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NCT Number: NCT06894043

Effect of an Intervention Program of Adapted Physical Activity Combined With Compensatory Nutrition in Patients With Constitutional Thinness

Constitutional Thinness (CT) is a form of stable thinness without malnutrition but with resistance to weight gain, affecting approximately 1% of the general population. The clinical consequences are numerous and the pathophysiology remains poorly understood.

Currently, conventional management involves a high-calorie and frequent diet, combined with the avoidance of endurance physical activity, although there is no significant evidence of its effectiveness.

Our hypothesis is that an adapted physical activity program (APA) combined with compensatory nutrition (CN) could help these patients gain lean mass (muscle mass).

Recruiting

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Key information

Age range

18 year–50 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

CHU de Saint-Etienne

Saint-Etienne, France, 42055

Location status: Recruiting

Location contact

Bogdan GALUSCA, PhD

SUB_INVESTIGATOR

David HUPIN, PhD

SUB_INVESTIGATOR

Florence RANCON, Cheffe de projet

CONTACT

[email protected]

(0) 477829458 ext. +33

Leonard FEASSON, PhD

SUB_INVESTIGATOR

Natacha GERMAIN, PhD

CONTACT

[email protected]

(0)477120621 ext. +33

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Gender: Female
  • BMI: ≤ 18.5 kg/m²
  • Weight Stability: Stable weight for at least 3 months
  • Age: 18 to 50 years old at the inclusion visit
  • Diagnosed with Constitutional thinness

Exclusion criteria

  • Pregnancy, Parturition, or Lactation
  • Legal Restrictions: Individuals deprived of liberty, involuntarily hospitalized, or hospitalized for reasons other than research purposes, adults under legal protection (guardianship or curatorship) or unable to provide consent
  • Eating Disorders: Individuals with eating disorders (DSM IV and 5 criteria)
  • Excessive Alcohol Consumption: Consumption exceeding the equivalent of 10 glasses of wine per week
  • Severe Progressive Conditions: Progressive severe conditions (e.g., diabetes)
  • Intense Physical Activity: Individuals engaging in intense physical activity (> 3 sessions per week)
  • Heavy Smoking: Significant smoking (>10 cigarettes per day)
  • Psychiatric Conditions: Presence of depressive or psychiatric conditions requiring antidepressant or psychotropic treatment
  • Medical or Surgical History: Medical or surgical history deemed incompatible with the study by the investigator
  • MRI Contraindication: Individuals with contraindications to MRI will not undergo spectro-MRI analyses

Treatment and study plan

Adapted Physical Activity (APA)

Other

The APA intervention will consist of a 2-week running-in period, followed by a period of adapted physical activity (APA) for 8 weeks.

Compensatory Nutrition (NC)

Behavioral

The Compensatory Nutrition (NC) intervention will consist of a 2-week running-in period, followed by a period of compensated nutrition (NC) for 8 weeks.

Primary outcomes

  1. Lean body mass

    Time frame: From day 1 to week 8

    Lean body mass gain (kg) measured by bioimpedance

Secondary outcomes

  1. BMI

    Time frame: From day 1 to week 8

    Body masse index : ratio between weight and height

  2. Energy balance

    Time frame: From day 1 to week 8

    Ratio between calorie intake and calorie expenditure

    Caloric intake measured by dietary records over 2 weeks (calorie); Calorie expenditure: Resting metabolism measured by indirect calorimetry (kcal/24h); + Postprandial thermogenesis measured by indirect calorimetry (kcal/24h);; + Physical activity energy expenditure measured by connected watch (kcal/24h);

  3. Physical exercise capacity

    Time frame: From day 1 to week 8

    Changes in VO2max

  4. Quality of life SF-12 questionnaire

    Time frame: From day 1 to week 8

    SF-12 questionnaire; Self-measurement questionnaire SF-12 (Short Form Health Survey 12); comprising 12 questions assessing 8 dimensions, namely physical functioning, role limitation due to physical problems, role limitation resulting from emotional problems, vitality (energy/fatigue), emotional well-being, social functioning, bodily pain, and perception of general and mental health; each dimension is represented by a score ranging from 0 to 100, with a low score signifying poor health perception in the dimension considered, and a high score signifying the opposite);

Study contacts

Contact information is provided by the study sponsor or research team.

Florence RANCON, Cheffe de projet

CONTACT

[email protected]

(0) 477829458 ext. +33

Natacha GERMAIN, PhD

CONTACT

[email protected]

(0)477120621 ext. +33

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire de Saint Etienne

Other

Collaborators

  • Laboratoire Interuniversitaire de Biologie de la Motricité
  • Target Tape

Registry information

Acronym: ANIMATION

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Mar 25, 2025
Registry last updated
Oct 7, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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