MDD, Obese Adults
Conditions
Brief summary
A 12-week, randomized, placebo-controlled trial testing the efficacy of n-3 PUFA treatment (EPA, 2 g/day) in alleviating depressive symptoms in a subgroup of obese subjects with comorbid depression and low n-3 PUFA status (n-3 index \< 8%) (81), from the Taiwanese cohort. Associations with PLA2/COX2 genotypes, lifestyle, nutritional profiles and gut microbiota will also be determined.
Interventions
25 participants are assigned
25 participants are assigned
Sponsors
Study design
Intervention model description
After one week of placebo lead-in, obese patients with comorbid depression will be randomized to either EPA (2 g/day, 4 capsules) (n=25) or placebo (n=25) for 12 consecutive weeks.
Eligibility
Inclusion criteria
* Major depressive disorder. * Antidepressant drug-free.
Exclusion criteria
* Schizophrenia * Mania * Anxiety disorders (except for social phobia and generalized anxiety that are often comorbid with MDD) * Obsessive-compulsive disorder * Post-traumatic stress disorder * Alcohol or drug abuse/dependence (except for nicotine) * Active suicidal ideation * Serious medical/neurological conditions, especially requiring corticosteroid/non-steroidal anti-inflammatory or immunosuppressive therapies or chronic thyroid hormone replacement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depression Diagnosis | Baseline | Patients are diagnosed with depression by utilizing the Mini-International Neuropsychiatric Interview (M.I.N.I.). The screening of emotional disturbances has shown that a total score of 4 or more. |
| Depression Severity | Weeks 0, 2, 4, 8, and 12. | Depression Severity is assessed by utilizing the 17-item Hamilton Depression Rating Scale (HDRS). A score of ≥ 18 shows a significant level of depression. |
| Concentration of Omega-3 Profile in Blood | Baseline and Endpoint | The level of Omega-3 will be assessed by Gas Chromatography based on the retention time. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stress Measurement | Weeks 0, 2, 4, 8, and 12. | Stress level will be measured by utilizing the Perceived Stress Scale. A score of 26 is considered a reference point for high, potentially clinically significant stress. |
| Food Frequency Assessment | Weeks 0, 2, 4, 8, and 12. | Food Frequency Assessment will be measured by using the Food Frequency Questionnaire (FFQ). Statistical thresholds used to identify implausible energy reports, categorize participants by intake levels (e.g., quartiles), or determine high/low risk. |
| Pleasure Measurement | Weeks 0, 2, 4, 8, 12 | Pleasure Measurement will be measured by the Snaith-Hamilton Pleasure Scale (SHPS). Score of 3 or more (with a range of 0-14) to indicate the presence of significant anhedonia |
| Fatigue Measurement | Weeks 0, 2, 4, 8, and 12. | Fatigue will be measured by the Multidimensional Fatigue Inventory (MFI). A total score of 60 or higher is considered indicative of clinically significant fatigue. |
Countries
Taiwan