High Carbohydrate vs. High Fat Diets in the Treatment of Obesity (JBR 0512)
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Purpose
The purpose of this study is to compare the ability of low calorie high carbohydrate and low calorie high fat/protein diets to decrease abdominal fat in overweight and obese subjects. The investigators will also test the effects of these diets on secondary outcomes including body composition, fluid and electrolyte balance, lipids and lipoproteins, blood pressure, arterial compliance, glucose and insulin metabolism, bone turnover, and measures of satiety.
| Condition | Intervention |
|---|---|
|
Obesity |
Behavioral: Low calorie high carbohydrate diet Behavioral: Low calorie high fat/protein diet |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | High Carbohydrate vs. High Fat Diets in the Treatment of Obesity (JBR 0512) |
- Visceral adipose tissue [ Time Frame: days 12, 68 ] [ Designated as safety issue: No ]
- Body composition [ Time Frame: days 12, 68 ] [ Designated as safety issue: No ]
- Blood pressure [ Time Frame: days 11 and 67 ] [ Designated as safety issue: No ]
- Insulin glucose metabolism [ Time Frame: days 13, 15 69, 71 ] [ Designated as safety issue: No ]
- Bone turnover [ Time Frame: days 14, 70 ] [ Designated as safety issue: No ]
- Measures of satiety [ Time Frame: once a week ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 40 |
| Study Start Date: | July 2004 |
| Study Completion Date: | April 2010 |
| Primary Completion Date: | April 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: High Fat/Protein Diet |
Behavioral: Low calorie high fat/protein diet
High Fat/Protein Diet: 10% carbohydrate, 25% protein, 65% fat (26% SFA, 25% MFA, 9% PUFA), P/S 0.33, 458 mg cholesterol/1500 kcal
|
| Active Comparator: High Carbohydrate Diet |
Behavioral: Low calorie high carbohydrate diet
65% carbohydrate, 15% protein, 20% fat (7% SFA, 8% MFA, 4% PUFA), P/S 0.63, 152 mg cholesterol/1500 kcal
|
Detailed Description:
Participation in this study requires 2 screening visits to the outpatient clinic, and if participants qualify, 10 inpatient study weeks.
Subjects will be admitted to the Rockefeller University Hospital for the 10 week in-patient phase of the study. The first 2 weeks consist of a weight stabilization period, during which subjects will be required to consume an average American diet. This is followed by the 6 week weight loss period where subjects will be randomized to either a low calorie high carbohydrate or a low calorie high fat/protein diet. On both diets there will be a 50% calorie deficit compared to the weight stabilization period. This will be followed by a 2 week weight maintenance period during which calories will be added to the diet to maintain the new weight. Appropriate adjustments will be made to keep the subject's weight stable.
During the entire inpatient study, subjects will consume one multivitamin per day (Centrum, always complete, from A to Zinc) and one iron supplement per day. In addition, unlimited access to zero calorie liquids (water/diet soda) will be available and will be encouraged to maintain one's usual activity level.
Females of reproductive age, need to make sure that they do not become pregnant during the inpatient study. Urine will be tested for pregnancy once during the stabilization and weight maintenance phases of the study.
Eligibility| Ages Eligible for Study: | 30 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Man or a woman with a body mass index (BMI) of 30 to 34.9
- Man with a BMI of 25 to 29.9 with a waist circumference > 102cm (40in)
- Woman with a BMI of 25 to 29.9 with a waist circumference > 88cm (35in)
Exclusion Criteria:
- High Blood Pressure
- High Cholesterol
- Diabetes
- HIV positive
- Syphilis
- Hepatitis B/C positive
Contacts and Locations| United States, New York | |
| Rockefeller University | |
| New York, New York, United States, 10021 | |
| Principal Investigator: | Jan L. Breslow, MD | Rockefeller University |
More Information
Additional Information:
No publications provided
| Responsible Party: | Rockefeller University |
| ClinicalTrials.gov Identifier: | NCT00123240 History of Changes |
| Other Study ID Numbers: | JBR-0512 |
| Study First Received: | July 19, 2005 |
| Last Updated: | January 10, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Rockefeller University:
|
overweight obese diet |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 22, 2013