Reduction of Triglycerides in Women on Hormone Replacement Therapy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00023543
Recruitment Status : Completed
First Posted : September 7, 2001
Last Update Posted : June 19, 2013
National Heart, Lung, and Blood Institute (NHLBI)
Information provided by (Responsible Party):
University of Pittsburgh

Brief Summary:
The purpose of this study is to test the effect of lifestyle intervention on subclinical cardiovascular disease measures in women taking hormone replacement therapy (HRT).

Condition or disease Intervention/treatment Phase
Cardiovascular Diseases Atherosclerosis Postmenopause Heart Diseases Behavioral: Diet, fat-restricted Behavioral: Exercise Phase 2

Detailed Description:


Cardiovascular disease is a common cause of morbidity and mortality in older women. Better methods of prevention via health promotion are needed. Estrogen HRT may beneficially affect women's cardiovascular health, based on evidence from observational studies, but recent trial evidence suggests HRT may actually lead to increased risk of cardiovascular disease in new users. Understanding this untoward effect of HRT and how to prevent it is a significant aim.


This randomized trial of 500 women on HRT for at least two years, aged 52-60 years, and three or more years postmenopausal will test whether reduction in waist circumference, triglycerides, dense low density lipoprotein cholesterol (LDLc), number of LDL particles, C-reactive protein, and plasminogen activator inhibitor-I (PAI-I) by aggressive diet and exercise, versus a health education control, and will decrease progression or result in regression of measures of subclinical vascular disease. The intervention is designed to reduce total fat intake to 17 percent of calories, 1300 kilo calories, and increase moderate activity to 150-240 minutes per week to obtain a 10 percent reduction in weight. The primary endpoint will be a 20 percent or at least a 20 mg decrease in triglyceride levels, a 5 cm decrease in waist circumference, and a 10 percent decrease in LDLc. This will result in changes in subclinical measurements, including carotid ultrasound, electron beam computer tomography of the coronary artery and aorta, pulse wave velocity, endothelial function, and tonometry of the radial artery. Nuclear magnetic resonance spectroscopy of lipoproteins, inflammatory markers, and estrogen metabolites will also be evaluated.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 508 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Reduction of Triglycerides in Women on HRT
Study Start Date : September 2001
Actual Primary Completion Date : May 2010
Actual Study Completion Date : May 2010

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: 1
Participants will reduce total fat intake to 17 percent of calories, 1300 kilo calories, and increase moderate activity to 150-240 minutes per week to obtain a 10 percent reduction in weight.
Behavioral: Diet, fat-restricted
Reduction in total, saturated, trans fat, cholesterol, calories. Increase in fiber. Promotion of nutrient-dense, high-volume, low calorie foods.

Behavioral: Exercise
Rigorous, stepped care approach to reach 150 min/week of physical activity.

Primary Outcome Measures :
  1. Measures of subclinical disease [ Time Frame: 5 years ]
  2. Change in coronary calcium (EBCT) [ Time Frame: 5 years ]
  3. Change in carotid intima media wall thickness [ Time Frame: 5 years ]
  4. Change in vascular stiffness (PWV) [ Time Frame: 5 years ]

Secondary Outcome Measures :
  1. Change in waist circumference and weight [ Time Frame: 5 years ]
  2. Change in LDL particles, triglycerides and small, medium and large LDL particles [ Time Frame: 5 years ]
  3. Change in HDL particles [ Time Frame: 5 years ]
  4. Change in insulin and glucose [ Time Frame: 5 years ]
  5. Change in systolic blood pressure, diastolic blood pressure [ Time Frame: 5 years ]

Information from the National Library of Medicine

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Ages Eligible for Study:   52 Years to 60 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • On HRT for at least two years
  • Women 52 to 60 years of age
  • Three or more years postmenopausal
  • Waist circumference greater than 80 cm
  • LDLc between 100 and 160 mg/dl
  • Body mass index 25-39.9 kg/m2
  • Blood Pressure less than 160/95 mm Hg
  • Beck Depression Inventory Score less than 20

Exclusion Criteria:

  • Current use of cholesterol-lowering medication
  • Diagnosis of diabetes
  • On diabetes medication

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00023543

United States, Pennsylvania
University of Pittsburgh
Pittsburgh, Pennsylvania, United States, 15261
Sponsors and Collaborators
University of Pittsburgh
National Heart, Lung, and Blood Institute (NHLBI)
Study Chair: Lewis H. Kuller, MD, DPH University of Pittsburgh

Publications of Results:
Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: University of Pittsburgh Identifier: NCT00023543     History of Changes
Other Study ID Numbers: 981
R01HL066468-06 ( U.S. NIH Grant/Contract )
R01HL066468 ( U.S. NIH Grant/Contract )
First Posted: September 7, 2001    Key Record Dates
Last Update Posted: June 19, 2013
Last Verified: June 2013

Additional relevant MeSH terms:
Cardiovascular Diseases
Heart Diseases
Arterial Occlusive Diseases
Vascular Diseases