DASH-Sodium Trial in Adolescents (CampDASH)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Indiana
-
Indianapolis, Indiana, United States, 46202
- Department of Pediatrics, IU School of Medicine
-
West Lafayette, Indiana, United States, 47907-2059
- Department of Nutrition Science, Purdue University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- White, black, Hispanic, and Asian
- SBP in the upper one-third of the distribution for their given sex, age, and height
Exclusion Criteria:
- Pre-existing lipid disorders, abnormal liver or kidney function
- Taking medications that alter mineral absorption or metabolism, affect blood pressure or lipids
- If subjects are taking dietary supplements and refuse to discontinue them 2 months prior to the study.
- Taking non-prescription illegal drugs, smoke, or drink alcohol
- Pregnancy
- Carry an epi pen for food-related allergies
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: SINGLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: DASH diet-Low Na diet
DASH style diet, low sodium (1500 mg/d).
|
DASH style diet rich in fruits, vegetables, and low-fat dairy foods and low in saturated fat and total fat
Sodium intake of 1500 mg/d (65 mmol, or 0.75 mg/Kcal/d), representing the Adequate Intake recommended by the Institute of Medicine.
|
|
ACTIVE_COMPARATOR: DASH diet-High Na diet
DASH style diet, high sodium (3500 mg/d).
|
DASH style diet rich in fruits, vegetables, and low-fat dairy foods and low in saturated fat and total fat
Sodium intake of 3500 mg/d (152 mmol, or 1.73 mg/Kcal/d, representing the highest sodium intake used for adults in the DASH Sodium trial.
|
|
ACTIVE_COMPARATOR: Usual diet-Low Na diet
Diet reflecting typical dietary pattern of American adolescents, low sodium (1500 mg/d).
|
Sodium intake of 1500 mg/d (65 mmol, or 0.75 mg/Kcal/d), representing the Adequate Intake recommended by the Institute of Medicine.
The usual diet will include foods that provide the majority of energy for adolescents in the U.S., i.e. grain based desserts, pizza, sugary drinks,pasta, chicken, and chicken mixed dishes.
|
|
ACTIVE_COMPARATOR: Usual diet-High Na diet
Diet reflecting typical dietary pattern of American adolescents, high sodium (3500 mg/d).
|
Sodium intake of 3500 mg/d (152 mmol, or 1.73 mg/Kcal/d, representing the highest sodium intake used for adults in the DASH Sodium trial.
The usual diet will include foods that provide the majority of energy for adolescents in the U.S., i.e. grain based desserts, pizza, sugary drinks,pasta, chicken, and chicken mixed dishes.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean systolic blood pressure (SBP)
Time Frame: End of 25 day feeding intervention
|
The primary outcome is mean SBP at the end of each intervention feeding period.
Mean end of intervention SBP is the average of daily readings during days 19-25 of each intervention feeding period.
Blood pressure will also be measured periodically at baseline and throughout the study.
|
End of 25 day feeding intervention
|
|
Non-HDL Cholesterol (HDLC)
Time Frame: End of 25 day feeding intervention
|
Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period
|
End of 25 day feeding intervention
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Diastolic blood pressure (DBP)
Time Frame: End of 25 day feeding intervention
|
The secondary outcome is mean DBP at the end of each intervention feeding period.
Mean end of intervention DBP is the average of daily readings during days 19-25 of each intervention feeding period.
Blood pressure will also be measured periodically at baseline and throughout the study..
|
End of 25 day feeding intervention
|
|
Total cholesterol
Time Frame: End of 25 day feeding intervention
|
Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period.
|
End of 25 day feeding intervention
|
|
HDL-cholesterol
Time Frame: End of 25 day feeding intervention
|
Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period
|
End of 25 day feeding intervention
|
|
LDL-cholesterol
Time Frame: End of 25 day feeding intervention
|
Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period
|
End of 25 day feeding intervention
|
|
Cholesterol:HDLC ratio
Time Frame: End of 25 day feeding intervention
|
Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period.
|
End of 25 day feeding intervention
|
|
Triglycerides
Time Frame: End of 25 day feeding intervention
|
Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period
|
End of 25 day feeding intervention
|
|
Urinary mineral excretion
Time Frame: End of 25 day feeding intervention
|
Two 24-hr urine samples at the end of the feeding periods will be analyzed for sodium, potassium, magnesium, and calcium..
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End of 25 day feeding intervention
|
|
Regulators of sodium metabolism
Time Frame: End of 25 day feeding intervention
|
Regulators of sodium homeostasis (renin, aldosterone, angiotensin) will be measured at the beginning and end of the feeding period
|
End of 25 day feeding intervention
|
|
Augmentation index
Time Frame: End of 25 day feeding intervention
|
Pulse wave analysis (At Cor Medical) will be used to measure changes in augmentation index (AI) with intervention to index central blood pressure.
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End of 25 day feeding intervention
|
|
Vasoreactivity
Time Frame: End of 25 day feeding intervention
|
Skin flow motion (laser-doppler flowmetry) to measure diet-induced changes in vaso-reactivity will provide mechanistic information on microvascular control.
|
End of 25 day feeding intervention
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Connie M Weaver, PhD, Department of Nutrition Science, Purdue University
- Study Director: Berdine R Martin, PhD, Department of Nutrition Science, Purdue University
Publications and helpful links
General Publications
- Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, Bray GA, Vogt TM, Cutler JA, Windhauser MM, Lin PH, Karanja N. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med. 1997 Apr 17;336(16):1117-24. doi: 10.1056/NEJM199704173361601.
- Berenson GS, Srinivasan SR, Bao W, Newman WP 3rd, Tracy RE, Wattigney WA. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The Bogalusa Heart Study. N Engl J Med. 1998 Jun 4;338(23):1650-6. doi: 10.1056/NEJM199806043382302.
- Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation. 2008 Jun 24;117(25):3171-80. doi: 10.1161/CIRCULATIONAHA.107.730366. Epub 2008 Jun 16.
- Couch SC, Saelens BE, Levin L, Dart K, Falciglia G, Daniels SR. The efficacy of a clinic-based behavioral nutrition intervention emphasizing a DASH-type diet for adolescents with elevated blood pressure. J Pediatr. 2008 Apr;152(4):494-501. doi: 10.1016/j.jpeds.2007.09.022. Epub 2007 Nov 5.
- Food and Nutrition Board, Institute of Medicine. 'Sodium and chloride', Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. Washington, D.C.: National Academies Press; 2005. 269-423.
- Palacios C, Wigertz K, Martin BR, Braun M, Pratt JH, Peacock M, Weaver CM. Racial differences in potassium homeostasis in response to differences in dietary sodium in girls. Am J Clin Nutr. 2010 Mar;91(3):597-603. doi: 10.3945/ajcn.2009.28400. Epub 2009 Dec 9.
- Palacios C, Wigertz K, Braun M, Martin BR, McCabe GP, McCabe L, Pratt JH, Peacock M, Weaver CM. Magnesium retention from metabolic-balance studies in female adolescents: impact of race, dietary salt, and calcium. Am J Clin Nutr. 2013 May;97(5):1014-9. doi: 10.3945/ajcn.112.039867. Epub 2013 Apr 3.
- Palacios C, Wigertz K, Martin BR, Jackman L, Pratt JH, Peacock M, McCabe G, Weaver CM. Sodium retention in black and white female adolescents in response to salt intake. J Clin Endocrinol Metab. 2004 Apr;89(4):1858-63. doi: 10.1210/jc.2003-031446.
- Rakova N, Juttner K, Dahlmann A, Schroder A, Linz P, Kopp C, Rauh M, Goller U, Beck L, Agureev A, Vassilieva G, Lenkova L, Johannes B, Wabel P, Moissl U, Vienken J, Gerzer R, Eckardt KU, Muller DN, Kirsch K, Morukov B, Luft FC, Titze J. Long-term space flight simulation reveals infradian rhythmicity in human Na(+) balance. Cell Metab. 2013 Jan 8;17(1):125-31. doi: 10.1016/j.cmet.2012.11.013.
- Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, Obarzanek E, Conlin PR, Miller ER 3rd, Simons-Morton DG, Karanja N, Lin PH; DASH-Sodium Collaborative Research Group. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group. N Engl J Med. 2001 Jan 4;344(1):3-10. doi: 10.1056/NEJM200101043440101.
- Van Horn L, Obarzanek E, Barton BA, Stevens VJ, Kwiterovich PO Jr, Lasser NL, Robson AM, Franklin FA Jr, Lauer RM, Kimm SY, Dorgan JF, Greenlick MR. A summary of results of the Dietary Intervention Study in Children (DISC): lessons learned. Prog Cardiovasc Nurs. 2003 Winter;18(1):28-41. doi: 10.1111/j.0889-7204.2003.01007.x.
- Weaver CM, Martin BR, McCabe GP, McCabe LD, Woodward M, Anderson CA, Appel LJ. Individual variation in urinary sodium excretion among adolescent girls on a fixed intake. J Hypertens. 2016 Jul;34(7):1290-7. doi: 10.1097/HJH.0000000000000960.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1U01HL128834-01A1 (NIH)
- 1U01HL128834 (NIH)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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