Role of Slowly Digesible Starch on Diabetes Risk Factors

NCT ID: NCT01708694

Last Updated: 2017-12-15

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

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2016-06-30

Brief Summary

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The purpose of this study is to determine the effect of a slowly digesting starch on gut bacteria, sugar and fat metabolism, hunger hormones, and body fat in people with pre-diabetes.

Detailed Description

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In a double blind randomized controlled clinical trial, the investigators will test the effect of slowly digesting starch (amylose) versus a placebo starch (amylopectin) on risk factors for type 2 diabetes. For the study, about 95 obese participants (ages 35-65) with pre-diabetes (impaired fasting glucose) will consume a yogurt containing about 45 g of either the experimental or placebo starch daily for 3 months. The investigators will test the hypothesis that, compared to controls, a daily intake of 45 g of amylose for 3 months will improve risk factors for the development of type 2 diabetes (insulin sensitivity and secretion) by decreasing ectopic fat depots and decreasing inflammation in parallel with a change in colonic microbial populations.

Conditions

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Prediabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo Starch

Yogurt with about 45 g/day of placebo starch (amylopectin).

Group Type PLACEBO_COMPARATOR

Amylose

Intervention Type DIETARY_SUPPLEMENT

One group of participants will consume a yogurt containing 45 g of amylose (the slowly digesting starch) for 3 months.

Experimental Starch

Yogurt with about 45 g/day of slowly digestible starch (amylose).

Group Type EXPERIMENTAL

Amylopectin

Intervention Type DIETARY_SUPPLEMENT

The second group will consume a yogurt containing 45 g of a different starch called amylopectin (the "placebo") for 3 months.

Interventions

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Amylose

One group of participants will consume a yogurt containing 45 g of amylose (the slowly digesting starch) for 3 months.

Intervention Type DIETARY_SUPPLEMENT

Amylopectin

The second group will consume a yogurt containing 45 g of a different starch called amylopectin (the "placebo") for 3 months.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Have a body mass index between 30 and 44.9 kg/m2
* Are 35-65 years of age
* Have pre-diabetes, which means impaired fasting glucose (IFG)
* Are willing to complete nutritional and activity questionnaires and 2-3 weeks of baseline testing
* Are willing to enroll in the 3-month intervention and maintain the same level of exercise during the study
* Are willing to maintain weight throughout the study

Exclusion Criteria

* Have evidence of cardiovascular disease, diabetes, symptomatic cholelithiasis (gallstones), or cancer
* Have a fasting blood glucose less than 100 mg/dL or greater than 125 mg/dL
* Have an average screening blood pressure \> 150/100 mm Hg
* Are a pre-menopausal woman but do not have a regular menstrual cycle
* Are pregnant or breastfeeding
* Chronically use medications including diuretics, steroids, and adrenergic-stimulating agents
* Have emotional problems such as clinical depression or other diagnosed psychological conditions
* Use hormonal contraceptives, oral or parenteral glucocorticoids, or any other medication known to influence glucose or insulin homeostasis (balance), within 1 month of study
* Have a clinically significant gastrointestinal malabsorption syndrome, chronic diarrhea, or use antibiotics within one month of study
* Have abnormal laboratory markers (e.g., elevated potassium levels, hemoglobin or hematocrit below the lower limit of normal)
* Chronically consume alcohol (\> 4 servings per day) or actively smoke cigarettes (\> 1/4 pack per day)
* Are on any chronic medication that has not had a stable dose for 1 month or longer
* Are required to perform of any kind of heavy physical activity
* Have metal objects in the body, such as a pacemaker, metal pins, bullet, etc.
Minimum Eligible Age

35 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Pennington Biomedical Research Center

OTHER

Sponsor Role lead

Responsible Party

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Eric Ravussin

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Pennington Biomedical Research Center

Baton Rouge, Louisiana, United States

Site Status

Countries

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United States

References

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White U, Peterson CM, Beyl RA, Martin CK, Ravussin E. Resistant Starch Has No Effect on Appetite and Food Intake in Individuals with Prediabetes. J Acad Nutr Diet. 2020 Jun;120(6):1034-1041. doi: 10.1016/j.jand.2020.01.017. Epub 2020 Apr 9.

Reference Type DERIVED
PMID: 32280055 (View on PubMed)

Peterson CM, Beyl RA, Marlatt KL, Martin CK, Aryana KJ, Marco ML, Martin RJ, Keenan MJ, Ravussin E. Effect of 12 wk of resistant starch supplementation on cardiometabolic risk factors in adults with prediabetes: a randomized controlled trial. Am J Clin Nutr. 2018 Sep 1;108(3):492-501. doi: 10.1093/ajcn/nqy121.

Reference Type DERIVED
PMID: 30010698 (View on PubMed)

Marlatt KL, White UA, Beyl RA, Peterson CM, Martin CK, Marco ML, Keenan MJ, Martin RJ, Aryana KJ, Ravussin E. Role of resistant starch on diabetes risk factors in people with prediabetes: Design, conduct, and baseline results of the STARCH trial. Contemp Clin Trials. 2018 Feb;65:99-108. doi: 10.1016/j.cct.2017.12.005. Epub 2017 Dec 21.

Reference Type DERIVED
PMID: 29274892 (View on PubMed)

Other Identifiers

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R01DK092575

Identifier Type: NIH

Identifier Source: secondary_id

View Link

PBRC 12009

Identifier Type: -

Identifier Source: org_study_id