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MoKaRi II Intervention Study

Not Applicable
Completed
Conditions
Decreased Cardovascular Risk
Decreased Risk of Diabetes Mellitus Type II
Registration Number
NCT05382533
Lead Sponsor
University of Jena
Brief Summary

The proposed intervention study addresses the development and validation of nutritional concepts based on menu plans for patients with hypertriglyceridemia (triglycerides \> 1.5 mmol/l) and participants with impaired glucose tolerance/prediabetes (glucose \> 5.6 ≤ 7 mmol/l).

Detailed Description

The proposed intervention study addresses the development and validation of nutritional concepts for patients with hypertriglyceridemia (triglycerides \> 1.5 mmol/l) and participants with impaired glucose tolerance (glucose \> 5.6 ≤ 7 mmol/l).

The randomized, controlled study will be conducted in a parallel design with four arms. In total, 120 participants (males, females; age: 30 - 80 years) will be randomized to one of the four groups: hypertriglyceridemia concept (group A), hypertriglyceridemia control (group B), prediabetes concept (group C), and prediabetes control (group D).

The study participants in group A and C receive defined personal nutritional counselling every two weeks and they are provided with daily menu plans (isocaloric) with optimized nutrient profiles and chosen study products (e.g., fish or plant oil, nuts) over the study period of ten weeks. Participants in the control groups B and D are not provided with defined menu plans or study products.

Blood samples will be taken at the beginning, regularly every two weeks of the ten-weeks intervention period as well as after the ten-weeks follow-up. Primary endpoints are triglycerides (group A, B), and fasting glucose (group C, D).

The study design enables the comparison of the effectiveness of the developed nutritional concepts, which were adapted to the requirements of the target groups.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria

Voluntary participation with documented consent

  • Willingness and ability to adhere to study protocol
  • Volunteer test person (m/f) aged ≥ 30 years and ≤ 80 years
  • BMI: ≥ 20 ≤ 40 kg/m2
  • No or moderate alcohol consumption (≤ 2 glasses/week)
  • non-smoker (if possible)
  • Group A, B: triglycerides: > 1.5 mmol/l
  • Group C, D: Fasting glucose: ≥ 5.6 ≤ 7 mmol/L
Exclusion Criteria

Concomitant diseases:

  • Hypercholesterolemia (genetic defect / familial predisposition)
  • Diabetes mellitus
  • Thyroid dysfunction (hyper- or hypothyroidism)
  • Food intolerances/allergies to ingredients in the study foods
  • Medications: lipid-lowering drugs, glucocorticoids, oral medication for the treatment of type 1-4 diabetes mellitus, insulin injections
  • Dietary supplements: especially n-3 fatty acids, vitamin E
  • Extremely high physical activity (daily)
  • Alcohol abuse (daily)
  • (smokers) [if there are not enough subjects available, at least 7 smokers should be included so that a statistical analysis is possible]
  • Uncontrolled organic diseases
  • Alcohol, medication or drug abuse
  • Participation in other observational clinical studies during or 4 wk. before starting this study
  • Severe behavioral, emotional, or psychiatric problems that the investigator determined would result in non-compliance
  • Pregnancy, lactation and unsafe contraception
  • Other reasons considered important by the investigator

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Triacylglcerides, mmol/l (group A, B)Change from baseline after 10 weeks

Cardiovascular risk factor

Fasting glucose, mmol/l (group C, D)Change from baseline after 10 weeks

Diabetes risk factor

Secondary Outcome Measures
NameTimeMethod
Insulin (mU/l)Change from baseline after 10 weeks

Diabetes risk factor

Body weight (kg)Change from baseline after 10 weeks

Cardiovascular risk factor

Vitamin D (nmol/l)Change from baseline after 10 weeks

Vitamins

Vitamin E (µmol/l)Change from baseline after 10 weeks

Vitamins

Iron (µmol/l)Change from baseline after 10 weeks

Minerals and trace elements

Ferritin (µg/l)Change from baseline after 10 weeks

Minerals and trace elements

Transferrin (g/l)Change from baseline after 10 weeks

Minerals and trace elements

High sensitive c-reactive protein (mg/l)Change from baseline after 10 weeks

Inflammatory marker

Vitamin B6 (nmol/l)Change from baseline after 10 weeks

Vitamins

Vitamin B12 (pmol/l)Change from baseline after 10 weeks

Vitamins

Selenium (µmol/l)Change from baseline after 10 weeks

Minerals and trace elements

Total cholesterol (mmol/l)Change from baseline after 10 weeks

Cardiovascular risk factor

Diastolic pressure (mm Hg)Change from baseline after 10 weeks

Cardiovascular risk factor

Vitamin A (mmol/l)Change from baseline after 10 weeks

Vitamins

Vitamin B1 (nmol/l)Change from baseline after 10 weeks

Vitamins

HDL cholesterol (mmol/l)Change from baseline after 10 weeks

Cardiovascular risk factor

Systolic pressure (mm Hg)Change from baseline after 10 weeks

Cardiovascular risk factor

LDL cholesterol (mmol/l)Change from baseline after 10 weeks

Cardiovascular risk factor

Folic acid (µg/l)Change from baseline after 10 weeks

Vitamins

HbA1c (%)Change from baseline after 10 weeks

Diabetes risk factor

Body fat (kg)Change from baseline after 10 weeks

Cardiovascular risk factor

Fatty acid distribution in erythrocyte lipids (% fatty acid methyl esters)Change from baseline after 10 weeks

Fatty acid distribution in erythrocyte lipids

Vitamin C (mg/l)Change from baseline after 10 weeks

Vitamins

Holo-transcobalamin (pmol/l)Change from baseline after 10 weeks

Vitamins

Potassium (mmol/l)Change from baseline after 10 weeks

Minerals and trace elements

Iodine (µmol/l)Change from baseline after 10 weeks

Minerals and trace elements

Zinc (µmol/l)Change from baseline after 10 weeks

Minerals and trace elements

Vitamin H (ng/l)Change from baseline after 10 weeks

Vitamins

Trial Locations

Locations (1)

Institute of Nutritional Sciences

🇩🇪

Jena, Thuringia, Germany

Institute of Nutritional Sciences
🇩🇪Jena, Thuringia, Germany

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