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Metabolic Syndrome, Protection AgainstNCT05764473

Diet, Cardiometabolic Risk (CM) and Menopause Symptoms

A study testing The impact of MedDiet on cardiometabolic risk factors and menopause symptoms and The impact of UCLP on cardiometabolic risk factors and menopause symptoms in people with Metabolic Syndrome, Protection Against and Menopause, run by University of Chester at 1 site in United Kingdom.

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

This research will explore the question 'What impact do the Mediterranean Diet (MedDiet) and the Heart UK Ultimate Cholesterol Lowering Plan (UCLP) Menopause have on cardiometabolic risk factors and the frequency and severity of menopause symptoms? This is a randomised cross-over parallel trial of 12 weeks duration. Read more about this study

Who is it for?
Ages 35 years and older, women onlyHealthy volunteers can take part
What is being tested?
The impact of MedDiet on cardiometabolic risk factors and menopause symptoms and The impact of UCLP on cardiometabolic risk factors and menopause symptoms
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
1 siteUnited Kingdom
Study dates
14 Mar 2023to 31 Aug 2023
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 35 years and older
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • over the past year presented with any of the following
  • Irregular periods or no periods at all
  • Night sweats
  • Hot flushes
  • Sleeplessness
  • Brain fog
Show all 9Show fewer
  • Increased anxiety
  • Joint pain
  • Changes to hair or skin

Who cannot join

  • Ever had an eating disorder
  • Ever diagnosed with cardiovascular disease or type 2 diabetes
  • Ever diagnosed with kidney disease
  • Current smoker
  • Triglyceride levels of ≥ 5.7 mmol/L at baseline
  • Glucose levels of ≥ 7 mmol/L at baseline
  • Diastolic blood pressure of ≥ 100 mmHg at baseline
  • Systolic blood pressure of ≥ 160 mmHg at baseline

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • University of Chester

    Chester, Cheshire, CH1 4BJ

Other trials in United Kingdom

About this study

Official title: Dietary Patterns, Cardiometabolic Risk Factors and Menopause Symptoms in a Sample of UK Women - A Randomised Cross-over Parallel Trial

This research will explore the question 'What impact do the Mediterranean Diet (MedDiet) and the Heart UK Ultimate Cholesterol Lowering Plan (UCLP) Menopause have on cardiometabolic risk factors and the frequency and severity of menopause symptoms? This is a randomised cross-over parallel trial of 12 weeks duration. Participants are women undergoing or having completed the menopause transition.

Read the detailed description

Group 1 will first follow the MedDiet pattern for six weeks and then follow the UCLP diet pattern for six weeks. Group 2 will also follow both diet patterns but in the opposite order.

Week 0 will be the baseline, week 6 will be the interim point and week 12 will be the endpoint.

Data collection Some data will be collected at the University of Chester laboratories, including anthropometric measurements, blood pressure and blood samples. A small fasted blood sample will be collected via finger prick (Alere Cholestech LDX® Analyzer (Alere San Diego Inc. USA)). Participants will also be talked through the guidance notes for the diets at this point. Other data, food diaries and a questionnaire asking about recent physical activity and menopause symptoms will be completed online.

Demographics At baseline participants will be asked to complete a brief questionnaire to answer a few demographic questions, including date of birth, ethnicity, income category, level of education, whether (and if so which) using any form of hormone replacement therapy (HRT) or contraception. Participants will be asked at interim and endpoint whether there have been any recent changes with regards to HRT and contraception methods.

Dietary intake Participants will be asked to complete a total of seven four-day food diaries. The first diary will be completed in the week before participants attend their first appointment in the laboratory. This diary will give a snapshot of the participants' habitual diet prior to joining the intervention. The other four-day food diaries will be completed in weeks 2, 4, 6, 8, 10 and 12.

Physical activity Data on physical activity over the previous four-week period will be collected at baseline, interim point and endpoint. Participants will be asked to complete the Recent Physical Activity Questionnaire (RPAQ).

Data analysis Blood sample Blood samples will be used to assess whether participants have

  • elevated total cholesterol levels (>5 mmol/L)
  • elevated LDL cholesterol levels (>3.0 mmol/L)
  • elevated non-HDL cholesterol levels (>4 mmol/L)
  • decreased HDL cholesterol levels (<1.3 mmol/L)
  • elevated triglyceride levels (>1.7 mmol/L)
  • elevated glucose levels (> 5.6 mmol/L)

HDL-C, glucose and triglyceride levels will also be used together with waist circumference and blood pressure data to assess whether participants present with metabolic syndrome at baseline, interim point and endpoint according to the definition of Alberti et al. (2009)

Dietary intake Food diary data will be analysed using the dietary assessment software Nutritics (2021).

The data from the analysis will also be used to identify the intake of phytoestrogen-rich foods (associated with milder menopause symptoms) and the average intake of phytoestrogens.

Dietary adherence and diet quality Following on from the analysis of the food diaries adherence to the MedDiet will be assessed by applying the Mediterranean Diet Score.

Adherence to the UCLP Menopause will be assessed by applying an amended version of the Portfolio Diet Score. The scoring system will be slightly adjusted where there are differences in terms of amounts to be consumed of the four portfolio foods.

Physical activity Each activity across the four domains of the RPAQ has a MET score assigned based on Ainsworth et al.'s (2011) updated Compendium of Physical Activities to categorise the activity as sedentary, light, moderate or vigorous intensity. Recoding of the completed RPAQ will follow the script devised by Medical Research Council (MRC) Epidemiology Unit (Scott et al., 2013; available to download at www.mrc-epid.cam.ac.uk/physical-activity-downloads/).

Statistical analysis Descriptive statistics (means (M) and standard deviation (SD)) will be produced for all data collected. Data will also be analysed for correlations between dietary intake, diet quality and changes to cardiometabolic risk (CMR) and to menopause symptoms. Mixed ANOVAs and linear and logistic regression analysis will also be employed. If necessary data will be adjusted for factors, such as physical activity, ethnicity, HRT intake, contraceptive intake, educational level and income category.

Being tested
The impact of MedDiet on cardiometabolic risk factors and menopause symptoms, The impact of UCLP on cardiometabolic risk factors and menopause symptoms
Keywords
menopause, peri-menopause, post-menopause, vasomotor symptoms, cardiometabolic risk, Mediterranean Diet, MedDiet, Ultimate Cholesterol Lowering Plan, UCLP, Portfolio diet, diet quality
Medical subject headings
Metabolic Syndrome

What participants receive

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

  • The impact of MedDiet on cardiometabolic risk factors and menopause symptomsOther

    12-week randomised parallel cross-over study with 32 participants. Impact of diet on CMR factors and menopause symptoms will be explored with diet quality and adherence to diet determined via diet quality indices for MedDiet and Portfolio diet.

  • The impact of UCLP on cardiometabolic risk factors and menopause symptomsOther

    12-week randomised parallel cross-over study with 32 participants. Impact of diet on CMR factors and menopause symptoms will be explored with diet quality and adherence to diet determined via diet quality indices for MedDiet and Portfolio diet.

Study groups in NCT05764473
Study groupRoleWhat they receive
A (Med/UCLP)ExperimentalFollowing the Mediterranean Diet for six weeks, then following the Ultimate Cholesterol Lowering Plan for six weeks. Food diaries collected at baseline, week 2, week 4, week 6, week 8, week 10, week 12. Cardiometabolic risk markers, menopause symptoms and physical activity collected at baseline, week 6, week 12.
Receives: Other: The impact of MedDiet on cardiometabolic risk factors and menopause symptoms; Other: The impact of UCLP on cardiometabolic risk factors and menopause symptoms
B (ULCP/Med)ExperimentalFollowing the Ultimate Cholesterol Lowering Plan for six weeks, then following the Mediterranean Diet for six weeks. Food diaries collected at baseline, week 2, week 4, week 6, week 8, week 10, week 12. Cardiometabolic risk markers, menopause symptoms and physical activity collected at baseline, week 6, week 12.
Receives: Other: The impact of MedDiet on cardiometabolic risk factors and menopause symptoms; Other: The impact of UCLP on cardiometabolic risk factors and menopause symptoms

What is being measured

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

  1. Change Total cholesterol baseline-interim point

    Change from baseline total cholesterol concentrations at 6 weeks

    Measured: 6 weeks

  2. Change Total cholesterol baseline-endpoint

    Change from baseline total cholesterol concentrations at 12 weeks

    Measured: 12 weeks

  3. Change Total cholesterol interim point - endpoint

    Change from interim point total cholesterol concentrations at 12 weeks

    Measured: 6 weeks

  4. Change HDL cholesterol baseline - interim point

    Change from baseline HDL cholesterol concentrations at 6 weeks

    Measured: 6 weeks

  5. Change HDL cholesterol baseline - endpoint

    Change from baseline HDL cholesterol concentrations at 12 weeks

    Measured: 12 weeks

  6. Change HDL cholesterol interim point - endpoint

    Change from interim point HDL cholesterol concentrations at 12 weeks

    Measured: 6 weeks

  7. Change LDL cholesterol baseline-interim point

    Change from baseline LDL cholesterol concentrations at 6 weeks

    Measured: 6 weeks

  8. Change LDL cholesterol baseline - endpoint

    Change from baseline LDL cholesterol concentrations at 12 weeks

    Measured: 12 weeks

  9. Change LDL cholesterol interim point - endpoint

    Change from interim point LDL cholesterol concentrations at 12 weeks

    Measured: 6 weeks

  10. Change non-HDL cholesterol baseline - interim point

    Change from baseline non-HDL cholesterol concentrations at 6 weeks

    Measured: 6 weeks

  11. Change non-HDL cholesterol baseline - endpoint

    Change from baseline non-HDL cholesterol concentrations at 12 weeks

    Measured: 12 weeks

  12. Change non-HDL cholesterol interim point - endpoint

    Change from interim point non-HDL cholesterol concentrations at 12 weeks

    Measured: 6 weeks

  13. Change triglycerides baseline - interim point

    Change from baseline triglyceride concentrations at 6 weeks

    Measured: 6 weeks

  14. Change triglycerides - baseline - endpoint

    Change from baseline triglyceride concentrations at 12 weeks

    Measured: 12 weeks

  15. Change triglycerides interim point - endpoint

    Change from interim point triglyceride concentrations at 12 weeks

    Measured: 6 weeks

  16. Change blood glucose baseline - interim point

    Change from baseline blood glucose concentrations at 6 weeks

    Measured: 6 weeks

  17. Change blood glucose baseline - endpoint

    Change from baseline blood glucose concentrations at 12 weeks

    Measured: 12 weeks

  18. Change blood glucose interim point - endpoint

    Change from interim point blood glucose concentrations at 12 weeks

    Measured: 6 weeks

  19. Change Systolic and diastolic blood pressure baseline - interim point

    Change from baseline systolic and diastolic blood pressure at 6 weeks

    Measured: 6 weeks

  20. Change Systolic and diastolic blood pressure baseline - endpoint

    Change from baseline blood glucose concentrations at 12 weeks

    Measured: 12 weeks

  21. Change Systolic and diastolic blood pressure - interim point - endpoint

    Change from interim point blood glucose concentrations at 12 weeks

    Measured: 6 weeks

  22. Change Body mass index - baseline - interim point

    Change from baseline body mass index at 6 weeks

    Measured: 6 weeks

  23. Change Body mass index baseline - endpoint

    Change from baseline body mass index at 12 weeks

    Measured: 12 weeks

  24. Change Body mass index - interim point - endpoint

    Change from interim point body mass index at 12 weeks

    Measured: 6 weeks

  25. Change Waist circumference baseline - interim point

    Change from baseline waist circumference at 6 weeks

    Measured: 6 weeks

  26. Change Waist circumference baseline - endpoint

    Change from baseline waist circumference at 12 weeks

    Measured: 12 weeks

  27. Change Waist circumference interim point - endpoint

    Change from interim point waist circumference at 12 weeks

    Measured: 6 weeks

  28. Change Waist-hip ratio baseline - interim point

    Change from baseline waist-hip ratio at 6 weeks

    Measured: 6 weeks

  29. Change Waist-hip ratio baseline - endpoint

    Change from baseline waist-hip ratio at 12 weeks

    Measured: 12 weeks

  30. Change Waist-hip ratio interim point - endpoint

    Change from interim point waist-hip ratio at 12 weeks

    Measured: 6 weeks

  31. Change Waist-height ratio baseline - interim point

    Change from baseline waist-height ratio at 6 weeks

    Measured: 6 weeks

  32. Change Waist-height ratio baseline - endpoint

    Change from baseline waist-height ratio at 12 weeks

    Measured: 12 weeks

  33. Change Waist-height ratio interim point - endpoint

    Change from interim point waist-height ratio at 12 weeks

    Measured: 6 weeks

Secondary outcomes (6)
  1. Change Frequency of menopause symptoms baseline - interim point

    Change from baseline frequency of menopause symptoms at 6 weeks on a scale from 0 to 21 on the Greene Climacteric Scale. Higher Scores indicate higher frequency.

    Measured: 6 weeks

  2. Change Frequency of menopause symptoms baseline - endpoint

    Change from baseline frequency of menopause symptoms at 12 weeks on a scale from 0 to 21 on the Greene Climacteric Scale. Higher Scores indicate higher frequency.

    Measured: 12 weeks

  3. Change Frequency of menopause symptoms - interim point - endpoint

    Change from interim point frequency of menopause symptoms at 12 weeks on a scale from 0 to 21 on the Greene Climacteric Scale. Higher Scores indicate higher frequency.

    Measured: 6 weeks

  4. Change Severity of menopause symptoms baseline - interim point

    Change from baseline severity of menopause symptoms at 6 weeks on a scale from 0 to 3 on the Greene Climacteric Scale. Higher Scores indicate higher severity.

    Measured: 6 weeks

  5. Change Severity of menopause symptoms baseline - endpoint

    Change from baseline severity of menopause symptoms at 12 weeks on a scale from 0 to 3 on the Greene Climacteric Scale. Higher Scores indicate higher severity.

    Measured: 12 weeks

  6. Change Severity of menopause symptoms interim point - endpoint

    Change from interim point severity of menopause symptoms at 12 weeks on a scale from 0 to 3 on the Greene Climacteric Scale. Higher Scores indicate higher severity.

    Measured: 6 weeks

Timeline

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

  1. First posted10 Mar 2023
  2. Study start14 Mar 2023
  3. Primary completion30 Jun 2023
  4. Study completion31 Aug 2023

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
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
12-week randomised cross-over parallel trial
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05764473
Sponsor's protocol ID
MenoUoC
Status last verified
Jun 2024
First submitted
13 Feb 2023
Last updated
28 Jun 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • El Khoudary SR, Aggarwal B, Beckie TM, Hodis HN, Johnson AE, Langer RD, Limacher MC, Manson JE, Stefanick ML, Allison MA; American Heart Association Prevention Science Committee of the Council on Epidemiology and Prevention; and Council on Cardiovascular and Stroke Nursing. Menopause Transition and Cardiovascular Disease Risk: Implications for Timing of Early Prevention: A Scientific Statement From the American Heart Association. Circulation. 2020 Dec 22;142(25):e506-e532. doi: 10.1161/CIR.0000000000000912. Epub 2020 Nov 30.

    PubMed 33251828
  • Gomez-Delgado F, Katsiki N, Lopez-Miranda J, Perez-Martinez P. Dietary habits, lipoprotein metabolism and cardiovascular disease: From individual foods to dietary patterns. Crit Rev Food Sci Nutr. 2021;61(10):1651-1669. doi: 10.1080/10408398.2020.1764487. Epub 2020 Jun 9.

    PubMed 32515660
  • Greene JG. Constructing a standard climacteric scale. Maturitas. 1998 May 20;29(1):25-31. doi: 10.1016/s0378-5122(98)00025-5.

    PubMed 9643514
  • Lobo RA, Gompel A. Management of menopause: a view towards prevention. Lancet Diabetes Endocrinol. 2022 Jun;10(6):457-470. doi: 10.1016/S2213-8587(21)00269-2. Epub 2022 May 5.

    PubMed 35526556
  • Roa-Diaz ZM, Raguindin PF, Bano A, Laine JE, Muka T, Glisic M. Menopause and cardiometabolic diseases: What we (don't) know and why it matters. Maturitas. 2021 Oct;152:48-56. doi: 10.1016/j.maturitas.2021.06.013. Epub 2021 Jul 2.

    PubMed 34674807

Questions about this trial

What is this clinical trial studying?

A study testing The impact of MedDiet on cardiometabolic risk factors and menopause symptoms and The impact of UCLP on cardiometabolic risk factors and menopause symptoms in people with Metabolic Syndrome, Protection Against and Menopause, run by University of Chester at 1 site in United Kingdom.

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 9 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: finished, as of the sponsor's last update on 28 Jun 2024. 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 Kingdom. 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?

Change Total cholesterol baseline-interim point (time frame: 6 weeks). The study lists 33 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 NCT05764473, which also lists 5 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 28 Jun 2024.

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