Health BehaviorAPOE4MOTNCT03794141
Genetic Information as a Life Style Change Motivator
A study testing information on the risk gene status and life style advise in people with Health Behavior and Alzheimer Disease, Protection Against, run by Natural Resources Institute Finland.
Trial summary
The study investigates whether information on having a risk genotype (ApoE4) and life style advisory information affects lifestyle changes and sensory preferences. The project studies also the ethic aspects of giving the information of risk genotype. Read more about this study
- Who is it for?
- Ages 40 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- Health Behavior, Alzheimer Disease, Protection Against
- What is being tested?
- information on the risk gene status and life style advise
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 333 participants
- Where
- No sites listed yet
- Study dates
- 2 Jan 2017to 31 Jul 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Age between 40 and 60 years
- overall good health (no chronic conditions e.g. mental disorders, cancer, liver or kidney disease, current or previous diagnosis),
- body mass index (BMI) under 35 kg/m2,
- blood pressure under 140/90 mmHg (medication allowed),
- serum total cholesterol under 7.25 mmol/l (medication allowed)
- fasting plasma glucose level under 7 mmol/l.
Who cannot join
- Abnormal values of the alanine amino transferase, alkaline phosphatase, haptoglobin and thyroid stimulating hormone
About this study
Official title: Effects of ApoE4 Genotype Information and Intervention Intensity on the Fulfillment of Lifestyle Changes and Sensory Preferences
The study investigates whether information on having a risk genotype (ApoE4) and life style advisory information affects lifestyle changes and sensory preferences. The project studies also the ethic aspects of giving the information of risk genotype.
Read the detailed description
We will run intervention based on our earlier pilot study. It includes intensive intervention and a modification of our earlier pilot intervention. Our intervention methods are general lectures of the effects of healthy diet (Finnish Nutrition Recommendations 2014) and healthy lifestyle for all participants. Effects on motivation, attitudes and preferences will be studied and verified by questionnaires and risk factors of cardiovascular disease and Alzheimer disease by analyzing clinical markers of lipid metabolism, general phenotype markers and profiles of nutritional markers. Nutritional biomarkers will verify also the self-reported changes of diet in the questionnaires and in digital food diaries.
- Being tested
- information on the risk gene status, life style advise
- Medical subject headings
- Health Behavior, Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
information on the risk gene statusBehavioural
information on risk gene status (APOE4 allele or not) was given before intervention
life style adviseBehavioural
all test persons were given information on healthy diet and life style
| Study group | Role | What they receive |
|---|---|---|
| Tervas | Experimental | Follow up group from an earlier study. Information on risk gene status. All test persons were given information on healthy diet and life style. Receives: Behavioral: information on the risk gene status; Behavioral: life style advise |
| Informed | Experimental | Information on risk gene status was given before intervention. All test persons were given information on healthy diet and life style. Receives: Behavioral: information on the risk gene status; Behavioral: life style advise |
| non informed | Active comparator | Information on risk gene status was not given before intervention. All test persons were given information on healthy diet and life style. Receives: Behavioral: life style advise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of participants with good quality of dietary fat
A questionnaire according to Finnish guidelines of Suomen Sydänliitto ry, Helldán \& Helakorpi, (2015)
Measured: 2 years
Dietary habits, number of participants
A questionnaire asking for
- Fish intake at least twice per week
- Consumption of high fat and sugar foods
- Consumption of vegetables
- Alcohol consumption
- Physical activity at least twice per week
Measured: 2 years
Food choice questionnaire, health and taste attitude
Scale 1-7 (7 most important, fully agree)
Measured: 2 years
Food involvement and Food mavenism, scale 1-5
5 fully agree
Measured: 2 years
Health concern, scale 1-9
1 not concerned at all
Measured: 2 years
Life-orientation test, scale 1-5
1 fully agree
Measured: 2 years
Locus of Control, state-trait anxiety inventory, Three-Factor Eating Questionnaire (TFEQ) scale 1-4
4 fully agree
Measured: 2 years
weight kg
Measured: 2 years
height m
Measured: 2 years
Waist circumference, cm
Measured: 2 years
Visceral fat level (1-30)
Measured: 2 years
blood pressure, mmHg
Measured: 2 years
Serum lipid levels mmol/L
Measured: 2 years
Blood glucose levels, mmol/L
Measured: 2 years
Serum lipid peroxidation, MDA/µM
Measured: 2 years
Serum Sensitive C reactive protein, mg/L
Measured: 2 years
Serum Hemoglobin, g/L
Measured: 2 years
Serum Alkaline phosphatase, U/L
Measured: 2 years
Serum Alanine aminotransferase, U/L
Measured: 2 years
Serum haptoglobin, g/L
Measured: 2 years
Plasma thyrotropin, mU/L
Measured: 2 years
serum APOE protein, mg/L
Measured: 2 years
serum brain-derived neurotrophic factor, ng/ml
Measured: 2 years
serum Fatty acids, g/100g fatty acids
Measured: 2 years
serum Carotenoids, retinol and α-tocopherol, Plasma total phenolics ng/µl
Measured: 2 years
Blood cell count
Measured: 2 years
APOE and BDNF genotype
Measured: baseline
Secondary outcomes (1)
Body mass index
weight and height will be combined to report BMI in kg/m^2
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Jan 2019
- Study start2 Jan 2017
- Primary completion30 Mar 2019
- Study completion31 Jul 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Health BehaviorStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 333 participants (actual)
Sponsor and investigators
- Lead sponsor
- Natural Resources Institute Finland
- Sponsor type
- Other government
- Collaborators
- University of Turku, University of Eastern Finland, Academy of Finland
- Responsible party
- Sponsor
- Investigators
- Raija Tahvonen, Prof, Study director, Natural Resources Institute Finland
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03794141
- Sponsor's protocol ID
- 41007-00040400
- Acronym
- APOE4MOT
- Status last verified
- Dec 2018
- First submitted
- 13 Dec 2018
- Last updated
- 26 Feb 2020
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Leskinen HM, Tringham M, Karjalainen H, Iso-Touru TK, Hietaranta-Luoma HL, Marnila PJ, Pihlava JM, Hurme T, Kankaanpaa SJ, Puolijoki H, Akerman K, Tanner L, Sandell M, Vahakangas K, Hopia A, Tahvonen R, Rokka LS. APOE Genotype Disclosure and Lifestyle Advice in a Randomized Intervention Study with Finnish Participants. J Nutr. 2021 Jan 4;151(1):85-97. doi: 10.1093/jn/nxaa316.
PubMed 33188400
Study at a glance
From the registry record, last updated by the sponsor on 26 Feb 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of ApoE4 Genotype Information and Intervention Intensity on the Fulfillment of Lifestyle Changes and Sensory Preferences
- ClinicalTrials.gov ID
- NCT03794141
- Acronym / sponsor ID
- APOE4MOT / 41007-00040400
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 333 participants (actual)
- Lead sponsor
- Natural Resources Institute FinlandOther government
- Collaborators
- University of Turku, University of Eastern Finland, Academy of Finland
- Study start
- 2 Jan 2017 (actual)
- Primary completion
- 30 Mar 2019 (actual)
- Study completion
- 31 Jul 2019 (actual)
- First posted
- 4 Jan 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study investigates whether information on having a risk genotype (ApoE4) and life style advisory information affects lifestyle changes and sensory preferences. The project studies also the ethic aspects of giving the information of risk genotype.
Detailed description
We will run intervention based on our earlier pilot study. It includes intensive intervention and a modification of our earlier pilot intervention. Our intervention methods are general lectures of the effects of healthy diet (Finnish Nutrition Recommendations 2014) and healthy lifestyle for all participants. Effects on motivation, attitudes and preferences will be studied and verified by questionnaires and risk factors of cardiovascular disease and Alzheimer disease by analyzing clinical markers of lipid metabolism, general phenotype markers and profiles of nutritional markers. Nutritional biomarkers will verify also the self-reported changes of diet in the questionnaires and in digital food diaries.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Tervas | Experimental | Behavioral: information on the risk gene status, Behavioral: life style adviseFollow up group from an earlier study. Information on risk gene status. All test persons were given information on healthy diet and life style. |
| Informed | Experimental | Behavioral: information on the risk gene status, Behavioral: life style adviseInformation on risk gene status was given before intervention. All test persons were given information on healthy diet and life style. |
| non informed | Active comparator | Behavioral: life style adviseInformation on risk gene status was not given before intervention. All test persons were given information on healthy diet and life style. |
Who may qualify
- Ages
- 40 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Age between 40 and 60 years
- overall good health (no chronic conditions e.g. mental disorders, cancer, liver or kidney disease, current or previous diagnosis),
- body mass index (BMI) under 35 kg/m2,
- blood pressure under 140/90 mmHg (medication allowed),
- serum total cholesterol under 7.25 mmol/l (medication allowed)
Key exclusion criteria (1 listed)
- Abnormal values of the alanine amino transferase, alkaline phosphatase, haptoglobin and thyroid stimulating hormone
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| information on the risk gene statusinformation on risk gene status (APOE4 allele or not) was given before intervention | Behavioural | Informed, Tervas |
| life style adviseall test persons were given information on healthy diet and life style | Behavioural | Informed, Tervas, non informed |
Primary outcome
Number of participants with good quality of dietary fat
Time frame: 2 years
A questionnaire according to Finnish guidelines of Suomen Sydänliitto ry, Helldán \& Helakorpi, (2015)
Dietary habits, number of participants
Time frame: 2 years
A questionnaire asking for * Fish intake at least twice per week * Consumption of high fat and sugar foods * Consumption of vegetables * Alcohol consumption * Physical activity at least twice per week
Food choice questionnaire, health and taste attitude
Time frame: 2 years
Scale 1-7 (7 most important, fully agree)
Food involvement and Food mavenism, scale 1-5
Time frame: 2 years
5 fully agree
Health concern, scale 1-9
Time frame: 2 years
1 not concerned at all
Life-orientation test, scale 1-5
Time frame: 2 years
1 fully agree
Locus of Control, state-trait anxiety inventory, Three-Factor Eating Questionnaire (TFEQ) scale 1-4
Time frame: 2 years
4 fully agree
weight kg
Time frame: 2 years
height m
Time frame: 2 years
Waist circumference, cm
Time frame: 2 years
Visceral fat level (1-30)
Time frame: 2 years
blood pressure, mmHg
Time frame: 2 years
Serum lipid levels mmol/L
Time frame: 2 years
Blood glucose levels, mmol/L
Time frame: 2 years
Serum lipid peroxidation, MDA/µM
Time frame: 2 years
Serum Sensitive C reactive protein, mg/L
Time frame: 2 years
Serum Hemoglobin, g/L
Time frame: 2 years
Serum Alkaline phosphatase, U/L
Time frame: 2 years
Serum Alanine aminotransferase, U/L
Time frame: 2 years
Serum haptoglobin, g/L
Time frame: 2 years
Plasma thyrotropin, mU/L
Time frame: 2 years
serum APOE protein, mg/L
Time frame: 2 years
serum brain-derived neurotrophic factor, ng/ml
Time frame: 2 years
serum Fatty acids, g/100g fatty acids
Time frame: 2 years
serum Carotenoids, retinol and α-tocopherol, Plasma total phenolics ng/µl
Time frame: 2 years
Blood cell count
Time frame: 2 years
APOE and BDNF genotype
Time frame: baseline
1 secondary outcome
Body mass index
Time frame: 2 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Feb 2020.
- Derived from this study: PubMed 33188400Leskinen HM, Tringham M, Karjalainen H, Iso-Touru TK, Hietaranta-Luoma HL, Marnila PJ, Pihlava JM, Hurme T, Kankaanpaa SJ, Puolijoki H, Akerman K, Tanner L, Sandell M, Vahakangas K, Hopia A, Tahvonen R, Rokka LS. APOE Genotype Disclosure and Lifestyle Advice in a Randomized Intervention Study with Finnish Participants. J Nutr. 2021 Jan 4;151(1):85-97. doi: 10.1093/jn/nxaa316.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Raija Tahvonen, Prof study director
Natural Resources Institute Finland
Questions about this trial
What is this clinical trial studying?
A study testing information on the risk gene status and life style advise in people with Health Behavior and Alzheimer Disease, Protection Against, run by Natural Resources Institute Finland.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Feb 2020. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of participants with good quality of dietary fat (time frame: 2 years). The study lists 27 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03794141, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Feb 2020.