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ObesitySDOINCT05176132

South Danish Obesity Initiative, Screening for Unrecognized Obesity Related Disease

An observational study of Obesity, run by Claus Bogh Juhl at 1 site in Denmark.

Recruiting

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

Sites and contacts
Official record
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Trial summary

People with BMI >30 kg/m2 will be included in at population-based cohort. Additionally, one control group with BMI 18.5-25 kg/m2 and one control group with BMI 25-30 kg/m2 will be included. All participants with age 18 and 60 years. Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Obesity
What is being tested?
Life style intervention (dietician+ physiotherapist) and Self management
How many people
2,700 participants
Where
1 siteDenmark
Study dates
1 Sep 2020to 1 Sep 2030
How long will I take part?
5 Years
Phase
Observational
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 18 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: Participants with BMI > 30 refered from 1) Genaral practice, 2) Other hospital Departments at Hosital South West Jutland, or 3) Psychiatric Department. The uptake area are 5 muncipalities with mixed urban and rural areas.

Who may be able to join

  • BMI >30 (Obese cohort), BMI 20-25 (control group I), BMI 25-30 (control group II)
  • Age 18-60 years

Who cannot join

  • None

Trial locations and contacts

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

Claus B Juhl, Prof. PhD MD contact

60867172

claus.bogh.juhl@rsyd.dk

Nina Drøjdahl Ryg, MSc PhD contact

26353163

nina.droejdahl.ryg@rsyd.dk

Denmark1 site, 1 recruiting
  • Hospital of South West Jutland, University hospital of Southern Denmark

    Esbjerg, 6700

    Claus B Juhl, MD PhD, 60867172, claus.bogh.juhl@rsyd.dk

    Nina Drøjdahl Ryg, MSc PhD, 26353163, nina.droejdahl.ryg@rsyd.dk

    Recruiting

Other trials in Denmark

About this study

Official title: South Danish Obesity Initiative (SDOI)

People with BMI >30 kg/m2 will be included in at population-based cohort. Additionally, one control group with BMI 18.5-25 kg/m2 and one control group with BMI 25-30 kg/m2 will be included. All participants with age 18 and 60 years.

To evaluate health status participants will be screened by for undetected obesity-related diseases (hypertension, diabetes, dyslipidemia, sleep apnea, non-alcoholic fatty liver disease, chronic obstructive pulmonary disease, EKG-abnormalities, polycystic ovary syndrome (PCOS), and joint pain and for quality of life at baseline, 1 year, and 5 years. Additionally, anthropometric measurements are collected and a biobank is established for future research studies.

Read more

People with obesity related disease will be offered participation in a 12 month personalized lifestyle intervention program aimed at improvement of health and self-perception.

The collected data will be used to detect the prevalence for obesity-related disease to identify predictors for future obesity related disease and to evaluate the effect of a lifestyle intervention on health and quality of life.

Read the detailed description

Obesity is associated with a variety of adverse health problems, and there is currently no effective scalable treatment with a durable effect. Additionally, well-known obesity related health problems are often underdiagnosed.

A Danish cohort of people with BMI >30 kg/m2 is established on University Hospital South West Jutland. Additionally, one control group with BMI 18.5-25 kg/m2 and one control group with BMI 25-30 kg/m2 will be included. Age range is defined as 18 and 60 years.

To evaluate health status all participants are screened by for undetected obesity-related diseases (hypertension, diabetes, dyslipidemia, sleep apnea, non-alcoholic fatty liver disease, chronic obstructive pulmonary disease, EKG-abnormalities, polycystic ovary syndrome (PCOS) and joint pain.

Data will be collected from questionnaires (Impact of Weight related on Quality of Life, Attitude to physical activity questionnaire, Adult Eating Behavior questionnaire, Berlin sleep apnea and Epworths Sleepiness scale, PCOS related questionnaire including Ferriman-Gallwey score, Work Ability Index, and weight history); clinical laboratory variables (HbA1c, glucose, c-peptide, lipid status, thyroid stimulating hormone (TSH), triiodothyronine (T3), thyroxine (T4), hemoglobin, thrombocytes, alanine aminotransferase (ALAT), aspartate aminotransferase (ASAT), bilirubin, gamma glutamic transferase, lactate dehydrogenase (LDH), alkaline phosphatase, and creatinine levels); and anthropometric measurements (blood pressure, EKG, liver elastography, spirometry (forced expiratory volume during first second as a fraction of forced vital capacity (FEV1/FVC), hand grip strength, gait speed, and CT scan for estimation of the subcutaneous and visceral fat volume). People with diseases uncovered by the screening program will be referred to specialized departments or general practice for further assessment and treatment.

A biobank (blood, feces, urine) is established for future research studies. Patients with obesity related diseases will be invited to participate in a personalized lifestyle intervention program with dietitians and physiotherapists focusing on health improvement through personal motivation, perceived limitations and body accept. Additionally, participants are invited to a 1 year follow-up. All participants, independent of disease status, will be invited for at new screening 5 years after the initial visit.

The data collected for the cohort will be used to estimate the prevalence and development of new obesity-related diseases, and to identify predictors for obesity-related diseases. Finally, the effect of the lifestyle intervention-program will be evaluated.

Conditions
Obesity
Being tested
Life style intervention (dietician+ physiotherapist), Self management, No intervention
Keywords
Obesity, Lifestyle intervention, BMI, Cohort, sleep apnea, diabetes, PCOS, NAFLD, Hypertension, Hyperlipidemia
Medical subject headings
Obesity, Sleep Apnea Syndromes, Diabetes Mellitus, Non-alcoholic Fatty Liver Disease, Hypertension, Hyperlipidemias

What participants receive

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

  • Life style intervention (dietician+ physiotherapist)Other

    Obese patients with obesity related diseases will be invited to participate in a personalized lifestyle intervention program with dieticians and physiotherapists focusing on health improvement through personal motivation and perceived limitations and body accept.

  • Self managementOther

    Patients with no obesity related diseases will not be offered lifestyle intervention, but encouraged to physical activity (self management)

  • No interventionOther

    Control groups (BMI 20-25 and BMI 25-30)

Study groups in NCT05176132
Study groupRoleWhat they receive
OBESE (BMI>30)BMI above 30 kg/m2 and being 18 to 60 years of age. Since the initiative is open for the general obese population, the investigators did not define the size of the cohort, but expect around 500 referrals per year.
Receives: Other: Life style intervention (dietician+ physiotherapist); Other: Self management
CONTROL Normal weight (BMI 20-25)100 persons with normal weight (BMI 20 - 25 kg/m2) 18 to 60 years of age
Receives: Other: No intervention
CONTROL Overweight (BMI 25-30)100 persons with overweight (BMI 25 - 30 kg/m2) 18 to 60 years of age
Receives: Other: No intervention

What is being measured

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

  1. Prevalence of unrecognized obesity-related diseases

    Undetected obesity-related diseases (hypertension, diabetes, dyslipidemia, sleep apnea, non-alcoholic fatty liver disease, chronic obstructive pulmonary disease, EKG-abnormalities, and polycystic ovary syndrome (PCOS).

    Measured: Baseline

  2. Prevalence of unrecognized obesity-related diseases

    Undetected obesity-related diseases (hypertension, diabetes, dyslipidemia, sleep apnea, non-alcoholic fatty liver disease, chronic obstructive pulmonary disease, EKG-abnormalities, and polycystic ovary syndrome (PCOS).

    Measured: 5 years

Secondary outcomes (57)
  1. Consultation systolic and diastolic blood pressure

    Standard cut-of values

    Measured: Baseline

  2. Consultation systolic and diastolic blood pressure

    Standard cut-of values

    Measured: 1 year

  3. Consultation systolic and diastolic blood pressure

    Standard cut-of values

    Measured: 5 years

  4. 24 hour blood pressure

    Measures mean blood pressure, day and night

    Measured: Baseline

  5. 24 hour blood pressure

    Measures mean blood pressure, day and night

    Measured: 5 years

  6. HbA1c

    HbA1c equal to or higher than 48 mmol/mol indicates diabetes

    Measured: Baseline

  7. HbA1c

    HbA1c equal to or higher than 48 mmol/mol indicates diabetes

    Measured: 1 year

  8. HbA1c

    HbA1c equal to or higher than 48 mmol/mol indicates diabetes

    Measured: 5 years

  9. Prediabetes

    Hba1c 43-47 indicates prediabetes

    Measured: Baseline

  10. Prediabetes

    Hba1c 43-47 indicates prediabetes

    Measured: 1 year

  11. Prediabetes

    Hba1c 43-47 indicates prediabetes

    Measured: 5 years

  12. Low density lipoprotein

    Dyslipidemia is defined as low density lipoprotein (LDL) > 3 mmol/l or high density lipoprotein (HDL) cholesterol < 1 mmol/l.

    Measured: Baseline

  13. Low density lipoprotein

    Dyslipidemia is defined as low density lipoprotein (LDL) > 3 mmol/l or high density lipoprotein (HDL) cholesterol < 1 mmol/l.

    Measured: 1 year

  14. Low density lipoprotein

    Dyslipidemia is defined as low density lipoprotein (LDL) > 3 mmol/l or high density lipoprotein (HDL) cholesterol < 1 mmol/l.

    Measured: 5 years

  15. Berlin sleep apnea questionnaire

    Berlin sleep apnea questionnaire: The Berlin Questionnaire consists of three categories designed to elicit information regarding snoring (category 1), daytime somnolence (category 2), and the presence of obesity and/or hypertension (category 3). Categories 1 and 2 are considered positive if 2 or more responses are positive category 3 is considered positive if 1 response is positive and/or the body mass index is greater than 30 kg per meter squared. A patient is considered to have a high likelihood of sleep disordered breathing if 2 or more categories are positive.

    Measured: Baseline

  16. Berlin sleep apnea questionnaire

    Berlin sleep apnea questionnaire: The Berlin Questionnaire consists of three categories designed to elicit information regarding snoring (category 1), daytime somnolence (category 2), and the presence of obesity and/or hypertension (category 3). Categories 1 and 2 are considered positive if 2 or more responses are positive category 3 is considered positive if 1 response is positive and/or the body mass index is greater than 30 kg per meter squared. A patient is considered to have a high likelihood of sleep disordered breathing if 2 or more categories are positive.

    Measured: 5 years

  17. Epworth Sleepiness Scale

    Epworth Sleepiness Scale: Score 0-24. 0-5 Lower Normal Daytime Sleepiness, 6-10 Higher Normal Daytime Sleepiness, 11-12 Mild Excessive Daytime Sleepiness 13-15 Moderate Excessive Daytime Sleepiness, 16-24 Severe Excessive Daytime Sleepiness

    Measured: Baseline

  18. Epworth Sleepiness Scale

    Epworth Sleepiness Scale: Score 0-24. 0-5 Lower Normal Daytime Sleepiness, 6-10 Higher Normal Daytime Sleepiness, 11-12 Mild Excessive Daytime Sleepiness 13-15 Moderate Excessive Daytime Sleepiness, 16-24 Severe Excessive Daytime Sleepiness

    Measured: 5 years

  19. Apnea hypopnoea index (AHI)

    Quantifies sleep apnea cardiorespiratory monitoring: AHI < 5 per hour=normal or minimal, AHI ≥ 5, but < 15 per hour: mild, AHI ≥ 15, but < 30 per hour moderate and AHI ≥ 30 per hour: severe

    Measured: Baseline

  20. Apnea hypopnoea index (AHI)

    Quantifies sleep apnea cardiorespiratory monitoring: AHI < 5 per hour=normal or minimal, AHI ≥ 5, but < 15 per hour: mild, AHI ≥ 15, but < 30 per hour moderate and AHI ≥ 30 per hour: severe

    Measured: 5 years

  21. Elastography

    Quantifies liver-stiffness as a measure of non-alcoholic fatty liver disease, lower is better

    Measured: Baseline

  22. Elastography

    Quantifies liver-stiffness as a measure of non-alcoholic fatty liver disease, lower is better

    Measured: 5 years

  23. FEV1/FVC

    Indication of Chronic obstructive pulmonary disease as measured by spirometry

    Measured: Baseline

  24. FEV1/FVC

    Indication of Chronic obstructive pulmonary disease as measured by spirometry

    Measured: 5 years

  25. EKG

    Under resting conditions, standard 12 lead electrocardiography

    Measured: Baseline

  26. EKG

    Under resting conditions, standard 12 lead electrocardiography

    Measured: 5 years

  27. Ferriman-Gallwey score self-reported

    Measures hirsutism and indicates risk of Polycystic ovary syndrome (PCOS): Whole body equal or less than 10: normal, over 10: increased, Face: more than 2 is considered high and indicates hirsutism

    Measured: Baseline

  28. Ferriman-Gallwey score self-reported

    Measures hirsutism and indicates risk of Polycystic ovary syndrome (PCOS): Whole body equal or less than 10: normal, over 10: increased, Face: more than 2 is considered high and indicates hirsutism

    Measured: 5 years

  29. Hand-grip force

    Handgrip force: Higher is better, no defined cut-off value

    Measured: Baseline

  30. Hand-grip force

    Handgrip force: Higher is better, no defined cut-off value

    Measured: 1 year

  31. Hand-grip force

    Handgrip force: Higher is better, no defined cut-off value

    Measured: five years

  32. Fat-free mass

    Fat-free mass as estimated by bioimpedance measure, higher is better, no cut-of value

    Measured: Baseline

  33. Fat-free mass

    Fat-free mass as estimated by bioimpedance measure, higher is better, no cut-of value

    Measured: 1 year

  34. Fat-free mass

    Fat-free mass as estimated by bioimpedance measure, higher is better, no cut-of value

    Measured: 5 years

  35. Gait-speed

    Gait Speed in 6 meters: High more than 1.1 m/s, Median 0.7-1.1 m/s, Low <0.7 m/s

    Measured: Baseline

  36. Gait-speed

    Gait Speed in 6 meters: High more than 1.1 m/s, Median 0.7-1.1 m/s, Low <0.7 m/s

    Measured: 1 year

  37. Gait-speed

    Gait Speed in 6 meters: High more than 1.1 m/s, Median 0.7-1.1 m/s, Low <0.7 m/s

    Measured: 5 years

  38. Body weight

    Participants are weighed in light clothes with no shoes or pocket items, lower is better

    Measured: Baseline

  39. Body weight

    Participants are weighed in light clothes with no shoes or pocket items, lower is better

    Measured: 1 year

  40. Body weight

    Participants are weighed in light clothes with no shoes or pocket items, lower is better

    Measured: 5 years

  41. BMI

    Body weight / m2, lower is better

    Measured: Baseline

  42. BMI

    Body weight / m2, lower is better

    Measured: 1 year

  43. BMI

    Body weight / m2, lower is better

    Measured: 5 years

  44. Waist circumference

    Lower is better

    Measured: Baseline

  45. Waist circumference

    Lower is better

    Measured: 1 year

  46. Waist circumference

    Lower is better

    Measured: 5 years

  47. Work-ability Index

    Measures the ability of a person to work, higher values are better, no cut-of value

    Measured: Baseline

  48. Work-ability Index

    Measures the ability of a person to work, higher values are better, no cut-of value

    Measured: 5 years

  49. Impact of weight on quality of life-lite

    Measures weight associated quality of life, higher values are better, no cut-of value

    Measured: Baseline

  50. Impact of weight on quality of life-lite

    Measures weight associated quality of life, higher values are better, no cut-of value

    Measured: 1 year

  51. Impact of weight on quality of life-lite

    Measures weight associated quality of life, higher values are better, no cut-of value

    Measured: 5 years

  52. Adult Eating Behavior Questionnaire

    Measures eating behavior and appetite traits, descriptive

    Measured: Baseline

  53. Adult Eating Behavior Questionnaire

    Measures eating behavior and appetite traits, descriptive

    Measured: 1 year

  54. Adult Eating Behavior Questionnaire

    Measures eating behavior and appetite traits, descriptive

    Measured: 5 years

  55. SDOI attitude to physical activity questionnaire

    Measures a persons attitude to physical activity, higher is better, no cut-of value

    Measured: baseline

  56. SDOI attitude to physical activity questionnaire

    Measures a persons attitude to physical activity, higher is better, no cut-of value

    Measured: 1 year

  57. SDOI attitude to physical activity questionnaire

    Measures a persons attitude to physical activity, higher is better, no cut-of value

    Measured: 5 years

Timeline

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

  1. First posted4 Jan 2022
  2. Study start1 Sep 2020
  3. Primary completion1 Sep 2025 (estimated)
  4. Study completion1 Sep 2030 (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
2,700 participants (estimated)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT05176132
Sponsor's protocol ID
SDOI
Acronym
SDOI
Status last verified
Oct 2023
First submitted
10 Nov 2021
Last updated
19 Oct 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Juhl CB, Bladbjerg EM, Gram B, Knudsen T, Lauridsen MM, Nygaard NB, Drojdahl Ryg N, Skadhauge L, Munster AB. Prevalence of Obesity-Related Disease in a Danish Population - The Results of an Algorithm-Based Screening Program. Diabetes Metab Syndr Obes. 2024 Jun 19;17:2505-2517. doi: 10.2147/DMSO.S456028. eCollection 2024.

    PubMed 38910914

Questions about this trial

What is this clinical trial studying?

An observational study of Obesity, run by Claus Bogh Juhl at 1 site in Denmark.

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 1 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 Oct 2023. 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 Denmark. 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 Claus B Juhl, Prof. PhD MD (60867172, claus.bogh.juhl@rsyd.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Prevalence of unrecognized obesity-related diseases (time frame: 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 NCT05176132, which also lists 1 linked publication.

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 Oct 2023; AzTrials last refreshed its copy on 26 Oct 2026.

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