Randomized Trial of Tailored Dietary Advice to Lower Blood Pressure
FivePlus
Five Plus Nuts and Beans Trial
2 other identifiers
interventional
123
1 country
1
Brief Summary
The Five Plus Nuts \& Beans Study is a randomized, controlled trial to compare two strategies for translating the results of the DASH (Dietary Approaches to Stop Hypertension) Study into practice for 120 African American participants who are on stable doses of antihypertensive medications. The first arm of our study offers minimal DASH-oriented dietary advice along with a food credit at a local supermarket where they make their own decision of what to eat. The second arm consists of a single one-hour session with a nutrition expert who provides choices and places an on-line order from a community grocery store (Santoni's Market) with targeted purchases of fruits, vegetables, nuts and beans. Our primary outcome is change in blood pressure at 8 weeks. Secondary outcomes are effects on glucose, uric acid, urine potassium excretion, and self-report consumption of fruits and vegetables during the same period.
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 2012
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, 2012
CompletedFirst Submitted
Initial submission to the registry
April 27, 2012
CompletedFirst Posted
Study publicly available on registry
September 21, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2013
CompletedAugust 31, 2016
August 1, 2016
1.6 years
April 27, 2012
August 30, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Blood Pressure
Daytime systolic blood pressure determined by OMRON 907-xl blood pressure monitoring, will be the primary outcome measurement
8-wks follow-up
Secondary Outcomes (1)
Fasting glucose, lipids and uric acid; urine K and Na excretion
8-wks follow-up
Study Arms (2)
Behavioral, DASH Plus - Dietary advice
ACTIVE COMPARATORThis group will receive DASH diet advice and guided ordering of fruits, vegetables, nuts and beans that are high in potassium from a local supermarket.
DASH - C
OTHERDASH C Group will receive brief DASH diet advice and will be able to make non- guided purchases of food products from the local supermarket.
Interventions
Eligibility Criteria
You may qualify if:
- must be age 21 or older,
- have a diagnosis of hypertension or pre-hypertension
- under regular care with their physician, and
- compliant with medications.
- systolic blood pressure of 120-140 mmHg and/or
- a diastolic blood pressure of 80-90 mmHg (average of two visits)
- on stable doses of antihypertensive medications for a minimum of two months prior to randomization, (and for the duration of the study).
- be able to follow all trial procedures.
You may not qualify if:
- cardiovascular event within 6 months,
- chronic disease that might interfere with trial participation (e.g. chronic kidney disease (estimated GFR \< 60 cc/min),
- unwillingness or inability to adopt a DASH-like diet, and
- consumption of more than 14 alcoholic drinks per week,
- poorly controlled diabetes (Hemoglobin A1c \>9%),
- use of insulin,
- use of mineral supplements or an unwillingness to stop supplements one month prior to randomization and refrain from the supplements during the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Johns Hopkins Community Physicians, East Baltimore Medical Center
Baltimore, Maryland, 21202, United States
Related Publications (1)
Juraschek SP, White K, Tang O, Yeh HC, Cooper LA, Miller ER 3rd. Effects of a Dietary Approach to Stop Hypertension (DASH) Diet Intervention on Serum Uric Acid in African Americans With Hypertension. Arthritis Care Res (Hoboken). 2018 Oct;70(10):1509-1516. doi: 10.1002/acr.23515. Epub 2018 Aug 21.
PMID: 29342506DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Edgar R Miller III, MD, PhD
Johns Hopkins University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
April 27, 2012
First Posted
September 21, 2012
Study Start
April 1, 2012
Primary Completion
November 1, 2013
Study Completion
November 1, 2013
Last Updated
August 31, 2016
Record last verified: 2016-08