Status:

UNKNOWN

Pre-operative Exercise and Nutrition Therapy on Cardio-metabolic Health in Patients Undergoing Bariatric Surgery

Lead Sponsor:

University of Virginia

Conditions:

Bariatric Surgery Candidate

Eligibility:

All Genders

18-70 years

Phase:

NA

Brief Summary

Obesity is a major health concern that has been associated with an estimated 2.8 million deaths worldwide each year. The number of individuals considered obese with a Body Mass Index (BMI) above 30 kg...

Eligibility Criteria

Inclusion

  • Males and Females, 18-70 years of age
  • BMI \>30 and \<70 kg/m2
  • Sedentary (Not currently participating in exercise training: \>30 min. of physical activity per day, \>3 days/week)
  • HCT for women \> 36%, Men \>38%
  • Non-pregnant (women).-self reported
  • Smoker (if bariatric surgery patient) or non-smoker (enrolled for the dietary portion of the study)
  • Has the ability/willingness to participate in the study and agree to any of the arms involved in the study.
  • No prior surgical procedure for obesity with the exception of a laparoscopic adjustable gastric banding (LAGB) under the condition that the band had not been adjusted in less than or equal to 1 year

Exclusion

  • Currently participating in exercise training: \>30 min. of physical activity per day, \>2 days/week)
  • Cigarette smoking (presently or in the past 6 months), drug or alcohol abuse
  • Pregnancy or breastfeeding
  • History of congestive heart failure, ischemic heart disease, severe pulmonary disease.
  • History of cancer (within 5 years)
  • Diagnosed as insulin-dependent diabetes.
  • Change in psychotropic medication dosage in past six weeks
  • AST or ALT \> 3 times normal range
  • Currently involved in any active weight loss treatment program (other than self-directed attempt at calorie restricting diet) or lean patients (BMI \<29 kg/m2).
  • Current purging behavior occurring \> once a week over the past six weeks (self-induced vomiting for weight control purposes, laxative or diuretic abuse)
  • Revisional bariatric procedures including a RYGB reversal to a SG or a LAGB revision to a SG or RYGB if the band has been adjusted in greater than or equal to 1 year.
  • Active psychotic illness, including bipolar affective disorders.
  • Evidence of current suicidality or homicidality
  • Conditions associated with significant cognitive dysfunction (e.g. dementia) or medical instability that puts the participant at risk
  • Contraindication to exercise (severe/uncontrolled CVD; inability to walk 2 blocks, bone or joint problems )
  • Allergy to "caine" family drugs (e.g. lidocaine).
  • Currently taking active weight suppression medication (e.g. phentermine,bupropion SR, topiramate).
  • On medication known to cause substantial weight gain (e.g. atypical antipsychotics such as olanzapine, sodium valproate, steroid therapy). This would not include medications commonly used in this population that usually result in only mild weight loss (e.g. SSRIs).

Key Trial Info

Start Date :

August 11 2015

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2020

Estimated Enrollment :

12 Patients enrolled

Trial Details

Trial ID

NCT03854981

Start Date

August 11 2015

End Date

May 1 2020

Last Update

February 26 2019

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