Trial Outcomes & Findings for Wholegrain Cereal Diet and Insulin Sensitivity (NCT NCT00945854)

NCT ID: NCT00945854

Last Updated: 2014-06-26

Results Overview

Peripheral insulin sensitivity was assessed by FSIGT. A glucose dose of 300 mg/kg body weight was given intravenously followed by a bolus of 0.03 U/kg of insulin injected after 20 min. Blood samples were frequently collected for 3 h for the measurement of plasma glucose and serum insulin concentrations, utilized to calculate the insulin sensitivity index Si

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

12 weeks

Results posted on

2014-06-26

Participant Flow

Participant milestones

Participant milestones
Measure
Wholegrain Cereal Diet
Treatment with a diet based on wholegrain cereals and foods with low glycemic index Wholegrain cereal diet: Thirty subjects with metabolic syndrome, after an initial run-in period of 4 weeks, during which they stabilise their own diet and other lifestyle habits, are assigned to a diet based on wholegrain cereals and foods with low glycemic index for a period of 12 weeks. Before and after the dietary treatment, a frequently samples intravenous glucose tolerance is carried out to measure the effects of the intervention on glucose and insulin metabolism. At beginning and at the end of intervention, the subjects consume also a standard test meal to evaluate the postprandial response of glucose, insulin, lipids, oxidative parameters and inflammatory molecules.
Refined Cereal Diet
Treatment with a diet based on refined cereals and foods with high glycemic index Refined cereal diet: Thirty subjects with metabolic syndrome, after an initial run-in period of 4 weeks, during which they stabilise their own diet and other lifestyle habits, are assigned to a diet based on refined cereals and foods with high glycemic index for a period of 12 weeks. Before and after the dietary treatment, a frequently samples intravenous glucose tolerance is carried out to measure the effects of the intervention on glucose and insulin metabolism. At beginning and at the end of intervention, the subjects consume also a standard test meal to evaluate the postprandial response of glucose, insulin, lipids, oxidative parameters and inflammatory molecules.
Overall Study
STARTED
30
30
Overall Study
COMPLETED
28
26
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Wholegrain Cereal Diet and Insulin Sensitivity

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Wholegrain Cereal Diet
n=30 Participants
Treatment with a diet based on wholegrain cereals and foods with low glycemic index Wholegrain cereal diet: Thirty subjects with metabolic syndrome, after an initial run-in period of 4 weeks, during which they stabilise their own diet and other lifestyle habits, are assigned to a diet based on wholegrain cereals and foods with low glycemic index for a period of 12 weeks. Before and after the dietary treatment, a frequently samples intravenous glucose tolerance is carried out to measure the effects of the intervention on glucose and insulin metabolism. At beginning and at the end of intervention, the subjects consume also a standard test meal to evaluate the postprandial response of glucose, insulin, lipids, oxidative parameters and inflammatory molecules.
Refined Cereal Diet
n=30 Participants
Treatment with a diet based on refined cereals and foods with high glycemic index Refined cereal diet: Thirty subjects with metabolic syndrome, after an initial run-in period of 4 weeks, during which they stabilise their own diet and other lifestyle habits, are assigned to a diet based on refined cereals and foods with high glycemic index for a period of 12 weeks. Before and after the dietary treatment, a frequently samples intravenous glucose tolerance is carried out to measure the effects of the intervention on glucose and insulin metabolism. At beginning and at the end of intervention, the subjects consume also a standard test meal to evaluate the postprandial response of glucose, insulin, lipids, oxidative parameters and inflammatory molecules.
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
57.2 years
STANDARD_DEVIATION 8.5 • n=99 Participants
57.4 years
STANDARD_DEVIATION 7.3 • n=107 Participants
57.2 years
STANDARD_DEVIATION 7.9 • n=206 Participants
Sex: Female, Male
Female
17 Participants
n=99 Participants
17 Participants
n=107 Participants
34 Participants
n=206 Participants
Sex: Female, Male
Male
13 Participants
n=99 Participants
13 Participants
n=107 Participants
26 Participants
n=206 Participants
Region of Enrollment
Italy
30 participants
n=99 Participants
30 participants
n=107 Participants
60 participants
n=206 Participants

PRIMARY outcome

Timeframe: 12 weeks

Peripheral insulin sensitivity was assessed by FSIGT. A glucose dose of 300 mg/kg body weight was given intravenously followed by a bolus of 0.03 U/kg of insulin injected after 20 min. Blood samples were frequently collected for 3 h for the measurement of plasma glucose and serum insulin concentrations, utilized to calculate the insulin sensitivity index Si

Outcome measures

Outcome measures
Measure
Wholegrain Cereal Diet
n=28 Participants
Treatment with a diet based on wholegrain cereals and foods with low glycemic index Wholegrain cereal diet: Thirty subjects with metabolic syndrome, after an initial run-in period of 4 weeks, during which they stabilise their own diet and other lifestyle habits, are assigned to a diet based on wholegrain cereals and foods with low glycemic index for a period of 12 weeks. Before and after the dietary treatment, a frequently samples intravenous glucose tolerance is carried out to measure the effects of the intervention on glucose and insulin metabolism. At beginning and at the end of intervention, the subjects consume also a standard test meal to evaluate the postprandial response of glucose, insulin, lipids, oxidative parameters and inflammatory molecules.
Refined Cereal Diet
n=26 Participants
Treatment with a diet based on refined cereals and foods with high glycemic index Refined cereal diet: Thirty subjects with metabolic syndrome, after an initial run-in period of 4 weeks, during which they stabilise their own diet and other lifestyle habits, are assigned to a diet based on refined cereals and foods with high glycemic index for a period of 12 weeks. Before and after the dietary treatment, a frequently samples intravenous glucose tolerance is carried out to measure the effects of the intervention on glucose and insulin metabolism. At beginning and at the end of intervention, the subjects consume also a standard test meal to evaluate the postprandial response of glucose, insulin, lipids, oxidative parameters and inflammatory molecules.
Insulin Sensitivity (Si)
3.03 104xmin-1/microU/ml
Standard Error 0.16
3.15 104xmin-1/microU/ml
Standard Error 0.19

SECONDARY outcome

Timeframe: 12 weeks

Blood samples during the standard meal test were drawn from an antecubital vein after a 12 h overnight fast and 0, 30, 60, 90, 120, 150 and 180 min postprandial for the measurement of plasma insulin response reported as average mean postprandial increment.

Outcome measures

Outcome measures
Measure
Wholegrain Cereal Diet
n=28 Participants
Treatment with a diet based on wholegrain cereals and foods with low glycemic index Wholegrain cereal diet: Thirty subjects with metabolic syndrome, after an initial run-in period of 4 weeks, during which they stabilise their own diet and other lifestyle habits, are assigned to a diet based on wholegrain cereals and foods with low glycemic index for a period of 12 weeks. Before and after the dietary treatment, a frequently samples intravenous glucose tolerance is carried out to measure the effects of the intervention on glucose and insulin metabolism. At beginning and at the end of intervention, the subjects consume also a standard test meal to evaluate the postprandial response of glucose, insulin, lipids, oxidative parameters and inflammatory molecules.
Refined Cereal Diet
n=26 Participants
Treatment with a diet based on refined cereals and foods with high glycemic index Refined cereal diet: Thirty subjects with metabolic syndrome, after an initial run-in period of 4 weeks, during which they stabilise their own diet and other lifestyle habits, are assigned to a diet based on refined cereals and foods with high glycemic index for a period of 12 weeks. Before and after the dietary treatment, a frequently samples intravenous glucose tolerance is carried out to measure the effects of the intervention on glucose and insulin metabolism. At beginning and at the end of intervention, the subjects consume also a standard test meal to evaluate the postprandial response of glucose, insulin, lipids, oxidative parameters and inflammatory molecules.
Postprandial Insulin Changes
50.01 (microU/mlx3hrs)
Standard Deviation 10.2
64.4 (microU/mlx3hrs)
Standard Deviation 12.4

SECONDARY outcome

Timeframe: 12 weeks

Blood samples during the standard meal test were drawn from an antecubital vein after a 12 h overnight fast and 0, 30, 60, 90, 120, 150 and 180 min postprandial for the measurement of triglyceride response reported as average mean postprandial increment.

Outcome measures

Outcome measures
Measure
Wholegrain Cereal Diet
n=28 Participants
Treatment with a diet based on wholegrain cereals and foods with low glycemic index Wholegrain cereal diet: Thirty subjects with metabolic syndrome, after an initial run-in period of 4 weeks, during which they stabilise their own diet and other lifestyle habits, are assigned to a diet based on wholegrain cereals and foods with low glycemic index for a period of 12 weeks. Before and after the dietary treatment, a frequently samples intravenous glucose tolerance is carried out to measure the effects of the intervention on glucose and insulin metabolism. At beginning and at the end of intervention, the subjects consume also a standard test meal to evaluate the postprandial response of glucose, insulin, lipids, oxidative parameters and inflammatory molecules.
Refined Cereal Diet
n=26 Participants
Treatment with a diet based on refined cereals and foods with high glycemic index Refined cereal diet: Thirty subjects with metabolic syndrome, after an initial run-in period of 4 weeks, during which they stabilise their own diet and other lifestyle habits, are assigned to a diet based on refined cereals and foods with high glycemic index for a period of 12 weeks. Before and after the dietary treatment, a frequently samples intravenous glucose tolerance is carried out to measure the effects of the intervention on glucose and insulin metabolism. At beginning and at the end of intervention, the subjects consume also a standard test meal to evaluate the postprandial response of glucose, insulin, lipids, oxidative parameters and inflammatory molecules.
Postprandial Plasma Lipid Changes
22.7 mg/dlx3hrs
Standard Deviation 4.2
47.6 mg/dlx3hrs
Standard Deviation 6.8

Adverse Events

Wholegrain Cereal Diet

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

Refined Cereal Diet

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Riccardi Gabriele

Federico II University

Phone: +390817462117

Results disclosure agreements

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