Dairy Intervention in People With Obesity (DIPO)
Obesity is associated with increased morbidity and mortality, but weight reduction is difficult to achieve. In this randomized controlled trial we will include 120 obese subjects. Subjects will be allocated to one of the 3 diet types (minus 500 kcal / d):
- Yoghurt diet: 500 g low-fat yogurt / d, about 1000-1100 mg calcium / d,
- Milk product diet: 500 g of low-fat milk or buttermilk / d, about 1000-1100 mg calcium / d
- Standard diet: 500 g soy yogurt / d, about 500 mg calcium / d Primary endpoint is the change in fat mass (baseline vs. 12 weeks), secondary endpoints are metabolic and endocrine parameters, gut microbiome, quality of life, hunger and satiety.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Elisabeth Lerchbaum, MD
- Phone Number: 0043 316 385 12383
- Email: elisabeth.lerchbaum@medunigraz.at
Study Locations
-
-
-
Graz, Austria, 8036
- Medical University of Graz, Department of Internal Medicine, Division of Endocrinology and Metabolism
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- BMI ≥30 kg/m²
- Age of ≥18 and <60 years
- Written informed consent before study entry
- Willingness to introduce a dietary change to lose weight
Exclusion Criteria:
- Serum calcium ≥2.7 mmol/l
- Dislike or intolerance of dairy products, reporting adverse responses or allergy to dairy products
- Pregnancy or lactating women
- Having given birth in the last year or planning a pregnancy in the next 6 months
- Menopause (as defined by FSH levels ≥30 IU/l)
- Disorders associated with androgen excess and/or menstrual irregularities except PCOS (overt thyroid dysfunction, hyperprolactinemia, adrenal hyperplasia, androgen secreting tumors)
- Malabsorption syndrome
- Intake of medication influencing metabolic or endocrine parameters (insulin sensitizers, oral contraceptives, …), obesity pharmacotherapeutic agents, or calcium supplements in the last 3 months before study entry
- Regular intake of calcium supplements in the last 3 months before study entry
- Lifestyle changes (changes in physical activity) or weight reduction (≥10% of body weight) in the last 3 months before study entry
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: yogurt diet
yogurt-diet (-500 kcal/day, 500 g yogurt, high calcium)
|
500 g yogurt/day
|
|
Active Comparator: dairy diet
dairy diet: -500 kcal/day, high calcium, 500 g non-yogurt dairy products
|
500 g non-yogurt dairy products
|
|
Active Comparator: standard diet
standard diet: -500 kcal/day, low calcium, 500 g soya-yogurt
|
500 g soya-yogurt
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
fat mass
Time Frame: 12 weeks
|
Changes in body fat mass assessed via dual-energy X-ray absorptiometry (DXA) (baseline vs. 12 weeks).
|
12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Body weight
Time Frame: 12 weeks
|
body weight [kg]
|
12 weeks
|
|
BMI
Time Frame: 12 weeks
|
BMI [kg/m²]
|
12 weeks
|
|
waist circumference
Time Frame: 12 weeks
|
waist circumference [cm]
|
12 weeks
|
|
hip circumference
Time Frame: 12 weeks
|
hip circumference [cm]
|
12 weeks
|
|
Systolic blood pressure
Time Frame: 12 weeks
|
systolic blood pressure [mm Hg]
|
12 weeks
|
|
Diastolic blood pressure
Time Frame: 12 weeks
|
diastolic blood pressure [mm Hg]
|
12 weeks
|
|
Body composition-lean mass
Time Frame: 12 weeks
|
lean mass [kg]
|
12 weeks
|
|
Body composition-total body fat
Time Frame: 12 weeks
|
total body fat ([%]
|
12 weeks
|
|
Body composition-gynoid fat mass
Time Frame: 12 weeks
|
gynoid fat mass [kg]
|
12 weeks
|
|
Body composition-android fat mass
Time Frame: 12 weeks
|
android fat mass [kg]
|
12 weeks
|
|
AUCglucose
Time Frame: 12 weeks
|
Metabolic response during an oral glucose tolerance test (oGTT) as defined by AUCglucose
|
12 weeks
|
|
AUCinsulin
Time Frame: 12 weeks
|
Metabolic response during an oral glucose tolerance test (oGTT) as defined by AUCinsulin
|
12 weeks
|
|
HOMA-IR
Time Frame: 12 weeks
|
Insulin resistance assessed by homeostatic model assessment-insulin resistance (HOMA-IR)
|
12 weeks
|
|
HOMA-beta
Time Frame: 12 weeks
|
insulin sensitivity assessed by HOMA-beta
|
12 weeks
|
|
MATSUDA
Time Frame: 12 weeks
|
insulin sensitivity assessed by MATSUDA-index
|
12 weeks
|
|
QUICKI
Time Frame: 12 weeks
|
insulin sensitivity assessed by Quantitative Insulin-sensitivity Check Index (QUICKI)
|
12 weeks
|
|
Total cholesterol
Time Frame: 12 weeks
|
Total cholesterol [mg/dl]
|
12 weeks
|
|
LDL cholesterol
Time Frame: 12 weeks
|
LDL cholesterol [mg/dl]
|
12 weeks
|
|
HDL cholesterol
Time Frame: 12 weeks
|
HDL cholesterol [mg/dl]
|
12 weeks
|
|
Triglycerides
Time Frame: 12 weeks
|
Triglycerides [mg/dl]
|
12 weeks
|
|
HbA1c
Time Frame: 12 weeks
|
HbA1c [mmol/mol]
|
12 weeks
|
|
Total testosterone
Time Frame: 12 weeks
|
Total testosterone [nmol/l]
|
12 weeks
|
|
Free testosterone
Time Frame: 12 weeks
|
Free testosterone [nmol/l]
|
12 weeks
|
|
Free androgen index
Time Frame: 12 weeks
|
FAI (Free androgen index)
|
12 weeks
|
|
androstenedione
Time Frame: 12 weeks
|
androstenedione [nmol/l]
|
12 weeks
|
|
DHEAS
Time Frame: 12 weeks
|
dehydroepiandrosterone sulfate (DHEAS) [µmol/L]
|
12 weeks
|
|
stool microbiome
Time Frame: 12 weeks
|
Composition of the stool microbiome Microbiome analysis will be performed through the following steps: patient collection and provision of a stool specimen, DNA isolation from the specimen, PCR reaction to amplify the selected region of the 16S rRNA gene (only present in bacteria), sequencing of the amplicons using next-generation sequencing technology, bioinformatics processing and analysis of the data using suitable software.
|
12 weeks
|
|
Satiety
Time Frame: 12 weeks
|
assessed via visual analogue scale [VAS]: "Satiety", minimum score 0, maximum score 10, higher scores mean a worse outcome.
|
12 weeks
|
|
Food craving
Time Frame: 12 weeks
|
assessed via visual analogue scale [VAS]: "Food craving", minimum score 0, maximum score 10, higher scores mean a worse outcome.
|
12 weeks
|
|
Quality of life during weight reduction
Time Frame: 12 weeks
|
Quality of life assessed via visual analogue scale [VAS]: "How is your quality of life during weight reduction?",
minimum score 0, maximum score 10, higher scores mean a better outcome.
|
12 weeks
|
|
Compliance
Time Frame: 12 weeks
|
assessed via visual analogue scale [VAS]: "Compliance", minimum score 0, maximum score 10, higher scores mean a better outcome.
|
12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Elisabeth Lerchbaum, MD, Medical University of Graz
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- DIPO 1.0
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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