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Diet, Obesity and Cardiovascular Risk Study

Not Applicable
Completed
Conditions
Cardiovascular Diseases
Obesity
Interventions
Other: Diet
Registration Number
NCT02379897
Lead Sponsor
Tufts University
Brief Summary

Controversy exists about the role of dietary glycemic index (GI) and fat content and cardiovascular risk. Our aim was to assess the long term effects of altering dietary GI, carbohydrate, and fat on body weight, lipids, glucose homeostasis, and C reactive protein (CRP) in overweight and obese subjects. Men and post-menopausal women with body mass index values between 28-38 kg/m2 were placed on an isoweight average American diet for 5 weeks, then randomized to one of 4 diets which differed in GI, carbohydrate and fat content with calorie restriction for 12 weeks. The same diets were continued for 5 weeks under isoweight conditions, and in the free-living state for 48 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
107
Inclusion Criteria
  • BMI 28-28 kg/m2
  • Male or postmenopausal female 45-65 yr
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Exclusion Criteria
  • Abnormal thyroid, liver, kidney function
  • Abnormal hemoglobin
  • LDL-cholesterol ≤ 100 mg/dL
  • Fasting triglycerides ≥ 400 mg/dL
  • Diabetes or on medication for diabetes
  • Chronic illness
  • Elevated blood lipids
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LowGI+HighCarbDietLow glycemic index + high carbohydrate/low fat diet
LowGI+ModCarbDietLow glycemic index + moderate carbohydrate/moderate fat diet
HighGI+ModCarbDietHigh glycemic index + moderate carbohydrate/moderate fat diet
HighGI+HighCarbDietHigh glycemic index + high carbohydrate/low fat diet
Primary Outcome Measures
NameTimeMethod
Change in body weightBaseline to 12 weeks
Secondary Outcome Measures
NameTimeMethod
Change in fasting plasma high density lipoprotein cholesterolBaseline to 12 weeks, 17 weeks, and 16 months
Change in fasting plasma very low density lipoprotein cholesterol-cholesterolBaseline to 12 weeks, 17 weeks, and 16 months
Change in plasma C-reactive proteinBaseline to 12 weeks, 17 weeks, and 16 months
Change in body fatBaseline to 12 weeks and 17 weeks
Change in resting metabolic rateBaseline to 12 weeks and 17 weeks
Change in body weightBaseline to 17weeks and 16months
Change in postprandial blood glucoseBaseline to 12weeks and 17weeks

Oral glucose tolerance test

Change in fasting plasma low density lipoprotein cholesterol-cholesterolBaseline to 12 weeks, 17 weeks, and 16 months
Change in fasting plasma triglyceridesBaseline to 12 weeks, 17 weeks, and 16 months
Change in glycated hemoglobinBaseline to 12 weeks, 17 weeks, and 16 months
Change in fasting plasma insulinBaseline to 12 weeks, 17 weeks, and 16 months
Change in fasting blood glucoseBaseline to 12 weeks, 17 weeks, and 16 months
Change in blood pressureBaseline to 12weeks, 17weeks and 16months
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