Is a Diet Necessary When Corticosteroid Treatment is Prescribed?
- Conditions
- AsthmaAutoimmune Diseases
- Interventions
- Other: RegimenOther: Standard regimen
- Registration Number
- NCT01420133
- Lead Sponsor
- Assistance Publique - Hôpitaux de Paris
- Brief Summary
Few recommendations concerning the diet and dosage to be administered to patients treated with corticosteroids are established.
It therefore seems important to study prospectively the indication of a diet low in salt and sugar in patients undergoing corticosteroid therapy, to record side effects observed and to measure their frequency.
- Detailed Description
In the French clinical patterns governing the prescription of corticosteroids, it is customary to prescribe a diet low in salt and low in sugar. This dietary prescription is based on the interest of any diet to prevent the occurrence of side effects of steroids such as hypertension, obesity, diabetes and congestive heart.
However, there is no specific dietary requirements in other European countries. This lack of recommendations is based on the fact that there is no evidence that a strict diet reduces the side effects of steroids on the one hand and secondly, that the quality of life of patients undergoing a diet low in salt and low in sugars affects their quality of life. In addition, no prospective study has helped to establish the frequency of side effects of corticosteroids depending on dose and duration of treatment.
The investigators therefore propose to study whether a diet intervention with low salt or low sugar during a prolonged corticosteroid treatment has any interest and effectively reduces the frequency and severity of side effects.
The investigators propose that all parameters being equal, to randomize the diet of patients started on steroids for a predictable period of 3 months minimum for a dose greater than 20 mg per day. One group will observe the low-salt diet, low in sugar and the other will follow a normal diet. The assessment will be made after 1 year, even if steroid treatment is continued beyond.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 50
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Normal regimen Regimen without special regimen for corticosteroid therapy Standard arm Standard regimen with diet low in salt and sugar
- Primary Outcome Measures
Name Time Method Cumulative number of clinical events recorded during the study, per randomization group 24 months Cumulative number of the following clinical events recorded during the study, per randomization group:
* Weight gain between study entry and the end of it
* Significant rise in blood pressure between study entry and the end of it
* Development of diabetes requiring treatment, whether prescribed oral or injectable and defined by international criteria of fasting glucose\> 7 mmol / fasting twice or post prandial \> 11,1 mmol/l twice
* Occurrence of heart failureObservance of the diet low in salt and sugar will be estimated by patient questionnaire and diary 6 months Tolerance of the diet low in salt and sugar will be estimated by patient questionnaire and diary 6 months
- Secondary Outcome Measures
Name Time Method Sides effects of corticosteroids therapy 24 months frequency of sides effects
Impaired glucide metabolism 24 months surveillance of creatininemia, urinary and serum electrolytes changes
* Glucose regulation change observed by blood glucose, insulin, QUICKI and OGTT tests performed at the beginning and the end of the study.
* Evaluation of the pancreatic beta cell function (HOMA-B%) estimated as Matthews et al., 1985 done.
Trial Locations
- Locations (1)
Cochin Hospital
🇫🇷Paris, France