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Trial registered on ANZCTR
Registration number
ACTRN12610000572066
Ethics application status
Approved
Date submitted
12/07/2010
Date registered
16/07/2010
Date last updated
12/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Assessment of a dietary intervention designed to optimise nutritional status in women of child-bearing age
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Scientific title
The effects of health related bio-markers in healthy women of child-bearing age consuming a diet higher in fish when compared to those who consumed a typical Australian diet higher in meat
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Secondary ID [1]
252156
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Nil
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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:
Long chain n-3 fatty acids intake and status
257696
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Mercury intake and status
257697
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Iron intake and status
257699
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Condition category
Condition code
Diet and Nutrition
257871
257871
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0
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Other diet and nutrition disorders
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Cardiovascular
257908
257908
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0
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Normal development and function of the cardiovascular system
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Reproductive Health and Childbirth
257909
257909
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A diet higher in fish. Participants will substitute their usual meat meals with study food provided on four occasions each week. Study food comprises of a variety of Australian fish and fish products (raw and processed) and provides at least 200mg per day of docosahexanoic acid (DHA) on average. Participants will be advised to maintain their usual diet throughout the study period except for the four replacement meals and to avoid foods that are high in omega-3 fatty acids. Duration of intervention is 8 weeks with a 2-week run-in period.
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Intervention code [1]
256754
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Prevention
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Intervention code [2]
256797
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Lifestyle
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Comparator / control treatment
A typical Australian diet higher in meat. Participants will substitute their usual meat meals with study food provided on four occasions each week. Study food comprises of a variety of raw and processed meat products which are matched as closely as feasible in energy, fat, protein and salt contents to the intervention study food. Participants will be advised to maintain their usual diet throughout the study period except for the four replacement meals and to avoid foods that are high in omega-3 fatty acids. Duration of the study is 8 weeks with a 2-week run-in period.
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Control group
Active
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Outcomes
Primary outcome [1]
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Long chain n-3 fatty acids levels in blood
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Assessment method [1]
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Timepoint [1]
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At baseline and at 8 weeks after randomisation
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Primary outcome [2]
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Mercury and methyl mercury levels in blood
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Assessment method [2]
258731
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Timepoint [2]
258731
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At baseline and at 4 and 8 weeks after randomisation
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Primary outcome [3]
258732
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Iron status (iron, ferritin, transferrin and haemoglobin in blood)
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Assessment method [3]
258732
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Timepoint [3]
258732
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At baseline and at 8 weeks after randomisation
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Secondary outcome [1]
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Cardiovascular risk factors (Blood pressure using an automatic sphygmomanometer; total cholesterol, high-density lipoprotein, low-density lipoprotein and triglycerides by blood analysis)
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Assessment method [1]
264771
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Timepoint [1]
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At baseline and at 8 weeks after randomisation
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Secondary outcome [2]
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Inflammatory markers (C-Reactive Protein [CRP], tumor necrosis factor-alpha [TNF-alpha], interleukin 1-beta [IL-1 beta] and interleukin 6 [IL-6] by blood analysis)
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Assessment method [2]
264772
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Timepoint [2]
264772
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At baseline and at 8 weeks after randomisation
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Secondary outcome [3]
264773
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Selenium level in blood
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Assessment method [3]
264773
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Timepoint [3]
264773
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At baseline and at 8 weeks after randomisation
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Secondary outcome [4]
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Single-nucleotide polymorphisms of key genes associated with lipid, n-3 fatty acids and mercury metabolism by blood analysis
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Assessment method [4]
264774
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Timepoint [4]
264774
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At baseline
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Secondary outcome [5]
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Mean Center for Epidemiologic Studies Depression score
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Assessment method [5]
264775
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Timepoint [5]
264775
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At baseline and at 8 weeks after randomisation
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Secondary outcome [6]
264776
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Body Mass Index
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Assessment method [6]
264776
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Timepoint [6]
264776
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At baseline and at 8 weeks after randomisation
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Secondary outcome [7]
264777
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Body composition by dual energy x-ray absorptiometry (DXA)
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Assessment method [7]
264777
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Timepoint [7]
264777
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At baseline and at 8 weeks after randomisation
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Secondary outcome [8]
264778
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Diet acceptability using a diet acceptability questionnaire
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Assessment method [8]
264778
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Timepoint [8]
264778
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At 8 weeks after randomisation
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Eligibility
Key inclusion criteria
Healthy women volunteers 18-50 years of age who are not pregnant and not trying to become pregnant for the duration of the study
Body Mass Index [BMI] >=18.5 to <30 kg/m2 and relatively stable in body weight over the last 3 months (less than +/- 5% of body weight change)
Provides written informed consent
Willing to comply to study procedures
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Male;
>50 years of age;
Currently pregnant or trying to become pregnant, lactating, perimenopausal or postmenopausal;
BMI< 18.5 or >=30 kg/m2 or high variation in body weight over the last 3 months (+/- 5% or more of body weight change) or has intention to modify weight status during the study period;
Daily consumer of fish oil or other supplements which could interfere with lipid metabolism;
Bleeding disorder;
Type 1 or type 2 diabetes (fasting blood glucose >=7mmol/L);
Cardiovascular disease (e.g. unstable angina, heart failure, hypertension {systolic blood pressure [SBP] >140 mmHg or diastolic blood pressure [DBP] >90 mmHg, average of two readings});
Dyslipidaemia (total cholesterol > 5.5 mmol/L or triglyceride > 2 mmol/L);
Chronic inflammatory disease (e.g. rheumatoid arthritis, Crohn’s Disease, ulcerative colitis);
Taking any medication or suffering from any condition that is incompatible with the study (e.g. regular users of non-steroidal anti-inflammatory drugs);
Seafood allergy;
Vegetarian or vegan;
Irregular physical activity pattern during study period;
Usual diet includes more than one fatty fish meal per week on average;
Women working in occupations with regular exposure to mercury
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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)
Allocation will be concealed by the use of sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Block randomisation using a computer programme
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Masking / blinding
Blinded (masking 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
1/08/2010
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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 in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
257247
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Other
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Name [1]
257247
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Australian Seafood Cooperative Research Centre (CRC) Company Limited
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Address [1]
257247
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Mark Oliphant Building
Science Park Adelaide
Laffer Drive, Bedford Park SA 5042
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Country [1]
257247
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Australia
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Primary sponsor type
Individual
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Name
Lynne Cobiac
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Address
Nutrition and Dietetics
GPO Box 2100 Adelaide SA 5001
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Country
Australia
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Secondary sponsor category [1]
256490
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None
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Name [1]
256490
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Address [1]
256490
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Country [1]
256490
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Other collaborator category [1]
251366
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Individual
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Name [1]
251366
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Campbell Thompson
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Address [1]
251366
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Discipline of Medicine
University of Adelaide
North Terrace, SA 5005
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Country [1]
251366
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Australia
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Other collaborator category [2]
251367
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Individual
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Name [2]
251367
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Jocelyn Midgley
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Address [2]
251367
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2 Chifley Drive
Mentone, VIC 3195
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Country [2]
251367
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Australia
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Other collaborator category [3]
251368
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Individual
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Name [3]
251368
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Michelle Miller
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Address [3]
251368
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Nutrition and Dietetics
Flinders University
GPO Box 2100 Adelaide SA 5001
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Country [3]
251368
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259266
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Southern Adelaide Health Service / Flinders University Human Research Ethics Committee
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Ethics committee address [1]
259266
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Flinders Medical Centre Flinders Drive Bedford Park SA 5042
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Ethics committee country [1]
259266
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Australia
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Date submitted for ethics approval [1]
259266
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Approval date [1]
259266
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08/06/2010
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Ethics approval number [1]
259266
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83/10
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Summary
Brief summary
Studies have shown that adequate maternal docosahexanoic acid (DHA) intake during pregnancy is an important factor for optimal development of the foetus. Fish is a good source of DHA, however, its intake in Australian women is generally low and well below recommendation. This 8-week study aims to determine if a diet higher in fish (providing an average of at least 200mg of DHA/day) obtained from consuming Australian fish 4 times a week can improve health-related bio-makers and outcomes (e.g. erythrocytes membrane n-3 concentrations, lipids, inflammatory markers, depression score) without compromising iron nutriture when compared to a typical Australian diet that is generally low in fish and higher in meat. This study will also predict the blood level of mercury if the higher fish dietary pattern was to be maintained long term.
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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
31364
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Address
31364
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Country
31364
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Phone
31364
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Fax
31364
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Email
31364
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Contact person for public queries
Name
14611
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Lily Chan
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Address
14611
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Nutrition and Dietetics
Flinders University
GPO Box 2100 Adelaide SA 5001
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Country
14611
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Australia
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Phone
14611
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+61 8 82047077
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Fax
14611
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+61 8 82046406
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Email
14611
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[email protected]
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Contact person for scientific queries
Name
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Lynne Cobiac
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Address
5539
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Nutrition and Dietetics
Flinders University
GPO Box 2100 Adelaide SA 5001
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Country
5539
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Australia
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Phone
5539
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+61 8 82047068
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Fax
5539
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+61 8 82046406
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Email
5539
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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.
Download to PDF