145. doi: 10.1096/fj.201600859R. Epub 2017 Feb 10.
- Background: PubMed 28096235Lopez-Yoldi M, Stanhope KL, Garaulet M, Chen XG, Marcos-Gomez B, Carrasco-Benso MP, Santa Maria EM, Escote X, Lee V, Nunez MV, Medici V, Martinez-Anso E, Sainz N, Huerta AE, Laiglesia LM, Prieto J, Martinez JA, Bustos M, Havel PJ, Moreno-Aliaga MJ. Role of cardiotrophin-1 in the regulation of metabolic circadian rhythms and adipose core clock genes in mice and characterization of 24-h circulating CT-1 profiles in normal-weight and overweight/obese subjects. FASEB J. 2017 Apr;31(4):1639-1649. doi: 10.1096/fj.201600396RR. Epub 2017 Jan 17.
- Background: PubMed 27637001Laiglesia LM, Lorente-Cebrian S, Prieto-Hontoria PL, Fernandez-Galilea M, Ribeiro SM, Sainz N, Martinez JA, Moreno-Aliaga MJ. Eicosapentaenoic acid promotes mitochondrial biogenesis and beige-like features in subcutaneous adipocytes from overweight subjects. J Nutr Biochem. 2016 Nov;37:76-82. doi: 10.1016/j.jnutbio.2016.07.019. Epub 2016 Aug 26.
- Background: PubMed 27507611Huerta AE, Prieto-Hontoria PL, Fernandez-Galilea M, Escote X, Martinez JA, Moreno-Aliaga MJ. Effects of dietary supplementation with EPA and/or alpha-lipoic acid on adipose tissue transcriptomic profile of healthy overweight/obese women following a hypocaloric diet. Biofactors. 2017 Jan 2;43(1):117-131. doi: 10.1002/biof.1317. Epub 2016 Aug 10.
- Background: PubMed 26962183Huerta AE, Prieto-Hontoria PL, Sainz N, Martinez JA, Moreno-Aliaga MJ. Supplementation with alpha-Lipoic Acid Alone or in Combination with Eicosapentaenoic Acid Modulates the Inflammatory Status of Healthy Overweight or Obese Women Consuming an Energy-Restricted Diet. J Nutr. 2015 Apr 1;146(4):889S-896S. doi: 10.3945/jn.115.224105.
- Background: PubMed 26760097Milagro FI, Moreno-Aliaga MJ, Martinez JA. FTO Obesity Variant and Adipocyte Browning in Humans. N Engl J Med. 2016 Jan 14;374(2):190-1. doi: 10.1056/NEJMc1513316. No abstract available.
- Background: PubMed 26721419Prieto-Hontoria PL, Perez-Matute P, Fernandez-Galilea M, Lopez-Yoldi M, Sinal CJ, Martinez JA, Moreno-Aliaga MJ. Effects of alpha-lipoic acid on chemerin secretion in 3T3-L1 and human adipocytes. Biochim Biophys Acta. 2016 Mar;1861(3):260-8. doi: 10.1016/j.bbalip.2015.12.011. Epub 2015 Dec 22.
- Background: PubMed 26219838Martinez-Fernandez L, Laiglesia LM, Huerta AE, Martinez JA, Moreno-Aliaga MJ. Omega-3 fatty acids and adipose tissue function in obesity and metabolic syndrome. Prostaglandins Other Lipid Mediat. 2015 Sep;121(Pt A):24-41. doi: 10.1016/j.prostaglandins.2015.07.003. Epub 2015 Jul 26.
- Background: PubMed 26213922Mansego ML, Milagro FI, Zulet MA, Moreno-Aliaga MJ, Martinez JA. Differential DNA Methylation in Relation to Age and Health Risks of Obesity. Int J Mol Sci. 2015 Jul 24;16(8):16816-32. doi: 10.3390/ijms160816816.
- Background: PubMed 25820474Huerta AE, Prieto-Hontoria PL, Fernandez-Galilea M, Sainz N, Cuervo M, Martinez JA, Moreno-Aliaga MJ. Circulating irisin and glucose metabolism in overweight/obese women: effects of alpha-lipoic acid and eicosapentaenoic acid. J Physiol Biochem. 2015 Sep;71(3):547-58. doi: 10.1007/s13105-015-0400-5. Epub 2015 Mar 28.
- Background: PubMed 25752887Lorente-Cebrian S, Costa AG, Navas-Carretero S, Zabala M, Laiglesia LM, Martinez JA, Moreno-Aliaga MJ. An update on the role of omega-3 fatty acids on inflammatory and degenerative diseases. J Physiol Biochem. 2015 Jun;71(2):341-9. doi: 10.1007/s13105-015-0395-y. Epub 2015 Mar 11.
- Background: PubMed 25594166Huerta AE, Navas-Carretero S, Prieto-Hontoria PL, Martinez JA, Moreno-Aliaga MJ. Effects of alpha-lipoic acid and eicosapentaenoic acid in overweight and obese women during weight loss. Obesity (Silver Spring). 2015 Feb;23(2):313-21. doi: 10.1002/oby.20966. Epub 2014 Dec 31.
- Centre for Nutrition Research. University of NavarraLink provided by the sponsor.
- Department of Nutrition, Food Science and Physiology. University of NavarraLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
María J Moreno-Aliaga, PhD principal investigator
University of Navarra
Silvia Lorente-Cebrián, PhD principal investigator
University of Navarra
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Omega-3 (DHA-rich dietary supplement) and Resistance training in people with Obesity and Aging, run by Clinica Universidad de Navarra, Universidad de Navarra 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 5 inclusion and 7 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 30 Nov 2020. 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. Some participants in this study may receive a placebo. 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?
Fat mass reduction (time frame: Week 0 (baseline)). The study lists 2 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 NCT03300388, which also lists 21 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 30 Nov 2020.