NCT02295852

Brief Summary

Mediterranean diet is relatively poor in calcium (about 700 mg/daily) whilst there are several reports indicating beneficial effects of calcium-rich diets. Aim of the preset study is to evaluate the effects of a low-sodium, low-lipid diet enriched in calcium, mainly from vegetables instead of dairy products, on blood pressure, body weight a main parameters of the glucose and lipid metabolisms. This study is a randomized, parallel group trial that will be performed in the Outpatient Clinic. At least 150 patients with arterial hypertension and/or increased body weight (IMC\> 28 kg/m2) will enter the study program. After a 3 month low-lipid low-salt diet that will be prescribed to all patients, they will be divided in two groups. The first will change the diet to that similar for total calories, percent composition of macronutrients and salt but enriched in calcium (about 1200 mg/daily) whilst the alternative group will continue the first diet. The observation period will be of 1 year with anthropometric (body weight and height, waist circumference), hemodynamic (blood pressure and heart rate) and metabolic (cholesterol, triglycerides, fasting blood glucose, uric acid, calcium, phosphorus, sodium and potassium) controls after 3-6 and 12 months.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
150

participants targeted

Target at P50-P75 for not_applicable hypertension

Timeline
Completed

Started Dec 2014

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 7, 2014

Completed
13 days until next milestone

First Posted

Study publicly available on registry

November 20, 2014

Completed
11 days until next milestone

Study Start

First participant enrolled

December 1, 2014

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2015

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2016

Completed
Last Updated

November 20, 2014

Status Verified

November 1, 2014

Enrollment Period

1 year

First QC Date

November 7, 2014

Last Update Submit

November 17, 2014

Conditions

Keywords

Low-sodium calcium enriched dietLow-sodium dietGlucose and lipid metabolims

Outcome Measures

Primary Outcomes (1)

  • Antihypertensive effects as measured by BP measurements

    Measurements of blood pressure by sphygmomanometer.

    after 3-months of dietary treatment

Secondary Outcomes (3)

  • Effects on body weight as measured by scale

    after 3-months of dietary treatment

  • Effects on glucose metabolism as measured by fasting blood glucose

    after 3 months of dietary treatment

  • Effects on lipid metabolism as measured by measurements of serum cholesterol, triglycerides and HDL-cholesterol

    after 3 months of dietary treatment

Other Outcomes (1)

  • Long term feasibility of the diet as measured by adherence to dietary treatment

    after 1 yearof dietary treatment

Study Arms (2)

Group A: LOW-SODIUM LOW LIPID CALCIUM RICH DIET

EXPERIMENTAL

Experimental Group A: patients will change their diet in a diet similar for total daily calories, sodium and macronutrients but enriched in calcium (1200 mg/daily) and will be followed up to 1 year with an intermediate control after the first 3 months;

Dietary Supplement: LOW-SODIUM LOW LIPID CALCIUM RICH DIET

Group B: LOW-SODIUM LOW LIPID DIET

ACTIVE COMPARATOR

Experimental Group B: patients will continue the low-lipid, low-sodium diet up to 1 year with an intermediate control after the first 3 months.

Dietary Supplement: LOW-SODIUM LOW LIPID DIET

Interventions

1.Composition of the diet: Proteins 17%, Total lipids 28%, Saturated Fatty Acids 7%, Carbohydrates 54%, Fibers 42 g, Sodium 1377 mg, potassium 4067mg, Calcium 1211 mg

Group A: LOW-SODIUM LOW LIPID CALCIUM RICH DIET
LOW-SODIUM LOW LIPID DIETDIETARY_SUPPLEMENT

2\. Composition of the diet: Proteins 17%, Total lipids 27%, Saturated Fatty Acids 7%, Carbohydrates 56%, Fibers 39 g, Sodium 1397 mg, potassium 3973 mg, Calcium 650 mg

Group B: LOW-SODIUM LOW LIPID DIET

Eligibility Criteria

Age30 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • age 30-70 years
  • IMC \>28 and \< 35 kg/m2
  • pharmacological treatment unchanged in the last 3 months

You may not qualify if:

  • chronic kidney disease
  • liver or chronic inflammatory bowel disease
  • tumor

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hypertention Outpatient Clinic Dept. of Clinica Medica; Federico 2nd University of Naples

Naples, Naples, 80131, Italy

Location

MeSH Terms

Conditions

HypertensionBody Weight

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Liberato Aldo Ferrara, MD

    Dept. of Medicine and Surgery; Federico 2nd University of Naples

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Liberato Aldo Ferrara, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor of Medicine

Study Record Dates

First Submitted

November 7, 2014

First Posted

November 20, 2014

Study Start

December 1, 2014

Primary Completion

December 1, 2015

Study Completion

July 1, 2016

Last Updated

November 20, 2014

Record last verified: 2014-11

Locations