NCT01459991

Brief Summary

Purpose: During lactation, several physiological modifications occur including cellular differentiation and proliferation, as well as elevation in inflammation. The role of the Mediterranean (MED) diet rich in walnuts has been shown to favorably modify fatty acid profiles and to reduce inflammation. The study goal is to evaluate the anti-inflammatory effects of the MED diet rich in walnuts during lactation, a time of increased inflammatory response. Procedures: A randomized, controlled dietary intervention trial among lactating women comparing the effects of a Mediterranean-style diet with walnuts to the USDA's MyPyramid Diet for Moms was commenced to determine the effects of the diet on fatty acid profiles and biomarkers of inflammation in breast milk and material serum/plasma. Secondary outcomes of interest include effects of maternal diet assignment on maternal body weight and body composition as well as infants' growth and health during the study trial period. Population: The study population includes healthy women between the ages of 18-40 years who are within 6 months post-partum and plan to breastfeed a minimum of 3 times per day for 6 months following study entry. There have been a total of 138 participants enrolled in the study. All 138 participants are women; 34 identified themselves as Hispanic, and 104 said they were not Hispanic.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
138

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Oct 2008

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

October 1, 2008

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2010

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2011

Completed
23 days until next milestone

First Submitted

Initial submission to the registry

October 24, 2011

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 26, 2011

Completed
Last Updated

October 28, 2011

Status Verified

October 1, 2011

Enrollment Period

2.2 years

First QC Date

October 24, 2011

Last Update Submit

October 26, 2011

Conditions

Keywords

walnutmediterranean

Outcome Measures

Primary Outcomes (4)

  • Estrogen associated hormones

    To assess the effect of diet change on estrogen-associated hormones as measured by estradiol-17 beta in serum and breast milk, as well as sex hormon binding globulin (SHBG) in serum among lactating women.

    baseline, 2 month, 4 month, 6 month, 12 month

  • inflammatory and oxidative stress biomarkers

    Determine indirect/secondary effects of diet intervention on biomarkers of inflammation and oxidative stress as measured by serum high sensitivity C-reactive protein (hsCRP) and urinary 15-iso-prostaglandin-F2alpha (8-iso-PGF2alpha), respectively.

    baseline, 2, 4, 6, and 12 months

  • body measurements

    Assess repeated measures of change in body weight and composition related to dietary group assignment.

    baseline, 2, 4, 6, and 12 months

  • diet adherence

    Evaluate adherence and exposure to the diet intervention using the objective plasma biomarker, alpha-linolenic acid. Alpha-linolenic acid will be measured in breast milk as well as maternal plasma as a biomarker of intake/exposure.

    Baseline, 2, 4, 6, and 12 months

Study Arms (2)

Mediterranean

EXPERIMENTAL

Participants in this arm will follow a Mediterranean style diet, rich in olive oil and fruits and vegetables, and also consume 1 ounce of walnuts daily.

Other: Walnut

MyPyramid

ACTIVE COMPARATOR
Other: MyPyramid

Interventions

WalnutOTHER

Participants will consume 1 ounce walnuts daily and follow a Mediterranean style diet.

Mediterranean

Participants will follow a USDA MyPyramid style diet for lactating moms.

MyPyramid

Eligibility Criteria

Age18 Years - 40 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • plan to breastfeed 3 times daily for 6 months
  • no nut allergies
  • no history of cancer, renal disease, liver disease, or diabetes
  • no smoking

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Nutrition Research Clinic

Tucson, Arizona, 85716, United States

Location

MeSH Terms

Conditions

Breast Feeding

Interventions

PR-10 protein, walnut birch pollen

Condition Hierarchy (Ancestors)

Feeding BehaviorBehavior

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 24, 2011

First Posted

October 26, 2011

Study Start

October 1, 2008

Primary Completion

December 1, 2010

Study Completion

October 1, 2011

Last Updated

October 28, 2011

Record last verified: 2011-10

Locations