ClinicalTrials.gg
CompletedNCT03480464Updated Apr 1, 2022

App-technology to Improve the Level of Physical Activity After Bariatric Surgery

An interventional study of App-technology to increase physical activity in Obesity, Bariatric Surgery and Exercise, sponsored by Karolinska Institutet. Completed at 1 site in Sweden. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2022-04-01.

Sponsored by Karolinska Institutet · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
158
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The aim of this study is to investigate the effect of using new app-based technology to increase the level of physical activity, compared to conventional postoperative information given to patients undergoing bariatric surgery. The hypothesis is that the intervention, i.e. using the new technology, will have a greater positive effect on levels of physical activity and outcomes of weight loss than conventional postoperative information.

02

Conditions studied

  • Obesity
  • Bariatric Surgery
  • Exercise
  • Quality of Life
  • Eating Behavior
  • Body Fat Distribution
  • Body Weight Changes
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's enrollment of 158 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Karolinska Institutet is the lead sponsor of 1,148 studies on the registry; 276 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Accepted to bariatric surgery due to national guidelines, >35 kg/m2
  • 18 years of age or older
  • Ability to read and understand Swedish
  • Own and use a smartphone

Exclusion criteria

Exclusion Criteria:

  • Disability preventing daily walking
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
158 participants (actual)

Study arms

  • Experimental
    App-technology group

    App-technology to increase physical activity Participants in the intervention group (App-technology) will use a newly developed smartphone application ("app") in which the participants are able to register their daily physical activity in bouts of 10 min and their intake if supplementary vitamins. They will also be able to set personal goals every week for the level (minutes) of physical activity and get feedback every week in whether they fulfilled the goal or not. They will also get feedback on the intake of supplementary vitamin intake.

    Behavioral: App-technology to increase physical activity

  • No intervention
    Control group

    The control group will receive standard information about the benefit of physical activity after surgery.

Interventions

  • BehavioralApp-technology to increase physical activity

    The application will send daily reminders to register and notices with information about the health benefit of physical activity, medication, supplementary vitamins and diet after surgery

    Also known as: PromMera

06

What researchers measure

Primary outcomes

  1. Change in Physical activity level

    counts/min from accelerometers

    Time frame: Before surgery and 18 weeks, 6 months, 1 year, and 2 years after surgery.

Secondary outcomes

  1. Body Mass Index

    BMI, kg/m2

    Time frame: Before surgery, 6 weeks(intervention start) and 18 weeks, 6 months and 1 year after surgery.

  2. Body weight

    kg

    Time frame: Before surgery, 6 weeks(intervention start) and 18 weeks, 6 months, 1 year, and 2 years after surgery.

  3. Percent Body Fat

    Percent body fat of total body weight

    Time frame: Before surgery, 6 weeks(intervention start) and 18 weeks, 6 months and 1 year after surgery.

  4. Fat free mass

    kg

    Time frame: Before surgery, 6 weeks(intervention start) and 18 weeks, 6 months and 1 year after surgery.

  5. Muscle mass

    kg

    Time frame: Before surgery, 6 weeks(intervention start) and 18 weeks, 6 months and 1 year after surgery.

  6. Total body water

    kg

    Time frame: Before surgery, 6 weeks(intervention start) and 18 weeks, 6 months and 1 year after surgery.

  7. Hand grip

    kg

    Time frame: Before surgery, 6 weeks(intervention start) and 18 weeks, 6 months and 1 year after surgery.

  8. Self registered physical activity in the app

    minutes/day and minutes/week

    Time frame: 12 weeks, 6 to 18 weeks after surgery

Other outcomes

  1. Change in eating behavior using the TFEQ-R21 questionnaire

    Eating behavior

    Time frame: Before surgery and 18 weeks, 6 months, 1 year, and 2 years after surgery.

  2. Change in Quality of life using the SF35 questionnaire

    Health related Quality of LIfe

    Time frame: Before surgery and 18 weeks, 6 months, 1 year, and 2 years after surgery.

  3. Change in co morbidity, before surgery compared to 1 year and 2 years after surgery.

    Number of co morbidities

    Time frame: Before and 1 year and 2 years after surgery

  4. Change in supplementary vitamin intake adherence according to to the MARS-5 scale

    Total MARS-5 score, 5-items, 5-point Likert-scale

    Time frame: 18 weeks (after surgery) and 1 year after surgery

  5. Change in supplementary vitamin intake adherence using registry data

    Medication possession ratio, i.e. proportion of fulfilled prescriptions

    Time frame: 18 weeks (after surgery) and 1 year after surgery

  6. Change in beliefs and attitude to medication according to the Brief Medication Questionnaire

    Total BMQ-score, 10 items, 5-point Likert-scale

    Time frame: 18 weeks (after surgery) and 1 year after surgery

  7. Change in sleeping habits

    Assessed using a modified 13-item Karolinska Sleep questionnaire (KSQ)

    Time frame: Before surgery and 18 weeks, 6 months, 1 year, and 2 years after surgery.

  8. Change in dietary intake and eating habits

    Macro- and micro-nutrient intake assessed using a 94 item food frequency questionnaire (FFQ)

    Time frame: Before surgery and 6 months, 1 year, and 2 years after surgery.

  9. Change in symptoms related to urinary incontinence or prolapse

    Assessed using six questions based on the International Consultation on Incontinence Questionnaire

    Time frame: Before surgery and 18 weeks, 6 months, 1 year, and 2 years after surgery.

  10. Hemoglobin (Hb)

    g/L

    Time frame: Before surgery and 1 year after surgery

  11. Iron status

    µmol/L

    Time frame: Before surgery and 1 year after surgery

  12. s-folate

    nmol/L

    Time frame: Before surgery and 1 year after surgery

  13. p-calcium

    mmol/L

    Time frame: Before surgery and 1 year after surgery

  14. s-albumin

    g/L

    Time frame: Before surgery and 1 year after surgery

  15. s-cobolamin

    pmol/L

    Time frame: Before surgery and 1 year after surgery

07

Study locations

1 site
  • Vrinnevi Hospital
    Norrköping, 603 79, Sweden
08

References and documents

Publications

  • Spetz K, Hult M, Olbers T, Bonn S, Svedjeholm S, Lagerros YT, Andersson E. A smartphone application to improve adherence to vitamin and mineral supplementation after bariatric surgery. Obesity (Silver Spring). 2022 Oct;30(10):1973-1982. doi: 10.1002/oby.23536. Epub 2022 Sep 1. PubMed 36050801 ↗
  • Bonn SE, Hult M, Spetz K, Lof M, Andersson E, Wiren M, Trolle Lagerros Y. App Technology to Support Physical Activity and Intake of Vitamins and Minerals After Bariatric Surgery (the PromMera Study): Protocol of a Randomized Controlled Clinical Trial. JMIR Res Protoc. 2020 Aug 14;9(8):e19624. doi: 10.2196/19624. PubMed 32795990 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03480464
Collaborators
Vrinnevi Hospital, Linkoeping University
Responsible party
Ylva Trolle Lagerros (MD, Associate Professor, Karolinska Institutet) — Principal investigator
First posted
Mar 29, 2018
Start date
Nov 16, 2017
Primary completion
Sep 30, 2021
Completion
Sep 30, 2021
Last update
Apr 1, 2022

Study contacts

Ylva Trolle Lagerros, Md,PhD
principal investigator · Karolinska Institutet

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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