A Pilot Study to Determine the Efficacy of a Low Carbohydrate Diet in Treatment of Adolescents With Metabolic Syndrome

NCT ID: NCT00940966

Last Updated: 2015-02-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-07-31

Study Completion Date

2012-05-31

Brief Summary

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The purpose of this study is to determine the effectiveness of two different non-energy restricted controlled carbohydrate programs with the American Diabetes Associations' diet on glycosylated hemoglobin and other diabetes risk factors in obese adolescents with metabolic syndrome, a constellation of symptoms associated with the development of type 2 diabetes and cardiovascular disease.

Detailed Description

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The purpose of this study is to determine the effectiveness of two different non-energy restricted controlled carbohydrate programs with the American Diabetes Associations' diet on glycosylated hemoglobin and other diabetes risk factors in obese adolescents with metabolic syndrome, a constellation of symptoms associated with the development of type 2 diabetes and cardiovascular disease.

We plan to address the following issues:

1. To test the hypothesis that a controlled carbohydrate nutrition plan will be superior to the standard ADA diet in controlling blood sugar (as measured by glycosylated hemoglobin \[HbA1C\]), decreasing cardiovascular risk factors (Serum Lipid Levels, Blood Pressure) and decreasing weight in adolescents with metabolic syndrome
2. To evaluate the tolerability of a non-energy restricted very-low carbohydrate diet in these patients as measured by the SF-10 for Children, the Brief Symptom Inventory (BSI) and a scaled questionnaire regarding side effects.
3. To compare two different maintenance programs in the group who receive the non- energy restricted very-low carbohydrate diet and compare each group to the group

Conditions

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Elevated Triglycerides Systolic Hypertension Insulin Resistance Abdominal Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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energy restricted very-low carbohydrate

non-energy restricted ketogenic diet .

Group Type EXPERIMENTAL

energy restricted very-low carbohydrate diet

Intervention Type DIETARY_SUPPLEMENT

energy restricted very-low carbohydrate diet

ADA diet

standard ADA diet

Group Type ACTIVE_COMPARATOR

standard ADA diet

Intervention Type DIETARY_SUPPLEMENT

standard ADA diet

energy restricted very-low carbohydrate diet

Intervention Type DIETARY_SUPPLEMENT

energy restricted very-low carbohydrate diet

low glycemic index

restricted ketogenic diet

Group Type ACTIVE_COMPARATOR

low glycemic diet

Intervention Type DIETARY_SUPPLEMENT

restricted ketogenic diet

Interventions

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standard ADA diet

standard ADA diet

Intervention Type DIETARY_SUPPLEMENT

energy restricted very-low carbohydrate diet

energy restricted very-low carbohydrate diet

Intervention Type DIETARY_SUPPLEMENT

low glycemic diet

restricted ketogenic diet

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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ketogenic diet.

Eligibility Criteria

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Inclusion Criteria

* Adolescents and young adults ages 13-18 with a BMI\>95% for age or over 30 for young adults, with pre-existing metabolic syndrome

Exclusion Criteria

* Subjects on any chronic medication other than antihistamines, asthma medications, oral contraceptives or diabetes medications, smoke more than 5 cigarettes/day, suffer from alcoholism or drug abuse or have any significant abnormality not associated with metabolic syndrome on screening labs will be excluded from randomization.
* Subjects currently taking Byetta will be excluded from the study, as a side effect of the drug is weight loss.
* Subjects with familial hypercholesteremia may be excluded if the investigator considers the history to be severe. The data collected from subjects with a HBA1C greater than 12.5 will be analyzed in a separate group, although they will still be randomized to one of the three treatment groups. This is due to the fact that past experience has shown that these individuals run a high risk of being non-compliant with medication use, diet, and exercise plans. Results from this group will be reported separately.
* Subjects who are pregnant or those desiring pregnancy will be excluded, as the safety of this intervention in pregnancy has not been established.
Minimum Eligible Age

12 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CAMC Health System

OTHER

Sponsor Role lead

Responsible Party

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WVU department of pediatrics

Principal Investigators

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Steven Sondike, MD

Role: PRINCIPAL_INVESTIGATOR

WVU Department of Pediatrics

Locations

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Wvu Department of Pediatrics

Charleston, West Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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06-02-1776

Identifier Type: -

Identifier Source: org_study_id

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