NCT06879652

Brief Summary

The goal of this study is to examine how regular dairy intake affects body weight, body composition, and metabolic health in overweight and obese adolescents (ages 15-18) and older adults (ages 60-80) over six months. We are inviting eligible individuals to participate in this study at the Nutrition Intervention Center, Department of Nutritional Sciences, University of Toronto. Participants will be randomly divided into two groups. The intervention (dairy) group will consume three servings of dairy per day (milk, yogurt, and cheese) before breakfast, lunch, and dinner. The control (low-dairy) group will continue their usual diet, keeping dairy intake to less than one serving per day. Participants will have biweekly sessions with a registered dietitian to be guided to follow Canada's Food Guide, monitor their dietary intake and ensure compliance with their assigned group. In addition, they will visit the Nutrition Intervention Center at weeks 0, 12, and 24 for anthropometric and body composition assessments (weight, height, waist circumference, blood pressure, lean mass, and fat mass), resting metabolic rate, (gait speed, grip strength, and chair stand test just for older adults) and blood markers (fasting blood glucose, insulin, C-peptide, HbA1c, lipid profiles, and inflammatory markers). Each visit will take approximately 4 hours. Before each visit, the participants will be asked to fast overnight for 12 hours, maintain their usual diet and sleep patterns, and avoid exercise and alcohol the day before. The participants will be compensated for their time and travel expenses. Our secondary objective is to compare the effects of dairy and plant-based alternative products on blood sugar and appetite regulation in adolescents and older adults. Participants will be asked to come to the Nutrition Intervention Center on 3 separate occasions: once for an in-person screening lasting approximately 30 min and 2 times for study visits lasting approximately 2.5 hrs each. The entire study will take at least 2 weeks to complete. You will be asked to fast for 12 hrs (overnight) before each study visit. You will also be instructed to maintain the same dietary and sleep patterns and refrain from exercise and alcohol consumption on the days before the study visits. During these study visits, you will be asked to consume either a dairy or a plant-based alternative product as well as a pizza meal. You will periodically fill out questionnaires rating your feelings and perceptions, and provide blood samples through finger pricks and intravenously through your forearm to measure blood sugar, insulin, hormones, and amino acids. You will be compensated for your time and travel expenses.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
240

participants targeted

Target at P75+ for not_applicable

Timeline
24mo left

Started Jun 2026

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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

First Submitted

Initial submission to the registry

March 10, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

March 17, 2025

Completed
1.2 years until next milestone

Study Start

First participant enrolled

June 1, 2026

Expected
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2027

1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2028

Last Updated

March 5, 2026

Status Verified

March 1, 2026

Enrollment Period

1 year

First QC Date

March 10, 2025

Last Update Submit

March 3, 2026

Conditions

Keywords

Dairy intakeObesityType2 DiabetesHbA1cBMI z-scoreInsulin resistanceAdolescentsSeniors

Outcome Measures

Primary Outcomes (4)

  • Body Fat Mass (kg)

    Body Fat Mass (BFM) is the primary outcome in the long-term study of the senior group. It will be measured using bioelectrical impedance analysis (BIA).

    BFM will be measured at weeks 0, 6, 12, 18, and the end of the study (week 24).

  • Lean body mass (Kg)

    Lean body mass (LBM) is the primary outcome in the long-term study of the senior group. It will be measured using bioelectrical impedance analysis (BIA).

    LBM will be measured at weeks 0, 6, 12, 18, and the end of the study (week 24).

  • Body Mass Index (BMI) z-score

    BMI z-score, the primary outcome in the long-term study of the adolescent group, is an age- and sex-adjusted measure of BMI in adolescents. It will be calculated using height and weight measurements and interpreted using WHO growth charts and percentiles.

    BMI z-score will be measured at the beginning (week 0), midpoint (week 12), and end of the study (week 24).

  • Blood Glucose (mmol/L) (short-term study)

    Blood glucose, the primary outcome in the short-term studies of adolescents and seniors, will be measured via finger-prick using a glucometer at 0, 5, 20, 35, 50, 65, 95, 125, and 145 minutes after treatment consumption.

    Over 145 minutes after treatment consumption at each session, for a total of 2 weekly sessions.

Secondary Outcomes (27)

  • Fasting blood glucose (FBG) (mmol/L)

    FBS will be measured at the beginning (week 0), midpoint (week 12), and end of the study (week 24).

  • HbA1c (%)

    HbA1c will be measured at the beginning (week 0), midpoint (week 12), and end of the study (week 24).

  • Insulin (µU/mL)

    Insulin will be measured at the beginning (week 0), midpoint (week 12), and end of the study (week 24).

  • C-Peptide (pmol/L)

    C-Peptide will be measured at the beginning (week 0), midpoint (week 12), and end of the study (week 24).

  • Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)

    HOMA-IR will be measured at the beginning (week 0), midpoint (week 12), and end of the study (week 24).

  • +22 more secondary outcomes

Other Outcomes (1)

  • Dietary intake

    Three-day food records will be collected every six weeks; the mCFIS and CEPS will be administered monthly; and the KAPQ will be administered at weeks 0, 12, and 24.

Study Arms (8)

High Dairy - Adolescents (long-term study)

EXPERIMENTAL

Participants in the intervention group will follow Canada's Food Guide and consume 3 servings of dairy per day.

Other: Counselling to follow Canada's Food Guide and 3 daily servings of Dairy (long-term study)

Low Dairy- Adolescents (long-term study)

ACTIVE COMPARATOR

Participants in the control group will adhere to Canada's Food Guide and keep their dairy intake to less than one serving per day.

Other: Counselling to follow Canada's Food Guide (long-term study)

High Dairy - Seniors (long-term study)

EXPERIMENTAL

Participants in the intervention group will follow Canada's Food Guide and consume 3 servings of dairy per day.

Other: Counselling to follow Canada's Food Guide and 3 daily servings of Dairy (long-term study)

Low Dairy- Seniors (long-term study)

ACTIVE COMPARATOR

Participants in the control group will adhere to Canada's Food Guide and keep their dairy intake to less than one serving per day.

Other: Counselling to follow Canada's Food Guide (long-term study)

Dairy arm - Adolescents (short-term study)

EXPERIMENTAL

Participants will consume 2 servings of dairy milk or yogurt.

Other: Dairy (short-term study)

Plant-based alternative - Adolescents (short-term study)

EXPERIMENTAL

Participants will consume 2 servings of a commercially available soy milk or plant-based yogurt.

Other: Plant-based alternative (short-term study)

Dairy arm - Seniors (short-term study)

EXPERIMENTAL

Participants will consume 2 servings of dairy milk or yogurt.

Other: Dairy (short-term study)

Plant-based alternative - Seniors (short-term study)

EXPERIMENTAL

Participants will consume 2 servings of a commercially available soy milk or plant-based yogurt.

Other: Plant-based alternative (short-term study)

Interventions

Participants aged 15-18 and 60-80 years who are randomly assigned to the intervention group will follow Canada's Food Guide and consume 3 servings of dairy (milk, yogurt, cheese) per day for 24 weeks.

High Dairy - Adolescents (long-term study)High Dairy - Seniors (long-term study)

The dairy products that participants will be required to consume include: 1) Trial 1: 2% cow's milk; 2) Trial 2: dairy yogurt.

Dairy arm - Adolescents (short-term study)Dairy arm - Seniors (short-term study)

Participants will be instructed to follow Canada's Food Guide.

Low Dairy- Adolescents (long-term study)Low Dairy- Seniors (long-term study)

The plant-based products that participants will be required to consume include: 1) Trial 1: soy beverage; 2) Trial 2: plant-based yogurt;

Plant-based alternative - Adolescents (short-term study)Plant-based alternative - Seniors (short-term study)

Eligibility Criteria

Age14 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Age 15-18 years old (adolescents) or 60-80 years old (seniors)
  • BMI z-score \>+1SD, \<+2SD (adolescents) or BMI 25-34.9 kg/m2 (seniors)
  • Waist circumference \> 80 cm for women and \> 94 cm for men (seniors)
  • FBG 5.6-6.9 mmol/L (prediabetes)
  • Willing to follow Canada's Food Guide
  • Willing to maintain current dietary supplement use throughout the study.
  • Willing to abstain from alcohol consumption for 24 hours before all test visits.
  • Willing to avoid vigorous physical activity for 24 hours before all test visits.
  • Understands the study procedures and is willing to provide informed consent by the parent/guardian and assent by participant to participate in the study and authorization to release relevant protected health information to the study investigator.

You may not qualify if:

  • Fasting BG ≥ 7 mmol/L
  • Blood pressure systolic ≥ 130mmHg or diastolic ≥ 80mmHg (adolescents) or systolic ≥ 140 mmHg or diastolic pressure ≥ 90 mmHg
  • Smoking (tobacco and/or cannabis product use in the last 6 months)
  • Thyroid problems
  • History of CVDs, diabetes, liver or kidney disease, inflammatory bowel disease, celiac disease, short bowel syndrome, any malabsorption syndrome, pancreatitis, gallbladder, or biliary disease.
  • Presence of gastrointestinal disorder or surgeries within the past year.
  • Use of the prescription or non-prescription drugs, herbal or nutritional supplements known to affect the outcome of the study as per the investigator's judgment (including prebiotics and probiotics).
  • Known to be pregnant, lactating, or not postmenopausal for at least a year and/or is taking hormonal treatments
  • Unwillingness or inability to comply with the experimental procedures
  • Known intolerance, sensitivity, or allergy to dairy, gluten, or any other study treatments.
  • Consumption of protein powders/supplements
  • Extreme dietary habits (e.g., Atkins diet, very high-protein diets, etc.)
  • Weight gain or loss of \> 5% in the previous three months.
  • Excessive alcohol intake (more than 2 drinks per day or 9 per week)
  • Restrained eating, identified by a score of ≥11 on the Eating Habits Questionnaire
  • +22 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Department of Nutritional Sciences

Toronto, Ontario, M5S 1A8, Canada

RECRUITING

Nutrition Intervention Center

Toronto, M5S 3H2, Canada

NOT YET RECRUITING

MeSH Terms

Conditions

ObesityInsulin Resistance

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsHyperinsulinismGlucose Metabolism DisordersMetabolic Diseases

Study Officials

  • G Harvey Anderson, Ph.D.

    University of Toronto

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Shekoufeh Salamat, Ph.D.

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

March 10, 2025

First Posted

March 17, 2025

Study Start (Estimated)

June 1, 2026

Primary Completion (Estimated)

June 1, 2027

Study Completion (Estimated)

June 1, 2028

Last Updated

March 5, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

IPD will not be shared, as all data will be de-identified and pooled during the analysis. Only researchers directly involved in the study will have access to the data.

Locations