[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100648526":3},{"organization":4,"armGroups":7,"interventions":25,"overallOfficials":50,"centralContacts":51,"locations":57,"responsibleParty":71,"collaborators":75,"id":81,"slug":82,"hasResults":83,"nctId":84,"briefTitle":85,"officialTitle":85,"acronym":86,"eligibilityCriteria":87,"healthyVolunteers":83,"sex":88,"minAge":89,"maxAge":90,"enrollmentInfo":91,"targetDuration":50,"studyType":94,"phases":95,"briefSummary":97,"conditions":98,"keywords":101,"overallStatus":112,"whyStopped":50,"lastUpdateSubmitDate":113,"lastUpdatePostDateStruct":114,"startDateStruct":117,"completionDateStruct":119,"leadSponsor":121,"locationsCount":122},{"fullName":5,"class":6},"University of Lisbon","OTHER",[8,15,20],{"label":9,"type":10,"description":11,"interventionNames":12},"Target physiotherapy plus usual care","EXPERIMENTAL","Participants will receive the clinic's standard multidisciplinary obesity care together with a 12-week target physiotherapy program integrating standard urotherapy, bowel-management education, pelvic floor muscle training, diaphragmatic breathing, lumbo-pelvic mobility exercises, stretching and strengthening exercises, supervised physiotherapy sessions, and a structured home exercise program.",[13,14],"Behavioral: Target physiotherapy","Other: Usual obesity care",{"label":16,"type":10,"description":17,"interventionNames":18},"Exercise support intervention plus usual care","Participants will receive the clinic's standard multidisciplinary obesity care together with a 12-week exercise support intervention consisting of supervised exercise sessions and a standardized home-based high-intensity interval training (HIIT) program designed for adolescents with obesity. The intervention reinforces adherence to physical activity recommendations but does not include bladder-bowel dysfunction education or urotherapy.",[19,14],"Behavioral: Exercise support intervention",{"label":21,"type":22,"description":23,"interventionNames":24},"Usual obesity care","ACTIVE_COMPARATOR","Participants will receive the standard multidisciplinary obesity management routinely provided at the Pediatric Outpatient Clinic, including follow-up with a pediatrician, nutritionist, and exercise physiologist, with counseling on healthy eating and physical activity according to routine clinical practice.",[14],[26,38,47],{"type":27,"name":28,"description":29,"armGroupLabels":30,"otherNames":31},"BEHAVIORAL","Target physiotherapy","Participants will receive a 12-week physiotherapy program integrating urotherapy and bowel management. The intervention includes one individual 60-minute session followed by five group sessions delivered every two weeks. The program provides education on bladder and bowel habits, hydration, toileting posture, pelvic floor muscle relaxation and training, diaphragmatic breathing, lumbo-pelvic mobility exercises, stretching, strengthening exercises, and individualized progression according to clinical needs. Participants will also complete a structured home-based exercise program (25-30 minutes, three times per week) and receive telephone support between face-to-face sessions to reinforce adherence.",[9],[32,33,34,35,36,37],"Integrated urotherapy","Pelvic floor physiotherapy","Bladder-bowel rehabilitation","Bowel management","Conservative bladder-bowel management","Non-pharmacological bladder-bowel intervention",{"type":27,"name":39,"description":40,"armGroupLabels":41,"otherNames":42},"Exercise support intervention","Participants will receive a 12-week supervised exercise support program consisting of one initial 60-minute supervised session followed by five 30-minute follow-up sessions every two weeks. The intervention supports adherence to routine physical activity recommendations through supervised practice, exercise progression, and correction of movement technique. Participants will perform a standardized home-based high-intensity interval training (HIIT) program lasting approximately 25-30 minutes, three times per week. The intervention does not include urotherapy or bladder-bowel management education.",[16],[43,44,45,46],"Exercise therapy","High-intensity interval training (HIIT)","Home-based HIIT","Supervised exercise",{"type":6,"name":21,"description":48,"armGroupLabels":49,"otherNames":50},"Participants will continue the standard multidisciplinary obesity treatment routinely delivered at the Pediatric Outpatient Clinic. Standard care includes regular follow-up appointments with a pediatrician, nutritionist, and exercise physiologist approximately every three months, including medical evaluation, nutritional counseling, and individualized physical activity counseling according to routine clinical practice. No targeted bladder-bowel dysfunction treatment will be provided during the intervention period unless clinically indicated.",[16,9,21],null,[52],{"name":53,"role":54,"phone":55,"phoneExt":50,"email":56},"Antonio Videira-Silva, PhD","CONTACT","+351 969172368","antonioascenso@campus.ul.pt",[58],{"facility":59,"status":50,"city":60,"state":50,"zip":50,"country":61,"countryCode":62,"cosmosGeoPoint":63,"geoPoint":68,"contacts":69},"Hospital de Santa Maria, ULS SM","Lisbon","Portugal","PT",{"type":64,"coordinates":65},"Point",[66,67],-9.1498,38.72509,{"lat":67,"lon":66},[70],{"name":53,"role":54,"phone":55,"phoneExt":50,"email":56},{"type":72,"investigatorFullName":73,"investigatorTitle":74,"investigatorAffiliation":5,"oldNameTitle":50,"oldOrganization":50},"PRINCIPAL_INVESTIGATOR","A. Videira-Silva","Professor",[76,79],{"name":77,"class":78},"NOVA Medical School | Faculdade de Ciências Médicas, Universidade Nova de Lisboa","UNKNOWN",{"name":80,"class":78},"CIDEFES - Universidade Lusofona","100648526","target-physiotherapy-versus-exercise-support-intervention-for-bladder-bowel-dysfunction-in-adolescents-with-obesity-100648526",false,"NCT07724158","Target Physiotherapy Versus Exercise Support Intervention for Bladder-bowel Dysfunction in Adolescents With Obesity","OBE-BBD","Inclusion Criteria:\n\n* Male or female adolescents aged 13 to 18 years.\n* Obesity defined as BMI z-score ≥2, according to the WHO growth reference for school-aged children and adolescents.\n* Currently receiving obesity treatment at the Pediatric Outpatient Clinic, Department of Pediatrics, Hospital de Santa Maria, Unidade Local de Saúde de Santa Maria, Lisbon, Portugal.\n* Able to understand the study procedures and comply with study requirements.\n* Written informed consent provided by a parent or legal guardian.\n* Written assent provided by the adolescent.\n\nExclusion Criteria:\n\n* Known neurological disorder affecting bladder or bowel function.\n* Structural urinary tract or gastrointestinal malformation.\n* Previous pelvic surgery affecting urinary or bowel continence.\n* Diabetes mellitus or uncontrolled endocrine or monogenic disorders affecting obesity or bladder\u002Fbowel function.\n* Severe psychiatric disorder requiring immediate specialized treatment and likely to interfere with study participation or adherence.\n* Major orthopedic or musculoskeletal condition preventing safe participation in the exercise intervention.\n* Current participation in another interventional clinical trial.","ALL","13 Years","18 Years",{"count":92,"type":93},237,"ESTIMATED","INTERVENTIONAL",[96],"NA","Bladder and bowel dysfunction (BBD) is a common condition that includes problems such as urinary urgency, daytime urinary incontinence, bedwetting, constipation, or difficulties emptying the bladder or bowel. These symptoms can negatively affect quality of life, emotional well-being, school participation, and social relationships.\n\nAdolescents with obesity may be at a higher risk of developing BBD, but few studies have evaluated effective treatments specifically for this population.\n\nThe OBE-BBD trial is a randomized controlled study designed to evaluate whether two different non-drug interventions can improve bladder and bowel symptoms in adolescents with obesity when added to standard obesity care.\n\nAdolescents aged 13 to 18 years receiving treatment for obesity at the Pediatric Outpatient Clinic of Hospital de Santa Maria (Lisbon, Portugal) will be randomly assigned to one of three groups: (i)Target physiotherapy, consisting of individualized urotherapy and bowel-management education combined with pelvic floor muscle training, breathing exercises, lumbopelvic mobility exercises, stretching, strengthening exercises, and a structured home exercise program; (ii) Exercise support intervention, consisting of supervised physical exercise sessions and a standardized home-based high-intensity interval training (HIIT) program designed for adolescents with obesity; or (iii) Usual care, consisting of the standard multidisciplinary obesity treatment provided at the clinic.\n\nBoth intervention programs will last 12 weeks. Participants will be assessed before the intervention, immediately after the 12-week intervention period, and again 3 months later.\n\nThe main objective is to determine whether either intervention reduces the severity of bladder and bowel dysfunction symptoms compared with usual care. The study will also examine whether the interventions improve urinary symptoms, constipation, urinary tract infections, quality of life, psychological well-being, physical activity, sedentary behavior, sleep, dietary habits, and obesity-related outcomes. In addition, the study will investigate whether changes in lifestyle behaviors and obesity-related measures help explain improvements in bladder and bowel symptoms.\n\nThe results of this study are expected to provide new evidence on effective, non-pharmacological treatment strategies for adolescents with obesity and bladder-bowel dysfunction and may support more comprehensive, multidisciplinary care for this population.",[99,100],"Bladder-Bowel Dysfunction","Obesity & Overweight",[102,103,104,105,106,33,35,107,108,109,110,111],"Adolescent obesity","Bladder-bowel dysfunction","Lower urinary tract symptoms","Functional constipation","Urotherapy","Physical exercise","High-intensity interval training","Conservative treatment","Non-pharmacological intervention","Randomized controlled trial","NOT_YET_RECRUITING","2026-07-21",{"date":115,"type":116},"2026-07-23","ACTUAL",{"date":118,"type":93},"2027-01-04",{"date":120,"type":93},"2028-12-31",{"name":5,"class":6},1]