Trial Outcomes & Findings for Dietary Recommendations for Reducing Free Sugar Intakes (NCT NCT04816955)

NCT ID: NCT04816955

Last Updated: 2025-06-10

Results Overview

Percentage energy intake from free sugars, assessed using diet diaries

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

242 participants

Primary outcome timeframe

12 weeks from baseline

Results posted on

2025-06-10

Participant Flow

Participant milestones

Participant milestones
Measure
Nutrient-based Recommendations
Participants in this group will be given nutrient-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations
Participants in this group will be given nutrient- and food-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations With Food Swaps
Participants in this group will be given nutrient- and food-based recommendations and advice on food swaps to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Control
Participants in this group will not be given any recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Overall Study
STARTED
61
60
63
58
Overall Study
COMPLETED
52
53
54
41
Overall Study
NOT COMPLETED
9
7
9
17

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Dietary Recommendations for Reducing Free Sugar Intakes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nutrient-based Recommendations
n=61 Participants
Participants in this group will be given nutrient-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations
n=60 Participants
Participants in this group will be given nutrient- and food-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations With Food Swaps
n=63 Participants
Participants in this group will be given nutrient- and food-based recommendations and advice on food swaps to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Control
n=58 Participants
Participants in this group will not be given any recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Total
n=242 Participants
Total of all reporting groups
Age, Continuous
42.4 years
STANDARD_DEVIATION 14 • n=99 Participants
38.3 years
STANDARD_DEVIATION 12.2 • n=107 Participants
42.5 years
STANDARD_DEVIATION 13.4 • n=206 Participants
41.7 years
STANDARD_DEVIATION 12.6 • n=7 Participants
41.3 years
STANDARD_DEVIATION 13.1 • n=31 Participants
Sex: Female, Male
Female
54 Participants
n=99 Participants
52 Participants
n=107 Participants
55 Participants
n=206 Participants
53 Participants
n=7 Participants
214 Participants
n=31 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants
8 Participants
n=107 Participants
8 Participants
n=206 Participants
5 Participants
n=7 Participants
28 Participants
n=31 Participants
Race/Ethnicity, Customized
White
53 participants
n=99 Participants
50 participants
n=107 Participants
58 participants
n=206 Participants
51 participants
n=7 Participants
212 participants
n=31 Participants
Race/Ethnicity, Customized
Other background
8 participants
n=99 Participants
10 participants
n=107 Participants
5 participants
n=206 Participants
7 participants
n=7 Participants
30 participants
n=31 Participants
Region of Enrollment
United Kingdom
61 participants
n=99 Participants
60 participants
n=107 Participants
63 participants
n=206 Participants
58 participants
n=7 Participants
242 participants
n=31 Participants
Free sugar intakes
10.1 percentage of total energy intake
STANDARD_DEVIATION 5.2 • n=99 Participants
10.7 percentage of total energy intake
STANDARD_DEVIATION 4.8 • n=107 Participants
10.2 percentage of total energy intake
STANDARD_DEVIATION 4.4 • n=206 Participants
10.4 percentage of total energy intake
STANDARD_DEVIATION 5.1 • n=7 Participants
10.3 percentage of total energy intake
STANDARD_DEVIATION 4.8 • n=31 Participants

PRIMARY outcome

Timeframe: 12 weeks from baseline

Percentage energy intake from free sugars, assessed using diet diaries

Outcome measures

Outcome measures
Measure
Nutrient-based Recommendations
n=61 Participants
Participants in this group will be given nutrient-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations
n=60 Participants
Participants in this group will be given nutrient- and food-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations With Food Swaps
n=63 Participants
Participants in this group will be given nutrient- and food-based recommendations and advice on food swaps to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Control
n=58 Participants
Participants in this group will not be given any recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Free Sugar Intakes
7.7 percentage of total energy intake
Standard Error 0.7
7.4 percentage of total energy intake
Standard Error 0.7
7.1 percentage of total energy intake
Standard Error 0.6
9.2 percentage of total energy intake
Standard Error 0.7

PRIMARY outcome

Timeframe: 12 weeks from baseline

Adherence to the recommendations provided, assessed using diet diaries and self-reported adherence

Outcome measures

Outcome measures
Measure
Nutrient-based Recommendations
n=61 Participants
Participants in this group will be given nutrient-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations
n=60 Participants
Participants in this group will be given nutrient- and food-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations With Food Swaps
n=63 Participants
Participants in this group will be given nutrient- and food-based recommendations and advice on food swaps to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Control
n=58 Participants
Participants in this group will not be given any recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Number of Participants Who Adhered to the Recommendations Provided
38 participants
39 participants
39 participants
25 participants

SECONDARY outcome

Timeframe: 12 weeks from baseline

Energy intake, assessed using diet diaries

Outcome measures

Outcome measures
Measure
Nutrient-based Recommendations
n=61 Participants
Participants in this group will be given nutrient-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations
n=60 Participants
Participants in this group will be given nutrient- and food-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations With Food Swaps
n=63 Participants
Participants in this group will be given nutrient- and food-based recommendations and advice on food swaps to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Control
n=58 Participants
Participants in this group will not be given any recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Dietary Intakes
1512 kcal/day
Standard Error 60
1466 kcal/day
Standard Error 70
1495 kcal/day
Standard Error 56
1516 kcal/day
Standard Error 56

SECONDARY outcome

Timeframe: 12 weeks from baseline

Body Mass Index, assessed using researcher measurements or researcher-observed self-measurements

Outcome measures

Outcome measures
Measure
Nutrient-based Recommendations
n=61 Participants
Participants in this group will be given nutrient-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations
n=60 Participants
Participants in this group will be given nutrient- and food-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations With Food Swaps
n=63 Participants
Participants in this group will be given nutrient- and food-based recommendations and advice on food swaps to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Control
n=58 Participants
Participants in this group will not be given any recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
BMI
27.2 kg/m2
Standard Error 0.7
28.1 kg/m2
Standard Error 0.7
27.1 kg/m2
Standard Error 0.7
27.4 kg/m2
Standard Error 0.8

SECONDARY outcome

Timeframe: 12 weeks from baseline

Preferences for various sweet foods/fluids, assessed using a taste test, where participants sample several sweet and non-sweet foods and rate them for pleasantness on a 100mm Visual Analogue Scale. Higher scores signify stronger preferences

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 weeks from baseline

Selection of sweet foods/fluids at a given meal, assessed where participants can consume freely from a meal composed of sweet and non-sweet foods, and proportion of sweet foods consumed is measured in terms of weight consumed

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 weeks from baseline

Attitudes towards sugar, sweeteners, and sweet-tasting foods, assessed using a questionnaire, soon to be published. Higher scores denote stronger attitudes.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline to 12 weeks

Adverse events, assessed by self-report

Outcome measures

Outcome measures
Measure
Nutrient-based Recommendations
n=61 Participants
Participants in this group will be given nutrient-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations
n=60 Participants
Participants in this group will be given nutrient- and food-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations With Food Swaps
n=63 Participants
Participants in this group will be given nutrient- and food-based recommendations and advice on food swaps to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Control
n=58 Participants
Participants in this group will not be given any recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Number of Participants Reporting Adverse Events
1 participants
1 participants
2 participants
1 participants

SECONDARY outcome

Timeframe: Baseline to 12 weeks

Attitudes towards eating, assessed using the Three Factor Eating Questionnaire (Karlsson J, et al. IJO 2000; 24: 1715-1725)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline to 12 weeks

Motivations towards eating, assessed using the Food Choice Questionnaire (Steptoe et al., Appetite 1995, 25(3): 267-84). Higher scores denote stronger motivations

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline to 12 weeks

Quality of Life, measured using the SF-36 questionnaire (Ware et al, 1996), where Quality of Life is assessed out of 100, where a higher score demonstrates better quality of life

Outcome measures

Outcome data not reported

Adverse Events

Nutrient-based Recommendations

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Nutrient- and Food-based Recommendations

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Nutrient- and Food-based Recommendations With Food Swaps

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

Control

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Nutrient-based Recommendations
n=61 participants at risk
Participants in this group will be given nutrient-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations
n=60 participants at risk
Participants in this group will be given nutrient- and food-based recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Nutrient- and Food-based Recommendations With Food Swaps
n=63 participants at risk
Participants in this group will be given nutrient- and food-based recommendations and advice on food swaps to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
Control
n=58 participants at risk
Participants in this group will not be given any recommendations to reduce free sugar intakes. Dietary recommendations: Dietary recommendations, with increasing additional behavioural/practical advice or no dietary recommendations
General disorders
Adverse event
1.6%
1/61 • Number of events 1 • 12 weeks
Self-report
1.7%
1/60 • Number of events 1 • 12 weeks
Self-report
3.2%
2/63 • Number of events 2 • 12 weeks
Self-report
1.7%
1/58 • Number of events 1 • 12 weeks
Self-report

Other adverse events

Adverse event data not reported

Additional Information

Dr Katherine Appleton

Bournemouth University

Phone: 01202965985

Results disclosure agreements

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