An interventional study of Supplements and/or medical foods and Behavioral change support program in Health, Subjective, Gastrointestinal Dysfunction and Cardiovascular Risk Factor, sponsored by Metagenics, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-10-30.
Sponsored by Metagenics, Inc. · Not applicable, Interventional, and Prevention
The LIFE-HOUSE research project is designed to evaluate the impact of a personalized lifestyle intervention program on functional capacity as an approach to quantitating health, and its relationship to well understood disease risk determinants.
LIFE-HOUSE will utilize an innovative Tent-Umbrella-Bucket design.
Participants will gather under the Tent of an all-inclusive 'N of 1' Case Series providing a shelter of Functional Medicine interventions against the storm of chronic disease. Under this Tent are a collection of Umbrellas where participants with similar clinical challenges are evaluated as clinically defined groups with loose guidelines for the planned interventions. Finally, participants standing under these Umbrellas may step into specific Buckets that gather individuals with nearly identical clinical presentations into more formally described prescriptive randomized arms for intervention.
Individuals will be offered the opportunity to participate in all Umbrellas and Buckets for which they qualify. They may accept or reject participation in any Umbrella or Bucket and yet remain eligible for participation in the overall Tent.
It has been suggested that the best medicine should value four principles (4P) - medicine should be personalized, predictive, preventative and participatory. This 4P Medicine will thus be personalized and patient centered with a focus on the person who has the disease and not the disease the person has. It will be predictive as it identifies the pre-clinical trend/decline towards illness sooner than onset of symptoms that herald the loss of function and health. It will be preventative as the information gathered should offer opportunities to modify these trajectories towards illness and finally it will be participatory as individuals will be intimately involved in the gathering of data to identify trends and in the application of lifestyle measures to improve their lives.
There is a significant unmet need to identify the value of a personalized lifestyle intervention program for improving functional health outcomes. Whereas disease is well understood from traditional pathology-based indices, health is less easily defined. Historically, healthy has been the default term that is applied to an individual who is not recognized as having a disease. This definition of health as the absence of disease has resulted in the delivery of health and wellness as often lying outside the purview of medicine.
An evolving definition of health, however, is to recognize that it is related to the functional capacity of the individual. Functional capacity can be categorized in four assessment areas: physiological, physical, cognitive and emotional. All four of these subcategories are quantifiable by both qualitative and quantitative metrics. The effects on health of a multi-modal personalized lifestyle medicine intervention program can best be evaluated by using functional determinants.
Functional Medicine is an integrative medicine philosophy that uniquely incorporates 4P Medicine with a focus on function and dysfunction and the necessity to consider the physiological events that determine the balance between the two. The LIFE-HOUSE research project is designed to evaluate the impact of a personalized lifestyle intervention program on functional capacity as an approach to quantitating health, and its relationship to well understood disease risk determinants.
Individuals will be offered the opportunity to participate in all Umbrellas and Buckets for which they qualify. They may accept or reject participation in any Umbrella or Bucket and yet remain eligible for participation in the overall Tent. Due to the structure of the uniquely defined yet overlapping system of Umbrellas and Buckets, a specific Subject may participate consecutively and/or sequentially in a series of Umbrella and Buckets as applicable and their data may be included in multiple Umbrella and Bucket analyses.
General Inclusion Criteria for 'N of 1' Tent:
General Exclusion Criteria for 'M of 1' Tent:
The following describes specific inclusion and/or exclusion criteria applicable to individual study arms.
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Wellness Umbrella:
Specific Exclusion Criteria:
Elevated Homocysteine Bucket:
Specific Inclusion Criteria:
Specific Exclusion Criteria:
Dental Health Umbrella:
Specific Inclusion Criteria:
Neurological Health Umbrella:
Specific Inclusion Criteria:
Autoimmune and Inflammatory Conditions Umbrella:
Specific Inclusion Criteria:
Elevated ANA Bucket:
Specific Inclusion Criteria:
Specific Exclusion Criteria:
Autoimmune Conditions Bucket:
Specific Inclusion Criteria:
Symptomatic Fatigue and Myalgia Bucket:
Specific Inclusion Criteria:
Two of the following five features have been generally present for at least 3 months:
Gastrointestinal Health Umbrella:
Specific Inclusion Criteria:
IBS Bucket:
Specific Inclusion Criteria:
Detoxification Bucket:
Specific Inclusion Criteria:
Wellness Detoxification Bucket:
Specific Inclusion Criteria:
Metabolic Health Umbrella:
Specific Inclusion Criteria:
Consequences of Metabolic Function/Dysfunction Bucket - Crossover Design:
Specific Inclusion Criteria:
Specific Exclusion Criteria:
Consequences of Metabolic Function/Dysfunction Bucket - Randomization/Inclusion Design:
Specific Inclusion Criteria:
Specific Exclusion Criteria:
Reproductive Health Umbrella:
Specific Inclusion Criteria:
Perimenopausal and Menopausal Transitions Bucket:
Specific Inclusion Criteria:
Premenstrual Syndrome Bucket:
Specific Inclusion Criteria:
PCOS Bucket:
Specific Inclusion Criteria:
Andropause/Late Onset Hypogonadism Bucket:
Specific Inclusion Criteria:
Personalized dietary supplements, food plans, and behavioral change support program for a broad group (both an employee population and those recruited from practitioner practices) inclusive of all study Participants and specifically generally healthy individuals, those with established disease/conditions requiring a personalized approach, those with diseases/conditions currently with low prevalence in our study population and those women currently pregnant or breastfeeding.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a broad group of individuals characterized by minimal physical complaints and laboratory biomarkers of modest clinical significance.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for individuals from the Wellness Umbrella with elevated homocysteine level ≥ 10.4 µmol/L.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a broad group of individuals with established dental disease.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a broad group of individuals with autoimmune/inflammatory conditions (excluding metabolic disorders/atherosclerosis)
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals with elevated levels of antinuclear antibodies (preclinical symptomatology only).
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals with an established diagnosis of an autoimmune conditions (Systemic Lupus Erythematosus, Rheumatoid Arthritis, Inflammatory Bowel Disease and Hashimoto's Thyroiditis) with ANA level \>1:80 titer, rheumatoid factor (RF) ≥ 14 IU/ml, fecal calprotectin ≥ 50 mcg/g and thyroid autoantibody levels specifically thyroglobulin antibodies ≥ 115 IU/ml and/or thyroid peroxidase antibodies ≥ 35 IU/ml.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a broad employee health group with symptoms of persistent fatigue and myalgias.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals with conditions associated with issues of gastrointestinal health and of environmental toxicity or dysfunction related to detoxification of external toxins and internal metabolites.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals with conditions associated with issues of gastrointestinal health.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals with conditions associated with issues of environmental toxicity or dysfunction related to detoxification of external toxins and internal metabolites.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals characterized by minimal physical complaints and normal biomarkers.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a broad group of participants classified as desirable weight with and without markers of dysglycemia/dyslipidemia or overweight/obese with and without markers of dysglycemia/dyslipidemia).
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a broad group of participants classified as desirable weight with and without markers of dysglycemia/dyslipidemia or overweight/obese with and without markers of dysglycemia/dyslipidemia). C/S = crossover
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a broad group of participants classified as desirable weight with markers of dysglycemia/dyslipidemia or overweight/obese with and without markers of dysglycemia/dyslipidemia). R/I = randomization/inclusion
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Subgroup investigation in participants (classified as desirable weight with and without markers of dysglycemia/dyslipidemia or overweight/obese with and without markers of dysglycemia/dyslipidemia) during their 8- or 12-week ketogenic program intervention phase
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of participants with conditions associated with reproductive and hormonal health (including polycystic ovary syndrome, premenstrual syndrome, endometriosis, peri-menopause and menopausal conditions, women currently pregnant or breastfeeding, testosterone deficiency and andropause/late onset hypogonadism, and prostate health).
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of women with conditions associated with reproductive and hormonal health specifically peri-menopause and menopausal conditions.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of women with conditions associated with reproductive and hormonal health specifically premenstrual syndrome.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of women with PCOS with signs/symptoms/biomarkers of both metabolic dysfunction and hormonal derangements.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplements, food plans, and behavioral change support program for a group of men with conditions associated with reproductive and hormonal health specifically testosterone deficiency and andropause/late onset hypogonadism.
Dietary Supplement: Supplements and/or medical foods · Behavioral: Behavioral change support program · Other: Food plan
Personalized dietary supplementation (e.g., multivitamins/minerals, probiotics, specialized pro-resolving mediators, marine oil, vitamin D, hormone support, methylation support, protein drink, phytochemicals, neurocognitive support, targeted ingredients)
Program to implement lifestyle and behavioral change according to individuals' need.
Personalized food plan (e.g., basic wellness food plan, cardiometabolic food plan, high protein high phytonutrient food plan, ketogenic food plan, detoxification food plan, anti-inflammatory food plan, neuro food plan)
Medical Outcomes Study Short Form 36 (MOS SF-36) questionnaire
The MOS SF-36 is an indicator of overall health status. It has an eight scaled scores; the scores are weighted sums of the questions in each section. Scores range from 0 - 100 Lower scores = more disability, higher scores = less disability.
Time frame: Change from baseline at 12 months
University of Rhode Island Change Assessment (URICA) questionnaire
URICA questionnaire is a 32 item self-report measure that includes 4 subscales measuring the stages of change: Precontemplation, Contemplation, Action, and Maintenance (there is also a 24 item version). Responses are given on a 5 point Likert scale ranging from (1=strong disagreement to 5=strong agreement),
Time frame: Change from baseline at 12 months
Depression Anxiety, Stress Scale (DASS) questionnaire
The Depression, Anxiety and Stress Scale is a 21 items questionnaire that includes a set of three self-report scales designed to measure the emotional states of depression, anxiety and stress. Outcome is divided into normal, mild, moderate, severe, and very severe for each of the 3 categories: Depression, Anxiety, and Stress. A low score represents the normal and the higher the score the more severe the outcome.
Time frame: Change from baseline at 12 months
Body Mass Index (BMI)
BMI is measured in (weight in kilogram (kg)/ height in meter (m)\^2) outcome in double digits.
Time frame: Change from baseline at 12 months
Waist Circumference (WC)
WC is measured in centimeters (cm)
Time frame: Change from baseline at 12 months
Hip Circumference (HC)
HC is measured in cm
Time frame: Change from baseline at12 months
Waist to Hip Ratio (WHR)
WHR is numerical (0.00) and is and indicator for major health risk.
Time frame: Change from baseline at 12 months
Height
Height in meter (m)
Time frame: Change from baseline at 12 months
Weight
Weight in kilogram (kg)
Time frame: Change from baseline at12 months
Glucose
Fasting glucose levels measured in blood in milligram/deciLiter (mg/dL)
Time frame: Change from baseline at 12 months
Total Cholesterol
Fasting total cholesterol level is measured in serum in mg/dL
Time frame: Change from baseline at 12 months
Anti-Nuclear Antibodies (ANA)
ANA is measured as a titer by serum dilution detects autoimmune disease.
Time frame: Change from baseline at 12 months
25-hydroxy (OH) Vitamin D3
25-OH Vitamin D3 is measured in blood in nanogram/milliLiter (ng/mL) detects deficiencies.
Time frame: Change from baseline at 12 months
High sensitivity C-Reactive Protein (Hs-CRP)
Hs-CRP is measured in blood in mg/L detects inflammation.
Time frame: Change from baseline at 12 months
Homocysteine
Homocysteine is measured in serum in micromol/Liter (µmol/L)
Time frame: Change from baseline at 12 months
Omega-3 Fatty Acids
Omega-3 fatty acids: Eicosapentaenoic (EPA), Docosahexaenoic (DHA), and Docosapentaenoic (DPA) levels are measured in % weight.
Time frame: Change from baseline at 12 months
Beck Depression Inventory (BDI)
BDI is a 21-question multiple-choice self-report inventory, one of the most widely used psychometric tests for measuring the severity of depression. Rating system: 1-10: These ups and downs are considered normal; 11-16: Mild mood disturbance; 17-20: Borderline clinical depression; 21-30: Severe depression; over 40: Extreme depression
Time frame: Change from baseline at 12 months
Beck Anxiety Inventory (BAI)
BAI is a multiple-choice self-report inventory that is used for measuring the severity of anxiety in children and adults.The BAI contains 21 questions, each answer being scored on a scale value of 0 (not at all) to 3 (severely). Higher total scores indicate more severe anxiety symptoms. The standardized cutoffs\[4\] are: 0-7: minimal anxiety 8-15: mild anxiety 16-25: moderate anxiety 26-63: severe anxiety
Time frame: Change from baseline at12 months
Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance Test
PROMIS Sleep Disturbance Test is a self-scored test to identify sleep disturbance. Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) with a range in score from 8 to 40 with higher scores indicating greater severity of sleep disturbance. The T-scores are interpreted as follows: Less than 55 = None to slight 55.0-59.9 = Mild 60.0-69.9 = Moderate 70 and over = Severe
Time frame: Change from baseline at 12 months
Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Test
PROMIS Anxiety test is a 7-item questionnaire that assesses the pure domain of anxiety in individuals age 18 and older. Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) with a range in score from 7 to 35 with higher scores indicating greater severity of anxiety. The T-scores are interpreted as follows: Less than 55 = None to slight 55.0-59.9 = Mild 60.0-69.9 = Moderate 70 and over = Severe
Time frame: Change from baseline at12 months
Patient-Reported Outcomes Measurement Information System (PROMIS) Depression Short Form (SF)
PROMIS Depression SF is an 8-item questionnaire that assesses the pure domain of depression in individuals age 18 and older. Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) with a range in score from 8 to 40 with higher scores indicating greater severity of depression.The T-scores are interpreted as follows: Less than 55 = None to slight 55.0-59.9 = Mild 60.0-69.9 = Moderate 70 and over = Severe
Time frame: Change from baseline at 12 months
Plan to share: No
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Metagenics, Inc.