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Effect of a Synergistic Food Basket on Metabolic Syndrome Risk

Primary Purpose

Metabolic Syndrome, Insulin Resistance

Status
Completed
Phase
Not Applicable
Locations
Sweden
Study Type
Interventional
Intervention
Synergistic food basket
Sponsored by
Lund University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Metabolic Syndrome focused on measuring Cardiometabolic risk, Metabolic syndrome, Prebiotics, Legumes, Wholegrain cereal, Functional diet, Low glycemic index diet

Eligibility Criteria

50 Years - 70 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • BMI between 25 and 32 kg/m2

Exclusion Criteria:

  • Fasting blood glucose > 6.1 mmol/L
  • Medication for high blood pressure and/or elevated blood cholesterol

Sites / Locations

  • Antidiabetic Food Centre, Chemical Centre. Lund University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Active Diet

Control diet

Arm Description

Subjects eat a diet designed according to the Nordic Dietary Recommendations containing important amounts of specific legume and cereal ingredients that provide substrates for the intestinal microflora (prebiotics)

Subjects eat a diet designed according to the Nordic Dietary Recommendations but lacks the specific legume and cereal ingredients that provide substrates for the intestinal microflora (prebiotics).

Outcomes

Primary Outcome Measures

Change from baseline in LDL cholesterol after each dietary period

Secondary Outcome Measures

Change from baseline in LDL-cholesterol/HDL-cholesterol after each dietary period
Change from baseline in fasting plasma triglycerides after each dietary period
Change from baseline in fasting CRP after each dietary period
Change from baseline in fasting plasma PYY after each dietary period
Satiety signalling hormone PYY
Change from baseline in fasting plasma insulin after each dietary period
Change from baseline in fasting plasma glucose after each dietary period
Change from baseline in fasting plasma PAI-1 after each dietary period
Change from baseline in BMI after each dietary period
Body Mass Index
Change from baseline in blood pressure after each dietary period
Change from baseline in HOMA-IR after each dietary period
Change from baseline in waist circumference after each dietary period

Full Information

First Posted
January 31, 2012
Last Updated
May 22, 2014
Sponsor
Lund University
Collaborators
Anti-Diabetic Food Centre
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1. Study Identification

Unique Protocol Identification Number
NCT01527253
Brief Title
Effect of a Synergistic Food Basket on Metabolic Syndrome Risk
Official Title
Effects of a Synergistic Food Basket on Markers of Metabolic Syndrome Risk in Healthy Mature Women
Study Type
Interventional

2. Study Status

Record Verification Date
May 2014
Overall Recruitment Status
Completed
Study Start Date
September 2011 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
December 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Lund University
Collaborators
Anti-Diabetic Food Centre

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study evaluates the effect of a diet combining two different functional concepts on markers associated to cardiometabolic risk. The functional concepts are selected on the basis of their reported ability to influence the inflammatory tonus. It is hypothesized that the medium-term consumption of a diet combining low GI-prebiotic foods may positively influence various biomarkers associated with the risk for developing metabolic syndrome and cardiometabolic disease. Also, the combination of functional mechanisms are expected to result in synergistic effects.
Detailed Description
The intervention is carried out in healthy women following a randomized crossover design in which an "active" (functional") diet is compared with a control diet formulated in agreement with the Nordic Dietary Recommendations but lacking the functional ingredients of the active regime. The active diet supplies important daily amounts of dried legumes and wholegrain cereal products. Each dietary treatment is applied for 4 weeks separated by a 4-6 week washout period. Subjects are encouraged to maintain a stable body weight under the whole trial.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metabolic Syndrome, Insulin Resistance
Keywords
Cardiometabolic risk, Metabolic syndrome, Prebiotics, Legumes, Wholegrain cereal, Functional diet, Low glycemic index diet

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
52 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Active Diet
Arm Type
Experimental
Arm Description
Subjects eat a diet designed according to the Nordic Dietary Recommendations containing important amounts of specific legume and cereal ingredients that provide substrates for the intestinal microflora (prebiotics)
Arm Title
Control diet
Arm Type
Experimental
Arm Description
Subjects eat a diet designed according to the Nordic Dietary Recommendations but lacks the specific legume and cereal ingredients that provide substrates for the intestinal microflora (prebiotics).
Intervention Type
Other
Intervention Name(s)
Synergistic food basket
Intervention Description
A low glycemic index diet enriched in dried legumes and wholegrain cereals is compared with a control regime lacking these functional ingredients for their ability to ameliorate different markers associated with the risk for developing cardiometabolic disease
Primary Outcome Measure Information:
Title
Change from baseline in LDL cholesterol after each dietary period
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Secondary Outcome Measure Information:
Title
Change from baseline in LDL-cholesterol/HDL-cholesterol after each dietary period
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Title
Change from baseline in fasting plasma triglycerides after each dietary period
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Title
Change from baseline in fasting CRP after each dietary period
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Title
Change from baseline in fasting plasma PYY after each dietary period
Description
Satiety signalling hormone PYY
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Title
Change from baseline in fasting plasma insulin after each dietary period
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Title
Change from baseline in fasting plasma glucose after each dietary period
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Title
Change from baseline in fasting plasma PAI-1 after each dietary period
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Title
Change from baseline in BMI after each dietary period
Description
Body Mass Index
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Title
Change from baseline in blood pressure after each dietary period
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Title
Change from baseline in HOMA-IR after each dietary period
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)
Title
Change from baseline in waist circumference after each dietary period
Time Frame
Week 0 and after 4 weeks (Start and End of the intervention arm)

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: BMI between 25 and 32 kg/m2 Exclusion Criteria: Fasting blood glucose > 6.1 mmol/L Medication for high blood pressure and/or elevated blood cholesterol
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Inger Björck, PhD Prof.
Organizational Affiliation
Antidiabetic Food Centre, Lund University
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Juscelino Tovar, PhD
Organizational Affiliation
Antidiabetic Food Centre, Lund University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Anne Nilsson, PhD
Organizational Affiliation
Lund University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Maria Johansson, PhD
Organizational Affiliation
Antidiabetic Food Centre, Lund University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Antidiabetic Food Centre, Chemical Centre. Lund University
City
Lund
State/Province
Skane
ZIP/Postal Code
221 00
Country
Sweden

12. IPD Sharing Statement

Citations:
PubMed Identifier
17522615
Citation
Nilsson A, Ostman E, Preston T, Bjorck I. Effects of GI vs content of cereal fibre of the evening meal on glucose tolerance at a subsequent standardized breakfast. Eur J Clin Nutr. 2008 Jun;62(6):712-20. doi: 10.1038/sj.ejcn.1602784. Epub 2007 May 23.
Results Reference
background
PubMed Identifier
18356328
Citation
Nilsson AC, Ostman EM, Holst JJ, Bjorck IM. Including indigestible carbohydrates in the evening meal of healthy subjects improves glucose tolerance, lowers inflammatory markers, and increases satiety after a subsequent standardized breakfast. J Nutr. 2008 Apr;138(4):732-9. doi: 10.1093/jn/138.4.732.
Results Reference
background
PubMed Identifier
18326603
Citation
Nilsson AC, Ostman EM, Granfeldt Y, Bjorck IM. Effect of cereal test breakfasts differing in glycemic index and content of indigestible carbohydrates on daylong glucose tolerance in healthy subjects. Am J Clin Nutr. 2008 Mar;87(3):645-54. doi: 10.1093/ajcn/87.3.645.
Results Reference
background
PubMed Identifier
10197565
Citation
Liljeberg HG, Akerberg AK, Bjorck IM. Effect of the glycemic index and content of indigestible carbohydrates of cereal-based breakfast meals on glucose tolerance at lunch in healthy subjects. Am J Clin Nutr. 1999 Apr;69(4):647-55. doi: 10.1093/ajcn/69.4.647.
Results Reference
background
PubMed Identifier
24063257
Citation
Tovar J, Nilsson A, Johansson M, Bjorck I. Combining functional features of whole-grain barley and legumes for dietary reduction of cardiometabolic risk: a randomised cross-over intervention in mature women. Br J Nutr. 2014 Feb;111(4):706-14. doi: 10.1017/S000711451300305X. Epub 2013 Sep 24.
Results Reference
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Effect of a Synergistic Food Basket on Metabolic Syndrome Risk

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