Effects of hypocaloric diets at different glucose load on endothelial function and glycaemic variability in adult obese subjects with increased cardiovascular risk

ISRCTN ISRCTN56834511
DOI https://doi.org/10.1186/ISRCTN56834511
Secondary identifying numbers 03/2009
Submission date
26/11/2010
Registration date
16/12/2010
Last edited
09/01/2014
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

Prof Silvio Buscemi
Scientific

Department of Internal Medicine, Cardiovascular and Kidney Diseases
Via del Vespro, 129
Palermo
90127
Italy

Email silbus@tin.it

Study information

Study designLongitudinal open label randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details below to request a patient information sheet
Scientific titleEffects of hypocaloric diets at different glucose load on endothelial function and glycaemic variability in adult obese subjects with increased cardiovascular risk: a longitudinal, open-label, randomised controlled trial
Study hypothesisDifferent glycaemic index/glucose load nutritional aproaches to obesity, as well as weight loss per se, may have a different impact on endothelial function and on glycaemic homeostasis, two factors influencing both cardiovascular and diabetes risk.
Ethics approval(s)Investigator Revisory Board of the University of Palermo approved on 12th February 2009 (ref. ORPA07R2ZF)
ConditionCardiovascular and metabolic diseases; clinical nutrition
InterventionParticipants will be randomly assigned respectively to a hypocaloric low or high glucose-load diet. Both diet will have similar macronutrient composition. After three months of dieting participants will follow a similar body weight maintainance dietary treatment for 9 months.
Intervention typeOther
Primary outcome measure1. Endothelial function, measured as "flow mediated dilation"
2. Glycaemic variability, measured by the subcutaneous continuous glucose monitoring method

These measurements will be obtained three times, respectively before (0 months), after hypocaloric diet (3 months) and body weight maintenance periods (12 months).
Secondary outcome measures1. Traditional anthropometric, metabolic and cardiovascular risk factors
2. Intra-renal haemodynamic measurements (resistance and pulsatility indexes)
3. Carotid intima-media thickness

These measurements will be obtained three times, respectively before (0 months), after hypocaloric diet (3 months) and body weight maintenance periods (12 months).
Overall study start date01/11/2010
Overall study end date01/01/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants80 subjects; the primary outcome "glycaemic variability" will be measured in only 30% of participants (about 24 subjects)
Participant inclusion criteria1. Male and female subjects
2. Range of age 18 - 60 years
3. Range of body mass index (BMI) 28 - 39.9 kg/m^2
4. Presence of at least one of the diagnostic criteria of the metabolic syndrome:
4.1. Waist circumference greater than 80 cm for women and 94 cm for men
4.2. Triglycerides greater than 150 mg/dl or use of lowering blood lipid drugs
4.3. High density lipoproteins (HDL)-cholesterol less than 50 mg/dl for women or 40 mg/dl for men
4.4. Blood pressure greater than 130 mmHg for systolic or greater than 85 mmHg for diastolic blood pressure
4.5. Fasting plasma glucose greater than 100 mg/dl
Participant exclusion criteria1. Type 1 or 2 diabetes
2. Gastro-intestinal, connective diseases
3. Chronic pancreatitis, liver cirrhosis, kidney stones, renal failure
4. Use of acetyl-salicylic acid (ASA), other antiplatelet drugs, statins, oral hypoglycemic drugs, nitrates, non-steroidal anti-inflammatory drugs (NSAIDS), corticosteroids, drugs interfering with coagulation, supplements with vitamins and anti-oxidants
5. Pregnancy or lactation in the last six months
6. Regular sport activity
7. Denial of informed consent
Recruitment start date01/11/2010
Recruitment end date01/01/2012

Locations

Countries of recruitment

  • Italy

Study participating centre

Department of Internal Medicine, Cardiovascular and Kidney Diseases
Palermo
90127
Italy

Sponsor information

University of Palermo (Italy)
University/education

Department of Internal Medicine, Cardiovascular and Kidney Diseases
Via del Vespro, 129
Palermo
90127
Italy

Email silbus@tin.it
Website http://portale.unipa.it/
ROR logo "ROR" https://ror.org/044k9ta02

Funders

Funder type

Government

Ministry of Education and Research (Ministero dell'Università e della Ricerca [MURST]) (Italy)
Government organisation / National government
Alternative name(s)
Министерство образования и науки, Ministry of Education and Research, HM
Location
Estonia
Onlus: Nutrition and Health (Associazione Onlus: Nutrizione e Salute) (Italy)

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 plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/06/2013 Yes No