CCRC: The Effects of Walnuts, Walnut-Oil, Almonds and Fish Oils on Glucose Homeostasis in Polycystic Ovary Syndrome (PCOS)
Recruitment status was Recruiting
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Purpose
The purpose of this study is to learn more about the effects of walnuts, walnut-oil, almonds and fish oils on blood sugar and insulin levels in polycystic ovary syndrome (PCOS) patients. The hypothesis is that a diet rich in these foods will improve insulin resistance in women with PCOS.
| Condition | Intervention |
|---|---|
|
Polycystic Ovary Syndrome Insulin Resistance |
Dietary Supplement: walnuts Dietary Supplement: almonds |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | CCRC: Walnuts, Walnut-Oil, Glucose Homeostasis, PCOS |
- The investigators hope to learn the effects of walnuts, walnut-oil, almonds and fish oils on blood sugar and insulin levels in PCOS patients. [ Time Frame: 3 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 96 |
| Study Start Date: | April 2006 |
| Estimated Study Completion Date: | July 2008 |
| Estimated Primary Completion Date: | July 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: walnuts
Patients will be randomized to receive walnuts
|
Dietary Supplement: walnuts
Subjects will follow their usual diet for 4 weeks; after that they will be randomized to walnuts. They will eat walnuts once daily for six weeks.
|
|
Active Comparator: almonds
Patients will be randomized to receive almonds
|
Dietary Supplement: almonds
Subjects will follow their usual diet for 4 weeks; after that they will be randomized to almonds. They will eat almonds once daily for six weeks.
|
Detailed Description:
Polycystic ovary syndrome is a common disease that affects 1 out of 16 women. Metabolic and endocrine abnormalities seen in PCOS include insulin resistance, androgen excess and infertility. This study focuses on the insulin resistance aspect because increased insulin resistance leads to premature onset of impaired glucose tolerance or diabetes whereas decreased insulin resistance reduces androgen excess, improves the ovarian function and increases fertility. Although insulin resistance can be treated with insulin-sensitizing drugs, PCOS clinically manifests during adolescence and the long-term safety of the drug-treatment can be a concern. Thus, improving insulin resistance with effective nutritional approaches would be very desirable. Epidemiological studies and animal experiments suggest that replacement of dietary saturated fats with monounsaturated (MUFA) and polyunsaturated (PUFA) fats improves insulin resistance.
Eligibility| Ages Eligible for Study: | 18 Years to 45 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Clinical diagnosis of polycystic ovary syndrome
- Body mass index (BMI) 22-52
Exclusion Criteria:
- Habitual dietary intake of less than 30% fat
- Use of oral contraceptives, insulin sensitizers, d-chiro inositol, or any other supplements affecting weight or insulin sensitivity during the preceding two months
- Impaired glucose tolerance
- Diabetes mellitus
- Other system illnesses such as renal, hepatic, gastrointestinal, severe hyperlipidemia and hypertension that require medication
- Smoking, alcohol intake (more than 2 drinks/week)
- The laboratory values used for exclusion of subjects will be fasting glucose > 110 mg/dl, glycosylated hemoglobin (HgBA1) > 6.5%, serum creatinine > 1.5 mg/dl, ALT or AST > 2x the upper limit of normal, cholesterol > 250 mg/dl. The investigators will also exclude subjects with hematocrit < 30%.
Contacts and Locations| Contact: Dumindra D Gurusinghe, BS | (916) 703-5481 | dgurusinghe@yahoo.com |
| Contact: Luisa M Vargas, CCRP | (916) 703-5480 | mlvargas@ucdavis.edu |
| United States, California | |
| Clinical and Translational Science Center Clinical Resources Center | Recruiting |
| Mather, California, United States, 95655 | |
| Principal Investigator: | Sidika E Kasim-Karakas, MD | University of California, Davis |
More Information
No publications provided
| Responsible Party: | Sidika Kasim-Karakas, UC Davis |
| ClinicalTrials.gov Identifier: | NCT00579904 History of Changes |
| Other Study ID Numbers: | 200513651-3 |
| Study First Received: | December 17, 2007 |
| Last Updated: | August 1, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of California, Davis:
|
PCOS polycystic ovary syndrome insulin resistance fish oil walnut-oil walnuts |
almonds monounsaturated fats polyunsaturated fats MUFA PUFA |
Additional relevant MeSH terms:
|
Insulin Resistance Polycystic Ovary Syndrome Hyperinsulinism Glucose Metabolism Disorders Metabolic Diseases Ovarian Cysts Cysts |
Neoplasms Ovarian Diseases Adnexal Diseases Genital Diseases, Female Gonadal Disorders Endocrine System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013