CALIBER Phase 1: A Pilot Study in Normal-weight and Overweight Adults.

NCT ID: NCT03257085

Last Updated: 2018-03-08

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

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-09

Study Completion Date

2017-12-08

Brief Summary

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Pilot study to compare the impact of following a low-carbohydrate, high-fat diet versus following a high-carbohydrates, moderate-fat diet (UK dietary guidelines) on cardiometabolic risk markers and associated behaviours in a normal-weight and overweight adult population.

Detailed Description

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Cardiometabolic diseases (CMD), such as type 2 diabetes and cardiovascular disease (CVD), are globally amongst the highest contributors to morbidity and mortality with high (cost) implications to the overall economy and health care systems. A number of risk markers have been associated with CMDs, including blood serum markers, low levels of lean mass and high levels of body fat, including increased waist circumference. Dietary factors and nutritional status have long been linked with specific markers of cardiometabolic (CM) risk. The quantity and quality of dietary carbohydrates has been associated with increased serum triglycerides levels, increased body fat mass, increased waist circumference and visceral fat around the organs in particular. They also seem to increase food cravings. Whilst official dietary guidelines in the UK and elsewhere still recommend a high carbohydrate and low fat diet as standard, these recommendations have increasingly been challenged. Evidence has been mounting that very-low carbohydrate (ketogenic) and low carbohydrate diets can ameliorate CM risk factors, especially when a personalised rather than a one-size-fits-all approach is being taken. Response to carbohydrate load and adherence to dietary interventions can vary widely dependent on individual substrate and energy metabolism and insulin-resistant status.

The majority of dietary interventions with ketogenic and low-carbohydrate diets has focused on weight loss as the primary outcome in overweight and obese individuals. However, in recent years evidence has been mounting that the location and quality of adipose tissue (AT) play a more important role in manifestation of CM risk than quantity of AT alone. Detrimental health behaviours, such as low-quality diet and low levels of physical activity seem to be important contributors to this.

Further studies can provide vital insights into the links between diet, location-specific adipose tissue, CM risk factors and health-related behaviours.

Therefore this 8-weeks randomised pilot study will investigate the impact of either following a low-carbohydrate, high-fat diet versus following a high-carbohydrates, moderate-fat diet (UK dietary guidelines) on cardiometabolic risk markers and associated behaviours in a normal-weight and overweight adult population aged 19 - 64 at potential risk of CMD.

Conditions

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Cardiometabolic Risk

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomised pilot study
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Due to the nature of the low-carbohydrate, high-fat and high-carbohydrate, moderate-fat diets masking is not feasible.

Study Groups

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Low-carbohydrate, high-fat

Participants adhering to low-carbohydrate, high-fat diet for 8 weeks.

Group Type EXPERIMENTAL

Low-carbohydrate, high-fat

Intervention Type OTHER

Participants following low-carbohydrate, high-fat diet for 8 weeks.

High-carbohydrate, moderate fat

Participants following high-carbohydrate, moderate-fat diet for 8 weeks.

Group Type EXPERIMENTAL

High-carbohydrate, moderate-fat

Intervention Type OTHER

Participants following high-carbohydrate, moderate-fat diet (UK dietary guidelines) for 8 weeks.

Interventions

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Low-carbohydrate, high-fat

Participants following low-carbohydrate, high-fat diet for 8 weeks.

Intervention Type OTHER

High-carbohydrate, moderate-fat

Participants following high-carbohydrate, moderate-fat diet (UK dietary guidelines) for 8 weeks.

Intervention Type OTHER

Other Intervention Names

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CALIBER LCHF CALIBER HCMF

Eligibility Criteria

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Inclusion Criteria

1. BMI 18.5 - 29.9kg/m2
2. Aged 19 - 64
3. White-Caucasian
4. Score of ≥4 from a combination of risk markers, including

* Fasting glucose concentration \>5.5mmol/L = 3 points
* Waist \>102cm or 40 inches = 2 points (males)
* Waist \>94 cm or 37 inches = 1 point (males)
* Waist \>88cm or 34inches = 2 points (females)
* Waist \>80 cm or 31 inches = 1 point (females)
* Systolic blood pressure\>130mmHg = 1 point
* Diastolic BP \>85mmHg = 1 point
* HDL cholesterol concentration \<1.0mmol/L = 2 points
* Serum triglyceride concentration \>1.3mmol/L = 1 point.


1. BMI 18.5 - 29.9kg/m2
2. Aged 19 - 64
3. White-Caucasian

Exclusion Criteria

1. Smoker
2. Vegetarian or vegan
3. Suffering from food allergies or intolerances
4. Drinking alcohol above recommended UK government guidelines
5. Previous diagnosis of CM disease
6. Taking lipid-lowering medication
7. Taking blood pressure-lowering medication
8. Taking blood glucose-lowering medication
9. Taking dietary supplements
10. Suffering from an eating disorder
11. Current or previous renal impairment


1. Smoker
2. Vegetarian or vegan
3. Suffering from food allergies or intolerances
4. Drinking alcohol above recommended UK government guidelines
5. Previous diagnosis of CM disease
6. Taking lipid-lowering medication
7. Taking blood pressure-lowering medication
8. Taking blood glucose-lowering medication
9. Taking dietary supplements
10. Suffering from an eating disorder
11. Current or previous renal impairment
Minimum Eligible Age

19 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Liverpool Hope University

OTHER

Sponsor Role collaborator

Liverpool John Moores University

OTHER

Sponsor Role lead

Responsible Party

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Tanja Harrison

PhD Researcher and Registered Associate Nutritionist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ian G Davies, PhD

Role: STUDY_CHAIR

Liverpool John Moores University

Locations

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Liverpool John Moores University

Liverpool, Merseyside, United Kingdom

Site Status

Countries

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United Kingdom

Related Links

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http://www.ncbi.nlm.nih.gov/pubmed/12679447

Brehm, B. et al. (2003) A randomized trial comparing a very low carbohydrate diet and a calorie-restricted low fat diet on body weight and cardiovascular risk factors in healthy women J Clin Endocrinol Metab 88(4), 1617

http://www.ncbi.nlm.nih.gov/pubmed/24552752

Buyken, A., Goletzke, J., Joslowski, G., Felbick, A., Cheng, G., Herder, C. and Brand-Miller, J. (2014) Association between carbohydrate quality and inflammatory markers: systematic review of observational and interventional studies Am J Clin Nutr 99(4),

http://www.ncbi.nlm.nih.gov/pubmed/24589564

De Larochellière, E. et al. (2014) Visceral/epicardial adiposity in nonobese and apparently healthy young adults: association with the cardiometabolic profile Ath

http://www.ncbi.nlm.nih.gov/pubmed/26024544

Fischer, K., Pick, J., Moewes, D. and Nöthlings, U. (2015) Qualitative aspects of diet affecting visceral and subcutaneous abdominal adipose tissue: a systematic review of observational and controlled intervention studies Nutr Rev 73(4), 191-215

http://www.ncbi.nlm.nih.gov/pubmed/23223345

Gadgil, M., Appel, L., Yeung, E., Anderson, C., Sacks, F. and Miller, E. (2013) The effects of carbohydrate, unsaturated fat, and protein intake on measures of insulin sensitivity: results from the OmniHeart trial Diabetes Care 36 (5), 1132-1137

http://www.ncbi.nlm.nih.gov/pubmed/25089189

Gardner, C. (2012) Tailoring dietary approaches for weight loss Int J Obes Suppl 2(Suppl 1), S11-S15

http://www.ncbi.nlm.nih.gov/pubmed/26393645

Hu, T. and Bazzano, L. (2014) The low-carbohydrate diet and cardiovascular risk factors: evidence from epidemiologic studies Nutr Metab Cardiovasc Dis 24(4), 337-343

http://www.ncbi.nlm.nih.gov/pubmed/27114827

Hu, T., Yao, L., Reynolds, K., Niu, T., Li, S., Whelton, P., He, J., Steffen, L. and Bazzano, L. (2016) Adherence to low-carbohydrate and low-fat diets in relation to weight loss and cardiovascular risk factors Obes Sci Pract, 2(1), 24-3

http://www.ncbi.nlm.nih.gov/pubmed/25912185

Ko, B., Park, K., Shin, S., Zaichenko, L., Davis, C., Crowell, J., Joung, H. and Mantzoros, C (2016) Diet quality and diet patterns in relation to circulating cardiometabolic biomarkers Clin Nutr. 35(2), 484-90

http://www.ncbi.nlm.nih.gov/pubmed/23068073

Lee, M., Wu, Y. and Fried, S. (2013) Adipose tissue heterogeneity: implication of depot differences in adipose tissue for obesity complications Mol Aspects Med 34 (1), 1-11

http://www.ncbi.nlm.nih.gov/pubmed/23803881

Lennerz, B., Alsop, D., Holsen, L., Stern, E., Rojas, R., Ebbeling, C., Goldstein, J.and Ludwig, D. (2013) Effects of dietary glycemic index on brain regions related to reward and craving in men Am J Clin Nutr 98(3), 641-647

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924165/

Allam-Ndoul, B., Guénard, F., Garneau, V., Cormier, H., Barbier, O., Pérusse, L., et al. (2016) Association between Metabolite Profiles, Metabolic Syndrome and Obesity Status. Nutrients 8(6)

http://www.ncbi.nlm.nih.gov/pubmed/22539584

Lin, Z., Gong, Q., Wu, C., Yu, J., Lu, T., Pan, X., Lin, S. and Li, X. (2012) 'Dynamic change of serum FGF21 levels in response to glucose challenge in human J Clin Endocrinol Metab, 97(7), E1224-1228.

Other Identifiers

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CALIBER

Identifier Type: -

Identifier Source: org_study_id

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