Trial Outcomes & Findings for Considering Patient Diet Preferences to Optimize Weight Loss (NCT NCT01152359)

NCT ID: NCT01152359

Last Updated: 2019-04-12

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

207 participants

Primary outcome timeframe

Baseline, 48 weeks

Results posted on

2019-04-12

Participant Flow

Participant milestones

Participant milestones
Measure
Choice Arm
Upon starting the study, participants are able to make an informed choice between a low-carbohydrate or a low-fat diet for weight loss after receiving information about these diets and about their food preferences as assessed by a questionnaire. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Control Arm
Upon starting the study, participants are randomly assigned to a low-carbohydrate or a low-fat diet for weight loss. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Overall Study
STARTED
105
102
Overall Study
COMPLETED
81
80
Overall Study
NOT COMPLETED
24
22

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Considering Patient Diet Preferences to Optimize Weight Loss

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Choice Arm
n=105 Participants
Upon starting the study, participants are able to make an informed choice between a low-carbohydrate or a low-fat diet for weight loss after receiving information about these diets and about their food preferences as assessed by a questionnaire. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Control Arm
n=102 Participants
Upon starting the study, participants are randomly assigned to a low-carbohydrate or a low-fat diet for weight loss. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Total
n=207 Participants
Total of all reporting groups
Age, Continuous
54 years
STANDARD_DEVIATION 11 • n=5 Participants
55 years
STANDARD_DEVIATION 10 • n=7 Participants
55 years
STANDARD_DEVIATION 11 • n=5 Participants
Sex: Female, Male
Female
28 Participants
n=5 Participants
27 Participants
n=7 Participants
55 Participants
n=5 Participants
Sex: Female, Male
Male
77 Participants
n=5 Participants
75 Participants
n=7 Participants
152 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
45 Participants
n=5 Participants
61 Participants
n=7 Participants
106 Participants
n=5 Participants
Race (NIH/OMB)
White
54 Participants
n=5 Participants
39 Participants
n=7 Participants
93 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Region of Enrollment
United States
105 participants
n=5 Participants
102 participants
n=7 Participants
207 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, 48 weeks

Outcome measures

Outcome measures
Measure
Choice Arm
n=105 Participants
Upon starting the study, participants are able to make an informed choice between a low-carbohydrate or a low-fat diet for weight loss after receiving information about these diets and about their food preferences as assessed by a questionnaire. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Control Arm
n=102 Participants
Upon starting the study, participants are randomly assigned to a low-carbohydrate or a low-fat diet for weight loss. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Percent Change in Body Weight From Baseline to 48 Weeks
-4.2 percentage of weight change
Interval -5.0 to -3.4
-5.3 percentage of weight change
Interval -6.1 to -4.4

SECONDARY outcome

Timeframe: 48 weeks

Outcome measures

Outcome measures
Measure
Choice Arm
n=105 Participants
Upon starting the study, participants are able to make an informed choice between a low-carbohydrate or a low-fat diet for weight loss after receiving information about these diets and about their food preferences as assessed by a questionnaire. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Control Arm
n=102 Participants
Upon starting the study, participants are randomly assigned to a low-carbohydrate or a low-fat diet for weight loss. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Diet Adherence as Measured by Block Food-frequency Questionnaire (Absolute Percentage Deviation From the Goal Macronutrient Intake--<30% Fat for Low-fat Diet or <10% Carbohydrate for Low-carbohydrate Diet)
9.4 percentage of deviation from goal
Interval 6.6 to 12.3
10.3 percentage of deviation from goal
Interval 7.5 to 13.1

SECONDARY outcome

Timeframe: Baseline, 48 weeks

change in obesity-specific health-related quality of life as measured by Impact Of Weight On Quality Of Life-Lite (IWQOL-Lite) Questionnaire total score from baseline to 48 weeks Minimum 0 Maximum 100 Higher score means better

Outcome measures

Outcome measures
Measure
Choice Arm
n=105 Participants
Upon starting the study, participants are able to make an informed choice between a low-carbohydrate or a low-fat diet for weight loss after receiving information about these diets and about their food preferences as assessed by a questionnaire. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Control Arm
n=102 Participants
Upon starting the study, participants are randomly assigned to a low-carbohydrate or a low-fat diet for weight loss. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Change in Obesity-specific Health-related Quality of Life as Measured by Impact Of Weight On Quality Of Life-Lite (IWQOL-Lite) Questionnaire From Baseline to 48 Weeks
10.5 score on a scale
Interval 8.0 to 12.9
11.2 score on a scale
Interval 8.8 to 13.6

Adverse Events

Choice Arm

Serious events: 4 serious events
Other events: 17 other events
Deaths: 0 deaths

Control Arm

Serious events: 4 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Choice Arm
n=105 participants at risk
Upon starting the study, participants are able to make an informed choice between a low-carbohydrate or a low-fat diet for weight loss after receiving information about these diets and about their food preferences as assessed by a questionnaire. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Control Arm
n=102 participants at risk
Upon starting the study, participants are randomly assigned to a low-carbohydrate or a low-fat diet for weight loss. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Cardiac disorders
CHF
0.95%
1/105 • Number of events 1
0.00%
0/102
Musculoskeletal and connective tissue disorders
hip surgery
0.95%
1/105 • Number of events 1
0.00%
0/102
Musculoskeletal and connective tissue disorders
spine surgery
0.95%
1/105 • Number of events 1
0.00%
0/102
Gastrointestinal disorders
diverticulitis
0.95%
1/105 • Number of events 1
0.00%
0/102
Hepatobiliary disorders
gallbladder surgery
0.00%
0/105
0.98%
1/102 • Number of events 1
Skin and subcutaneous tissue disorders
finger infection
0.00%
0/105
0.98%
1/102 • Number of events 1
Skin and subcutaneous tissue disorders
snake bite
0.00%
0/105
0.98%
1/102 • Number of events 1
Cardiac disorders
chest pain
0.00%
0/105
0.98%
1/102 • Number of events 1

Other adverse events

Other adverse events
Measure
Choice Arm
n=105 participants at risk
Upon starting the study, participants are able to make an informed choice between a low-carbohydrate or a low-fat diet for weight loss after receiving information about these diets and about their food preferences as assessed by a questionnaire. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Control Arm
n=102 participants at risk
Upon starting the study, participants are randomly assigned to a low-carbohydrate or a low-fat diet for weight loss. Then participants will receive counseling regarding their chosen diet in a small group format. Sessions will take place every 2 weeks for 24 weeks then group sessions will alternate with telephone calls every 2 weeks for 24 weeks. Phone calls will focus on goal setting to maximize weight loss. In addition to counseling on diet during group sessions and phone calls, participants will receive counseling on behavioral techniques and physical activity.
Vascular disorders
Elevated blood pressure
7.6%
8/105 • Number of events 9
2.9%
3/102 • Number of events 3
Musculoskeletal and connective tissue disorders
broken hand
0.95%
1/105 • Number of events 1
0.00%
0/102
Musculoskeletal and connective tissue disorders
lumps in hand
0.95%
1/105 • Number of events 2
0.00%
0/102
Vascular disorders
presyncope
0.95%
1/105 • Number of events 1
2.0%
2/102 • Number of events 2
Immune system disorders
angioedema
0.95%
1/105 • Number of events 1
0.00%
0/102
Ear and labyrinth disorders
inner ear infection
0.95%
1/105 • Number of events 1
0.00%
0/102
Gastrointestinal disorders
diarrhea
0.95%
1/105 • Number of events 1
0.00%
0/102
Endocrine disorders
hypoglcyemia
0.95%
1/105 • Number of events 1
0.00%
0/102
Renal and urinary disorders
kidney stone
0.95%
1/105 • Number of events 1
0.00%
0/102
Musculoskeletal and connective tissue disorders
sciatica
0.00%
0/105
0.98%
1/102 • Number of events 1
Musculoskeletal and connective tissue disorders
motor vehicle collision
0.00%
0/105
0.98%
1/102 • Number of events 1
Nervous system disorders
paresthesia
0.00%
0/105
0.98%
1/102 • Number of events 1
Gastrointestinal disorders
heartburn
0.00%
0/105
0.98%
1/102 • Number of events 3
Nervous system disorders
dysphonia/vocal cord disorder
0.00%
0/105
0.98%
1/102 • Number of events 1
Nervous system disorders
carpal tunnel syndrome
0.95%
1/105 • Number of events 1
0.00%
0/102

Additional Information

William S. Yancy, Jr.

VA Medical Center

Phone: 919-286-0411

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place