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ObesityNCT04920409

Effect of an Antiinflammatory Diet on Postprandial Gene Expression of Mononuclear Cells of Adult Obese Women

A study testing FAWGT diet and Usual diet (UD) in people with Obesity, run by Universidad de Caldas at 1 site in Colombia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Obesity is one of the major health problems worldwide. The consumption of healthy-dietary patterns can be difficult in some countries due to the availability of certain foods. Suggestion of alternative foods could be a necessity. Read more about this study

Who is it for?
Ages 40 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Obesity
What is being tested?
FAWGT diet and Usual diet (UD)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 siteColombia
Study dates
6 Jan 2018to 18 Jun 2018
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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Informed consent
  • Body mass index (BMI) ≥ 30 Kg/m^2.
  • Clinical: hypertensive and dyslipidemic participants.

Who cannot join

  • Age < 40 or > 65 years
  • Patients unable to follow a protocol.
  • Psychiatric diseases
  • Renal Insufficiency
  • Chronic Hepatopathy
  • Active Malignancy
Show all 17Show fewer
  • Chronic obstructive pulmonary disease
  • Diseases of the digestive tract Endocrine disorders
  • Smokers.
  • Regular alcohol consumers.
  • Participants who were in weight reduction programs
  • Prescribed hypolipidaemic medication
  • Prescribed anti-inflammatory medication
  • Kidney or liver dysfunction.
  • Diabetes or other endocrine disorders.
  • Chronic inflammatory conditions.
  • Patients participating in other Clinical trials (in the enrollment moment or 30 days prior).

Trial locations and contacts

1 site in 1 country.

Colombia1 site
  • Clinica Comfamiliar Risaralda

    Pereira, Risaralda Department, 16000

Other trials in Colombia

About this study

Obesity is one of the major health problems worldwide. The consumption of healthy-dietary patterns can be difficult in some countries due to the availability of certain foods. Suggestion of alternative foods could be a necessity. The purpose of this study was to evaluate the effect of a dietary pattern consisting of fruit, avocado, whole-grains and trout (FAWGT) on postprandial gene expression, insulinemia and lipemia in Colombian obese people.

Read the detailed description

A randomized controlled crossover study was conducted. Volunteers underwent to two dietary models for 8 weeks each, including a 2 weeks washout diet between them. The order in which they started the interventions was randomized following a computerized assignment list using Excel software (Microsoft Office 2015, Excel 2013).

The primary endpoint was the postprandial gene expression of nuclear factor kappa B subunit 1 (NFKB1) gene. Based on previous studies , 20 individuals had to be studied to detect a 0.2 difference in the expression of the NKKB1 gene between diets with 0.05 significance level and 80 percentage power (type II error Z 0.2), assuming a 10 percentage drop-out rate.

The recruitment of participants was carried out according to the following steps:

  1. Review of clinical histories of patients diagnosed with obesity, according to their Body Mass Index, ascribed to the chronic non-communicable diseases program of the Clinica Comfamiliar Risaralda in the city of Pereira Colombia.
  2. Telephone call to invite the participants who met the inclusion criteria to participate in the study.
  3. Appointment prior to the start of the study to take a blood sample to corroborate the inclusion criteria. With this sample the following tests were performed: blood glucose, lipid profile, thyroid stimulating hormone (TSH), C-reactive protein ( and complete blood count.

This process was carried out by personnel not involved in the research. The results obtained were compared with the clinical history.

The diets followed during the intervention periods were: (1) a diet consisting mainly of the consumption of fruit, avocado and other vegetables, whole grains and trout typical of the colombian coffee region (FAWGT) (experimental diet), and (2) the usual diet consumed by the participants in their normal lifestyle (UD).

At the beginning of the dietary intervention period, each participant was given an individualized food guide containing the suggested food group and portions, with a wide variety of foods allowed for greater adherence to the diet. In addition, specific times for consumption of the foods and precise instructions for the dietary intervention were given. In addition, the subjects were given a talk advising them how to quantify the portions, which would later be converted into grams according to the procedure described

The food portions were standardized with all the participants using synthetic models, adapted according to the Colombian nutritional guidelines, so that they could provide a more accurate report of the portions consumed during the intervention. In addition, a postprandial studies were carried out at the beginning of the study (pre-intervention) and another after 8 weeks of dietary intervention (post-intervention).

The participants were given an appointment at the health center at 7.00 am, after at least 12 hours of fasting and a 5 day abstinence from alcohol. They consumed a breakfast based on the same composition of the diet in which they were randomized for the dietary intervention period. The blood samples were obtained by veni-puncture at baseline and 4 hours after breakfast. During the postprandial period, the participants did not consume any more food, although they were allowed to drink water. The breakfasts were composed of the following foods: FAWGT diet; whole-grain arepa (with unrefined corn flour), cheese, oats, granadilla, mango, linseed, nuts, almonds, peanuts and yogurt. Usual diet; egg, cheese, butter, whole milk, traditional white arepa (with re-fined corn flour), traditional buñuelo (made from wheat flour with cheese), coffee and sugar.

Before starting the dietary intervention period (Pre-intervention), at the midpoint of the study (week 4) and at the end (week 8), all the participants completed three 24-hour recalls (2 non-consecutive weekdays and one weekend day) to obtain information about food, ingredients and preparations consumed in the same units of measurement (grams).

In addition, a weekly telephone call was made to answer any questions relating to the diet (recipes, menu and quantities) and to motivate adherence to the assigned dietary model.

Moreover, in week four of each intervention, the participants attended the hospital for an interview with the main researcher in order to take anthropometric measurements, evaluate the follow-up of the dietary instructions and answer any questions that may have arisen during the intervention, and motivate them to continue with the study. To collect the information on food consumption, formats and questionnaires previously published by the research group were used.

Conditions
Obesity
Being tested
FAWGT diet, Usual diet (UD)
Keywords
Obesity, Diet, Postprandial state, Gene expression, Inflammation, Lipemia, Insulinemia
Medical subject headings
Obesity, Inflammation, Hyperlipidemias

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FAWGT dietOther

    Composed of 15% protein, 55% CH and 30% fat of which < 10% was SFA, 14% MUFA and 6% PUFA in the overall total caloric content.

  • Usual diet (UD)Other

    Consisted of 16% protein, 54% carbohydrates (CH) and 30% fat of which 15% was saturated fat (SFA), 10% monounsaturated fat (MUFA) and 5% polyunsaturated fat (PUFA)in relation to the total caloric content

Study groups in NCT04920409
Study groupRoleWhat they receive
FAWGT DietExperimentalComposed of fruit, avocado, whole grains and trout
Receives: Other: FAWGT diet
Usual diet (UD)Active comparatorBased on the food which the participants usually consumed prior to the study in their normal lifestyle.
Receives: Other: Usual diet (UD)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Relative expression of the NFKB1 gene

    RNA extraction from mononuclear cells, reverse transcription and DNA amplification in fasting and postprandial state.

    Measured: 8 weeks

  2. Relative expression of the Interleukin 6 (IL6) gene

    RNA extraction from mononuclear cells, reverse transcription and DNA amplification in fasting and postprandial state.

    Measured: 8 weeks

  3. Relative expression of the tumoral necrosis factor (TNF) gene

    RNA extraction from mononuclear cells, reverse transcription and DNA amplification in fasting and postprandial state.

    Measured: 8 weeks

  4. Relative expression of the Interleukin 1 B (IL1B) gene

    RNA extraction from mononuclear cells, reverse transcription and DNA amplification in fasting and postprandial state..

    Measured: 8 weeks

  5. Relative expression of the matrix metallopeptidase 9 (MMP)) gene

    RNA extraction from mononuclear cells, reverse transcription and DNA amplification in fasting and postprandial state.

    Measured: 8 weeks

  6. Relative expression of the nuclear factor, erythroid 2 like 2 (NFE2L2) gene

    RNA extraction from mononuclear cells, reverse transcription and DNA amplification.

    Measured: 8 weeks

Secondary outcomes (9)
  1. Change from baseline of the gut microbiota

    Stool deoxyribonucleic acid (DNA) extraction, library construction, sequencing and bioinformatic analysis.

    Measured: 8 weeks

  2. Change from baseline of DNA methylation pattern

    Whole blood DNA extraction and Enzyme-Linked ImmunoSorbent Assay (ELISA)

    Measured: 8 weeks

  3. Triglycerides

    Influence of diet on postprandial trygliceride

    Measured: 8 weeks

  4. Insulin

    Influence of diet on postprandial insulinemia

    Measured: 8 weeks

  5. Total Cholesterol

    Influence of diet on postprandial total Cholesterol

    Measured: 8 weeks

  6. LDL Cholesterol

    Influence of diet on postprandial LDL Cholesterol

    Measured: 8 weeks

  7. HDL Cholesterol

    Influence of diet on postprandial HDL Cholesterol

    Measured: 8 weeks

  8. VLDL Cholesterol

    Influence of diet on postprandial VLDL Cholesterol

    Measured: 8 weeks

  9. C-reactive protein (CRP)

    Influence of diet on postprandial CRP

    Measured: 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jun 2021
  2. Study start6 Jan 2018
  3. Primary completion18 Jun 2018
  4. Study completion18 Jun 2018

Resources

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
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04920409
Sponsor's protocol ID
0406716
Status last verified
Jun 2021
First submitted
25 May 2021
Last updated
9 Jun 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hurt RT, Kulisek C, Buchanan LA, McClave SA. The obesity epidemic: challenges, health initiatives, and implications for gastroenterologists. Gastroenterol Hepatol (N Y). 2010 Dec;6(12):780-92.

    PubMed 21301632
  • Frigolet ME, Dong-Hoon K, Canizales-Quinteros S, Gutierrez-Aguilar R. Obesity, adipose tissue, and bariatric surgery. Bol Med Hosp Infant Mex. 2020;77(1):3-14. doi: 10.24875/BMHIM.19000115.

    PubMed 32115585
  • Fernemark H, Jaredsson C, Bunjaku B, Rosenqvist U, Nystrom FH, Guldbrand H. A randomized cross-over trial of the postprandial effects of three different diets in patients with type 2 diabetes. PLoS One. 2013 Nov 27;8(11):e79324. doi: 10.1371/journal.pone.0079324. eCollection 2013.

    PubMed 24312178
  • Koch W. Dietary Polyphenols-Important Non-Nutrients in the Prevention of Chronic Noncommunicable Diseases. A Systematic Review. Nutrients. 2019 May 9;11(5):1039. doi: 10.3390/nu11051039.

    PubMed 31075905
  • Lopez-Miranda J, Williams C, Lairon D. Dietary, physiological, genetic and pathological influences on postprandial lipid metabolism. Br J Nutr. 2007 Sep;98(3):458-73. doi: 10.1017/S000711450774268X.

    PubMed 17705891
  • Perez-Martinez P, Ordovas JM, Garcia-Rios A, Delgado-Lista J, Delgado-Casado N, Cruz-Teno C, Camargo A, Yubero-Serrano EM, Rodriguez F, Perez-Jimenez F, Lopez-Miranda J. Consumption of diets with different type of fat influences triacylglycerols-rich lipoproteins particle number and size during the postprandial state. Nutr Metab Cardiovasc Dis. 2011 Jan;21(1):39-45. doi: 10.1016/j.numecd.2009.07.008. Epub 2009 Oct 9.

    PubMed 19819118
  • Uusitupa M, Hermansen K, Savolainen MJ, Schwab U, Kolehmainen M, Brader L, Mortensen LS, Cloetens L, Johansson-Persson A, Onning G, Landin-Olsson M, Herzig KH, Hukkanen J, Rosqvist F, Iggman D, Paananen J, Pulkki KJ, Siloaho M, Dragsted L, Barri T, Overvad K, Bach Knudsen KE, Hedemann MS, Arner P, Dahlman I, Borge GI, Baardseth P, Ulven SM, Gunnarsdottir I, Jonsdottir S, Thorsdottir I, Oresic M, Poutanen KS, Riserus U, Akesson B. Effects of an isocaloric healthy Nordic diet on insulin sensitivity, lipid profile and inflammation markers in metabolic syndrome -- a randomized study (SYSDIET). J Intern Med. 2013 Jul;274(1):52-66. doi: 10.1111/joim.12044. Epub 2013 Mar 2.

    PubMed 23398528
  • Gomez-Marin B, Gomez-Delgado F, Lopez-Moreno J, Alcala-Diaz JF, Jimenez-Lucena R, Torres-Pena JD, Garcia-Rios A, Ortiz-Morales AM, Yubero-Serrano EM, Del Mar Malagon M, Lai CQ, Delgado-Lista J, Ordovas JM, Lopez-Miranda J, Perez-Martinez P. Long-term consumption of a Mediterranean diet improves postprandial lipemia in patients with type 2 diabetes: the Cordioprev randomized trial. Am J Clin Nutr. 2018 Nov 1;108(5):963-970. doi: 10.1093/ajcn/nqy144.

    PubMed 30475968

Questions about this trial

What is this clinical trial studying?

A study testing FAWGT diet and Usual diet (UD) in people with Obesity, run by Universidad de Caldas at 1 site in Colombia.

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 3 inclusion and 17 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 9 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Colombia. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

Relative expression of the NFKB1 gene (time frame: 8 weeks). The study lists 6 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 NCT04920409, which also lists 8 linked publications.

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 9 Jun 2021.

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