Assessing the Impact of a Plant-Based Diet for Diabetes Prevention

NCT ID: NCT06571279

Last Updated: 2025-12-11

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

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-14

Study Completion Date

2025-11-25

Brief Summary

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The primary purpose of this study is to determine the sex-specific metabolic and molecular response, among adults with prediabetes, when moving from a Western Diet to plant-based diet.

Detailed Description

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Plant-based diets that are abundant in myoinsitol and D-chiro inositol (MI and DCI) increase insulin sensitivity by promotion of insulin signaling lowering serum insulin and improving insulin resistance. The Western diet contributes to chronic metabolic inflammation often leading to the development of metabolic diseases. There is known metabolic improvement among men compared to women when following a plant-based diet or intensive lifestyle modifications. Through this study we look to identify the pathways in which plant-based diet impact skeletal muscle inositol metabolites among sexes (men vs. women) and improve insulin sensitivity.

Conditions

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Prediabetes (Insulin Resistance, Impaired Glucose Tolerance)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Plant-based diet

5 weeks of plant-based meals and snacks.

Group Type OTHER

Plant-based diet

Intervention Type OTHER

Standard plant-based meals will be provided directly to participants. The dietary intervention will begin with a one-week Western diet run-in; hereafter, participants will consume plant-based meals for approximately 5 weeks. Total energy provided will be equal to REE X 1.4 to account for light physical activity to support weight maintenance. High-inositol snacks will be provided to meet energy needs. Meals and snacks combined will provide a minimum of 20mg total inositol/kg body weight. For example, a 200lb participant will consume 1.8g daily, which is consistent with doses used in prior studies.

Interventions

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Plant-based diet

Standard plant-based meals will be provided directly to participants. The dietary intervention will begin with a one-week Western diet run-in; hereafter, participants will consume plant-based meals for approximately 5 weeks. Total energy provided will be equal to REE X 1.4 to account for light physical activity to support weight maintenance. High-inositol snacks will be provided to meet energy needs. Meals and snacks combined will provide a minimum of 20mg total inositol/kg body weight. For example, a 200lb participant will consume 1.8g daily, which is consistent with doses used in prior studies.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Body mass index greater than or equal to 27
* High waist circumference (women greater than or equal to 35"Íž men greater than or equal to 40")
* Prediabetes (based on fasting glucose 100-125 mg/dL, HbA1c 5.7-6.4, or 2-hr post-oral glucose tolerance test glucose screen between 140-199mg/dL)
* Physical activity below national guidelines
* Aged 30-55 (premenopausal for women)
* Following a Western diet

Exclusion Criteria

* Diabetes diagnosis
* Take medications that may affect insulin sensitivity
* More than 5% weight change within 6 months of screening
* History of bariatric surgery
* Report any dietary supplement, medication, or medical condition known to significantly affect weight or metabolism
* Take hormone replacement therapy
* Consume 3 or more servings of combined fruit and vegetables daily and/or 3 or more servings of whole grains daily
* Any food allergy more severe than grade 1 on the CoFAR Grading Scale for Systemic Allergic Reactions, Version 3.0 or allergy to lidocaine
Minimum Eligible Age

30 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Jean L. Fry

OTHER

Sponsor Role lead

Responsible Party

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Jean L. Fry

Assistant Professor- PI

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jean L Fry, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Kentucky

Locations

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University of Kentucky CCTS

Lexington, Kentucky, United States

Site Status

Countries

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United States

References

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Bedard A, Riverin M, Dodin S, Corneau L, Lemieux S. Sex differences in the impact of the Mediterranean diet on cardiovascular risk profile. Br J Nutr. 2012 Oct 28;108(8):1428-34. doi: 10.1017/S0007114511006969. Epub 2012 Jan 6.

Reference Type BACKGROUND
PMID: 22221517 (View on PubMed)

Chen Z, Zuurmond MG, van der Schaft N, Nano J, Wijnhoven HAH, Ikram MA, Franco OH, Voortman T. Plant versus animal based diets and insulin resistance, prediabetes and type 2 diabetes: the Rotterdam Study. Eur J Epidemiol. 2018 Sep;33(9):883-893. doi: 10.1007/s10654-018-0414-8. Epub 2018 Jun 8.

Reference Type BACKGROUND
PMID: 29948369 (View on PubMed)

Perreault L, Ma Y, Dagogo-Jack S, Horton E, Marrero D, Crandall J, Barrett-Connor E; Diabetes Prevention Program. Sex differences in diabetes risk and the effect of intensive lifestyle modification in the Diabetes Prevention Program. Diabetes Care. 2008 Jul;31(7):1416-21. doi: 10.2337/dc07-2390. Epub 2008 Mar 20.

Reference Type BACKGROUND
PMID: 18356403 (View on PubMed)

Leblanc V, Begin C, Hudon AM, Royer MM, Corneau L, Dodin S, Lemieux S. Gender differences in the long-term effects of a nutritional intervention program promoting the Mediterranean diet: changes in dietary intakes, eating behaviors, anthropometric and metabolic variables. Nutr J. 2014 Nov 22;13:107. doi: 10.1186/1475-2891-13-107.

Reference Type BACKGROUND
PMID: 25416917 (View on PubMed)

Sargrad KR, Homko C, Mozzoli M, Boden G. Effect of high protein vs high carbohydrate intake on insulin sensitivity, body weight, hemoglobin A1c, and blood pressure in patients with type 2 diabetes mellitus. J Am Diet Assoc. 2005 Apr;105(4):573-80. doi: 10.1016/j.jada.2005.01.009.

Reference Type BACKGROUND
PMID: 15800559 (View on PubMed)

Bedard A, Tchernof A, Lamarche B, Corneau L, Dodin S, Lemieux S. Effects of the traditional Mediterranean diet on adiponectin and leptin concentrations in men and premenopausal women: do sex differences exist? Eur J Clin Nutr. 2014 May;68(5):561-6. doi: 10.1038/ejcn.2014.27. Epub 2014 Mar 5.

Reference Type BACKGROUND
PMID: 24595221 (View on PubMed)

Minambres I, Cuixart G, Goncalves A, Corcoy R. Effects of inositol on glucose homeostasis: Systematic review and meta-analysis of randomized controlled trials. Clin Nutr. 2019 Jun;38(3):1146-1152. doi: 10.1016/j.clnu.2018.06.957. Epub 2018 Jun 21.

Reference Type BACKGROUND
PMID: 29980312 (View on PubMed)

Soldevila-Domenech N, Pastor A, Sala-Vila A, Lazaro I, Boronat A, Munoz D, Castaner O, Fagundo B, Corella D, Fernandez-Aranda F, Martinez-Gonzalez MA, Salas-Salvado J, Fito M, de la Torre R. Sex differences in endocannabinoids during 3 years of Mediterranean diet intervention: Association with insulin resistance and weight loss in a population with metabolic syndrome. Front Nutr. 2022 Dec 1;9:1076677. doi: 10.3389/fnut.2022.1076677. eCollection 2022.

Reference Type BACKGROUND
PMID: 36532543 (View on PubMed)

Brennan L, Gibbons H. Sex matters: a focus on the impact of biological sex on metabolomic profiles and dietary interventions. Proc Nutr Soc. 2020 May;79(2):205-209. doi: 10.1017/S002966511900106X. Epub 2019 Jul 31.

Reference Type BACKGROUND
PMID: 31362802 (View on PubMed)

Larner J, Brautigan DL, Thorner MO. D-chiro-inositol glycans in insulin signaling and insulin resistance. Mol Med. 2010 Nov-Dec;16(11-12):543-52. doi: 10.2119/molmed.2010.00107. Epub 2010 Aug 27.

Reference Type BACKGROUND
PMID: 20811656 (View on PubMed)

Other Identifiers

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95349

Identifier Type: -

Identifier Source: org_study_id

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