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RecruitingNCT07725146RapprichTRUpdated Jul 24, 2026

Turkish Validation of the Rapprich Lipedema Symptomatic Assessment Questionnaire

An observational study in Lipedema, sponsored by Marmara University. Recruiting at 2 sites in Turkey (Türkiye). Open to female participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-07-24.

Sponsored by Marmara University · Observational

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
180
Ages
18 Years to 75 Years
Sex
Female
01

Study summary

Lipedema is a chronic disease characterized by abnormal fat accumulation, primarily in the lower extremities, affecting women. This study aims to evaluate the validity and reliability of the Turkish version of the Rapprich Lipedema Symptomatic Assessment Questionnaire, which was originally developed by Rapprich et al. in 2010. Since a validated Turkish version is currently unavailable, this research will provide a standardized tool for clinicians to assess symptomatic severity in Turkish-speaking lipedema patients.

Read the detailed description

This cross-sectional study will involve 180 female participants diagnosed with lipedema (Stages I, II, and III). Participants will be recruited from the Physical Medicine and Rehabilitation clinics of Marmara University and Sultan 2. Abdülhamid Han Training and Research Hospital.

Assessments will include:

  • Demographic data (age, BMI).
  • Physical examinations (waist-hip ratio, limb circumference, and volume calculations).
  • Functional testing (6-minute walk test).
  • The Turkish version of the Rapprich Lipedema Symptomatic Assessment -Questionnaire (15 items scored 0-10).
  • The SF-36 Health Survey for criterion validity.

Statistical analysis will include Cronbach's alpha for internal consistency, Intraclass Correlation Coefficient (ICC) for test-retest reliability (14-day interval), and Exploratory/Confirmatory Factor Analysis for construct validity.

02

Conditions studied

  • Lipedema

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Keywords

  • Lipedema
  • Rapprich Questionnaire
  • Symptom Assessment
  • Turkish
  • Cultural Adaptation
  • Adipose Tissue Diseases
  • Quality of Life
03

In context

Lipedema

85 studies on the registry are indexed under Lipedema; 32 are open to participants now.

This study's planned enrollment of 180 is above the median of 90 across 42 observational studies indexed under Lipedema.

Browse Lipedema studies →

Lead sponsor

Marmara University is the lead sponsor of 599 studies on the registry; 138 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population consists of 180 female patients aged 18 to 75 years diagnosed with Stage I, II, or III lipedema, recruited from the Physical Medicine and Rehabilitation clinics of the participating hospitals.

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

  • Female patients aged 18-75.
  • Diagnosed with lipedema by a clinician.
  • Willingness to participate and sign the form.

Exclusion criteria

Exclusion Criteria:

  • Positive Stemmer sign or presence of advanced-stage lymphedema.
  • Diagnosis of Heart Failure.
  • Chronic Kidney Disease.
  • Pregnancy.
  • > 50 kg/m².
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.

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.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
180 participants (estimated)
Patient registry
No

Groups and cohorts

  • Stage I Lipedema

    60 female patients diagnosed with Stage I lipedema

    Other: Questionnaires · Other: Physical Examination and Functional Testing

  • Stage II Lipedema

    60 female patients diagnosed with Stage II lipedema

    Other: Questionnaires · Other: Physical Examination and Functional Testing

  • Stage III Lipedema

    60 female patients diagnosed with Stage III

    Other: Questionnaires · Other: Physical Examination and Functional Testing

Interventions

  • OtherQuestionnaires

    Turkish version of Rapprich Lipedema Symptomatic Assessment Questionnaire: A 15-item scale used to evaluate the severity of lipedema symptoms (such as pain, tension, tenderness, bruising, and heaviness) on a 0-10 point rating scale. Short Form-36 (SF-36) Health Survey: A widely used, validated scale to assess the general health status and quality of life across eight sub-dimensions, used in this study for criterion validity

  • OtherPhysical Examination and Functional Testing

    * Anthropometric and Vital Measurements: Recording of demographic data (age, height, weight, BMI), as well as arterial blood pressure and pulse rate. * Lipedema-Specific Assessment: Clinical determination of the lipedema stage (Stages I-III) and type (Types I-V). * Morphometric Measurements: Measurement of waist and hip circumferences (for waist-to-hip ratio) and actual leg length. * Lower Extremity Volume Calculation: Circular circumference measurements taken at 4 cm intervals starting from the ankle to calculate the total volume of both lower extremities. * 6-Minute Walk Test (6MWT): A functional test to evaluate the total walking distance and heart rate response, assessing the patient's functional capacity.

06

What researchers measure

Primary outcomes

  1. Internal Consistency (Cronbach's Alpha)

    Evaluation of the internal consistency of the 15-item Turkish Rapprich Lipedema Questionnaire.

    Time frame: At baseline (Day 0).

Secondary outcomes

  1. Test-Retest Reliability (ICC)

    Agreement between two measurements taken 14 days apart in a subgroup of 40 patients.

    Time frame: Baseline and 14 days

  2. Criterion Validity (Correlation with SF-36).

    Correlation between Rapprich questionnaire scores and the 8 sub-dimensions of the SF-36 quality of life scale.

    Time frame: At baseline (Day 0)

07

Study locations

2 of 2 sites recruiting
  • Sultan 2. Abdülhamid Han Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Istanbul, Turkey.
    Istanbul, Kadıköy, Turkey (Türkiye)
    Recruiting
    • Feyza Nur Yücel, Assoc. Prof. · Contactdr.fny28@gmail.com · +905385577059
    • İrem Lazkan, Res. Asst. · Contact+90534 92 63 640
  • Marmara University Pendik Training and Research Hospital, Physical Medicine and Rehabilitation Department, Istanbul, Turkey.
    Istanbul, Pendik 34899, Turkey (Türkiye)
    Recruiting
08

References and documents

Publications

  • Mortada H, Alhithlool AW, AlBattal NZ, Shetty RK, Al-Mekhlafi GA, Hong JP, Alshomer F. Lipedema: Clinical Features, Diagnosis, and Management. Arch Plast Surg. 2025 May 15;52(3):185-196. doi: 10.1055/a-2530-5875. eCollection 2025 May. PubMed 40386000 ↗
  • Amato ACM, Amato FCM, Benitti DA, Dos Santos RV. Translation, cultural adaptation, and validation of a lipedema symptoms questionnaire. J Vasc Bras. 2020 Aug 31;19:e20200049. doi: 10.1590/1677-5449.200049. PubMed 34178078 ↗
  • van la Parra RFD, Deconinck C, Pirson G, Servaes M, Fosseprez P. Lipedema: What we don't know. J Plast Reconstr Aesthet Surg. 2023 Sep;84:302-312. doi: 10.1016/j.bjps.2023.05.056. Epub 2023 May 30. PubMed 37390539 ↗
  • Rapprich S, Dingler A, Podda M. Liposuction is an effective treatment for lipedema-results of a study with 25 patients. J Dtsch Dermatol Ges. 2011 Jan;9(1):33-40. doi: 10.1111/j.1610-0387.2010.07504.x. Epub 2010 Sep 7. English, German. PubMed 21166777 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2026 (actual). Primary completion is estimated for Feb 2027, 6 months after the start.

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

Registered
Jul 21, 2026
First posted
Jul 24, 2026
StartActual
Jul 17, 2026
Primary completionEst.
Feb 15, 2027
CompletionEst.
Mar 15, 2027
Last update
Jul 24, 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 Jul 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07725146
Lead sponsor
Marmara University
Responsible party
Sponsor
First posted
Jul 24, 2026
Start date
Jul 17, 2026
Primary completion
Feb 15, 2027 (estimated)
Completion
Mar 15, 2027 (estimated)
Last update
Jul 24, 2026

Study contacts

Canan Şanal, Assoc. Prof.
Contact
canansanal@hotmail.com
+90 533 138 10 32
M. Selim Eryılmaz, Res. Asst.
Contact
Canan Şanal, Assoc. Prof.
principal investigator · Marmara University Faculty of Medicine

Oversight

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

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