Skip to content

How do Super Lean Subjects Keep Resistant to Body Weight Gain?

The Investigation of Lifestyle and Genetics in Super Lean Subjects That Keep Them Resistant to Weight Gain

Status
UNKNOWN
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03221322
Enrollment
300
Registered
2017-07-18
Start date
2017-04-06
Completion date
2025-12-31
Last updated
2022-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Genetics, Health Behavior, Thinness

Brief summary

Obesity is the 5th leading cause of global death, and is major risk factors for many chronic diseases, such as type 2 diabetes, cardiovascular diseases, hypertension and cancer. Obesity is caused by an imbalance between energy intake and energy expenditure, and it is widely agreed to be a consequence of a gene by environment interaction. Although on average obesity rates are increasing, the shape of the distribution of adiposity is changing: it is becoming more right skewed. This is because there is a population of very lean subjects that has remained almost unchanged by the epidemic. The investigators have called these very lean individuals that are resistant to the epidemic and sustain a BMI \< 18.5 kg/m2 'super lean' subjects. We have very little understanding of the lifestyles of these individuals and how they are able to maintain their super lean phenotype, and whether the basis of their leanness is primarily genetics.

Detailed description

In this study, the investigators will recruit a sample of 150 super lean healthy volunteers with a BMI \>15 and \< 18.5 kg/m2 aged 20-40 years, in parallel with an age matched group of 150 healthy subjects with a BMI ≥22 and \< 25 kg/m2 as the control group. The investigators will screen out any individuals with eating disorders. In both groups, the investigators will study their lifestyles in particular focusing on their physical activity patterns and their food intake choices (monitored via food intake diaries and supported by metabolomics analyses of their urine to detect biomarkers of different food groups). Saliva samples will be collected for genotyping. The investigators will SNP genotype the individuals for 30 known polymorphic loci previously linked to obesity to establish if they have a particular genetic profile linked to their lean phenotype.

Interventions

BEHAVIORALSuperlean

Behavioural data will be collected on all subjects in either control group or superlean group. Blood or saliva samples will be collected for DNA extraction and genotyping.

Sponsors

Chinese Academy of Medical Sciences
Lead SponsorOTHER

Study design

Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

* control: BMI 20-25 kg/m2, healthy, age 20-40 years old superlean: BMI 15-18 kg/m2, healthy, with no eating disorders and diabetes, age 20-40 years old

Exclusion criteria

* Pregnant women and women in lactation Subjects are suffering from eating disorders or diabetes.

Design outcomes

Primary

MeasureTime frameDescription
Anthropometric measurements of participants in both control and superlean groupsThrough study completion, an average of 2 yearsHeight, waist and hip circumferences (cm) and body composition will be measured on arrival.
Demographic characteristics of all participants in both control and superlean groupsThrough study completion, an average of 2 yearsLife style questionnaire filled out on arrival.

Countries

China

Contacts

Primary ContactJohn Speakman, PhD
j.speakman@abdn.ac.uk+86-10-64807042
Backup ContactSumei Hu, PhD
smhu@genetics.ac.cn18500818466

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026