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Randomized Controlled Pilot Trial of DASH Feeding in Older Low Socioeconomic Adults Without Heart Failure

Not Applicable
Withdrawn
Conditions
Heart Failure With Preserved Ejection Fraction
Heart Failure
Interventions
Other: Usual diet
Other: 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WITHDRAWN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
Inclusion Criteria
  • Participants will have an education level of less than college as a surrogate marker of LSES.
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Exclusion Criteria
  • 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
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Attention Control GroupUsual dietParticipants 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 groupDASH DietParticipants 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
NameTimeMethod
Number of enrolled participants per weekUp to week 12
Proportion of participants that adhere to the to interventionUp to week 12
Number participants that were retained in the trialUp to week 12
Secondary Outcome Measures
NameTimeMethod
Proportion of participants that adhere to the dietUp to week 12

Trial Locations

Locations (1)

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

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