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Trial registered on ANZCTR
Registration number
ACTRN12607000600448
Ethics application status
Approved
Date submitted
16/10/2007
Date registered
21/11/2007
Date last updated
21/11/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
Healthy Eating to Reduce Overweight in people with type 2 diabetes
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Scientific title
The role of walnuts in satiety and energy balance in overweight individuals with type 2 diabetes mellitus
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Universal Trial Number (UTN)
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Trial acronym
HERO
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Overweight and obesity, type 2 diabetes
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Condition category
Condition code
Diet and Nutrition
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0
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Obesity
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Metabolic and Endocrine
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A one year randomised controlled trial to examine the long-term effect of chronic walnut consumption delivering higher polyunsaturated fatty acid (PUFA) intakes in subjects with type 2 diabetes. Participants will be randomised to either a low fat (30 %E) , low saturated fat (10%E) based on 2000kcal/day diet or a similar low fat diet, but inclusive of 30g/day walnuts.
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Intervention code [1]
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Lifestyle
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Comparator / control treatment
Low fat diet (standard practice)
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Control group
Active
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Outcomes
Primary outcome [1]
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Differences between groups in changes in body weight, percent body fat and visceral fat using bioelectrical impedance, Dual Energy X-ray Absorptiometry (DEXA) and Computed Tomography (CT) scans.
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Assessment method [1]
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Timepoint [1]
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Baseline, 3,6,9 and 12 months
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Secondary outcome [1]
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Differences between groups for changes in fasting leptin (by radioimmunoassay), glucose and insulin levels and insulin sensitivity (Homeostasis Model Assessment (HOMA)).
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Assessment method [1]
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Timepoint [1]
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Baseline, 3,6,9 and 12 months
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Secondary outcome [2]
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Differences between groups for changes in resting energy expenditure measured using a BodyGem handheld indirect calorimeter.
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Assessment method [2]
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Timepoint [2]
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Baseline, 3,6, 9 and 12 months
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Secondary outcome [3]
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Differences between groups for changes in satiety and energy intakes, measured using visual analogue scales and a diet history interview and 3-day food records, respectively.
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Assessment method [3]
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Timepoint [3]
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Baseline, 3,6,9 and 12 months
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Eligibility
Key inclusion criteria
Type 2 diabetes mellitus (not on insulin), Body Mass Index (BMI) >25 and < 32 kg/m2, waist circumference >102 for men and >94cm for women, and generally well.
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Minimum age
35
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Major illnesses, food allergies or habits inhibiting the study, illiteracy and inadequate conversational English.
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Study design
Purpose of the study
Treatment
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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)
An advertisement was placed in the local media. A screening questionnaire was applied after which subjects attended an information evening where they underwent a diet history assessment and received an accelerometer and physical activity diary.A researcher, independent of the subject interface undertook the randomisation of subjects into diet groups and the code was concealed from the researchers collecting data, as well as from subjects. Allocation involved contacting the holder of the allocation schedule who was off-site or at central administration site.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation was performed by using a randomisation table created by a computer software (i.e., computerised sequence generation).
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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
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
15/01/2005
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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
60
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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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Recruitment postcode(s) [1]
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2522
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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California Walnuts Commission
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Address [1]
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Suite 203
1540 River Park Drive
Sacramento CA 95815-4609
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Country [1]
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United States of America
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Primary sponsor type
University
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Name
University of Wollongong
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Address
Smart Foods Centre
Northfields Avenue
Wollongong NSW 2522
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research and Ethics Committee of the University of Wollongong and South East Sydney and Illawarra Health Service
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Ethics committee address [1]
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University of Wollgong Northfields Avenue Wollongong NSW 2522
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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01/08/2005
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Ethics approval number [1]
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HE05/145
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Summary
Brief summary
This study investigates if the inclusion of a high PUFA food, walnuts, shows favourable trends in body composition in subjects with type 2 diabetes mellitus over the long term (12 months). We assumed that dietary fat-driven changes in body composition take time. Further we examined how the dietary change occurred through food patterns and whether these changes might impact on clinical (glucose homeostasis, lipids), and metabolic (resting energy expenditure and leptin levels) variables.
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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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Ms. Cassandra Quick
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Address
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Smart Foods Centre
University of Wollongong
Building 39
Northfields Avenue
Wollongong NSW 2522
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Country
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Australia
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Phone
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+61 2 42215992
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Fax
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+61 2 42214844
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Linda Tapsell
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Address
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Smart Foods Centre
University of Wollongong
Building 39
Northfields Avenue
Wollongong NSW 2522
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Country
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Australia
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Phone
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+61 2 42213152
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Fax
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+61 2 42214844
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Email
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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
Source
Title
Year of Publication
DOI
Dimensions AI
Increased Intake of Dietary Polyunsaturated Fat Does Not Promote Whole Body or Preferential Abdominal Fat Mass Loss in Overweight Adults
2011
https://doi.org/10.1159/000333433
N.B. These documents automatically identified may not have been verified by the study sponsor.
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