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Obesity, Physical Inactivity or Dietary Fat ?
This study has been completed.
Sponsors and Collaborators: University Hospital, Strasbourg, France
PRNA (INSERM/INRA)
Fondation Coeur et Artères
France: Centre National de la Recherche Scientifique
Louis Pasteur University, Strasbourg
Information provided by: University Hospital, Strasbourg, France
ClinicalTrials.gov Identifier: NCT00434265
  Purpose

Obesity is the consequence of a chronic disequilibrium of fat balance. Genetic factors determine predisposition to obesity, but the most often mentioned idea is that environmental factors, such as a high-fat diet and a sedentary lifestyle, join to favour weight gain and explain the increased prevalence of obesity in our westernized societies. Since lipogenesis is negligible in humans, obesity represents the consequence of altered fat partitioning between oxidation and storage, likely due to a preferential directing of dietary fat towards adipose tissue and away from muscle. Interventions that favour partitioning of dietary fat towards muscle for oxidation might thus protect against weight gain. Exercise may be one kind of such intervention but the scant data on dietary fat metabolism does not allow clear conclusions, in particular in obese subjects. One question concerns the impact of the type of fat eaten: the effects of physical inactivity may vary according to the length and saturation degree of the fatty acids. We hypothesize that 1) physical activity of moderate intensity, independently of its effect on energy balance, will favor a preferential trafficking towards adipose tissue, will modify the expression of genes implicated in fat oxidation and storage and partly correct the abnormalities observed in obese subjects, 2) effects of physical activity vary according to the saturation degree of fat. Twelve obese subjects, aged 18 to 55, will undergo tests before and after 2 months of training at current recommendations to ascertain dietary fat partitioning using stable isotopes and to determine changes in gene expression with muscle and adipose tissue microbiopsies.


Condition Intervention
Obesity
Behavioral: Physical training

MedlinePlus related topics: Dietary Fats Exercise and Physical Fitness Obesity
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study
Official Title: OBESITY, PHYSICAL INACTIVITY OR DIETARY FAT ? Role of Physical Activity in the Trafficking of Dietary Fatty Acids Varying in Length and Saturation Degree.

Further study details as provided by University Hospital, Strasbourg, France:

Primary Outcome Measures:
  • Proportion of fat oxidation induced by physical training, according to fat type (oleate vs palmitate)

Secondary Outcome Measures:
  • Variations of oleate and palmitate postprandial kinetic in different lipoprotein fractions
  • Expression of different muscle and adipose tissue genes

Enrollment: 12
Study Start Date: March 2007
  Eligibility

Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Men between 18 and 55
  • IMC >25 and <30 kg/m2 and waist circumference >102 cm
  • Familial antecedents of obesity
  • Physical inactivity (PAL<1.5, according to MOSPA-questionnaire and accelerometry)
  • Acceptation of physical training and body weight control during the study

Exclusion Criteria:

  • Any drug interfering with energetic or lipid metabolism
  • Any contradiction to moderate physical training
  • Diabetes or arterial hypertension treatment
  • Any other pathology (cardiovascular, psychiatric, renal or hepatic disease, viral hepatitis or VIH)
  • Consumption of more than 40 g alcohol per day
  • Recent voluntary or involuntary weight modification (3kg the next three months)
  • A recent trip outside France before and during stable isotope measures.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00434265

Locations
France
Service de Médecine Interne et de Nutrition - Hôpital de Hautepierre
Strasbourg, France, 67098
Service des Explorations Fonctionelles Respiratoires et de l'Exercice - Hôpital Civil
Strasbourg, France, 67091
Sponsors and Collaborators
University Hospital, Strasbourg, France
PRNA (INSERM/INRA)
Fondation Coeur et Artères
France: Centre National de la Recherche Scientifique
Louis Pasteur University, Strasbourg
Investigators
Study Director: Chantal Simon, MD Hôpitaux Universitaires de Strasbourg
  More Information

Study ID Numbers: 3493
Study First Received: February 12, 2007
Last Updated: January 9, 2009
ClinicalTrials.gov Identifier: NCT00434265  
Health Authority: France: Ministry of Health

Keywords provided by University Hospital, Strasbourg, France:
Obesity
Exercise
Fat oxidation
Overweigh (IMC>25 and IMC<30)

Study placed in the following topic categories:
Body Weight
Signs and Symptoms
Obesity
Nutrition Disorders
Overweight
Overnutrition

ClinicalTrials.gov processed this record on January 13, 2009