Mediterranean Diet Versus Hypocaloric Diet in PCOS

NCT ID: NCT02397174

Last Updated: 2016-04-19

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2017-06-30

Brief Summary

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Polycystic ovary syndrome (PCOS) is the most common endocrinopathy of reproductive-aged women that manifests itself with chronic anovulation, hyperandrogenism and insulin resistance. Available guidelines recommend lifestyle intervention although they do not suggest the best dietetic regimen for the treatment of PCOS. Thus, the purpose of this study is to compare the effectiveness of two nutritional protocols, namely Mediterranean Diet and Hypocaloric Diet in PCOS women.

Detailed Description

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PCOS is the most common endocrine disorder of reproductive age women, that is often associated with chronic anovulation, hyperandrogenism and insulin resistance. The central importance of insulin resistance in the pathogenesis of the syndrome has been established by several in vivo and in vitro studies. No data are available for the best therapeutical approach for metabolic dysfunction of PCOS. The new guidelines for the management of metabolic risk in PCOS strongly recommended that overweight/obese women with PCOS should lose weight changing their lifestyle. Although calorie-restricted diets are currently recommended to reach the healthy weight, there are still unsatisfied data regarding the best dietetic regimen that should be suggested.

In this study, our purpose is to compare two nutritional protocols in order to find the best dietetic approach for improving clinical, metabolic and hormonal outcomes in pcos women.

Conditions

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Polycystic Ovary Syndrome

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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Mediterranean Diet

The diet programme will be characterized by carbohydrates (60 %); proteins (20 %, half comprised of vegetable proteins); total fat (20 %; saturated fat \< 10 %). After calculating the patient's energy need, the amount of calories will be successively adjusted to create an 800 kcal deficit per day.

Group Type EXPERIMENTAL

mediterranean diet, restricted calorie

Intervention Type OTHER

50 pcos women will be assigned to hypocaloric mediterranean diet for 6 months

hypocaloric diet

The diet programme will be characterized by carbohydrates (50%),total lipids (30%) and proteins (20%). After calculating the patient's energy need, the amount of calories will be successively adjusted to create an 800 kcal deficit per day.

Group Type ACTIVE_COMPARATOR

hypocaloric diet, restricted calorie

Intervention Type OTHER

50 pcos women will be assigned to standardized hypocaloric diet for 6 months

Interventions

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mediterranean diet, restricted calorie

50 pcos women will be assigned to hypocaloric mediterranean diet for 6 months

Intervention Type OTHER

hypocaloric diet, restricted calorie

50 pcos women will be assigned to standardized hypocaloric diet for 6 months

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Polycystic ovary syndrome (using ESHRE/ARSM 2007 criteria)
* BMI \> 25

Exclusion Criteria

* Age \<18 or \>35 years
* BMI higher than 35
* Pregnancy
* Hypothyroidism, hyperprolactinemia, Cushing's syndrome, nonclassical congenital adrenal hyperplasia, use of oral contraceptives, glucocorticoids, antiandrogens, ovulation induction agents, antidiabetic or antiobesity drugs or other hormonal drugs within the previous 6 months
* Subjects with neoplastic, metabolic (including glucose intolerance), hepatic, and cardiovascular disorder or other concurrent medical illness (i.e. diabetes, renal disease, or malabsorptive disorders, cephalea)
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Federico II University

OTHER

Sponsor Role collaborator

University of Modena and Reggio Emilia

OTHER

Sponsor Role collaborator

Azienda Ospedaliera OO.RR. S. Giovanni di Dio e Ruggi D'Aragona

OTHER

Sponsor Role lead

Responsible Party

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Francesco Orio

prof

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Francesco Orio, MD

Role: PRINCIPAL_INVESTIGATOR

Azienda Ospedaliera OO.RR. S. Giovanni di Dio e Ruggi D'Aragona

Locations

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Fertility Techniques SSD,Azienda Ospedaliera OO.RR. S. Giovanni di Dio e Ruggi D'Aragona

Salerno, Salerno, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Francesco Orio, MD

Role: CONTACT

+39 338 6759977

Facility Contacts

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Francesco Orio, MD

Role: primary

+39 338 6759977

References

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Palomba S, Giallauria F, Falbo A, Russo T, Oppedisano R, Tolino A, Colao A, Vigorito C, Zullo F, Orio F. Structured exercise training programme versus hypocaloric hyperproteic diet in obese polycystic ovary syndrome patients with anovulatory infertility: a 24-week pilot study. Hum Reprod. 2008 Mar;23(3):642-50. doi: 10.1093/humrep/dem391. Epub 2007 Dec 23.

Reference Type RESULT
PMID: 18158291 (View on PubMed)

Palomba S, Falbo A, Giallauria F, Russo T, Rocca M, Tolino A, Zullo F, Orio F. Six weeks of structured exercise training and hypocaloric diet increases the probability of ovulation after clomiphene citrate in overweight and obese patients with polycystic ovary syndrome: a randomized controlled trial. Hum Reprod. 2010 Nov;25(11):2783-91. doi: 10.1093/humrep/deq254. Epub 2010 Sep 21.

Reference Type RESULT
PMID: 20858697 (View on PubMed)

Other Identifiers

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DIEMED1

Identifier Type: -

Identifier Source: org_study_id

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