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The Healthy Cantonese Diet on Cardiometabolic Syndrome

2019년 8월 19일 업데이트: Huilian Zhu, Sun Yat-sen University

Effect of the Healthy Cantonese Diet on Cardiometabolic Syndrome in Chinese Adults

The DASH diet (Dietary Approaches to Stop Hypertension) have been proven to lower risk of cardiovascular diseases. But the DASH diet is inconsistent with Chinese dietary pattern. In this study, based on the typical Cantonese diet, the healthy Cantonese diet is developed according to the DASH diet and the balanced dietary pattern of the Chinese Dietary Guidelines 2016. The randomized control trial is designed to investigate whether the healthy Cantonese diet has benefit to blood pressure, blood lipid, blood glucose and other cardiometabolic biomarkers among adults with cardiometabolic syndrome in Guangdong, China.

연구 개요

연구 유형

중재적

등록 (예상)

90

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

25년 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

Inclusion Criteria:

  1. Age 25-75 years old, male or female;
  2. have lived in this community for the past six months, and have no plans to move out or go out in the next three months;
  3. the systolic blood pressure is within 130-159mmHg regardless of medication.
  4. maintaining the current medication (mainly drugs for hypertension, diabetes or hyperlipidemia) throughout the research period, with the category and dose unchanged;
  5. the number of test meal consumed is no less than 18;
  6. community feeding mode: eat a meal at least once a day at the research center (preferably lunch or dinner); or home delivery mode: upload meal pictures for three meals every day, and eat a meal and have physical examination at the research center at least once a week;
  7. sign the informed consent form.

Exclusion Criteria:

  1. fasting blood glucose ≥10.0mmol/L;
  2. total cholesterol ≥7.2mmol/L;
  3. injected inulin within a month;
  4. unwilling or unable to change the original dietary pattern, or have special dietary needs (such as vegetarians);
  5. alcoholism;
  6. BMI ≥30kg/m^2, or losing weight currently;
  7. have acute cardiovascular and cerebrovascular events occurred in the past six months;
  8. have a history of chronic kidney disease, intestinal irritation or asthma;
  9. women who have been/are preparing for pregnancy or lactation;
  10. in combination with other serious diseases such as cancer, chronic heart failure, severe depression or other mental disorders, long-term bedridden or unable to move freely;
  11. have a history of common food allergies (eggs, seafood, peanuts, etc.);
  12. have undergone gastrointestinal surgery;
  13. currently suffering from acute phase of diseases such as respiratory infections, fever, severe diarrhea;
  14. have deaf-mutism, dementia, unable to communicate properly.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 방지
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 더블

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: the healthy Cantonese diet
Based on the typical Cantonese diet, the healthy Cantonese diet is developed according to the DASH diet and the balanced dietary pattern of the Chinese Dietary Guidelines 2016. In this diet, the main nutrients, dietary fiber, sodium, calcium, magnesium and potassium are set to achieve the healthy goal. Compared with the typical Cantonese diet, the healthy Cantonese diet is increased in fruit, vegetables, low-fat dairy products, whole grains, nuts and seeds, and reduced in salt, oil and sweets.
After a 1-week run-in period, the intervention group will eat the healthy Cantonese diet for 4 consecutive weeks. Free meals will be provided 3 times a day (breakfast, lunch, dinner). The actually intake of every meal for all subjects will be recorded to estimate their nutrients intake. All subjects will be advised to avoid eating other food, but they should inform researchers of what they eat if they eat food that we will not provide.
위약 비교기: the typical Cantonese diet
The typical Cantonese diet is a diet of what many Cantonese eat. In this diet, the main nutrients, dietary fiber, sodium, calcium, magnesium and potassium are set at the average dietary intake levels in Guangdong.
After a 1-week run-in period, the control group will still eat the typical Cantonese diet for 4 consecutive weeks. Free meals will be provided 3 times a day (breakfast, lunch, dinner). The actually intake of every meal for all subjects will be recorded to estimate their nutrients intake. All subjects will be advised to avoid eating other food, but they should inform researchers of what they eat if they eat food that we will not provide.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Metabolic syndrome score
기간: before and after 4-week intervention
Changes of metabolic syndrome score in healthy Cantonese diet compared with changes of typical Cantonese diet. Metabolic syndrome score will be derived by standardizing and then summing the following continuously distributed indices of adiposity (waist circumference) to create a z score: hypertension (the average of systolic blood pressure and diastolic blood pressure); hyperglycaemia (fasting plasma glucose); insulin resistance (fasting insulin); fasting HDL-cholesterol × -1; and fasting triacylglycerol z score.
before and after 4-week intervention
Systolic blood pressure and diastolic blood pressure
기간: before and after 4-week intervention
Changes of systolic blood pressure and diastolic blood pressure in healthy Cantonese diet compared with changes of typical Cantonese diet. Blood pressure will be measured by trained investigator at baseline, week 1, week 2, week 3 and week 4, and systolic blood pressure and diastolic blood pressure will be recorded.
before and after 4-week intervention
Blood lipid profile
기간: before and after 4-week intervention
Changes of blood lipid profile in healthy Cantonese diet compared with changes of typical Cantonese diet. Blood lipid profile (total cholesterol, TC; triglyceride, TG; LDL cholesterol, LDLc; HDL cholesterol, HDLc) will be tested by a validated biomedical analyses laboratory using vein serum at baseline and week 4.
before and after 4-week intervention
Glucose metabolism
기간: before and after 4-week intervention
Changes of glucose metabolism in healthy Cantonese diet compared with changes of typical Cantonese diet. Glucose metabolism (fasting plasma glucose and fasting insulin) will be tested by a validated biomedical analyses laboratory using vein serum at baseline and week 4 and insulin resistance index (HOMA-IR) will be calculated by [fasting insulin (mU/L) × fasting plasma glucose (mmol/L) ]/22.5.
before and after 4-week intervention

2차 결과 측정

결과 측정
측정값 설명
기간
Blood biochemical marker
기간: before and after 4-week intervention
Changes of blood biochemical marker in healthy Cantonese diet compared with changes of typical Cantonese diet. Blood biochemical marker (calcium, potassium, sodium, magnesium and phosphorus in mmol/L; uric acid in μmol/L) will be tested by a validated biomedical analyses laboratory using vein serum at baseline and week 4.
before and after 4-week intervention
Urinary sodium and potassium
기간: before and after 4-week intervention
Changes of urinary sodium and potassium in healthy Cantonese diet compared with changes of typical Cantonese diet. Urinary sodium and potassium will be tested by a validated biomedical analyses laboratory using morning urine at baseline and week 4.
before and after 4-week intervention
Intestinal microbiota composition
기간: before and after 4-week intervention
Changes of intestinal microbiota composition in healthy Cantonese diet compared with changes of typical Cantonese diet.
before and after 4-week intervention
Gut microbial gene richness
기간: before and after 4-week intervention
Changes of gut microbial gene richness in healthy Cantonese diet compared with changes of typical Cantonese diet.
before and after 4-week intervention
Inflammatory biomarkers
기간: before and after 4-week intervention
Changes of inflammatory biomarkers in healthy Cantonese diet compared with changes of typical Cantonese diet. Inflammatory biomarkers (CRP in mg/L; Tumor TNF-α and IL-6 in ng/L) will be tested by a validated biomedical analyses laboratory using vein serum at baseline and week 4.
before and after 4-week intervention
Cardiopulmonary function
기간: before and after 4-week intervention
Changes of cardiopulmonary function in healthy Cantonese diet compared with changes of typical Cantonese diet. Cardiopulmonary function will be measured by cardiopulmonary exercise testing using CORTEX MetaLyzer 3B at baseline and week 4.
before and after 4-week intervention
Endothelial function
기간: before and after 4-week intervention
Changes of endothelial function in healthy Cantonese diet compared with changes of typical Cantonese diet. Flow-mediated dilatation (FMD) will be assessed to evaluate endothelial function by using UNEX EF38G at baseline and week 4.
before and after 4-week intervention
Body composition
기간: before and after 4-week intervention
Changes of body composition in healthy Cantonese diet compared with changes of typical Cantonese diet. Body composition will be tested by using dual energy X-ray absorptiometry at baseline and week 4.
before and after 4-week intervention
Body mass index (BMI)
기간: before and after 4-week intervention
Height in meters and weight in kilograms will be combined to report body mass index (BMI) in kg/m^2.
before and after 4-week intervention
Ratio of waist to hip circumference (WHR)
기간: before and after 4-week intervention
Waist circumference in centimeters and hip circumference in centimeters will be combined to report ratio of waist to hip circumference (WHR).
before and after 4-week intervention

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (예상)

2019년 9월 1일

기본 완료 (예상)

2021년 12월 31일

연구 완료 (예상)

2022년 12월 31일

연구 등록 날짜

최초 제출

2019년 8월 12일

QC 기준을 충족하는 최초 제출

2019년 8월 19일

처음 게시됨 (실제)

2019년 8월 21일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2019년 8월 21일

QC 기준을 충족하는 마지막 업데이트 제출

2019년 8월 19일

마지막으로 확인됨

2019년 8월 1일

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이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

the healthy Cantonese diet에 대한 임상 시험

구독하다