Dietary Intervention for Visceral Adiposity (DIVA-Pilot)
Recruitment status was Recruiting
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Purpose
The purpose of this research study is to determine whether increased intake of dietary fiber during a 12-week, low-calorie weight loss intervention affects abdominal fat change and improves cardiovascular risk factors in African-American women more than a standard weight loss intervention.
The investigators are testing two main hypothesis:
Hypothesis 1: Women in the high dietary fiber intervention group will lose significantly more abdominal fat around their organs than women in the standard fiber group.
Hypothesis 2: Women in the high dietary fiber intervention group will have lower blood pressure, fasting glucose, fasting lipids and inflammatory factors at 3-months compared to women in the control group.
| Condition | Intervention |
|---|---|
|
Obesity |
Dietary Supplement: Benefiber Dietary Supplement: TrueLemon |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Dietary Intervention for Visceral Adiposity-Pilot |
- Change in abdominal adiposity measured by CT [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]Change in area of three abdominal fat depots,namely visceral,subcutaneous and liver fat.
- Change in metabolic risk factors [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]glucose, insulin, lipids, inflammatory markers, adipokines, blood pressure, BMI, 25-OH vitamin D
| Estimated Enrollment: | 30 |
| Study Start Date: | February 2011 |
| Estimated Study Completion Date: | July 2012 |
| Estimated Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Study prepared meals and placebo
Participants will have meals designed specifically for them based on their caloric needs. Participants will choose a weeks worth of meals (from a menu) and pick them up from the Clinical Research Unit twice a week. Participants will not receive any fiber supplementation.
|
Dietary Supplement: TrueLemon
Each placebo dietary supplement packet contains 8 grams of Splenda and 3 grams of TRUE® Lemon sweetener. Each packet is designed to be added to 8 oz of fluid. The three packets should be consumed each day in a total of 24 fluid ounces.
|
|
Active Comparator: Nutritional Counseling with fiber
Participants receiving nutritional education will have two individual sessions (spaced approx. 2 weeks apart). The nutritional sessions will focus on knowledge, self-regulation, motivation, experience and environment. Participants will receive fiber supplementation.
|
Dietary Supplement: Benefiber
Benefiber® powder will be used as our dietary supplement intervention. Benefiber® powder contains wheat dextrin, a 100% natural fiber. Participants in the intervention arm will receive 3 supplement packets to be consumed per day. Each active dietary supplement packet contains 8 grams of Benefiber® powder and 3 grams of TRUE® lemon flavoring, a 100% natural with no artificial ingredients or sweeteners, preservatives, sodium or gluten. |
|
Placebo Comparator: Nutrition counseling and placebo
Participants receiving nutritional education will have two individual sessions (spaced approx. 2 weeks apart). The nutritional sessions will focus on knowledge, self-regulation, motivation, experience and environment.Participants will receive no fiber supplementation.
|
Dietary Supplement: TrueLemon
Each placebo dietary supplement packet contains 8 grams of Splenda and 3 grams of TRUE® Lemon sweetener. Each packet is designed to be added to 8 oz of fluid. The three packets should be consumed each day in a total of 24 fluid ounces.
|
|
Active Comparator: Study prepared meals and fiber
Participants will have meals designed specifically for them based on their caloric needs. Participants will choose a weeks worth of meals (from a menu) and pick them up from the Clinical Research Unit twice a week. Participants will receive fiber supplementation.
|
Dietary Supplement: Benefiber
Benefiber® powder will be used as our dietary supplement intervention. Benefiber® powder contains wheat dextrin, a 100% natural fiber. Participants in the intervention arm will receive 3 supplement packets to be consumed per day. Each active dietary supplement packet contains 8 grams of Benefiber® powder and 3 grams of TRUE® lemon flavoring, a 100% natural with no artificial ingredients or sweeteners, preservatives, sodium or gluten. |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 20 Years to 50 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Pre-menopausal
- Self-identified as an African-American woman
- Aged 20-50 years
- Willing and able to provide informed consent
- No contraindication to weight loss
Exclusion Criteria:
- Diabetes or currently taking medication to lower blood sugar
- Currently on lipid lowering medications
- Currently taking chronic steroids
- Current diagnosis of kidney or heart failure
- Untreated hypothyroidism or hyperthyroidism
- BMI < 30 kg/m2 or waist circumference < 88 cm
- Current fiber supplementation
- Current pregnancy
- Body mass > 140 kg (CT limit)
- Inability to speak or read English
- Gastrointestinal disorders that prohibit the increased consumption of fiber
- Current participation in a structured weight loss/diet intervention program
- Inability to consume artificial sweeteners
- Inability or unwillingness to travel to the CRU during operating hours at the required frequency.
Contacts and Locations| Contact: Kristen G Hairston, MD, MPH | 3367137616 | kghairst@wfubmc.edu |
| Contact: Nancy Lawlor, RN |
| United States, North Carolina | |
| Wake Forest University Clinical Research Unit | Recruiting |
| Winston Salem, North Carolina, United States, 27157 | |
| Principal Investigator: | Kristen G Hairston, MD MPH | Wake Forest Unversity Health Sciences |
More Information
Publications:
| Responsible Party: | Kristen Gill Hairston, MD, MPH, Wake Forest University Health Sciences |
| ClinicalTrials.gov Identifier: | NCT01350518 History of Changes |
| Other Study ID Numbers: | 00579 |
| Study First Received: | May 6, 2011 |
| Last Updated: | August 15, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Wake Forest University:
|
Intra-Abdominal Fat Metabolic Syndrome Hepatic steatosis |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013