Mechanisms by which fruit and vegetables influence postmenopausal bone health: a randomised controlled trial in a well-characterised population

ISRCTN ISRCTN86186352
DOI https://doi.org/10.1186/ISRCTN86186352
Secondary identifying numbers FSA project number: N05043
Submission date
04/04/2007
Registration date
30/04/2007
Last edited
03/05/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Helen Macdonald
Scientific

Osteoporosis Research Unit
Health Sciences Building
University of Aberdeen
Osteoporosis Research Unit
Foresterhill
Aberdeen
AB25 2ZD
United Kingdom

Phone +44 (0)1224 559001
Email h.macdonald@abdn.ac.uk

Study information

Study designTwo year placebo-controlled randomised trial (double blind for potassium citrate arms and single blind for fruit and vegetable arm).
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typePrevention
Scientific title
Study acronymADAFVT (Aberdeen Dietary Acidity, Fruit and Vegetable Trial)
Study objectivesTo test whether fruit and vegetable intake reduces the acidity of a mixed diet and the requirement of bone for buffering, or provide other dietary components important for bone health.
Ethics approval(s)Grampian Research Ethics Committee on 23/12/2002 (ref: 02/0053).
Health condition(s) or problem(s) studiedLow bone mass/risk of osteoporosis
InterventionMinimisation criteria included key genotypes (vitamin D receptor genotype and Apolipoprotein E genotype, smoking and dietary acidity (calculated from protein to potassium ratio).

Group A: potassium citrate equivalent to 900 g fruit and vegetables (55.5 mEq)
Group B: potassium citrate equivalent to 300 g fruit and vegetables (18.5 mEq)
Group C: 300 g of fruit and vegetables
Group D: placebo

Duration of treatment was two years for each treatment arm.
Intervention typeOther
Primary outcome measure1. Bone turnover markers:
a. serum N-terminal Propeptide of type 1 collagen (P1NP), measured at baseline, 3, 6, 12, 18 and 24 months
b. serum C-terminal telopeptide of type I collagen (CTX), measured at baseline, 3, 6, 12, 18 and 24 months
c. urinary free Deoxypyridinoline cross-links (fDPD), measured at baseline, 3, 6, 12, 18 and 24 months; women also posted a fasted urine sample 6 to 8 weeks after the baseline visit
Secondary outcome measuresBone mineral density change over two years measured by DEXA at baseline and 24 months.
Overall study start date01/03/2003
Completion date01/12/2005

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants260
Key inclusion criteriaWomen aged 55 years to 65 years who had taken part in a longitudinal study (Aberdeen Prospective Osteoporosis Screening Study). Includes:
1. Otherwise healthy women taking other types of diuretics (not potassium sparing diuretics) or hypertension tablets
2. Women on thyroxine treatment provided their thyroid function is stable (as assessed by free Thyroxine [T4] and Thyroid Stimulating Hormone [TSH] levels) and their dose had not changed in the year prior to study entry
Key exclusion criteria1. Suffering from severe disease
2. Malabsorption
3. Having difficulties swallowing tablets/capsules
4. Taking oral corticosteroids
5. On or past bisphosphonate treatment (more than a few weeks)
6. Taking Hormone Replacement Therapy (HRT) in the last six months
7. Less than five years past the menopause
8. Currently taking potassium-sparing diuretics
9. Osteoporosis diagnosed from Dual Energy X-ray Absorptiometry (DEXA) scan at baseline visit
Date of first enrolment01/03/2003
Date of final enrolment01/12/2005

Locations

Countries of recruitment

  • Scotland
  • United Kingdom

Study participating centre

Osteoporosis Research Unit
Aberdeen
AB25 2ZD
United Kingdom

Sponsor information

Food Standards Agency (UK)
Government

Aviation House
125 Kingsway
London
WC2B 6NH
United Kingdom

Email alisdair.wotherspoon@foodstandards.gsi.gov.uk
Website http://www.food.gov.uk
ROR logo "ROR" https://ror.org/05p20a626

Funders

Funder type

Government

Food Standards Agency (UK)
Private sector organisation / Other non-profit organizations
Alternative name(s)
The Food Standards Agency, FSA
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/08/2008 Yes No