Plant-based Nutrition for Patients With Cardiovascular Risk Factors - a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Metabolic Syndrome
- Sponsor
- Charite University, Berlin, Germany
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Change of baseline Composite Score for Metabolic Syndrom (Standardizing Physiological Composite Risk Endpoints (SCORE)) at 2 months
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Plant-based nutrition may have positive effects on chronic diseases such as cardiovascular or metabolic disorders. This study investigates the effects of a 8 week plant-based diet for patients with metabolic syndrom and cardiovascular risk factors.
Investigators
Andreas Michalsen
Prof. Dr. med.
Charite University, Berlin, Germany
Eligibility Criteria
Inclusion Criteria
- •Blood pressure \> 140 mmHg systolic and/or \> 90 mmHg diastolic, in case of medication also increased values \> 140 mmHg systolic and/or \> 90 mmHg diastolic needed
- •Adipositas with a waist circumference of \> 94 cm in men and \> 80 cm in women
- •A non-vegetarian diet in the past 6 months (at least 4x meat and/or meat products per week, at least 5x dairy products per week)
- •No fasting, no specific diet or change of diet in the last 2 months
- •Weight stable over the last two months (+- 3 kg)
- •Medication unchanged for at least one month
- •No fasting, no change of diet in the last 2 months
Exclusion Criteria
- •Poor general condition
- •Coronary heart disease
- •Diabetes mellitus Type I
- •Cerebrovascular diseases
- •Severe mental illness
- •Severe acute or chronic comorbidity
- •Pregnancy and lactation or planned pregnancy in the next 6 months
- •Eating disorder
- •Max. 2 beers 0,5l or 2 wines 0,2l per day
- •No alcohol abstinence 48 hours before blood samples possible
Outcomes
Primary Outcomes
Change of baseline Composite Score for Metabolic Syndrom (Standardizing Physiological Composite Risk Endpoints (SCORE)) at 2 months
Time Frame: Date of inclusion (baseline), after 8 weeks
Composite score including waist wircumference, blood pressure, fasting blood glucose, tryglycerids, HDL-cholesterin Range 0-100, lower score meaning a better outcome
Secondary Outcomes
- Bio-electrical Impedance Analysis (BIA)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Change from baseline systolic blood pressure at 2 months(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Blood lipids(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Ferritin (µg/l)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Holotranscobalamin (pmol/L)(Date of inclusion (baseline), after 16 weeks)
- Quality of Life questionnaire (WHO-5)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- General Self-efficacy Short Scale (ASKU)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Body Mass Index (kg/m2)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Bio-electrical Impedance analysis (BIA)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Fructosamin (µmol/l)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Liver enzymes(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Folic acid (ng/ml)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Complete Blood Count(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Trimethylamine N-oxide (mg/dl)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Change from baseline diastolic blood pressure at 2 months(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Fasting glucose (mmol/l)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Glycated hemoglobin (HbA1c) (%)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Uric Acid (mg/dl)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Stress questionnaire (Cohen Perceived Stress Scale, CPSS)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Waist circumference (cm)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Flourishing Scale (FS-D)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Insulin (µU/ml)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Homeostatic model assessment (HOMA-IR)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Zerssen symptom list (B-LR and B-LR')(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Wrist Circumference (cm)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Ambulatory Blood Pressure Monitoring (ABPM)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Hospital Anxiety and Depression Scale (HADS)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Medical Outcomes Study Short Form (MOS SF-12)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Intuitive Eating Scale 2 (IES-2)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- International Physical Activity Questionnaire (IPAQ )(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Medication intake(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Gut microbiome(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Blood Oxygenization(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Body weight (kg)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Daily nutrition protocol(Daily throughout the entire survey period)
- Dietary Behaviour(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Heart Rate (HR)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Heart Rate Variability (HRV)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Number of Steps per 24 hours(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Evaluation of inflammatory oral conditions(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Evaluation of teeth related conditions(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Evaluation of Oral Fluids(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Evaluation of periodontal status(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Cardio Vascular Risc Profile(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Skin Temperature(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Interbeat Interval (IBI)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Blood Volume Pulse(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Electrodermal Activity (Galvanic Skin Response)(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Respiration Rate(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Sociodemographic Measurements(Date of inclusion (baseline))
- Oral Health Qualitative Interviews(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Evaluation of periodontal attachment level(Date of inclusion (baseline), after 8 weeks, after 16 weeks)
- Evaluation of oral hygiene(Date of inclusion (baseline), after 8 weeks, after 16 weeks)