Trial Outcomes & Findings for Low-Carbohydrate Dietary Pattern on Glycemic Outcomes Trial (NCT NCT03675360)

NCT ID: NCT03675360

Last Updated: 2023-03-01

Results Overview

6-month change in Hemoglobin A1c comparing low-carbohydrate arm with usual diet arm

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

150 participants

Primary outcome timeframe

Baseline and six months

Results posted on

2023-03-01

Participant Flow

Recruitment occurred from September 2018 through December 2020. Participants were recruited from the greater New Orleans, Louisiana area, primarily by mass mailing

After ascertaining eligibility, staff obtained randomization assignment in either a sealed envelope from or by telephoning the methodology unit at the time of randomization.

Participant milestones

Participant milestones
Measure
Low-Carbohydrate Diet
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Overall Study
STARTED
75
75
Overall Study
COMPLETED
73
69
Overall Study
NOT COMPLETED
2
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Low-Carbohydrate Dietary Pattern on Glycemic Outcomes Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Total
n=150 Participants
Total of all reporting groups
Age, Continuous
59.3 years
STANDARD_DEVIATION 7.0 • n=5 Participants
58.6 years
STANDARD_DEVIATION 8.8 • n=7 Participants
58.9 years
STANDARD_DEVIATION 7.9 • n=5 Participants
Sex: Female, Male
Female
54 Participants
n=5 Participants
54 Participants
n=7 Participants
108 Participants
n=5 Participants
Sex: Female, Male
Male
21 Participants
n=5 Participants
21 Participants
n=7 Participants
42 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
68 Participants
n=5 Participants
71 Participants
n=7 Participants
139 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
36 Participants
n=5 Participants
49 Participants
n=7 Participants
85 Participants
n=5 Participants
Race (NIH/OMB)
White
33 Participants
n=5 Participants
24 Participants
n=7 Participants
57 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=5 Participants
0 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
75 participants
n=5 Participants
75 participants
n=7 Participants
150 participants
n=5 Participants
Body weight
102.6 kg
STANDARD_DEVIATION 21.8 • n=5 Participants
96.4 kg
STANDARD_DEVIATION 19.6 • n=7 Participants
99.5 kg
STANDARD_DEVIATION 20.9 • n=5 Participants
Waist circumference
115.9 cm
STANDARD_DEVIATION 14.8 • n=5 Participants
111.8 cm
STANDARD_DEVIATION 15.0 • n=7 Participants
113.9 cm
STANDARD_DEVIATION 15.0 • n=5 Participants
Hemoglobin A1c
6.17 %
STANDARD_DEVIATION 0.31 • n=5 Participants
6.14 %
STANDARD_DEVIATION 0.30 • n=7 Participants
6.16 %
STANDARD_DEVIATION 0.30 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline and six months

Population: Data were analyzed using intention to treat. For the primary outcome (net 6-month change in HbA1c), we used linear mixed effects models with HbA1c as the dependent variable. This model included a random intercept with an unstructured covariance matrix, indicator variables for time and study group, and group by time interaction terms.

6-month change in Hemoglobin A1c comparing low-carbohydrate arm with usual diet arm

Outcome measures

Outcome measures
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Change in Hemoglobin A1c
-0.26 percentage
Interval -0.33 to -0.19
-0.04 percentage
Interval -0.1 to 0.02

SECONDARY outcome

Timeframe: Baseline and six months

Population: Intention to treat analysis.

6-month change in fasting plasma glucose comparing low-carbohydrate arm with usual diet arm

Outcome measures

Outcome measures
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Change in Fasting Plasma Glucose
-8.4 mg/dL
Interval -12.3 to -4.4
1.9 mg/dL
Interval -1.8 to 5.5

SECONDARY outcome

Timeframe: Baseline and six months

Population: Intention to treat analysis

6-month change in systolic blood pressure comparing low-carbohydrate arm with usual diet arm

Outcome measures

Outcome measures
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Change in Systolic Blood Pressure
-4.9 mm Hg
Interval -7.9 to -1.8
-1.6 mm Hg
Interval -4.4 to 1.2

SECONDARY outcome

Timeframe: Baseline and six months

Population: Intention to treat

6-month change in total-to-HDL-cholesterol ratio comparing low-carbohydrate arm with usual diet arm

Outcome measures

Outcome measures
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Change in Total-to-HDL-cholesterol Ratio
-0.54 ratio
Interval -0.67 to -0.4
-0.41 ratio
Interval -0.52 to -0.29

SECONDARY outcome

Timeframe: Baseline and six months

Population: Intention to treat

6-month change in body weight comparing low-carbohydrate arm with usual diet arm

Outcome measures

Outcome measures
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Change in Body Weight
-6.4 kg
Interval -7.8 to -5.1
-0.5 kg
Interval -1.2 to 0.2

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and six months

Population: Intention to treat analysis

6-month change in fasting insulin comparing low-carbohydrate arm with usual diet arm

Outcome measures

Outcome measures
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Change in Insulin
-4.0 μIU/L
Interval -7.2 to -0.8
2.3 μIU/L
Interval -0.5 to 5.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and six months

Population: Intention to treat analysis

6-month change in HOMA-IR comparing low-carbohydrate arm with usual diet arm. HOMA-IR was calculated as fasting insulin (μIU/mL) x fasting glucose (mmol/L)/22.5.

Outcome measures

Outcome measures
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Change in Homeostasis Model Assessment of Insulin Resistance (HOMA-IR)
-1.6 no units
Interval -2.6 to -0.7
0.8 no units
Interval -0.2 to 1.7

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and six months

Population: Intention to treat analysis

6-month change in diastolic blood pressure comparing low-carbohydrate arm with usual diet arm

Outcome measures

Outcome measures
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Change in Diastolic Blood Pressure
-3.2 mm Hg
Interval -5.2 to -1.2
-0.6 mm Hg
Interval -2.3 to 1.1

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and six months

Population: Intention to treat analysis

6-month change in waist circumference comparing low-carbohydrate arm with usual diet arm

Outcome measures

Outcome measures
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Change in Waist Circumference
-5.2 cm
Interval -6.9 to -3.5
-0.5 cm
Interval -1.6 to 0.5

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and six months

Population: Intention to treat analysis

6-month change in estimated 10-year atherosclerotic cardiovascular disease risk comparing low-carbohydrate arm with usual diet arm. The estimated 10-year cardiovascular disease risk was assessed by 2013 American College of Cardiology/American Heart Association Atherosclerotic Cardiovascular Disease Risk Score, known as the Pooled Cohort Equations. The Pooled Cohort Equations estimate the 10-year primary risk of ASCVD (atherosclerotic cardiovascular disease) among patients without pre-existing cardiovascular disease who are between 40 and 79 years of age. Variables included in the risk score include: gender, age, race, total cholesterol, HDL cholesterol, systolic blood pressure, treatment for blood pressure, diabetes, and smoking status. Reference: Goff DC, Lloyd-Jones DM et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: A report of the American college of cardiology/American heart association task force on practice guidelines. Vol. 129, Circulation. 2014.

Outcome measures

Outcome measures
Measure
Low-Carbohydrate Diet
n=75 Participants
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 Participants
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Change in Estimated Atherosclerotic Cardiovascular Disease Risk
-1.7 estimated %
Interval -2.5 to -0.9
-0.9 estimated %
Interval -1.6 to -0.2

Adverse Events

Low-Carbohydrate Diet

Serious events: 4 serious events
Other events: 2 other events
Deaths: 0 deaths

Usual Diet

Serious events: 3 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Low-Carbohydrate Diet
n=75 participants at risk
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 participants at risk
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Infections and infestations
Emergency room visit
1.3%
1/75 • Number of events 1 • For each participant, adverse event data was collected over the 6-month intervention period.
1.3%
1/75 • Number of events 1 • For each participant, adverse event data was collected over the 6-month intervention period.
Musculoskeletal and connective tissue disorders
Emergency Room Visit
1.3%
1/75 • Number of events 1 • For each participant, adverse event data was collected over the 6-month intervention period.
0.00%
0/75 • For each participant, adverse event data was collected over the 6-month intervention period.
Infections and infestations
Hospitalization
0.00%
0/75 • For each participant, adverse event data was collected over the 6-month intervention period.
1.3%
1/75 • Number of events 1 • For each participant, adverse event data was collected over the 6-month intervention period.
General disorders
Hospitalization
1.3%
1/75 • Number of events 1 • For each participant, adverse event data was collected over the 6-month intervention period.
0.00%
0/75 • For each participant, adverse event data was collected over the 6-month intervention period.
Vascular disorders
Emergency Room Visit
0.00%
0/75 • For each participant, adverse event data was collected over the 6-month intervention period.
1.3%
1/75 • Number of events 1 • For each participant, adverse event data was collected over the 6-month intervention period.
Cardiac disorders
Surgery and hospitalization
1.3%
1/75 • Number of events 1 • For each participant, adverse event data was collected over the 6-month intervention period.
0.00%
0/75 • For each participant, adverse event data was collected over the 6-month intervention period.

Other adverse events

Other adverse events
Measure
Low-Carbohydrate Diet
n=75 participants at risk
Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations. Low-Carbohydrate Diet: Behavioral modification to reduce carbohydrate consumption. Target \<40 g net carbohydrates per day for first 3 months; \<60 g net carbohydrates per day for months 4 onwards. The intervention will consist of 4 weekly individual counseling sessions, followed by 4 group sessions held every other week, with phone follow-ups in between group sessions. For the last 3 months of the study, there will be 3 monthly group sessions and 3 telephone follow-ups. At baseline, participants will receive written information with standard physical activity recommendations.
Usual Diet
n=75 participants at risk
No dietary intervention. At baseline, participants will receive written information with standard dietary advice and standard physical activity recommendations.
Reproductive system and breast disorders
Surgery
2.7%
2/75 • Number of events 2 • For each participant, adverse event data was collected over the 6-month intervention period.
0.00%
0/75 • For each participant, adverse event data was collected over the 6-month intervention period.
Gastrointestinal disorders
Surgery
0.00%
0/75 • For each participant, adverse event data was collected over the 6-month intervention period.
1.3%
1/75 • Number of events 1 • For each participant, adverse event data was collected over the 6-month intervention period.
Eye disorders
Surgery
0.00%
0/75 • For each participant, adverse event data was collected over the 6-month intervention period.
1.3%
1/75 • Number of events 1 • For each participant, adverse event data was collected over the 6-month intervention period.

Additional Information

Dr. Kirsten Dorans, Assistant Professor, Department of Epidemiology

Tulane University School of Public Health and Tropical Medicine

Phone: 15049880883

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place