Overweight and Obesity
Conditions
Brief summary
Background: Overweight and obesity affect health, quality of life and ability to work. Therefore, the scientifically evaluated program SHAPE AND MOTION - medically ◦ accompanied ◦ slimming was developed to support overweight and obese people in weight loss. Method: In a randomized controlled clinical trial, the effect of a lifestyle intervention with meal replacement by formula diet, exercise stimulation, and telemedicine coaching is examined compared to a control group with routine care. The learning contents are taught in 7 group trainings, a practical unit with shopping and cooking training, as well as in 4 individual telephone conversations. The state of health is examined at the beginning, after 12 and 26 weeks. Objective: The aim is to develop a training and counseling program for overweight or obese individuals with diabetes risk or type 2 diabetes, which can be used both for primary and for tertiary prevention of overweight-related diseases.
Interventions
Meal replacement by formula diet, exercise stimulation, and telemedicine coaching.
Sponsors
Study design
Eligibility
Inclusion criteria
* Body mass index ≥ 25 kg/m2
Exclusion criteria
* acute diseases such as respiratory or gastrointestinal infections * severe diseases such as tumors, chronic obstructive pulmonary disease (COPD), asthma, dementia, chronic bowel disease, psychosis, liver cirrhosis, (macro) nephropathy, renal insufficiency with glomerular filtration rate (GFR) \<30 * ongoing chemotherapy, chron. Cortisone treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Weight loss in kg | 26 weeks | Estimated treatment difference |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| waist circumference in cm | 26 weeks | Estimated treatment difference |
| hip circumference in cm | 26 weeks | Estimated treatment difference |
| fat mass in kg | 26 weeks | Estimated treatment difference |
| lean body mass in kg | 26 weeks | Estimated treatment difference |
| muscle mass in kg | 26 weeks | Estimated treatment difference |
| energy expenditure in kcal | 26 weeks | Estimated treatment difference |
| blood pressure in mmHg | 26 weeks | Estimated treatment difference |
| quality of life (sf-12 questionnaire) in units on a scale | 26 weeks | Estimated treatment difference |
| depression (German version of the Center for Epidemiological Studies-Depression [CES-D] Scale) in units on a scale | 26 weeks | Estimated treatment difference |
| physical activity in min/day | 26 weeks | Estimated treatment difference |
| physical activity in steps/day | 26 weeks | Estimated treatment difference |
| body mass index in kg/m2 | 26 weeks | Estimated treatment difference |
| total cholesterol in mg/dl | 26 weeks | Estimated treatment difference |
| HDL cholesterol in mg/dl | 26 weeks | Estimated treatment difference |
| LDL cholesterol in mg/dl | 26 weeks | Estimated treatment difference |
| triglycerides in mg/dl | 26 weeks | Estimated treatment difference |
| fasting blood glucose in mg/dl | 26 weeks | Estimated treatment difference |
| insulin in µU/ml | 26 weeks | Estimated treatment difference |
| HbA1c in % | 26 weeks | Estimated treatment difference |
| uric acid in mg/dl | 26 weeks | Estimated treatment difference |
| creatinin in mg/dl | 26 weeks | Estimated treatment difference |
| medication in mg/day | 26 weeks | Estimated treatment difference |
| eating behaviour (German version of the Three-factor Eating Questionnaire [TFEQ]) in units on a scale | 26 weeks | Estimated treatment difference |
Countries
Germany