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CTRI Number  CTRI/2025/02/080760 [Registered on: 18/02/2025] Trial Registered Prospectively
Last Modified On: 12/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Single Arm Study 
Public Title of Study   Can cold water immersion help people with obesity to lose weight and improve their cholesterol levels 
Scientific Title of Study   Evaluating the impact of cold immersion bath on body composition and lipid profile among grade I and II obese individual  
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr K Pavithra 
Designation  PG Scholar 
Affiliation  International Institute of Yoga and Naturopathy Medical Sciences , Chengalpattu  
Address  184/4,International Institute of Yoga and Naturopathy Medical Sciences, Faculty block(First floor),Branch I -Department of Naturopathy, Kamarajar nagar, Chengalpattu - 603001

Kancheepuram
TAMIL NADU
603001
India 
Phone  9361056080  
Fax    
Email  drpavithramd99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr M Pandiaraja 
Designation  Head of Department - Naturopathy (Incharge) 
Affiliation  International Institute of Yoga and Naturopathy Medical Sciences , Chengalpattu  
Address  184/4,International Institute of Yoga and Naturopathy Medical Sciences, Faculty block(First floor),Branch I -Department of Naturopathy, Kamarajar nagar, Chengalpattu - 603001

Kancheepuram
TAMIL NADU
603001
India 
Phone  9952448729  
Fax    
Email  drpandiarajamuthupandimd@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr M Pandiaraja 
Designation  Head of Department - Naturopathy (Incharge) 
Affiliation  International Institute of Yoga and Naturopathy Medical Sciences , Chengalpattu 
Address  184/4,International Institute of Yoga and Naturopathy Medical Sciences, Faculty block(First floor),Branch I -Department of Naturopathy, Kamarajar nagar, Chengalpattu - 603001

Kancheepuram
TAMIL NADU
603001
India 
Phone  9952448729  
Fax    
Email  drpandiarajamuthupandimd@gmail.com  
 
Source of Monetary or Material Support  
International Institute of Yoga and Naturopathy Medical sciences, Chengalpattu - 603001 
 
Primary Sponsor  
Name  Dr K Pavithra 
Address  International Institute of Yoga and Naturopathy Medical sciences, Chengalpattu - 603001 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr K Pavithra  International Institute of Yoga and Naturopathy Medical sciences  184/4 International Institute of Yoga and Naturopathy Medical Sciences Faculty block First floor Branch I Department of Naturopathy Kamarajar nagar Chengalpattu 603001
Kancheepuram
TAMIL NADU 
9361056080

drpavithramd99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
International Institute of Yoga and Naturopathy Medical Sciences Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E00-E89||Endocrine, nutritional and metabolic diseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Cold immersion bath  The subjects in the group will be given cold immersion bath for the duration of 15 to 20 minutes for 3 days per week for 6 weeks. 
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  Patients with BMI ranges from 30 to 40.Patients who had the ability to tolerate cold temperature. Patients who are willing to participate in the study.  
 
ExclusionCriteria 
Details  Patients with BMI ranges above 40. Patients under any medications for chronic illness. Women during menstruation, pregnancy and lactation. Patients with fever, systemic disorders like respiratory, cardiac, nervous, renal, psychiatric disorders etc. Young children and old age people. Patient who having acute infections and inflammation. Patient who are sensitive to cold temperature.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Body composition assessment, Lipid profile test  6 Weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Anthropometric measurements  Anthropometric measurements -Body Mass Index (BMI), waist circumference & waist-hip ratio for the patients with obesity grade I & II at baseline & after 6 weeks of intervention.  
 
Target Sample Size   Total Sample Size="42"
Sample Size from India="42" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   27/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="2"
Days="2" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [drpavithramd99@gmail.com].

  6. For how long will this data be available start date provided 10-12-2026 and end date provided 15-12-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

 Obesity is defined as the excessive fat accumulation posing health risks, it is a global epidemic and a major risk factor for chronic diseases like heart disease and stroke. It is a complex, chronic disease with genetic, cultural, socioeconomic, and environmental causes, and a leading cause of preventable death. By 2025, the WHO estimates 167 million adults and children will be unhealthy due to overweight or obesity. India ranks third globally in obesity, with 80 million obese individuals and a projected rise in both urban and rural populations. Obesity is diagnosed using Body Mass Index (BMI), calculated from height and weight. A BMI of 25-29.9 is overweight, 30 or above is obese, with further grades of obesity defined by higher BMI ranges. Body composition assessment, dividing body mass into fat mass and fat-free mass, is crucial for diagnosing and managing obesity and related nutritional problems. Obese individuals often exhibit dyslipidemia in their lipid profile.

Naturopathy uses holistic approaches to enhance the body’s natural healing abilities. A key principle is "Vis Medicatrix Naturae," the healing power of nature. Naturopathic treatments include mud therapy, hydrotherapy, magnetotherapy, massage, and other natural therapies. Hydrotherapy, using water in various forms and temperatures is a core component.

Cold immersion bath is one of the hydrotherapy treatment that can be effective for obesity. Cold exposure stimulates thermogenesis, increasing metabolic rate and potentially activating brown adipose tissue (BAT). This activation leads to fat breakdown suggesting brown adipose tissue’s potential in obesity treatment. While cold exposure has shown promise in changing body measurements, lipid profiles, and body composition, the effect of cold immersion bath specifically on these factors in obese individuals hasn’t been studied. Therefore, this study will investigate the effects of cold immersion baths on body composition and lipid profiles in obese individuals.

 
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