Randomized Controlled Pilot Trial of DASH Feeding in Older Low Socioeconomic Adults Without Heart Failure
- Conditions
- Heart Failure With Preserved Ejection FractionHeart Failure
- Interventions
- Other: Usual dietOther: DASH Diet
- Registration Number
- NCT04113291
- Lead Sponsor
- Wake Forest University Health Sciences
- Brief Summary
This is a study of the DASH diet (Dietary Approaches to Stop Hypertension) in the exploration of effective strategies for Heart failure (HF) with preserved ejection fraction (HFPEF) prevention.
- Detailed Description
This is a feasibility pilot, randomized clinical trial (RCT), DASH diet feeding trial in 40 older adults. It will also elicit trends in left ventricular remodeling and pathophysiology. This trial investigates the feasibility of performing a DASH diet RCT intervention in HFPEF prevention in older adults of low socioeconomic status (LSES).
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Participants will have an education level of less than college as a surrogate marker of LSES.
- Participants should not have a diagnosis of heart failure or loop diuretics on their medication list in the EHR or symptoms of dyspnea, edema (assessed via questionnaire)
- poorly controlled diabetes mellitus ( HBA 1c >9%)
- or uncontrolled hypertension ( SBP>180, DBP>110)
- cardiovascular event (MI, stroke, HF, angina, atrial fibrillation) within the previous six months
- chronic diseases that might interfere with participation (dementia, schizophrenia, dialysis or transplant recipient patients)
- body-mass index (the weight in kilograms divided by the square of the height in meters) of more than 35
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Attention Control Group Usual diet Participants randomized to attention control will continue their usual diet, but they will be instructed to limit their sodium intake to 2300 mg/day. They will be requested and voluntarily agree to not make additional diet or exercise changes during the 12-week study. DASH diet group DASH Diet Participants randomized to receive the DASH diet will be prescribed an isocaloric DASH diet using meals (lunch, dinner, snacks) prepared by a Clinical Research Metabolic Kitchen under the direction of a registered dietician. Participants will prepare their own breakfast from a menu. The subjects will be instructed to drink no more than three caffeinated beverages and no more than two alcoholic beverages per day.
- Primary Outcome Measures
Name Time Method Number of enrolled participants per week Up to week 12 Proportion of participants that adhere to the to intervention Up to week 12 Number participants that were retained in the trial Up to week 12
- Secondary Outcome Measures
Name Time Method Proportion of participants that adhere to the diet Up to week 12
Trial Locations
- Locations (1)
Wake Forest University Health Sciences
🇺🇸Winston-Salem, North Carolina, United States