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Trial registered on ANZCTR
Registration number
ACTRN12610000431022
Ethics application status
Approved
Date submitted
25/05/2010
Date registered
27/05/2010
Date last updated
12/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects of native banana starch on body weight and insulin resistance.
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Scientific title
Effects of native banana starch supplementation versus metformin treatment on body weight and insulin sensitivity in obese non-diabetic women.
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Secondary ID [1]
251733
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obesity
257343
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Condition category
Condition code
Diet and Nutrition
257485
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Forty obese women were selected and divided in two groups in a 2-arm parallel trial. Participants were randomly assigned to receive either 30 g of native banana starch (NBS) by day dissolved in 240 ml of water or metformin 850 mg/day. Each subject attended the laboratory on three occasions, once before any intervention, again following 4 weeks of intervention and the last at the end of the experimentation after 8 weeks of treatments. An oral glucose tolerance test (OGTT) was carried out before any intervention and after 8 weeks of experimentation. After 12 h fasting a 75g OGTT was performed according to the World Health Organization (WHO) criteria. Blood samples were taken at 0, 30, 60, 90 and 120 min after oral glucose for measuring glucose and insulin.
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Intervention code [1]
256493
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Prevention
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Intervention code [2]
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Lifestyle
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Intervention code [3]
256565
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Treatment: Other
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Comparator / control treatment
Active control group receives metformin tablets 850 mg once a day after breakfast during 8 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Body weight measured by a Tanita BF-350 body composition analyzer.
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Assessment method [1]
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Timepoint [1]
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At the beginning of the intervention period (baseline) and after 4 and 8 weeks of intervention.
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Primary outcome [2]
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Insulin resistance estimated according to the Homeostasis Model Assessment (HOMA).
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Assessment method [2]
258446
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Timepoint [2]
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At baseline and after 4 and 8 weeks of intervention
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Secondary outcome [1]
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Glucose tolerance as evaluated by an oral glucose tolerance test (OGTT). After a 10-12-h overnight fast, a catheter is inserted into an antecubital vein for blood sampling. Baseline samples are obtained and a glucose drink (75 g) is administered. Glucose and insulin are determined at 0,30,60,90 and 120 min after oral glucose.
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Assessment method [1]
264232
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Timepoint [1]
264232
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At baseline and after the intervention period (8 weeks).
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Secondary outcome [2]
264233
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Other metabolic responses as assessed through blood concentration changes of cholesterol, tryglycerides, Magnesium, aspartate amino transferase (AST)and alanin aminotransferase (ALT).
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Assessment method [2]
264233
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Timepoint [2]
264233
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At baseline and after 4 and 8 weeks of intervention
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Secondary outcome [3]
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Markers of nutritional status such as height, abdominal circumference and body fat percentage (measured by impedance).
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Assessment method [3]
264234
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Timepoint [3]
264234
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At baseline and after 4 and 8 weeks of intervention
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Eligibility
Key inclusion criteria
1. Female 2. Body Mass Index (BMI) >30 3.HOMA-Index > 2.5 4. Fast glycemia under 126 mg/dL 5. 2 h postprandial glycemia under 200 mg/dl 6. Have mantained stable weight during three months prior to experimentation 7. To be under the care of a health care provider from the Instituto Mexicano del Seguro Social (IMSS) 8. Available for the duration of the study.
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1.Inability to give informed consent 2. kidney or liver disease, 3. Diabetes mellitus 4.On psychiatric treatments 5. Smoker or alcoholic 6. Pregnant or receiving medical or naturist treatment to reduce body weight 7. Receiving hormonal therapy.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants were recruited among the hospital workers, their relatives and people visiting interned patients. Subjects were randomly assigned to receive banana starch or metformin. Concealment by allocation schedule held independently by central administration staff.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomization was achieved by the use of a computerised sequence generation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
5/04/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2624
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Mexico
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State/province [1]
2624
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Tabasco
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Secretaria de Educacion Publica a traves del Programa de Mejoramiento del Profesorado (PROMEP)
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Address [1]
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Av Jose Antonio Torres 661 3er piso
Colonia Asturias
Delegacion Cuauhtemoc
C.P. 06890. Mexico D.F.
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Country [1]
256984
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Mexico
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Primary sponsor type
University
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Name
Universidad Juarez Autonoma de Mexico
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Address
Av Universidad S/N
Colonia Magisterial
Centro. Villahermosa, Tabasco
C.P. 86040
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Country
Mexico
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Secondary sponsor category [1]
256245
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Hospital
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Name [1]
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Hospital General de Zona 46
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Address [1]
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Prolongacion de Av Universidad Km 2.5
Colonia Casa Blanca
Villahermosa, Tabasco Mexico. C.P. 86060
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Country [1]
256245
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Mexico
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259027
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Comite Local de Investigacion en Salud (CLIS)
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Ethics committee address [1]
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Hospital General de Zona 46 Instituto Mexicano del Seguro Social Prolongacion de Av Universidad Km 2.5 Colonia Casa Blanca Villahermosa, Tabasco Mexico. C.P. 86060
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Ethics committee country [1]
259027
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Mexico
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Date submitted for ethics approval [1]
259027
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Approval date [1]
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01/03/2008
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Ethics approval number [1]
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CLIS-2701-2008-05
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Summary
Brief summary
Subjects with obesity have an increased risk of type 2 diabetes and cardiovascular disease. The key mechanism unifying obesity and diabetes is insulin resistance. Lifestyle changes have been recognised to be fundamental to prevent diabetes and cardiovascular disease among obese people. In a previous investigation we have demonstrated that native banana starch (NBS) supplementation reduces body weight and insulin resistance in a group of obese diabetics. In the present study our aim is to investigate the effects of NBS when compared to metformin on a group of obese women at a high risk of chronic diseases. Metformin is known to possess an important insulin-sensitizing antidiabetic action.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Jorge Luis Ble Castillo
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Address
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Centro de Investigacion
Division Academica de Ciencias de la Salud
Universidad Juarez Autonoma de Tabasco
Av Gregorio Mendez 2838-A
Colonia Tamulte
Villahermosa, Tabasco, Mexico
C.P. 86150
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Country
14394
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Mexico
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Phone
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+52 993 3581500 ext 6313
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Fax
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+52 993 3511132
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Email
14394
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[email protected]
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Contact person for scientific queries
Name
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Dr Jorge Luis Ble Castillo
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Address
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Centro de Investigacion
Division Academica de Ciencias de la Salud
Universidad Juarez Autonoma de Tabasco
Av Gregorio Mendez 2838-A
Colonia Tamulte
Villahermosa, Tabasco, Mexico
C.P. 86150
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Country
5322
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Mexico
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Phone
5322
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+52 993 3581500 ext 6313
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Fax
5322
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+52 993 3511132
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Email
5322
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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