Calcium Supplementation for a Healthy Weight (CaSHeW)

NCT ID: NCT01363115

Last Updated: 2011-06-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 130 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2005-07-31
• Study Completion Date: 2006-12-31

Brief Summary

The objective of this study is to investigate the effect of calcium (Ca) and vitamin D (D) supplemented orange juice (OJ) on weight loss and visceral fat mass in overweight and obese adults.

Detailed Description

The prevalence of obesity and levels of overweight is rising worldwide. In the United States, 63% of men and 55% of women are now overweight or obese. Recent epidemiological data and clinical trials have shown that a small daily increase in calcium or dairy products may result in annual losses in body weight and body fat. Data from clinical studies suggest that a 1000 mg per day increase in calcium intake is associated with an 8 kg difference in mean body weight and that calcium intake explains about 3% of the variance in body weight.

The objective of this study is to investigate the effect of calcium (Ca) and vitamin D (D) supplemented orange juice (OJ) on weight loss and visceral fat mass in overweight and obese adults.

Otherwise healthy overweight and obese men and women ages 18 to 65 years with a BMI between 25 and 35 kg/m2 will be randomized into one of the following experimental groups (36 in each group):

1. Regular OJ: one 8 fluid oz serving three times/day (control)

2. Regular OJ fortified with Calcium (350 mg/8 fluid oz serving) and Vitamin D3 (100 IU/8 fluid oz serving): one 8 fluid oz serving three times/day (treatment)

Subjects will receive either orange juice (OJ) (control) or OJ fortified with calcium and vitamin D3 (treatment) for 16 weeks. The study will involve 6 outpatient study visits to the study center.

Primary endpoint: Change in body weight after 16 weeks Secondary endpoint: Visceral fat change after 16 weeks as measured by single slice CT scan

Conditions

Obesity; Overweight

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: QUADRUPLE

Study Groups

OJ fortified with Ca and VitD

Regular OJ fortified with Calcium (350 mg/8 fluid oz serving) and Vitamin D3 (100 IU/8 fluid oz serving): one 8 fluid oz serving three times/day (treatment) in combination with nutritional counseling

Group Type: EXPERIMENTAL

Orange Juice fortified with Calcium and Vitamin D

Intervention Type: DIETARY_SUPPLEMENT

Three 240 mL glasses of orange juice fortified with 350 mg Ca and 100 IU of D per serving

Nutritional Counseling

Intervention Type: BEHAVIORAL

Individual and group nutritional counseling by a registered dietitian

OJ without VitD and Ca

Regular OJ without Calcium or Vitamin D3: one 8 fluid oz serving three times/day (control)

Group Type: ACTIVE_COMPARATOR

Orange juice without Ca or VitD

Intervention Type: DIETARY_SUPPLEMENT

Three 240 mL glasses of orange juice without Ca or VitD

Nutritional Counseling

Intervention Type: BEHAVIORAL

Individual and group nutritional counseling by a registered dietitian

Interventions

Orange Juice fortified with Calcium and Vitamin D

Three 240 mL glasses of orange juice fortified with 350 mg Ca and 100 IU of D per serving

Intervention Type: DIETARY_SUPPLEMENT

Orange juice without Ca or VitD

Three 240 mL glasses of orange juice without Ca or VitD

Intervention Type: DIETARY_SUPPLEMENT

Nutritional Counseling

Individual and group nutritional counseling by a registered dietitian

Intervention Type: BEHAVIORAL

Other Intervention Names

Minute Maid regular calorie orange juice; Minute Maid regular calorie orange juice

Eligibility Criteria

Inclusion Criteria

• Men or women, between 18 and 65 years of age, who are capable of providing informed consent.
• BMI of 25 to 35 kg/m2
• Non-smoker (for at least 6 months).
• In good health, as determined by the principal investigator based on medical history and physical examination.
• Clinical laboratory evaluations (including Biochemistry, Hematology, Urinalysis) within the reference range for the test laboratory, unless deemed not clinically significant by the Investigator.
• Because of the calorie-restricted diet and radiation exposure from the CT scan, females will be non-pregnant, non-lactating, and either post-menopausal for at least 1 year, surgically sterile for at least 3 months, or be willing to use an approved method of contraception (which may include use of abstinence; non-hormonal intrauterine device with spermicide; female condom with spermicide; diaphragm with spermicide; cervical cap with spermicide; oral or transdermal hormonal contraceptives; a condom with spermicide by the sexual partner; or a sterile sexual partner) from 35 days prior to study entry (i.e., Day -1) until 30 days following Study Completion. For all females, the pregnancy test result must be negative at the screening visit and at visits when a CT scan will be done.
• Ability to comprehend and willingness to sign the Informed Consent Form for this study.
• Ability to comply with study restrictions regarding diet and exercise
• Stable weight (+ 5%) for at least 3 months prior to study entry.

Exclusion Criteria

• Diabetes mellitus
• History or clinical manifestations of significant metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, urological, neurological, or psychiatric disorders which in the opinion of the investigator would be expected to interfere with the study or increase risk to the subject.
• Participation in any other investigational diet study within 90 days prior to study entry.
• History of a medical or psychological condition or social circumstances that would impair the subject's ability to participate reliably in the study.
• Use within the last six months of medications that can result in significant weight gain or weight loss, including antipsychotics, selective serotonin reuptake inhibitors, anti-epileptic drugs, appetite-suppressants such as phentermine and sibutramine, and the lipase-inhibitor orlistat.
• Active eating disorder
• History of alcoholism or substance abuse within 5 years prior to study entry.
• Use of a dietary supplement or medication that decreases calcium absorption
• History of kidney stone, hyperparathyroidism or sarcoidosis
• High calcium intake (more than 2 servings of dairy products per day or taking calcium supplements > 3x/wk ) for 1 month prior to study start date and for duration of study. (If participant is taking calcium supplement > 3x/wk or more than 2 servings of dairy products per day, they are eligible to participate if they agree to stop for 1 month prior to study start date and for the duration of the study. Participants will similarly be asked to stop multivitamins as the majority of these supplements contain calcium.)

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

The Beverage Institute for Health & Wellness

OTHER

Sponsor Role: collaborator

Massachusetts General Hospital

OTHER

Sponsor Role: lead

Responsible Party

Massachusetts Genral Hosptial

Principal Investigators

Lee M Kaplan, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

Massachusetts General Hospital Weight Center

Boston, Massachusetts, United States

Countries

United States

References

Rosenblum JL, Castro VM, Moore CE, Kaplan LM. Calcium and vitamin D supplementation is associated with decreased abdominal visceral adipose tissue in overweight and obese adults. Am J Clin Nutr. 2012 Jan;95(1):101-8. doi: 10.3945/ajcn.111.019489. Epub 2011 Dec 14.

Reference Type: DERIVED

PMID: 22170363 (View on PubMed)

Other Identifiers

2005-P-000414

Identifier Type: -

Identifier Source: org_study_id