Food and Fitness With Medicine (FFWM)
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Exercise is Medicine (EIM), Culinary Education, Food is Medicine, Nutrition Counseling.
- Кому может быть актуально
- Состояния в реестре: Cardiovascular Kidney Metabolic Syndrome, Type 2 Diabetes. Базовые параметры: от 18 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Food and Fitness With Medicine
Обзор
Food and Fitness with Medicine (FFWM) is a 24-week randomized controlled trial (RCT) enrolling 200 post-menopausal women (PMW) with stage 2 cardio-kidney metabolic (CKM) syndrome and type-2 diabetes (T2D) within 6 weeks of initiating glucagon-like peptide-1 receptor agonist (GLP-1RAs) to: 1. Examine discontinuation rates of GLP-1RAs (primary outcome); 2. Compare change in American Heart Association (AHA) PREVENT scores (secondary outcome); and 3. Examine the effects of FFWM on biologic mechanisms responsive to weight loss and cardiovascular health (CVH) including dermal carotenoids, body composition and metabolite biomarkers.
Вмешательства
- Поведенческое Exercise is Medicine (EIM)
During Phase 1 (Weeks 1-12), participants are enrolled in a comprehensive 12-week fitness education and training program. - Поведенческое Culinary Education
During Phase 1 \& 2, participants receive monthly hybrid cooking demonstrations with culinary training. - Поведенческое Food is Medicine
During Phase 1 (Weeks 1-12), participants receive bi-weekly medically tailored grocery vouchers. - Поведенческое Nutrition Counseling
During Phase 1 (Weeks 1-12), participants engage in weekly behavioral nutrition counseling. - Поведенческое Participant Website
During Phases 1 and 2, participants will receive digital behavioral reinforcers and access to a secure web portal that provides evidence-based resources.
Первичные конечные точки
- GLP-1 RA discontinuation rates [Срок оценки: 0, 12, and 24 weeks]
Вторичные конечные точки (12)
- American Heart Association (AHA) PREVENT Scores [Срок оценки: 0, 12, and 24 weeks]
- Metabolites [Срок оценки: 0, 12, and 24 weeks]
- Life's Essential 8 Scores [Срок оценки: 0, 12, and 24 weeks]
- Blood Lipids [Срок оценки: 0, 12, and 24 weeks]
- Body Composition [Срок оценки: 0, 12, and 24 weeks]
- Dietary Patterns [Срок оценки: 0, 12, and 24 weeks]
- Hip Circumference [Срок оценки: 0, 12, and 24 weeks]
- Dermal Carotenoid Scores [Срок оценки: 0, 12, and 24 weeks]
- Blood Pressure [Срок оценки: 0, 12, and 24 weeks]
- Nutrition Security [Срок оценки: 0, 12, 24 weeks.]
- Social and Emotional Wellbeing [Срок оценки: 0, 12, and 24 weeks]
- Social Needs [Срок оценки: 0, 12, and 24 weeks]
Критерии участия
Критерии включения
- Diagnosis of at least one of the following conditions: hypertension, type 2 diabetes, hyperlipidemia, chronic kidney disease, and/or metabolic syndrome.
- At least 18 years of age at the time of signing consent.
- Participants must have reliable transportation to attend Exercise is Medicine sessions.
- Access to an internet-enabled device.
- No objections to online grocery shopping, home food deliveries, or nutrition counseling.
- Residence meets Instacart delivery requirements (e.g., non-institutionalized).
- Participant is willing to use a personal credit card for Instacart back-up payments.
- Participants must speak English to be able to consent and engage in FIM and EIM programs.
- Participant has been clinically prescribed GLP-1RA's.
Критерии исключения
- Conditions that impact digestion, metabolism, or food intake (e.g. surgical loss of esophagus, stomach, or colon, pancreatic dysfunction, bariatric surgery, brain surgery that alters cognition, etc.).
- Participants with uncontrolled mental illness disorders (e.g., schizophrenia, bipolar disorder, major depression, etc.) that are not well-managed or controlled through treatment, as determined by the study team.
- Familial history of certain cancers (e.g., multiple endocrine neoplasia, medullary thyroid carcinoma, etc.).
- Active digestive illnesses (i.e., Celiac disease, irritable bowel syndrome, chronic malabsorption).
- Comorbidities such as psychiatric or general illness that may put the subject at risk as determined by the investigator/s.
- Renal impairment, eGFR < 60 ml/min/1.73m2
- Factor which, in the investigator's opinion, is likely to compromise the subject's ability to participate in the study.
- Recent participation (e.g., 3 months) in other behavioral nutrition trials or programs (i.e., bariatric programs, diabetes education programs).
- Currently pregnant or planning to become pregnant during the study.
- Participant is not willing to provide a urine, blood, or stool sample.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Поддерживающая терапия
Центры проведения
США · 4 центра
- Ohio State Healthy Community Center — Columbus
- Ohio State East Hospital — Columbus
- Martha Morehouse — Columbus
- Ohio State Outpatient Care Upper Arlington — Upper Arlington
Идентификаторы
NCT: NCT07027995 · STUDY20250193