About this trial
Obesity and overweight are non-communicable diseases with an increasing incidence in children, adolescents, and adults. International efforts to reverse the current epidemiological trend of rising overweight, obesity, and related diseases have so far been insufficient to achieve this goal. Therefore, a change in strategy-both at the individual and public health levels-is urgently needed.
Searching the litterature, there are currently no studies employing a comprehensive, personalized, and multi-level strategy to induce stable changes in dietary and lifestyle habits, while also conducting careful follow-up of outcomes and exploring the pathogenic mechanisms affecting metabolic pathways, pro-inflammatory and systemic conditions, and intestinal permeability in overweight and obese patients.
Evidence shows the beneficial effects of specific dietary patterns (e.g., the Mediterranean Diet) and a healthy lifestyle in reducing body/organ fat accumulation. However, a comprehensive evaluation of their effects-particularly following personalized strategies and careful follow-up-on the pathogenic mechanisms influencing cardiovascular and metabolic risk, pro-inflammatory status, and intestinal permeability in the medium-to-long term is still lacking.
Eligibility criteria
Qualifiers
18-55 years old overweight or obese men and women (BMI ≥ 25 kg/m2).
Signed informed consent.
Have a mobile phone, tablet, or computer with internet access.
Disqualifiers
Waist circumference > 150 cm
Suffer from diabetes or other disorders of glucose metabolism
Suffer from dyslipidemia or other alterations of lipid metabolism (LDL cholesterol ≥ 189 mg/dL and/or triglycerides ≥ 350 mg/dL).
Present chronic gastrointestinal problems such as Crohn's disease or irritable bowel syndrome.
Trial design
Treatments tested in this trial
- MeD enriched with mushrooms
- MeD enriched the Lebanese herbal mixture Za'atar
- MeD Diet + semaglutinine or compatible treatment+ Za'atar or Mushroom (to be defined)
Treatment groups
Sponsors and collaborators
piero portincasa
Lead sponsor
University of Bari
Sponsor institution
University of Bari Aldo Moro
Collaborator
Uppsala University
Collaborator
Fundació Eurecat
Collaborator
ADPD
Collaborator
University of Coimbra
Collaborator
AGDCENTRO ASSOCIACAO DE GINASTICA DO CENTRO
Collaborator
INSTITUTO POLITECNICO DE VIANA DE CASTELO
Collaborator
Consiglio Nazionale delle Ricerche, Italy
Collaborator
Technical University of Munich
Collaborator
MEDIAGNOST GESELLSCHAFT FUR FORSCHUNG UND HERSTELLUNG VON DIAGNOSTIKA GMBH
Collaborator
Martin-Luther-Universität Halle-Wittenberg
Collaborator
THE EUROPEAN SOCIETY FOR CLINICAL INVESTIGATION
Collaborator
INSTYTUT BIOLOGII DOSWIADCZALNEJ IM. M. NENCKIEGO POLSKIEJ AKADEMII NAUK
Collaborator
King's College London
Collaborator