Medically Intensive Nutrition Therapy Program for Obesity and Diabetes in a Low-income Population
Purpose
This study is being done to better understand whether meal replacements can be an effective tool for weight loss and treatment of elevated blood sugars in people with obesity/overweight and diabetes/pre-diabetes who have a low income.
Conditions
- Overweight
- PreDiabetes
- Diabetes Type 2
- Obesity
Eligibility
- Eligible Ages
- Between 18 Years and 65 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Age 18-65 - Body mass index (BMI) greater than or equal to 27 kg/m^2 - HgA1C greater than or equal to 5.7 percent or fasting glucose greater than or equal to 100mg/dL within the previous 6 months - Low-income as defined by having a family income at or below 400 percent of the federal poverty level guidelines for 2022
Exclusion Criteria
- Current use of antihyperglycemic agents (other than metformin) or approved anti- obesity medications or plans to start such regimens over the 3 months post-study enrollment - HbA1c greater than or equal to 10 percent - Plans to pursue bariatric surgery over the 6 months post-study enrollment - Weight loss of greater than 5 kg within the previous 3 months - Current active eating disorder, with the exception of binge eating disorder - Severe active psychiatric disease or significant cognitive impairment deemed by investigator likely to impede adherence to piloted intervention - Active illicit substance abuse - Pregnant, breastfeeding, or considering pregnancy within the next 6 months - Current participation in another clinical research trial deemed by investigator to conflict with current study
Study Design
- Phase
- Study Type
- Observational
- Observational Model
- Case-Only
- Time Perspective
- Prospective
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
| Adults with overweight/obesity and pre-diabetes/diabetes and low income | Adults with overweight or obesity and pre-diabetes or type 2 diabetes who earn a low income. |
|
Recruiting Locations
Massachusetts General Hospital
Boston, Massachusetts 02114
Boston, Massachusetts 02114
More Details
- Status
- Recruiting
- Sponsor
- Massachusetts General Hospital
Detailed Description
The Medically Intensive Nutritional Therapy (MINT) program at Massachusetts General Hospital (MGH) Weight Center is a low-calorie nutrition plan that may offer a solution for those who have difficulty implementing a low-calorie dietary plan on their own. This study examines the effects of MINT on weight loss and blood sugar control specifically in a low-income population and explores potential reasons for discontinuing the program.