We propose to compare the standard of care with the use of a novel medical food in 6 bariatric surgery patients by measuring outcomes of body composition, quality of life, hair loss, muscle strength, resting energy expenditure, and biochemical parameters.
STUDY SUMMARY The purpose of this pilot study is to compare a medical food intervention with the dietary standard of care at Boston Medical Center, in obese women subjects undergoing Roux-en Y gastric bypass surgery. Commercially available nutritional supplements will also be provided as part of the study's protocol. Subjects will be selected from surgical candidates of the Nutrition and Weight Management Center who meet the study criteria. Subjects will be randomly assigned to one of the 2 groups (treatment and control). Subjects will be seen at the study site 2 weeks before surgery and 4 weeks, 8 weeks, 12 weeks, and 6 months after surgery (for a total of 5 visits). Data recorded during the study visits will be used to assess post-operative progress and will include: body composition, resting energy expenditure, muscle strength, quality of life questionnaires, hair loss, and blood markers for insulin resistance, nutritional state, organ function, lipid profile and inflammation. Safety indicators and compliance will also be monitored.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
7
Medical food
Boston Medical Center
Boston, Massachusetts, United States
Total and extracellular water (by cold bromide and deuterium method)
Time frame: Baseline, 4 weeks, 12 weeks, and 24 weeks post surgery
Dual energy X-ray absorptiometry (DEXA)
Time frame: Baseline, 4 weeks, 12 weeks, and 24 weeks post surgery
Hair loss (by photographic method and Hair-Scalp Questionnaire)
Time frame: Baseline, 12 weeks, and 24 weeks
Impedance plethysmography (by distal and proximal electrode placement)
Time frame: Baseline, 4 weeks, 8 weeks, 12 weeks, and 24 weeks
Muscle strength (by a handgrip dynamometer)
Time frame: Baseline, 4weeks, 12 weeks, and 24 weeks
Resting energy expenditure (by indirect calorimetry)
Time frame: Baseline, 4 weeks, 12 weeks and 24 weeks
Pulse after a 6-minute walk
Time frame: Baseline, 4 weeks, 12 weeks, and 24 weeks
Measures of insulin resistance, visceral protein/nutritional status, and inflammation
Time frame: Baseline, 12 weeks, and 24 weeks
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