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Effects of Personalized Dietary Advice on Health Status of Diabetes Type 2 Patients (PDA(4)T2D)

Primary Purpose

Diabetes Mellitus, Type 2

Status
Completed
Phase
Not Applicable
Locations
Netherlands
Study Type
Interventional
Intervention
Personalized Dietary Advice Services
Regular care
Sponsored by
TNO
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type 2 focused on measuring dietary services, personalized advice, biological markers

Eligibility Criteria

30 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age 30-80 years;
  • Stable BMI 25-35 kg/m2
  • Diabetes type 2 as diagnosed by the General Practitioner (GP), based upon:
  • Fasting glucose > 6.9 mmol/l on two different days or one measurement of non-fasting glucose > 11.0 mmol/l in combination with symptoms of hyperglycemia
  • Healthy as assessed by the health and lifestyle questionnaire (P9607 F02; in Dutch);
  • Voluntary participation;
  • Informed consent signed;
  • Willing to comply with the study procedures;
  • Willingness to share pseudonymized data on food intake with external party MijnEetmeter (food intake app provider)
  • Willingness to share pseudonymized data on physical activity with external party Medisana (provider of activity tracker)
  • Willingness to share pseudonymized data on food intake, blood glucose, blood cholesterol, blood pressure, physical activity and body weight with the Nutrition Research Cohort (NRC) database
  • Willing to accept use of all nameless data, including publication, and the confidential use and storage of all data for 15 years.
  • Have a desktop or laptop with internet access at home.

Exclusion Criteria:

  • Use of concomitant medication including medication known for its effects the main study parameters, except for medication for diabetes type 2, cholesterol or blood pressure;
  • Use of insulin or Sulfonyl Urea derivatives;
  • Slow onset type 1 diabetes;
  • Diabetes occurring after several attacks of pancreatitis known as pancreatic diabetes;
  • (Having a history of a) medical condition that might significantly affect the study outcome as judged by the medical investigator and health and life style questionnaire. This includes diabetes type 1, gastrointestinal dysfunction, diseases related to inflammation or allergy, or a psychiatric disorder;
  • Following a medically prescribed diet, other than dietary advice for diabetes type 2;
  • Use of nutritional supplements that could influence the study outcome, including vitamin supplements, fish oil and/or omega fatty acids;
  • Physical, mental or practical limitations in using computers;
  • Alcohol consumption > 21 (women) - 28 (men) units/week;
  • Reported unexplained weight loss or gain of > 2 kg in the month prior to the pre-study screening;
  • Recent blood donation (< 1 month prior to the start of the study);
  • Not willing to give up blood donation during the study;
  • Not having a general practitioner;
  • Personnel of TNO in Zeist and Soesterberg and their partners.
  • Not willing to accept information-transfer concerning study participation, or health-related information, like laboratory results, findings at anamnesis or physical examination and eventual adverse events to and from the participant's general practitioner.

Sites / Locations

  • Diëtistenpraktijk Sylvia van Daalen
  • Netherlands Organisation for Applied Scientific Research (TNO)
  • Diëtistenpraktijk Verhoeven & Bac
  • independent practice Willy Gilbert
  • Diëtistenpraktijk Jansen-Sloot
  • Diëtistenpraktijk Care & Cure
  • Diëtistenpraktijk MirjaM - Leefstijl & Dieet
  • Diëtistenpraktijk Dieetistopsport

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Personalized advice

Regular care

Arm Description

Dietitian provides Personalized dietary advice (based on genetic, blood and food intake profiles) (the type of advice is the intervention)

Dietitian provides regular care for diabetes type 2 (regular advice is the control condition)

Outcomes

Primary Outcome Measures

change in fasting plasma glucose
blood glucose levels after an overnight fast (not eating or drinking for at least 8 hours)
change in HbA1c levels
representing change in long-term blood glucose levels
change in fasting insulin levels
blood insulin levels after an overnight fast (not eating or drinking for at least 8 hours)

Secondary Outcome Measures

change in body weight
also used for calculation of body mass index (BMI)
change in waist-to-hip ratio
ratio between waist and hip circumference as measured by the dietitian
change in blood pressure
as measured by the dietitian
change in subjective quality of life as assessed with RAND-36 questionnaire
change in vitality as assessed with a vitality questionnaire (Vita-16)
change in physical activity as assessed with a physical activity questionnaire
user experiences with personalized dietary advice services as assessed with a questionnaire
change in blood cholesterol levels
change in total cholesterol as well as HDL, LDL and triglyceride levels
change in biomarkers for food intake
change in blood levels representing food intake
change in levels of non-esterified fatty acids in blood
20 nutrition-related SNPs (single nucleotide polymorphisms)
Genetic state

Full Information

First Posted
February 24, 2015
Last Updated
January 10, 2016
Sponsor
TNO
Collaborators
Vitas, SwissAnalysis
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1. Study Identification

Unique Protocol Identification Number
NCT02381119
Brief Title
Effects of Personalized Dietary Advice on Health Status of Diabetes Type 2 Patients
Acronym
PDA(4)T2D
Official Title
The Personalized Dietary Advice Services: Effects of Use by the Dietician on Health Status of Diabetes Type 2 Patients
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
May 2015 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
TNO
Collaborators
Vitas, SwissAnalysis

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study addresses the challenge of increasing compliance with dietary recommendations and guidelines among diabetes type 2 patients by introducing professional dietary advice based on individual requirements. The objective of this study is to assess the effect of the Personalized Dietary Advice Services (PDAS) after a three month intervention on established markers of nutritional and health status in diabetes type 2 patients (HbA1c, glucose, insulin). Besides, the effect of the PDAS on perceived health status of diabetes type 2 patients will be assessed.
Detailed Description
This study will be a randomized control trial studying the effect of personalized dietary advice services on established markers of nutrition and health status of diabetes type 2 patients. This dietary advice will be based on individual genetic, blood and food intake profiles, which will be measured at the start of the study. The dietitian will provide this personalized dietary advice, during the regular patient visits. In the control group, the dietitian will give the regular dietary advice. The study will start with a run-in period of two weeks, during which baseline measures will be done. After the run-in period, the three-month study will start with a first dietary consult during which the dietitian will use the personalized dietary advice services for providing dietary advice in the experimental group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Mellitus, Type 2
Keywords
dietary services, personalized advice, biological markers

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Personalized advice
Arm Type
Experimental
Arm Description
Dietitian provides Personalized dietary advice (based on genetic, blood and food intake profiles) (the type of advice is the intervention)
Arm Title
Regular care
Arm Type
Active Comparator
Arm Description
Dietitian provides regular care for diabetes type 2 (regular advice is the control condition)
Intervention Type
Behavioral
Intervention Name(s)
Personalized Dietary Advice Services
Other Intervention Name(s)
Algorithms for personalized dietary advice, Food4Me algorithms, Dietary advice based on individual health status
Intervention Description
This Personalized Dietary Advice is based on markers for nutrition status and SNPs (single nucleotide polymorphisms). This advice is given via Personalized Dietary Advice Services, in which health data of the client can be entered and will be translated into advice on intake of specific nutrients or food categories.
Intervention Type
Behavioral
Intervention Name(s)
Regular care
Intervention Description
The control group will receive usual advice for diabetes type 2 from the dietician. However, after the end of the study participants in the control group will be offered the opportunity to receive the Personalized Dietary Advice from their dietician, as based on the parameters measured during the study.
Primary Outcome Measure Information:
Title
change in fasting plasma glucose
Description
blood glucose levels after an overnight fast (not eating or drinking for at least 8 hours)
Time Frame
week -2 (run-in period) and week 13 (end of study)
Title
change in HbA1c levels
Description
representing change in long-term blood glucose levels
Time Frame
week -2 (run-in period) and week 13 (end of study)
Title
change in fasting insulin levels
Description
blood insulin levels after an overnight fast (not eating or drinking for at least 8 hours)
Time Frame
week -2 (run-in period) and week 13 (end of study)
Secondary Outcome Measure Information:
Title
change in body weight
Description
also used for calculation of body mass index (BMI)
Time Frame
week -2 (run-in period), week 0, week 4, week 8 and week 13 (end of study)
Title
change in waist-to-hip ratio
Description
ratio between waist and hip circumference as measured by the dietitian
Time Frame
week -2 (run-in period), week 0, week 4, week 8 and week 13 (end of study)
Title
change in blood pressure
Description
as measured by the dietitian
Time Frame
week -2 (run-in period), week 0, week 4, week 8 and week 13 (end of study)
Title
change in subjective quality of life as assessed with RAND-36 questionnaire
Time Frame
week 0 (baseline) and week 13 (end of study)
Title
change in vitality as assessed with a vitality questionnaire (Vita-16)
Time Frame
week 0 (baseline) and week 13 (end of study)
Title
change in physical activity as assessed with a physical activity questionnaire
Time Frame
week 0 (baseline) and week 13 (end of study)
Title
user experiences with personalized dietary advice services as assessed with a questionnaire
Time Frame
week 13 (end of study)
Title
change in blood cholesterol levels
Description
change in total cholesterol as well as HDL, LDL and triglyceride levels
Time Frame
week 0 (baseline), week 4, week 8 and week 13 (end of study)
Title
change in biomarkers for food intake
Description
change in blood levels representing food intake
Time Frame
week -2 (run-in period) and week 13 (end of study)
Title
change in levels of non-esterified fatty acids in blood
Time Frame
week -2 (run-in period) and week 13 (end of study)
Title
20 nutrition-related SNPs (single nucleotide polymorphisms)
Description
Genetic state
Time Frame
week -2 (run-in period)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 30-80 years; Stable BMI 25-35 kg/m2 Diabetes type 2 as diagnosed by the General Practitioner (GP), based upon: Fasting glucose > 6.9 mmol/l on two different days or one measurement of non-fasting glucose > 11.0 mmol/l in combination with symptoms of hyperglycemia Healthy as assessed by the health and lifestyle questionnaire (P9607 F02; in Dutch); Voluntary participation; Informed consent signed; Willing to comply with the study procedures; Willingness to share pseudonymized data on food intake with external party MijnEetmeter (food intake app provider) Willingness to share pseudonymized data on physical activity with external party Medisana (provider of activity tracker) Willingness to share pseudonymized data on food intake, blood glucose, blood cholesterol, blood pressure, physical activity and body weight with the Nutrition Research Cohort (NRC) database Willing to accept use of all nameless data, including publication, and the confidential use and storage of all data for 15 years. Have a desktop or laptop with internet access at home. Exclusion Criteria: Use of concomitant medication including medication known for its effects the main study parameters, except for medication for diabetes type 2, cholesterol or blood pressure; Use of insulin or Sulfonyl Urea derivatives; Slow onset type 1 diabetes; Diabetes occurring after several attacks of pancreatitis known as pancreatic diabetes; (Having a history of a) medical condition that might significantly affect the study outcome as judged by the medical investigator and health and life style questionnaire. This includes diabetes type 1, gastrointestinal dysfunction, diseases related to inflammation or allergy, or a psychiatric disorder; Following a medically prescribed diet, other than dietary advice for diabetes type 2; Use of nutritional supplements that could influence the study outcome, including vitamin supplements, fish oil and/or omega fatty acids; Physical, mental or practical limitations in using computers; Alcohol consumption > 21 (women) - 28 (men) units/week; Reported unexplained weight loss or gain of > 2 kg in the month prior to the pre-study screening; Recent blood donation (< 1 month prior to the start of the study); Not willing to give up blood donation during the study; Not having a general practitioner; Personnel of TNO in Zeist and Soesterberg and their partners. Not willing to accept information-transfer concerning study participation, or health-related information, like laboratory results, findings at anamnesis or physical examination and eventual adverse events to and from the participant's general practitioner.
Facility Information:
Facility Name
Diëtistenpraktijk Sylvia van Daalen
City
Arnhem
State/Province
Gelderland
ZIP/Postal Code
6825 AN
Country
Netherlands
Facility Name
Netherlands Organisation for Applied Scientific Research (TNO)
City
Zeist
State/Province
Utrecht
ZIP/Postal Code
3704 HE
Country
Netherlands
Facility Name
Diëtistenpraktijk Verhoeven & Bac
City
Barendrecht
State/Province
Zuid-Holland
Country
Netherlands
Facility Name
independent practice Willy Gilbert
City
Dordrecht
State/Province
Zuid-Holland
Country
Netherlands
Facility Name
Diëtistenpraktijk Jansen-Sloot
City
Gorinchem
State/Province
Zuid-Holland
Country
Netherlands
Facility Name
Diëtistenpraktijk Care & Cure
City
Hillegom
State/Province
Zuid-Holland
ZIP/Postal Code
2182 CA
Country
Netherlands
Facility Name
Diëtistenpraktijk MirjaM - Leefstijl & Dieet
City
Sassenheim
State/Province
Zuid-Holland
ZIP/Postal Code
2172 HC
Country
Netherlands
Facility Name
Diëtistenpraktijk Dieetistopsport
City
Zoetermeer
State/Province
Zuid-Holland
ZIP/Postal Code
2717 TK
Country
Netherlands

12. IPD Sharing Statement

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Effects of Personalized Dietary Advice on Health Status of Diabetes Type 2 Patients

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