Effects of pulse incorporation into the diet on components of the metabolic syndrome, body fatness and food habits in women

ISRCTN ISRCTN37849619
DOI https://doi.org/10.1186/ISRCTN37849619
Secondary identifying numbers N/A
Submission date
17/04/2007
Registration date
12/06/2007
Last edited
25/10/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Sylvie Dodin
Scientific

45 rue Leclerc
local D6-721
Québec
G1L 2G1
Canada

Study information

Study designRandomised controlled study design
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeQuality of life
Scientific titleEffects of pulse incorporation into the diet on components of the metabolic syndrome, body fatness and food habits in women
Study hypothesisWe hypothesise that consumption of pulses, which are low in fat and rich in dietary soluble fibres and plant proteins, will lead to beneficial changes in primary components of the metabolic syndrome (waist circumference, blood pressure, fasting plasma triglyceride, High Density Lipoprotein [HDL]-cholesterol, glucose levels and blood pressure), positively modify fatness composition (decrease in body fatness) and will be associated with positive changes in food habits.

The general objective of the randomised clinical trial will be to investigate the short- and long-term effects of incorporation of whole pulses (beans, peas, lentils and chickpeas) into the diet of women on components of the metabolic syndrome and percentage of body fat, as well as changes in dietary habits.

More specifically, we will investigate:
1. The acute short-term effects (16 weeks) of pulse incorporation into the diet on:
1.1. The primary components of the metabolic syndrome (waist circumference, blood pressure and fasting plasma triglyceride, HDL-cholesterol and glucose levels)
1.2. The secondary components of the metabolic syndrome (insulin sensitivity index and insulinaemia, apolipoprotein A1[apo-A1], apolipoprotein B [apo-B], Lipoprotein a [Lp(a)], Low Density Lipoprotein [LDL] size subfractions, fibrinogen, Plasminogen Activator Inhibitor-1 [PAI-1], C-Reactive Protein [CRP], Interleukin-6 [IL-6], Tumour Necrotising Factor-alpha [TNF-a] and homocysteine), and
1.3. The percentage of body fat evaluated by bioelectrical impedance analysis
2. The long-term effects (eight weeks following the end of the dietary intervention) of participating in a dietary clinical trial and receiving nutritional and health information on:
2.1. Changes in women’s dietary habits
2.2. Changes in the foods consumed by their families, and
2.3. Changes in the recommendations they give to their patients
Ethics approval(s)Approval received from the ethical committee of the clinical research of the St-Francois d'Assise Hospital on the 26th October 2006.
ConditionMetabolic syndrome, nutrition
InterventionWomen will be randomly assigned to either an incorporation of pulse or control meals into their diet, which they will consume for a period of 16 weeks. Women will be seen in the clinical unit for a follow-up check at weeks 8, 16 and 24.

During the dietary intervention, both groups will consume five experimental meals per week. Based on the United States Department of Agriculture (USDA) dietary guidelines, pulse meals will be formulated to provide a total of three cups (approximately 600 g) of pulses per week. On a weekly basis, pulse meals will provide the four groups of pulses (beans, peas, lentils and chickpeas) and possibly more than one type of each group. Control meals will be formulated to conform to dietary recommendations of Canada’s Food Guide to Healthy Eating with the exception that pulses will be excluded from these meals. All meals (main dishes) will be formulated as ten rotating meals, repeated eight times.

Experimental and control meals will be formulated to provide the same content of energy on a weekly basis.
Intervention typeOther
Primary outcome measurePrimary outcomes will be evaluated at screening, randomisation and weeks 8, 16 and 24.
1. Lipid profile and glycaemia
2. Waist circumference
Secondary outcome measures1. Plasma levels of apo A-1, apo B and Lp(a) will be measured at randomisation and at week 16
2. LDL particle size will be measured at randomisation and at week 16
3. Plasma haemostatic balance markers: fibrinogen and PAI-1 will be measured at randomisation and at week 16
4. Plasma inflammation mediators: CRP, IL-6 and TNF-a will be measured at randomisation and at week 16
5. Plasma levels of homocysteine will be measured at randomisation and at week 16
6. Insulin sensitivity (Homeostatic Model Assessment version 2 [HOMA2] and Quantitative Insulin Sensitivity Check Index [QUICKI]) will be measured at randomisation and at week 16
7. Blood pressure will be measured at randomisation and each follow-up visit thereafter
8. Anthropometric variables (weight and height) will be measured at randomisation and each follow-up visit thereafter
9. Body composition (fat mass, fat-free mass, percentage of body fat, basal metabolic rate will be assessed by impedance analysis) will be measures at randomisation and each follow-up visit thereafter
10. Dietary habit strength (self-report index of habit strength will be measured at randomisation and at week 24)
11. Eating behaviour (51-item Three-Factor Eating Questionnaire (TFEQ) will be evaluated at baseline and at week 24)
12. Changes in the food consumed by their families (questionnaire related to their food-related activities at home evaluated at week 24)
Overall study start date27/11/2006
Overall study end date01/03/2008

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants132
Total final enrolment134
Participant inclusion criteria1. Women between 30 and 65 years of age
2. Have a minimum of two of the following four metabolic risk factors:
2.1. Waist circumference equal to or higher than 88 cm
2.2. Fasting plasma triglycerides equal to or higher than 1.7 mmol/l
2.3. Fasting plasma HDL-cholesterol lower than 1.3 mmol/l
2.4. Fasting blood glucose equal or higher to 5.5 mmol/l
Participant exclusion criteria1. Personal history of Cardiovascular Disease (CVD) or type two diabetes
2. Uncontrolled hypertension (greater than 140/90 mmHg)
3. Familial hypercholesterolaemia
4. Use of medication that interferes with lipid or glucose metabolism
5. Extreme nutritional habits such vegetarianism
6. Smokers
7. Drink more than two drinks of alcohol per day
8. Have known food allergies
Recruitment start date27/11/2006
Recruitment end date01/03/2008

Locations

Countries of recruitment

  • Canada

Study participating centre

45 rue Leclerc
Québec
G1L 2G1
Canada

Sponsor information

Pulse Canada (Canada)
Industry

1212 - 220 Portage Avenue
Winnipeg
R3C 0A5
Canada

Phone +1 204 925 4455
Email office@pulsecanada.com
Website http://www.pulsecanada.com

Funders

Funder type

Industry

Pulse Canada (Canada)

No information available

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 planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 15/04/2010 25/10/2021 Yes No

Editorial Notes

25/10/2021: The following changes were made to the trial record:
1. Publication reference added.
2. The total final enrolment was added.