Macronutrient Relations and Weight Loss in Obese Subjects
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Purpose
The burden of overweight and obesity has dramatically increased during the last decades. High carbohydrate intake, particularly refined carbohydrates, probably increase the risk of obesity, type 2 diabetes, and metabolic syndrome. There is evidence that energy-restricted low-carbohydrate diets show greater weight loss and better improvement of cardiovascular risk markers compared to energy-restricted low-fat diets. Beside macronutrient relations, efficacy of weight loss programs depends on care and control. The investigators aim to investigate whether or not a carbohydrate-restricted telemedically guided weight loss program results in a more pronounced weight loss and influences metabolic risk markers more beneficial than a fat-restricted diet.
| Condition | Intervention |
|---|---|
|
Obesity |
Other: energy-restricted, carbohydrate-restricted diet Other: energy-restricted, fat-restricted diet |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Effects of Macronutrient Relations on Body Weight, Body Composition, and Cardiovascular Risk Markers in Overweight Patients Attending a Telemedically Guided Weight Loss Program |
- body weight [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- fat mass [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- waist circumference [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- blood pressure [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- blood lipids [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- parameters of glucose metabolism [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Enrollment: | 200 |
| Study Start Date: | November 2005 |
| Study Completion Date: | December 2007 |
| Primary Completion Date: | November 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: carbohydrate restriction
Interventions: carbohydrate content of diet: < 40% Frequency: daily Duration: 12 months
|
Other: energy-restricted, carbohydrate-restricted diet
carbohydrate content of the diet < 40% Frequency: daily Duration: 12 months
|
|
Active Comparator: fat restriction
Interventions: carbohydrate content of diet > 55% Frequency: daily Duration: 12 months
|
Other: energy-restricted, fat-restricted diet
carbohydrate content of diet > 55% Frequency: daily Duration: 12 months
|
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- age 18-70 years
- body mass index > 27 kg/m2
Exclusion Criteria:
- history of cardiovascular symptomatology
- cholelithiasis
- urolithiasis
- insulin dependent diabetes
- pacemaker implantation
- pregnancy
- lactation
- vegetarianism
Contacts and Locations| Germany | |
| Heart Center North Rhine-Westfalia | |
| Bad Oeynhausen, North Rhine-Westfalia, Germany, 32545 | |
| Principal Investigator: | Heinrich Koertke, PhD | Heart Center NRW |
More Information
No publications provided by Heart and Diabetes Center North-Rhine Westfalia
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Heinrich Koertke, PhD, Heart Center NRW |
| ClinicalTrials.gov Identifier: | NCT00868387 History of Changes |
| Other Study ID Numbers: | 003 |
| Study First Received: | March 24, 2009 |
| Last Updated: | March 24, 2009 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Heart and Diabetes Center North-Rhine Westfalia:
|
weight reduction low-carbohydrate body fat telemedicine cardiovascular risk markers |
Additional relevant MeSH terms:
|
Obesity Weight Loss Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms Body Weight Changes |
ClinicalTrials.gov processed this record on June 18, 2013