ClinicalTrials.gg
Not yet recruitingNCT07358533Updated Jan 23, 2026

Metabolic Obesity in Normal Weight (MONW): Diagnostic Markers Stud

An observational study in Normal Weight Obesity, Metabolically Obese Normal Weight and Metabolic Syndrome, sponsored by Pomeranian Medical University Szczecin. Not yet recruiting at 1 site in Poland. Open to female participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-23.

Sponsored by Pomeranian Medical University Szczecin · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
176
Ages
18 Years to 35 Years
Sex
Female
01

Study summary

Metabolically Obese Normal Weight (MONW) represents a phenotype affecting individuals with a normal Body Mass Index (BMI) but characterized by excessive adipose tissue accumulation. This condition is associated with increased cardiovascular risk, insulin resistance, and endothelial dysfunction, yet remains underdiagnosed.

This observational longitudinal study aims to comprehensively evaluate the relationship between excessive adipose tissue deposition, endothelial dysfunction, and asprosin concentrations in young women. The study will recruit 176 healthy women aged 18-35 years with normal BMI (\<25 kg/m²). Participants will be divided into two groups based on body fat percentage (PBF) assessed by dual-energy X-ray absorptiometry (DXA): the MONW group (PBF ≥ 35.78%) and the Control group (PBF \< 35.78%).

The specific objectives of the study include:

  • Assessment of vascular endothelial function using flow-mediated dilation (FMD) of the brachial artery.
  • Evaluation of asprosin as a novel biomarker in the MONW phenotype.
  • Analysis of biochemical indices including asymmetric dimethylarginine (ADMA) and von Willebrand factor (vWF).
  • Advanced metabolomic profiling to identify metabolic signatures.

Participants will undergo anthropometric measurements, body composition analysis (DXA), and blood sampling for biochemical and hormonal analyses. The study aims to develop predictive models for early cardiovascular risk detection in normal-weight individuals.

Read the detailed description

Study Design and Population:

This is a longitudinal observational study involving 176 healthy women aged 18-35 years. The primary aim is to identify diagnostic markers for Metabolically Obese Normal Weight (MONW) individuals. Recruitment is conducted via digital prescreening and university networks. Eligible participants must have a normal BMI (18.5-24.9 kg/m²) and stable body weight.

Group Allocation:

Participants will be divided into two groups based on Body Fat Percentage (PBF) assessed by Dual-Energy X-ray Absorptiometry (DXA):

  1. MONW Group: BMI \< 25 kg/m² and PBF ≥ 35.78% (threshold derived from pilot population studies).
  2. Control Group: BMI \< 25 kg/m² and PBF \< 35.78%.

Study Procedures:

The study involves a baseline visit and a follow-up visit after 12 months.

  1. Standardization: Visits are scheduled during the early follicular phase of the menstrual cycle (days 3-7) to minimize hormonal variability affecting endothelial function. Participants must fast for at least 12 hours and abstain from caffeine, smoking, and strenuous exercise for 24 hours prior.
  2. Anthropometry and Body Composition: Height, weight, and circumferences (waist, hip) are measured. Whole-body composition is analyzed using DXA (Hologic QDR 4500W) to determine total and visceral fat mass.
  3. Endothelial Function Assessment (FMD): Flow-mediated dilation of the brachial artery is measured using high-resolution ultrasound (Alpinion Xcube 90, linear probe L3-12). The protocol includes:

    • 1-minute baseline imaging.
    • 5-minute occlusion (cuff inflation to 250 mmHg).
    • 3-minute continuous post-occlusion imaging to assess peak diameter.
  4. Biochemical Analysis: Fasting blood samples are collected for:

    • Lipid profile (TC, LDL, HDL, TG) and glucose metabolism markers (glucose, insulin, HbA1c).
    • ELISA quantification of specific biomarkers: Asprosin, Asymmetric Dimethylarginine (ADMA), von Willebrand Factor (vWF), and sex hormones (Estradiol, Testosterone, SHBG).
  5. Metabolomics: Targeted and untargeted metabolomic profiling (LC-MS/MS) is performed on a subset of plasma samples to identify metabolic signatures associated with the MONW phenotype.

Data Collection:

Participants also complete standardized questionnaires regarding physical activity (IPAQ) and dietary habits (62-item FFQ-6, KomPAN). All data is pseudonymized and stored on a secured server.

02

Conditions studied

  • Normal Weight Obesity
  • Metabolically Obese Normal Weight
  • Metabolic Syndrome

Keywords

  • Endothelial Dysfunction
  • Metabolic Disorders
  • Visceral Adiposity
  • Flow-Mediated Dilation
  • Metabolomics
  • Asprosin
  • Normal Weight
03

In context

Metabolic Syndrome

2,116 studies on the registry are indexed under Metabolic Syndrome; 347 are open to participants now.

This study's planned enrollment of 176 is below the median of 197 across 496 observational studies indexed under Metabolic Syndrome.

Browse Metabolic Syndrome studies →

Lead sponsor

Pomeranian Medical University Szczecin is the lead sponsor of 69 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Healthy women aged 18-35 years with a normal body weight (BMI \<25 kg/m²) recruited from the West Pomeranian region (Poland).

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

  • Written, to participate in the research.
  • Gender: Female.
  • Age 18-35 years.
  • in the range of 18.5-25 kg/m².

Exclusion criteria

Exclusion Criteria:

  • Thyroid disease.
  • Pregnancy or breastfeeding.
  • Eating disorders.
  • Polycystic ovary syndrome (PCOS).
  • Hormone therapy and/or use of hormonal .
  • Smoking.
  • Metal or silicone implants ( for DXA/body composition accuracy).
  • Vitamin and/or mineral supplementation.
  • Acute and/or chronic illnesses.
  • Type I or II diabetes, dyslipidemia, hypertension.
  • Use of hypolipemic, antihypertensive, antiglycemic, or insulin medications.
Terms in these criteria, in plain language(4)

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.

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.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
176 participants (estimated)
Patient registry
No

Groups and cohorts

  • MONW Group

    Women with normal BMI (\<25 kg/m²) and excessive body fat percentage (PBF ≥ 35.78%).

  • Control Group

    Women with normal BMI (\<25 kg/m²) and normal body fat percentage (PBF \< 35.78%).

06

What researchers measure

Primary outcomes

  1. Brachial Artery Flow-Mediated Dilation (FMD)

    Assessment of vascular endothelial function using high-resolution ultrasound (Alpinion Xcube 90). FMD is calculated as the percentage change in vessel diameter from baseline to peak dilation following 5-minute occlusion cuff release.

    Time frame: Baseline, 12 months

Secondary outcomes

  1. Serum Asprosin Concentration

    Concentration of asprosin measured in serum using the ELISA method (Enzyme-Linked Immunosorbent Assay).

    Time frame: Baseline, 12 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Yes — All individual participant data (IPD) that underlie results in a publication will be shared. This includes anonymized data sets containing: anthropometric measurements (including DXA body composition), vascular endothelial function parameters (FMD), biochemical and hormonal analysis results (including asprosin, ADMA, vWF), metabolomic profiles (LC-MS/MS), and responses from dietary and physical activity questionnaires.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data will be available beginning at the time of publication of the associated article and will be stored for at least 10 years.

Access criteria: Open access without restrictions. Data will be freely available to any researcher or the public for any purpose immediately upon publication.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for May 2027, 8 months later.

Of 149 non-industry observational studies under Metabolic Syndrome, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 106. This study's planned 8 months is below that.

Counting every sponsor, half of 160 studies reached it within 42 months; a quarter within 18 and three quarters within 106.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 14, 2026
First posted
Jan 22, 2026
StartEst.
Sep 2026
Primary completionEst.
May 2027
CompletionEst.
Sep 2029
Last update
Jan 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07358533
Lead sponsor
Pomeranian Medical University Szczecin
Collaborators
National Science Centre, Poland
Responsible party
Waldemar Pluta (Principal Investigator, Pomeranian Medical University Szczecin) — Principal investigator
First posted
Jan 22, 2026
Start date
Sep 2026 (estimated)
Primary completion
May 2027 (estimated)
Completion
Sep 2029 (estimated)
Last update
Jan 23, 2026

Study contacts

Waldemar Pluta, Msc
Contact
waldemar.pluta@pum.edu.pl
+48 91 4800 988
Anna Lubkowska, PhD, Prof.
Contact
anna.lubkowska@pum.edu.pl
+48 91 81 06 261
Waldemar Pluta, Msc
principal investigator · Pomeranian Medical University in Szczecin
Anna Lubkowska, PhD, Prof.
study director · Pomeranian Medical University in Szczecin

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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