Nutritional Evaluation - NuEva Study

NCT ID: NCT03582020

Last Updated: 2024-03-18

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

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-04

Study Completion Date

2020-12-21

Brief Summary

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The NuEva study focusses on the development and the validation of nutritional concepts for healthy persons with different dietary habits, such as Western diet, flexitarians, vegetarians, as well as vegans. The practical nutritional concepts will ensure an optimal intake of macro- and micronutrients according to the guidelines of the nutritional societies and contribute to prevention and therapy of civilization disease, such as cardiovascular diseases. In addition, the contribution of the nutritional habits on health and disease status (focus cardiovascular diseases) will be evaluated.

Detailed Description

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The implementation of the vegetarian and vegan lifestyle is characterized by omitting defined food groups such as meat, sausage (vegetarians) or additionally dairy products and honey (vegans). This bears the risk of undersupply with valuable nutrients. Critical nutrients in the vegetarian-vegan lifestyle are low intakes of vitamin B12, vitamin D, n-3 LC-PUFA, calcium, iron, zinc as well as a high phytate intake.

The hype of the vegetarian and vegan lifestyle in combination with hints for critical nutrients following the adoption to these eating habits highlights the need of a comprehensive data collection that allows for making recommendations based on reliable scientific evidence.

To address this need, the proposed NuEva study will enroll 55 vegetarians (adherence of at least 1 year), 55 vegans (adherence of at least 1 year), as well as 55 flexitarians (characteristics: selected and rare meat/sausage consumption, once or twice per week, adherence of at least 1 year). Further, 55 participants who consume a Western diet (adherence of at least 1 year) will be recruited as control group).

Run-in/screening To record and document the varieties in dietary practices within and among each group, the 14 d run-in phase of the proposed study will include individual assessments of dietary habits using self-reports (FFPs, lifestyle questionnaires).

Screening (sampling): comprehensive nutrient analyses (vitamins, minerals, trace elements) in plasma/serum samples

Intervention Based on the screening data, critical nutrients will be identified for each participant and summarized for each group. Based on these data and published scientific data, defined nutrition plans and recommendations ensuring adequate nutrient intake will be developed for each group (according to the guidelines of the German Society of Nutrition (DGE)). The plans are adapted to individual energy requirements based on basal metabolic rate (BMR) and physical activity (PAL) of each study participant. The compliance with the menu plans and the physiological impact on health and disease status will be controlled by analyzing nutrient status in blood samples, which are complemented by metabolomic profiling every 6 months. In addition, a regularly health check and nutritional counselling in combination with the analysis of blood lipids and nutrition status are planned every 3 months. Optionally, we are interested to investigate the relationships between the different dietary habits and the participants' microbiomes. Therefore, collection of feces samples every 12 month is envisaged.

Conditions

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Nutritional Evaluation

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Parallel group design (4 groups), non-randomized Run in (14 d): Food frequency protocol (FFP, 7 d), questionnaires for lifestyle/nutrition/socio-economic status Screening: Fasting blood sample taking, health check Intervention: Four groups differing in their eating habits (pre-condition: stable since at least one year) Intervention - group A: Menu plans for persons who consume a traditional Western diet Intervention - group B: Menu plans for persons who rarely consume meat and meat products (predominantly high-quality products; ≤ 2 times / week) = flexitarians Intervention - group C: Menu plans for vegetarians Intervention - group D: Menu plans for vegans
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Traditional Western Diet

Intervention: Menu plans and recommendations for persons who consume a traditional Western diet (daily consumption of meat and sausage)

Group Type PLACEBO_COMPARATOR

menu plans

Intervention Type DIETARY_SUPPLEMENT

menu plans, recommendations ensuring an optimal nutrient intake according the guidelines of the German Society of Nutrition

Flexitarians

Intervention: Menu plans and recommendations for persons, who rarely consume meat and meat products (predominantly high-quality products; ≤ 2 times / week) = flexitarians

Group Type ACTIVE_COMPARATOR

menu plans

Intervention Type DIETARY_SUPPLEMENT

menu plans, recommendations ensuring an optimal nutrient intake according the guidelines of the German Society of Nutrition

Vegetarians

Intervention: Menu plans and recommendations for persons who do not eat meat and sausage (vegetarians)

Group Type ACTIVE_COMPARATOR

menu plans

Intervention Type DIETARY_SUPPLEMENT

menu plans, recommendations ensuring an optimal nutrient intake according the guidelines of the German Society of Nutrition

Vegans

Intervention: Menu plans and recommendations for persons who do not eat products from animal origin (vegans)

Group Type ACTIVE_COMPARATOR

menu plans

Intervention Type DIETARY_SUPPLEMENT

menu plans, recommendations ensuring an optimal nutrient intake according the guidelines of the German Society of Nutrition

Interventions

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menu plans

menu plans, recommendations ensuring an optimal nutrient intake according the guidelines of the German Society of Nutrition

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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menu plans, recommendations

Eligibility Criteria

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Inclusion Criteria

* BMI \< 30 kg/m2
* Participants must be subjectively healthy
* Adherence to one of the four groups (Western diet, flexitarians, vegetarians, vegans) confirmed by lifestyle and nutrition questionnaires, food frequency protocol (7 d)
* Precondition: stable eating habits for at least two years before enrollment

Exclusion Criteria

* Subjects with any acute or chronic disease (tumor, infection, other), gastrointestinal diseases, diabetes mellitus (type I, II), chronic renal disease, diseases of the parathyroids, diseases necessitating regular phlebotomies
* Intake of additional dietary supplements (e.g. fish oil capsules, vitamins, minerals etc.)
* Weight loss or weight gain (\> 3 kg) during the last three months before study begin
* Pregnancy or lactation
* Transfusion of blood in the last three months before blood sample taking
Minimum Eligible Age

19 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Jena

OTHER

Sponsor Role lead

Responsible Party

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Christine Dawczynski,PhD

Head of Junior Research Group Nutritional Concepts

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Friedrich-Schiller-University

Jena, Thuringia, Germany

Site Status

Countries

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Germany

References

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Klein L, Lenz C, Kruger K, Lorkowski S, Kipp K, Dawczynski C. Comparative analysis of fatty acid profiles across omnivorous, flexitarians, vegetarians, and vegans: insights from the NuEva study. Lipids Health Dis. 2025 Apr 9;24(1):133. doi: 10.1186/s12944-025-02517-6.

Reference Type DERIVED
PMID: 40205391 (View on PubMed)

Dawczynski C. A Study Protocol for a Parallel-Designed Trial Evaluating the Impact of Plant-Based Diets in Comparison to Animal-Based Diets on Health Status and Prevention of Non-communicable Diseases-The Nutritional Evaluation (NuEva) Study. Front Nutr. 2021 Feb 2;7:608854. doi: 10.3389/fnut.2020.608854. eCollection 2020.

Reference Type DERIVED
PMID: 33604351 (View on PubMed)

Related Links

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https://www.frontiersin.org/articles/10.3389/fnut.2020.608854/full

Study protocoll (Dawczynski C. A study protocol for a parallel-designed trial evaluating the impact of plant-based diets in comparison to animal-based diets on health and prevention of non-communicable disease - the Nutritional Evaluation (NuEva) study.)

https://www.frontiersin.org/articles/10.3389/fnut.2022.819106/full

Dawczynski C, Weidauer T, Richert C, Schlattmann P, Dawczynski K, Kiehntopf M. Nutrient intake and nutrition status in vegetarians and vegans in comparison to omnivores - the Nutritional Evaluation (NuEva) study. Frontiers in Nutrition 2022, 9: 819106.

Other Identifiers

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H8_18

Identifier Type: -

Identifier Source: org_study_id

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