Effect of Fructose Reduction on Non-alcoholic Fatty Liver Disease (NAFLD) and Metabolic Syndrome in Overweight Children
Investigation on the Preventive Effect of Reduced Fructose Consumption on the Development of Non-alcoholic Fatty Liver Disease in Children in a Long Term Study
1 other identifier
interventional
100
1 country
1
Brief Summary
The aim of the present study is to find out if a dietary intervention mainly focusing on fructose reduction has a preventive effect on the development and progression of NAFLD and the metabolic syndrome in overweight children.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Apr 2009
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2009
CompletedFirst Submitted
Initial submission to the registry
February 25, 2011
CompletedFirst Posted
Study publicly available on registry
March 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedMarch 1, 2011
February 1, 2011
2.7 years
February 25, 2011
February 28, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
prevalence of fatty liver disease
Prevalence of fatty liver disease in ultrasound examination after 2 years
2 years
changes in blood lipid concentrations
changes in TG, HDL, LDL, total choelsterol concentrations in serum
1, 2 years
changes in blood pressure
changes in systolic (SBP) and diastolic (DBP) blood pressure
1, 2 years
changes in glucose metabolism
changes in oral glucose tolerance-test
1, 2 years
Secondary Outcomes (1)
Changes in small intestinal bacterial overgrowth
1, 2 years
Study Arms (2)
Intervention group
OTHERBased on the daily fructose intake assessed at the beginning of the study, children participating in the intervention group are advised to reduce their daily fructose intake about 50%.
Control group
NO INTERVENTIONFamilies participating in the control group are given only one dietary counseling based on the references of the "DGE" at the beginning of the study if they wish.
Interventions
Based on the daily fructose intake assessed at the beginning of the study, children participating in the intervention group are advised to reduce their daily fructose intake by 50%. In the first study year, every three months and in the second study year, every six months, nutritional counseling is repeated in small groups in which parents and children are separately trained.
Eligibility Criteria
You may qualify if:
- BMI \> 90 percentile for overweight children
- BMI \< 90 percentile for normal weight children
- no signs of fatty liver (maximal fatty liver grade one or slightly elevated ALT, AST, γ-GT concentrations)
- children with metabolic disorders (prehypertension, high triglyceride, cholesterol or fasting glucose levels) are included with agreement of the pediatrics
You may not qualify if:
- liver disease (e.g. steatohepatitis)
- diabetes type 1 and 2
- renal insufficiency
- chronic disease of the gastrointestinal tract
- taking drugs affecting lipid or glucose metabolism
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Hohenheim, Dept. of Nutritional Medicine (180 a)
Stuttgart, Baden-Wurttemberg, 70599, Germany
Related Publications (2)
Engstler AJ, Aumiller T, Degen C, Durr M, Weiss E, Maier IB, Schattenberg JM, Jin CJ, Sellmann C, Bergheim I. Insulin resistance alters hepatic ethanol metabolism: studies in mice and children with non-alcoholic fatty liver disease. Gut. 2016 Sep;65(9):1564-71. doi: 10.1136/gutjnl-2014-308379. Epub 2015 May 25.
PMID: 26006114DERIVEDMaier IB, Ozel Y, Wagnerberger S, Bischoff SC, Bergheim I. Dietary pattern and leisure time activity of overweight and normal weight children in Germany: sex-specific differences. Nutr J. 2013 Jan 15;12:14. doi: 10.1186/1475-2891-12-14.
PMID: 23320866DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ina Bergheim, Ph.D.
University of Hohenheim, Dept. of Nutritional Medicine (180 a)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
February 25, 2011
First Posted
March 1, 2011
Study Start
April 1, 2009
Primary Completion
December 1, 2011
Study Completion
December 1, 2012
Last Updated
March 1, 2011
Record last verified: 2011-02