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ObesityNCT05464186

Effects of Whole vs. Nonfat Milk Consumption on Body Composition in Children

A study testing Whole milk and Nonfat milk in people with Obesity and Diabetes, run by Boston Children's Hospital at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study will evaluate the effects of whole vs. nonfat milk consumption on body composition, cardiometabolic disease risk factors, and dietary quality. Read more about this study

Who is it for?
Ages 9 to 12 yearsHealthy volunteers can take part
Conditions the study is for
Obesity, Diabetes, Cardiovascular Diseases
What is being tested?
Whole milk and Nonfat milk
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteUnited States
Study dates
28 Dec 2022to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 9 to 12 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Aged 9 to 12 years
  • BMI ≥75th percentile for sex and age
  • Residence in the Greater Boston catchment area

Who cannot join

  • Aversion to nonfat or whole milk
  • Physician diagnosis of major medical illness, eating disorder, or milk allergy (lactose intolerance not exclusionary as lactase treated milk can be provided)
  • Plans to move away from the Greater Boston catchment area during the study period
  • Plans to be away from home for ≥5 weeks during the study period (e.g., extended summer vacation)
  • Change in body weight exceeding 10% during prior year
  • Recent adherence to a special diet
  • Chronic use of any medication or dietary supplement that could affect study outcomes
  • Another member of the family (first degree relative) or household participating in the study

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Donna L Lesperance, MA, MPH contact

617-919-7305

Donna.Lesperance@childrens.harvard.edu

United States1 site, 1 recruiting
  • New Balance Foundation Obesity Prevention Center

    Boston, Massachusetts, 02115

    Donna L Lesperance, MA, MPH, 617-919-7305, Donna.Lesperance@childrens.harvard.edu

    Recruiting

Other trials in United States

About this study

Official title: Effects of Whole vs. Nonfat Milk Consumption on Body Composition in Children: a 1-Year RCT

This study will evaluate the effects of whole vs. nonfat milk consumption on body composition, cardiometabolic disease risk factors, and dietary quality.

Read the detailed description

Background The optimal type of milk is a topic of much debate. Several recent observational studies indicate that consuming whole (full-fat), compared to reduced-fat milk, is associated with less weight gain and decreased cardiometabolic disease risk. The observed beneficial effect of consuming whole milk on body weight may be due to its greater satiety value, leading to consumption of fewer calories from other lower quality (e.g., sugary) foods. Mechanistic studies indicate that substitution of carbohydrate with certain saturated fatty acids in milk increases low-density lipoprotein cholesterol (LDL-C). However, this increase has been attributed to large, buoyant particles that are less atherogenic than small, dense particles; is accompanied by an increase in high-density lipoprotein cholesterol (HDL-C); and may not elevate overall risk compared to carbohydrate.

Specific Aims and Hypotheses

  • To examine the effects of milk consumption on body composition (Aim #1) and cardiometabolic disease risk factors (Aim #2). Primary Hypothesis. Consuming whole milk will result in less weight gain compared to consuming nonfat milk. Secondary hypothesis. Consuming whole milk will decrease cardiometabolic disease risk compared to consuming nonfat milk.
  • To explore the effects of milk consumption on dietary quality (Aim #3). Exploratory hypothesis. Consuming whole milk will improve overall dietary quality by displacing lower quality foods compared to consuming nonfat milk, particularly among children with low baseline dietary quality.
  • (Ancillary Study) To evaluate the effects of milk consumption on risk and prevalence of dental caries.

Design Randomized Controlled Trial. Participants (N=200, aged 9 to 12 years, BMI≥75th percentile) will be randomly assigned for 1 year to receive: 1) Whole milk, 3 cups/d or 2) Nonfat milk, 3 cups/d. To promote adherence to the interventions, the investigators will rely on home delivery of milk using methods consistent with previous successful studies.

Study Outcomes The primary outcome is change in fat mass measured by air displacement plethysmography (BodPod) at 3 time points (baseline and 6 and 12 months). To evaluate cardiometabolic disease risk factors, the investigators will obtain a plasma MetaboProfile®(LabCorp) that includes lipoprotein particle sizes and subfraction concentrations, novel measures of insulin-resistant dyslipoproteinemia and inflammation, and a conventional lipid profile. The investigators will also measure blood pressure.

For the Ancillary Study, outcomes include salivary cariogenicity (pH, flow, and buffering capacity); caries prevalence; dietary quality (cariogenic potential); and serum 25-hydroxyvitamin D.

Being tested
Whole milk, Nonfat milk
Medical subject headings
Obesity, Diabetes Mellitus, Cardiovascular Diseases

What participants receive

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

  • Whole milkBehavioural

    Weekly home delivery of whole milk, daily text messages, monthly virtual visits

  • Nonfat milkBehavioural

    Weekly home delivery of nonfat milk, daily text messages, monthly virtual visits

Study groups in NCT05464186
Study groupRoleWhat they receive
Whole milkExperimental3 cups a day of whole milk for 1 year
Receives: Behavioral: Whole milk
Nonfat milkExperimental3 cups a day of nonfat milk for 1 year
Receives: Behavioral: Nonfat milk

What is being measured

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

  1. Fat mass

    Primary outcome for the overall study, main outcome for Specific Aim #1, measured by air displacement plethysmography (BodPod)

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

Secondary outcomes (33)
  1. Lean body mass

    Measured by air displacement plethysmography (BodPod)

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  2. Percent body fat

    Measured by air displacement plethysmography (BodPod)

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  3. Height

    Linear growth

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  4. Body mass index (BMI)

    Weight in kg divided by height in meters squared

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  5. Leptin

    "Satiety" hormone, released by fat cells, measured by ELISA assay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  6. Ghrelin

    "Hunger" hormone, released primarily in the stomach, measured by ELISA assay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  7. Insulin-like growth factor-1 (IGF-1)

    Indicator of growth hormone action, measured by ELISA assay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  8. Insulin-like growth factor-binding protein 3 (IGF-BP3)

    Measured by ELISA assay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  9. Lipoprotein insulin resistance (LPIR)

    Main outcome for Specific Aim #2; a 6-component weighted score of triglyceride-rich, high-density, and low-density lipoprotein particle (TRL-P, HDL-P, LDL-P) sizes and subfraction concentrations (sum of large and very large TRL-P, large HDL-P, small LDL-P), measured by nuclear magnetic resonance spectroscopy

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  10. Triglyceride-rich lipoprotein particle (TRL-P) size

    Measured by nuclear magnetic resonance spectroscopy

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  11. High-density lipoprotein particle (HDL-P) size

    Measured by nuclear magnetic resonance spectroscopy

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  12. Low-density lipoprotein particle (LDL-P) size

    Measured by nuclear magnetic resonance spectroscopy

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  13. Sum of large and very large TRL-P concentration

    Measured by nuclear magnetic resonance spectroscopy

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  14. Large HDL-P concentration

    Measured by nuclear magnetic resonance spectroscopy

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  15. Small LDL-P concentration

    Measured by nuclear magnetic resonance spectroscopy

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  16. Large LDL-P concentration

    Measured by nuclear magnetic resonance spectroscopy

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  17. Triglycerides (TG)

    Part of conventional lipid profile

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  18. High-density lipoprotein cholesterol (HDL-C)

    Part of conventional lipid profile

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  19. Low-density lipoprotein cholesterol (LDL-C)

    Part of conventional lipid profile

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  20. Glucose

    Measured enzymatically using hexokinase method

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  21. Insulin

    Measured by electrochemiluminescence immunoassay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  22. Insulin resistance

    Measured by homeostasis model assessment (HOMA), using fasting glucose and insulin concentrations

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  23. Adiponectin - total and high molecular weight

    Hormone released from fat cells, promotes insulin sensitivity and helps regulate blood glucose, measured by ELISA assay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  24. Hemoglobin A1c (HgA1c)

    Marker of blood glucose control, measured using a system based turbidimetric immunoinhibition

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  25. High-sensitivity C-reactive protein (hsCRP)

    Indicator of chronic inflammation, measured by immunoturbidimetric assay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  26. Interleukin-6 (IL-6)

    Protein which stimulates synthesis of hsCRP, measured by ELISA assay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  27. Fibrinogen

    Protein involved in blood clotting, measured by immunoturbidimetric assay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  28. Plasminogen activator inhibitor-1 (PAI-1)

    Protein involved in blood clotting, measured by ELISA assay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  29. Systolic blood pressure

    Measured by auscultation

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  30. Diastolic blood pressure

    Measured by auscultation

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  31. Salivary cariogenicity

    (Ancillary Study) Risk for dental caries (cavities), measured using the GC Dental America Saliva-Check Buffer Kit (pH, flow, and buffering capacity)

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

  32. Caries prevalence

    (Ancillary Study) Assessed by clinical examination and digital radiograph (x-rays)

    Measured: Difference between start of trial (time of randomization) and end of trial (12 months)

  33. Serum 25-hydroxyvitamin D [25(OH)D]

    (Ancillary Study) Measured by a competitive electrochemiluminescence immunoassay

    Measured: Change from start of trial (time of randomization) through end of trial (12 months)

Timeline

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

  1. First posted19 Jul 2022
  2. Study start28 Dec 2022
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (estimated)

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly assigned for 1 year to receive home delivery of: 1) Whole milk, 3 cups a day or 2) Nonfat milk, 3 cups a day.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05464186
Sponsor's protocol ID
IRB-P00041990
Status last verified
Oct 2025
First submitted
27 Jun 2022
Last updated
8 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: We will share de-identified IPD on Open Science Framework.

Publications

  • Albala C, Ebbeling CB, Cifuentes M, Lera L, Bustos N, Ludwig DS. Effects of replacing the habitual consumption of sugar-sweetened beverages with milk in Chilean children. Am J Clin Nutr. 2008 Sep;88(3):605-11. doi: 10.1093/ajcn/88.3.605.

    PubMed 18779274
  • Ebbeling CB. Confusion at the milk cooler: opportunity to bolster the evidence base for preventive nutrition. Am J Clin Nutr. 2020 Feb 1;111(2):240-241. doi: 10.1093/ajcn/nqz319. No abstract available.

    PubMed 31901161
  • Willett WC, Ludwig DS. Milk and Health. N Engl J Med. 2020 Feb 13;382(7):644-654. doi: 10.1056/NEJMra1903547. No abstract available.

    PubMed 32053300

Questions about this trial

What is this clinical trial studying?

A study testing Whole milk and Nonfat milk in people with Obesity and Diabetes, run by Boston Children's Hospital at 1 site in United States.

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 8 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: looking for participants now, as of the sponsor's last update on 8 Jan 2026. 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 United States. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Donna L Lesperance, MA, MPH (617-919-7305, Donna.Lesperance@childrens.harvard.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fat mass (time frame: Change from start of trial (time of randomization) through end of trial (12 months)). 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 NCT05464186, which also lists 3 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 8 Jan 2026.

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