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Weight Loss Via Intelligent Guidance in Patients With Coronary Heart Disease and Obesity: a Randomized Clinical Trial

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Coronary Heart Disease (CHD) is an ischemic heart disease caused by coronary atherosclerosis, and it is the leading cause of death from cardiovascular diseases worldwide. Weight loss in obese patients can significantly improve metabolic indicators such as dyslipidemia and insulin resistance; therefore, weight loss may become a target for improving the prognosis of obese patients with coronary heart disease. This study is a multicenter, randomized controlled clinical trial aimed at evaluating the effect of software-based healthy weight loss guidance (personalized diet + exercise intervention) in obese patients with coronary heart disease. It is expected that 136 patients will be enrolled in hospitals including Guangdong Provincial People's Hospital, with a total study duration of 1 year.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 65
Healthy Volunteers: f
View:

• Age range: 18-65 years old .

• History of coronary heart disease confirmed by coronary angiography or coronary CTA, showing ≥50% stenosis in at least one major coronary artery (left main coronary artery, left anterior descending artery, left circumflex artery, right coronary artery); or a definite history of myocardial infarction, or prior coronary revascularization (PCI or CABG).

• BMI: Body Mass Index (BMI) ≥ 28 kg/m²

• Weight loss willingness: Has the intention to lose weight

• Smartphone proficiency: Able to use a smartphone.

• Daily living ability: Capable of performing basic activities of daily living independently.

• Informed consent: Voluntarily participates in the study, signs a written informed consent form, and is willing to cooperate with follow-up

Locations
Other Locations
China
Guangdong Provincial People's Hospital
RECRUITING
Guangzhou
Contact Information
Primary
yuan yu, doctor
smileyuyuan@sina.cn
86➕17801013954
Backup
li huiyang, graduate student
978608530@qq.com
86+15946983327
Time Frame
Start Date: 2026-04-18
Estimated Completion Date: 2028-12-31
Participants
Target number of participants: 140
Treatments
Experimental: Healthy Weight Loss Group
Participants receive routine care combined with personalized diet and exercise interventions. This includes assessments by cardiologists, dietitians, and rehabilitation specialists (incorporating cardiopulmonary exercise testing, IPAQ, and 24-hour dietary recall questionnaires) to develop a 6-month plan targeting 10% weight loss (0.5 kg/week in the first month, then 2% monthly) . Dietary intervention involves calculating target energy intake using the Harris-Benedict formula and selecting macronutrient ratios from three dietary patterns (e.g., energy-restricted low-fat high-protein diet), with personalized meal plans generated by software; participants upload daily food photos for software analysis and evaluation reports . Exercise intervention includes aerobic exercise (starting with 150-300 minutes/week of moderate-intensity or 75-150 minutes/week of high-intensity activity, progressing to 300 minutes/week moderate or 150 minutes/week high-intensi.
No_intervention: Routine Treatment Group
Participants do not use the weight loss software and only receive conventional diet and exercise advice for coronary heart disease, with other treatments following local standard protocols.
Sponsors
Leads: Guangdong Provincial People's Hospital
Collaborators: Shenzhen Nanshan Institute of Chronic Disease Control, Guangzhou Red Cross Hospital, Zhongshan Hospital Of Traditional Chinese Medicine, Dongguan Binhaiwan Central Hospital, Yuebei People's Hospital

This content was sourced from clinicaltrials.gov