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Obesity (BMI>30)non applicableNCT07711899

Plasma Taurine in Older Women With Obesity: Impact of Metabolic Phenotype and Combined Exercise

A study testing Physical Training of 16 weeks in people with Obesity (BMI>30) and Metabolically Healthy Obesity, run by University of Sao Paulo.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Population aging has been accompanied by a rise in obesity and other chronic diseases, increasing cardiovascular risk particularly among women, who exhibit a higher prevalence in older age groups compared to men. Aging and obesity share pathophysiological mechanisms, such as chronic inflammation and oxidative stress. Read more about this study

Who is it for?
Ages 60 to 75 years, women onlyHealthy volunteers can take part
What is being tested?
Physical Training of 16 weeks
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
No sites listed yet
Study dates
1 Oct 2026to 1 Mar 2030
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 60 to 75 years
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Women aged 60 to 75 years.
  • Residents of the city or region of Ribeirão Preto, São Paulo, Brazil.
  • Physically inactive for at least 3 months.
  • Body mass index (BMI) ≥ 30 kg/m² (PAHO, 2002).
  • Body fat percentage ≥ 35%, according to obesity diagnostic criteria (Batsis et al., 2016; Rubino et al., 2025).
  • Classified into one of two obesity phenotypes based on Zembic et al. (2021):
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  • Metabolically Healthy Obesity (MHO/OMS): all of the following criteria must be met:
  • Systolic blood pressure (SBP) < 130 mmHg;
  • Waist-to-hip ratio < 0.95;
  • Fasting blood glucose < 126 mg/dL.
  • Metabolically Unhealthy Obesity (MUO/OMNS): meets two or fewer of the above criteria.

Who cannot join

  • Clinical conditions
  • Contraindication to physical exercise.
  • Current or previous diagnosis of:
  • Neoplasms;
  • Autoimmune diseases;
  • Hepatic diseases;
Show all 21Show fewer
  • Coronary diseases;
  • Renal diseases;
  • Neurodegenerative diseases;
  • Infectious diseases.
  • Previous or ongoing treatments
  • Use of medication for thyroid disorders.
  • Participation in exercise training programs, nutritional counseling, or weight loss treatment within the 3 months preceding the intervention.
  • Lifestyle habits
  • Current smoking.
  • Alcohol consumption.
  • For MHO Group:
  • Medication use
  • Hypoglycemic agents
  • Insulin (Bell, Kivimäki, \& Hamer, 2014).
  • Protocol adherence *Attendance at less than 80% of the training sessions (De Carvalho et al., 2021).

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Ellen Cristini de Freitas, Dr contact

+551633150345

ellenfreitas@usp.br

About this study

Official title: Plasma Taurine Concentrations in Older Women With Obesity: The Influence of Metabolic Phenotype and Combined Exercise Training

Population aging has been accompanied by a rise in obesity and other chronic diseases, increasing cardiovascular risk particularly among women, who exhibit a higher prevalence in older age groups compared to men. Aging and obesity share pathophysiological mechanisms, such as chronic inflammation and oxidative stress. However, distinct obesity phenotypes exist, such as metabolically healthy obesity (MHO) and metabolically unhealthy obesity (MUO). Consequently, therapeutic interventions involving nutritional strategies and physical training are highly relevant, especially for older women. Taurine, a sulfur-containing amino acid, plays a role in modulating oxidative stress, inflammation, osmoregulation, and mitochondrial function. Rationale: Plasma taurine concentrations are lower in women with obesity compared to healthy individuals. However, studies investigating these concentrations across different phenotypes-particularly in older women, a group susceptible to functional and metabolic changes-remain limited. Understanding these variations could clarify taurine's role in the pathophysiology of obesity and aging and inform personalized therapeutic strategies. Combined physical training stands out as an effective strategy for modulating inflammatory, oxidative, and metabolic pathways, in addition to improving psychosocial aspects. Given that taurine levels can be influenced by these pathways, investigating the taurine response to physical training across different metabolic phenotypes may contribute to developing low-cost interventions aimed at improving the quality of life for older women with obesity.

Read the detailed description

This study aims to investigate differences in plasma taurine concentrations between older women with MHO and MUO, and to evaluate the response of taurine-as well as metabolic, inflammatory, oxidative, and cellular markers-to a 16-week combined physical training intervention. The study will involve 36 older women with obesity, classified as having either MHO or MUO. In Stage 1, nutritional and anthropometric assessments will be conducted, along with the collection of biological samples for biochemical and molecular analyses. In Stage 2, participants will undergo a combined physical exercise intervention for 16 weeks; nutritional, anthropometric, physical performance, and functional assessments will be performed, as well as the collection of biological samples for pre- and post-intervention biochemical and molecular analyses. Stage 3 will consist of integrated data analysis to identify variables predicting plasma taurine concentrations at baseline and post-intervention. Data analysis method: Data will be analyzed using Student's t-tests or Mann-Whitney tests (Stage 1), ANOVA or Kruskal-Wallis tests (Stage 2), Pearson or Spearman correlations (Stages 1 and 2), and linear regression models (Stage 3), using SPSS software (α=5%). Expected results: It is expected that older women with OMS will exhibit higher baseline taurine concentrations and that combined physical training will increase these concentrations in both groups-with a more pronounced effect in the OMS phenotype-in addition to promoting cardiometabolic, functional, inflammatory, oxidative, and psychosocial benefits.

Being tested
Physical Training of 16 weeks
Keywords
Taurine, Metabolically unhealthy obesity., Metabolically healthy obesity., Physical training, Aging
Medical subject headings
Obesity, Obesity, Metabolically Benign

What participants receive

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

  • Physical Training of 16 weeksBehavioural

    Combined physical Training during 16 weeks

Study groups in NCT07711899
Study groupRoleWhat they receive
Metabolically Healthy Obesity (MHO)OtherWomen with metabolically healthy obesity who participate in regular exercise. Participants will undergo the study assessments for comparison with the other obesity phenotype.
Receives: Behavioral: Physical Training of 16 weeks
Metabolically Unhealthy Obesity (MUO)OtherWomen with metabolically unhealthy obesity who participate in regular exercise. Participants will undergo the study assessments for comparison with the other obesity phenotype.
Receives: Behavioral: Physical Training of 16 weeks

What is being measured

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

  1. Plasma taurine concentrations (µmol/L).

    It will be analyzed by high-performance liquid chromatography.

    Measured: 16 weeks

Secondary outcomes (34)
  1. Systolic and diastolic blood pressure (mmHg)

    Using sphygmomanometer

    Measured: 16 weeks

  2. Waist and hip circumferences (cm)

    non-stretch anthropometric tape

    Measured: 16 weeks

  3. Appendicular lean soft tissue (kg).

    Using Dual-energy X-ray Absorptiometry (DXA), often referred to as iDXA, is a low-dose X-ray technology that measures bone mineral density (BMD) and body composition

    Measured: 16 Weeks

  4. Total and regional body fat percentage (%)

    Dual-energy X-ray Absorptiometry

    Measured: 16 weeks

  5. Visceral fat (kg)

    Dual-energy X-ray Absorptiometry

    Measured: 16 weeks

  6. Body mass (kg)

    Dual-energy X-ray Absorptiometry

    Measured: 16 weeks

  7. Body mass index, BMI (kg/m²).

    Using body mass and height measurements

    Measured: 16 weeks

  8. Inflammatory and antiinflamatory profile

    Changes in serum levels of cytokines will be evaluated with MILLIPLEX® Kit. Pro- inflammatory citokines: IL-1β, MCP-1,TNF-α, IL-6, IL-13 (pg/mL), leptina e PCR-us (mg/dL), IL-10 (pg/mL) e adiponectina (mg/dL).

    Measured: 16 weeks

  9. Food Intake

    A food record of three non-consecutive days: two days of the week and one day in the weekend. This evaluation will last 16 weeks. Will be evaluated with Dietwin® software (São Paulo, Brazil):

    The macronutrients, micronutrients and fiber in quilocalories and percentage (%)

    Measured: 16 weeks

  10. Aerobic performance - VO2

    Physical tests performed pre and post- intervention to assess aerobic physical fitness by incremental test in cycle ergometer. The test aim to evaluate VO2peak in ml.kg-1.min-1.

    Measured: 16 weeks

  11. Aerobic performance - LacAnTh

    Physical tests performed pre and post- intervention to assess aerobic physical fitness by incremental test in cycle ergometer. The test aim to evaluate:

    Anaerobic threshold (AT) using lactate concentration [lac-].

    Measured: 16 weeks

  12. Aerobic performance - IAnTh

    Physical tests performed pre and post- intervention to assess aerobic physical fitness by incremental test in cycle ergometer. The test aim to evaluate:

    Anaerobic threshold (AT) using intensity in Watts (W).

    Measured: 16 weeks

  13. Aerobic performance - HRAnTh

    Physical tests performed pre and post- intervention to assess aerobic physical fitness by incremental test in cycle ergometer. The test aim to evaluate:

    Anaerobic threshold (AT) using heart rate (HR).

    Measured: 16 weeks

  14. Food intake - frequency

    Application of Food Frequency Questionnaire, QFA-NOVA for each food group (g/group).

    Measured: 16 weeks

  15. Strength test - leg press

    Strength test - leg press - maximum repetitions pre and post intervention

    Measured: 16 weeks

  16. Strength test - bench press

    Strength test using bench press, pre and post intervention

    Measured: 16 weeks

  17. Funtional capacity: chair sit-to-stand

    Funtional capacity evaluation pre and post intervention

    Measured: 16 weeks

  18. handgrip strength

    handgrip strength using manual dinamometer

    Measured: 16 weeks

  19. funtional capacity: elbow flexion and extension

    funtional capacity: elbow flexion and extension using a dumpbell

    Measured: 16 weeks

  20. Funtional capacity: 6-minute walk test

    6-minute walk test using an 30-meter course with markings every 3 meters.

    Measured: 16 weeks

  21. Glycemic profile

    Quantified by Total Liquiform Cholesterol Kit, HDL Cholesterol Kit and Liquiform Triglycerides Kit, from Labtest diagnóstica®, using an enzymatic system and absorbance spectrophotometer:

    Changes in blood glucose (mg/dL).

    Measured: 16 weeks

  22. Lipid profile - Total cholesterol

    Quantified by Total Liquiform Cholesterol Kit, HDL Cholesterol Kit and Liquiform Triglycerides Kit, from Labtest diagnóstica®, using an enzymatic system and absorbance spectrophotometer:

    Changes in total cholesterol (mg/dL).

    Measured: 16 weeks

  23. Lipid profile: HDL-cholesterol and LDL-cholesterol (mg/dL).

    Quantified by Total Liquiform Cholesterol Kit, HDL Cholesterol Kit and Liquiform Triglycerides Kit, from Labtest diagnóstica®, using an enzymatic system and absorbance spectrophotometer:

    Changes in HDL-cholesterol and LDL-cholesterol (mg/dL).

    Measured: 16 weeks

  24. Lipid profile: triglycerides (mg/dL).

    Quantified by Total Liquiform Cholesterol Kit, HDL Cholesterol Kit and Liquiform Triglycerides Kit, from Labtest diagnóstica®, using an enzymatic system and absorbance spectrophotometer:

    Changes in triglycerides (mg/dL).

    Measured: 16 weeks

  25. Glycemic profile - C-peptide

    C-peptide pre and post intervention using Chemiluminescence (CLIA - Chemiluminescent Immunoassay)

    Measured: 16 weeks

  26. Expression of inflammatory and anti-inflammatory genes in peripheral blood mononuclear cells (PBMCs)

    Using RT-qPCR pre and post-intervention.

    Measured: 16 weeks

  27. Expression of genes related to telomere length: TRF1, TRF2, RAP1, TPP1, POT1, TIN2, and hTERT.

    Using RT-qPCR pre and post intervention

    Measured: 16 weeks

  28. Micronutrients (mg/dL)

    Blood Zinc, selenium, and magnesium (mg/dL) using spectrophotometry pre and post intervention

    Measured: 16 weeks

  29. Antioxidant enzymes - Superoxide dismutase

    Superoxide Dismutase (SOD) Assay Kit Pre and post intervention (U/mg)

    Measured: 16 weeks

  30. Antioxidants enzymes - Catalase (CAT)

    Catalase Assay Kit Pre and post intervention (U/mg)

    Measured: 16 weeks

  31. Antioxidants enzymes: Glutationa-peroxidase GPx (U/mg)

    Glutathione Peroxidase Assay Kit Pre and post intervention

    Measured: 16 weeks

  32. Oxidative stress markers - Malondialdehyde (nmol/mL).

    TBARS (Thiobarbituric Acid Reactive Substances) assay pre and post intervention

    Measured: 16 weeks

  33. Relative telomere length

    The assay will be based on quantifying the ratio between the amplification of telomeric sequences (T) and a single-copy gene (S), enabling the estimation of relative telomere length in the biological samples.

    Measured: 16 weeks

  34. Nitrogen balance

    Urinary nitrogen excretion (g) will be determined using the Labtest Diagnóstica kit (UREA CE), estimating urinary nitrogen excretion based on urea levels. Daily protein intake will also be used, pre and post intervention

    Measured: 16 weeks

Timeline

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

  1. First posted17 Jul 2026
  2. Study start1 Oct 2026 (estimated)
  3. Primary completion1 Dec 2027 (estimated)
  4. Study completion1 Mar 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
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
A study comprising three sequential and interdependent stages will be conducted; the first stage will employ a cross-sectional, descriptive-analytical design and adhere to the "Strengthening the Reporting of Observational Studies in Epidemiology" (STROBE) recommendations. The sample will consist of 36 elderly women with obesity, allocated into two groups based on the OMS and OMNS classifications (18 elderly women per group). The second stage will be a 16-week clinical trial following the CONSORT checklist (HOPEWELL et al., 2025). In this stage, both groups (OMS and OMNS) will undergo a physical training intervention over the course of 16 weeks. Stage 3 will consist of an integrated analysis of data obtained in stages 1 and 2 to examine factors explaining potential variability in plasma taurine concentrations. No new data collection procedures will be performed during this stage, as all necessary data will be derived from previously conducted assessments.
Masking
None (open label)
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07711899
Sponsor's protocol ID
Taurine_Obesity_Phenotypes
Other IDs
2025/17801-3, 2025
Acronym
non applicable
Status last verified
Jul 2026
First submitted
13 Jul 2026
Last updated
20 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Physical Training of 16 weeks in people with Obesity (BMI>30) and Metabolically Healthy Obesity, run by University of Sao Paulo.

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 11 inclusion and 21 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: opening soon, as of the sponsor's last update on 20 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

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 Ellen Cristini de Freitas, Dr (+551633150345, ellenfreitas@usp.br), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Plasma taurine concentrations (µmol/L). (time frame: 16 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 20 Jul 2026.

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