Calcium Supplementation for a Healthy Weight (CaSHeW) (CaSHeW)
Primary Purpose
Obesity, Overweight
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Orange Juice fortified with Calcium and Vitamin D
Orange juice without Ca or VitD
Nutritional Counseling
Sponsored by

About this trial
This is an interventional treatment trial for Obesity focused on measuring Body Weight, Dietary Supplement, Calcium, Vitamin D
Eligibility Criteria
Inclusion Criteria:
- Men or women, between 18 and 65 years of age, who are capable of providing informed consent.
- BMI of 25 to 35 kg/m2
- Non-smoker (for at least 6 months).
- In good health, as determined by the principal investigator based on medical history and physical examination.
- Clinical laboratory evaluations (including Biochemistry, Hematology, Urinalysis) within the reference range for the test laboratory, unless deemed not clinically significant by the Investigator.
- Because of the calorie-restricted diet and radiation exposure from the CT scan, females will be non-pregnant, non-lactating, and either post-menopausal for at least 1 year, surgically sterile for at least 3 months, or be willing to use an approved method of contraception (which may include use of abstinence; non-hormonal intrauterine device with spermicide; female condom with spermicide; diaphragm with spermicide; cervical cap with spermicide; oral or transdermal hormonal contraceptives; a condom with spermicide by the sexual partner; or a sterile sexual partner) from 35 days prior to study entry (i.e., Day -1) until 30 days following Study Completion. For all females, the pregnancy test result must be negative at the screening visit and at visits when a CT scan will be done.
- Ability to comprehend and willingness to sign the Informed Consent Form for this study.
- Ability to comply with study restrictions regarding diet and exercise
- Stable weight (+ 5%) for at least 3 months prior to study entry.
Exclusion Criteria:
- Diabetes mellitus
- History or clinical manifestations of significant metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, urological, neurological, or psychiatric disorders which in the opinion of the investigator would be expected to interfere with the study or increase risk to the subject.
- Participation in any other investigational diet study within 90 days prior to study entry.
- History of a medical or psychological condition or social circumstances that would impair the subject's ability to participate reliably in the study.
- Use within the last six months of medications that can result in significant weight gain or weight loss, including antipsychotics, selective serotonin reuptake inhibitors, anti-epileptic drugs, appetite-suppressants such as phentermine and sibutramine, and the lipase-inhibitor orlistat.
- Active eating disorder
- History of alcoholism or substance abuse within 5 years prior to study entry.
- Use of a dietary supplement or medication that decreases calcium absorption
- History of kidney stone, hyperparathyroidism or sarcoidosis
- High calcium intake (more than 2 servings of dairy products per day or taking calcium supplements > 3x/wk ) for 1 month prior to study start date and for duration of study. (If participant is taking calcium supplement > 3x/wk or more than 2 servings of dairy products per day, they are eligible to participate if they agree to stop for 1 month prior to study start date and for the duration of the study. Participants will similarly be asked to stop multivitamins as the majority of these supplements contain calcium.)
Sites / Locations
- Massachusetts General Hospital Weight Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
OJ fortified with Ca and VitD
OJ without VitD and Ca
Arm Description
Regular OJ fortified with Calcium (350 mg/8 fluid oz serving) and Vitamin D3 (100 IU/8 fluid oz serving): one 8 fluid oz serving three times/day (treatment) in combination with nutritional counseling
Regular OJ without Calcium or Vitamin D3: one 8 fluid oz serving three times/day (control)
Outcomes
Primary Outcome Measures
Change in body weight
Secondary Outcome Measures
Change in visceral adipose tissue mass
Change in subcutaneous adipose tissue mass
Full Information
NCT ID
NCT01363115
First Posted
May 26, 2011
Last Updated
May 27, 2011
Sponsor
Massachusetts General Hospital
Collaborators
The Beverage Institute for Health & Wellness
1. Study Identification
Unique Protocol Identification Number
NCT01363115
Brief Title
Calcium Supplementation for a Healthy Weight (CaSHeW)
Acronym
CaSHeW
Official Title
Calcium Supplementation for a Healthy Weight (CaSHeW)
Study Type
Interventional
2. Study Status
Record Verification Date
May 2011
Overall Recruitment Status
Completed
Study Start Date
July 2005 (undefined)
Primary Completion Date
October 2006 (Actual)
Study Completion Date
December 2006 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Massachusetts General Hospital
Collaborators
The Beverage Institute for Health & Wellness
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objective of this study is to investigate the effect of calcium (Ca) and vitamin D (D) supplemented orange juice (OJ) on weight loss and visceral fat mass in overweight and obese adults.
Detailed Description
The prevalence of obesity and levels of overweight is rising worldwide. In the United States, 63% of men and 55% of women are now overweight or obese. Recent epidemiological data and clinical trials have shown that a small daily increase in calcium or dairy products may result in annual losses in body weight and body fat. Data from clinical studies suggest that a 1000 mg per day increase in calcium intake is associated with an 8 kg difference in mean body weight and that calcium intake explains about 3% of the variance in body weight.
The objective of this study is to investigate the effect of calcium (Ca) and vitamin D (D) supplemented orange juice (OJ) on weight loss and visceral fat mass in overweight and obese adults.
Otherwise healthy overweight and obese men and women ages 18 to 65 years with a BMI between 25 and 35 kg/m2 will be randomized into one of the following experimental groups (36 in each group):
Regular OJ: one 8 fluid oz serving three times/day (control)
Regular OJ fortified with Calcium (350 mg/8 fluid oz serving) and Vitamin D3 (100 IU/8 fluid oz serving): one 8 fluid oz serving three times/day (treatment)
Subjects will receive either orange juice (OJ) (control) or OJ fortified with calcium and vitamin D3 (treatment) for 16 weeks. The study will involve 6 outpatient study visits to the study center.
Primary endpoint: Change in body weight after 16 weeks Secondary endpoint: Visceral fat change after 16 weeks as measured by single slice CT scan
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Obesity, Overweight
Keywords
Body Weight, Dietary Supplement, Calcium, Vitamin D
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
130 (Actual)
8. Arms, Groups, and Interventions
Arm Title
OJ fortified with Ca and VitD
Arm Type
Experimental
Arm Description
Regular OJ fortified with Calcium (350 mg/8 fluid oz serving) and Vitamin D3 (100 IU/8 fluid oz serving): one 8 fluid oz serving three times/day (treatment) in combination with nutritional counseling
Arm Title
OJ without VitD and Ca
Arm Type
Active Comparator
Arm Description
Regular OJ without Calcium or Vitamin D3: one 8 fluid oz serving three times/day (control)
Intervention Type
Dietary Supplement
Intervention Name(s)
Orange Juice fortified with Calcium and Vitamin D
Other Intervention Name(s)
Minute Maid regular calorie orange juice
Intervention Description
Three 240 mL glasses of orange juice fortified with 350 mg Ca and 100 IU of D per serving
Intervention Type
Dietary Supplement
Intervention Name(s)
Orange juice without Ca or VitD
Other Intervention Name(s)
Minute Maid regular calorie orange juice
Intervention Description
Three 240 mL glasses of orange juice without Ca or VitD
Intervention Type
Behavioral
Intervention Name(s)
Nutritional Counseling
Intervention Description
Individual and group nutritional counseling by a registered dietitian
Primary Outcome Measure Information:
Title
Change in body weight
Time Frame
Baseline and 16 weeks
Secondary Outcome Measure Information:
Title
Change in visceral adipose tissue mass
Time Frame
Baseline and 16 weeks
Title
Change in subcutaneous adipose tissue mass
Time Frame
Baseline and 16 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Men or women, between 18 and 65 years of age, who are capable of providing informed consent.
BMI of 25 to 35 kg/m2
Non-smoker (for at least 6 months).
In good health, as determined by the principal investigator based on medical history and physical examination.
Clinical laboratory evaluations (including Biochemistry, Hematology, Urinalysis) within the reference range for the test laboratory, unless deemed not clinically significant by the Investigator.
Because of the calorie-restricted diet and radiation exposure from the CT scan, females will be non-pregnant, non-lactating, and either post-menopausal for at least 1 year, surgically sterile for at least 3 months, or be willing to use an approved method of contraception (which may include use of abstinence; non-hormonal intrauterine device with spermicide; female condom with spermicide; diaphragm with spermicide; cervical cap with spermicide; oral or transdermal hormonal contraceptives; a condom with spermicide by the sexual partner; or a sterile sexual partner) from 35 days prior to study entry (i.e., Day -1) until 30 days following Study Completion. For all females, the pregnancy test result must be negative at the screening visit and at visits when a CT scan will be done.
Ability to comprehend and willingness to sign the Informed Consent Form for this study.
Ability to comply with study restrictions regarding diet and exercise
Stable weight (+ 5%) for at least 3 months prior to study entry.
Exclusion Criteria:
Diabetes mellitus
History or clinical manifestations of significant metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, urological, neurological, or psychiatric disorders which in the opinion of the investigator would be expected to interfere with the study or increase risk to the subject.
Participation in any other investigational diet study within 90 days prior to study entry.
History of a medical or psychological condition or social circumstances that would impair the subject's ability to participate reliably in the study.
Use within the last six months of medications that can result in significant weight gain or weight loss, including antipsychotics, selective serotonin reuptake inhibitors, anti-epileptic drugs, appetite-suppressants such as phentermine and sibutramine, and the lipase-inhibitor orlistat.
Active eating disorder
History of alcoholism or substance abuse within 5 years prior to study entry.
Use of a dietary supplement or medication that decreases calcium absorption
History of kidney stone, hyperparathyroidism or sarcoidosis
High calcium intake (more than 2 servings of dairy products per day or taking calcium supplements > 3x/wk ) for 1 month prior to study start date and for duration of study. (If participant is taking calcium supplement > 3x/wk or more than 2 servings of dairy products per day, they are eligible to participate if they agree to stop for 1 month prior to study start date and for the duration of the study. Participants will similarly be asked to stop multivitamins as the majority of these supplements contain calcium.)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lee M Kaplan, MD, PhD
Organizational Affiliation
Massachusetts General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Massachusetts General Hospital Weight Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
22170363
Citation
Rosenblum JL, Castro VM, Moore CE, Kaplan LM. Calcium and vitamin D supplementation is associated with decreased abdominal visceral adipose tissue in overweight and obese adults. Am J Clin Nutr. 2012 Jan;95(1):101-8. doi: 10.3945/ajcn.111.019489. Epub 2011 Dec 14.
Results Reference
derived
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Calcium Supplementation for a Healthy Weight (CaSHeW)
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