Glycometabolic control in patients with severe obesity Nutritional, Metabolic, Endocrine Obesity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Obesity (BMI =35 kg/m²) with or without comorbidities 2. 18 to 65 years of age 3. Dysglycemia, altered fasting glycemia or insulin resistance (HOMA index >2.5) 4. Possibility to be followed in the follow up at Auxologico Via Ariosto (Milan) 5. Negative swab for COVID-19 at enlistment
Exclusion criteria
Exclusion criteria: 1. Type 1 and 2 diabetes in treatment 2. Previous operations of bariatric surgery 3. Psychiatric illness 4. Inflammatory bowel disease 5. Untreated thyroid 6. Past or present history of malignant neoplasia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Insulin resistance measured using the HOMA Index before and after P.V. extract or placebo treatment at baseline (T0), after 2 weeks (T1), 4 weeks (T2) and after 12 weeks (T6) 2. Serum concentrations of glycated haemoglobin, glucose and insulin measured from blood samples taken before P.V. extract or placebo intake, baseline (T0), after 2 weeks (T1), 4 weeks (T2) and 12 weeks (T6) from the start of treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| The following outcomes are measured before and after the P.V. extract or placebo treatment at specific time points: before P.V. extract/placebo intake (T0) and after 2 weeks (T1), 4 weeks (T2), 8 weeks (T4) and 12 weeks (T6): 1. Weight and waist circumference measured to the nearest 0.1 kg and 0.1 cm, respectively. Waist circumference will be measured midway to the lowest rib and the top of the iliac crest after gentle expiration; weight will be measured with a digital scale. The anthropometric data will be expressed as the mean of two measurements. 2. Satiation and satiety assessed using the Visual Analogue Scale questionnaire 3. Collection of faecal samples at baseline and after 2 weeks, 4 weeks and 12 weeks for: 3.1. Gut microbiota composition defined by 16S rRNA gene profiling on DNA extracted 3.2. Characteristics of the stool identified through the Bristol Stool Scale (BSS) 3.3. Short-chain fatty acids identified in faecal samples through qualitative and quantitative analysis in gas chromatography and pH measuring 3.4. Intestinal permeability and inflammatory processes investigated through the dosage of serum zonulin and faecal calprotectin through the ELISA test | — |
Countries
Italy