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Food Intake REstriction for Health OUtcome Support and Education (FIREHOUSE) Trial
Bu çalışma, Dünya Ticaret Merkezi'ne (World Trade Center) maruz kalmış itfaiye çalışanlarında düşük kalorili Akdeniz diyeti ile teknoloji destekli izlemenin sağlık üzerindeki etkilerini olağan bakımla karşılaştırıyor. Katılım için 21-90 yaş arası, belgelenmiş maruziyeti olan, akciğer işlevi azalmış ve beden kitle indeksi 27-50 kg/m² arasında olan FDNY kurtarma çalışanları uygundur. Faz uygulanmayan bir çalışma olarak yürütülmüş ve tamamlanmıştır.
Yukarıdaki özet, resmî kaydın sade dile aktarılmış halidir. Orijinal İngilizce başlık referans için gösterilir.
Kriterler ClinicalTrials.gov kaydından orijinal İngilizce haliyle alınmıştır. Uygunluk kararını yalnızca deneyi yürüten ekip verebilir.
Inclusion Criteria: 1. Age 21-90. 2. Born male sex and currently identify as genetic male 3. FDNY rescue and recovery worker. 4. Documented WTC exposure. 5. Enrolled in the FDNY WTC Health Program 6. Subjects are willing and able to consent for themselves to study enrollment 7. Subjects are willing and able to participate in study procedures 8. Are able to perform their activities of daily living independently 9. Are either light duty or retired FDNY Firefighters 10. Have an FEV1 less than the LLN of predicted for age/sex/weight documented at any time after 9/11/2001. 11. Have a BMI\>27 kg/m2 and \<50kg/m2 12. Willing and able to modify their diet and activity level. 13. Subjects who have a spirometry available within the last 36 months, and at their post-9/11 visits at the FDNY 14. Demonstrate minimal proficiency using a smart phone 15. Have means to accommodate transportation to/from in-person visits Exclusion Criteria: 1. Have pre-existing and documented conditions or concurrent diagnoses, including (and not necessarily limited to) active cancer, severe heart disease, significant cognitive impairment, eating disorders, significant psychiatric illness, end-stage COPD, severe pulmonary hypertension, or organ transplant. 2. Concomitant use of interfering medication(s) or devices currently or within the month prior to enrollment, including anti-retrovirals, human monoclonal antibodies, supplemental daytime oxygen, and insulin pumps. 3. Severe gastrointestinal issues or illnesses that would prevent adherence to the proposed diets. 4. Severe kidney disease requiring dialysis 5. Severe liver disease requiring frequent medical intervention 6. Participating in other diet modification studies. 7. High dose steroid (\>20mg prednisone or equivalent) or other hormonal treatments/chemotherapy use in the last month, including testosterone supplementation. 8. Life-expectancy \< 6 months 9. BMI ≥50 kg/m2 or ≤27 kg/m2 10. Recent significant intentional or unintentional weight loss, defined as over 5% reduction in total body weight over the last month. (Blackburn Criteria). 11. Significant or severe alcohol abuse disorder