Protocol summary

Study aim
Comparison of the effect of dietary approaches to stop hypertension (DASH) diet with regular hypocaloric diet on on anthropometric indices, expression of some micro RNAs and genes involved in metabolic, inflammatory and hormonal status in obese adults
Design
The controlled clinical trial with 3 parallel groups (40 in each group), double blinded, randomized by random number table method
Settings and conduct
The number of 120 (40 in each group) eligible patients having BMI more than 30 will be selected.Then the subjects will be divided into three groups by permuted block randomization.The three groups include: usual dietary recommendations, Hypocaloric diet, and DASH + Hypocaloric diet. The diet will be written to each individual. In this way, the required energy will be calculated based on Mifflin-St Jeor formula, In Group 1 the receiving diet including usual dietary recommendations without deduction of energy units. In Group 2 and 3 the rate of 500 kcal will be deducted, then units of each food groups will be determined based on a regular diet in group 2 and DASH diet in group 3. After 3 months of intervention, all groups will be compared.
Participants/Inclusion and exclusion criteria
Inclusion criteria:: patients have BMI more than 30 and willing to participate in the study. Exclusion criteria: cardiovascular disease, liver disease, chronic diseases such as cancer, kidney failure; pregnancy; lactation; having certain diets like vegetarian and raw veganism; alcohol consumption.
Intervention groups
The subjects divide into 3 groups, Group 1: receiving diet including usual dietary recommendations. Group 2: receiving hypocaloric diet. Group 3: receiving hypocaloric DASH diet
Main outcome variables
anthropometric indices; expression of some micro RNAs and genes involved in metabolic; inflammatory and hormonal status

General information

Reason for update
Acronym
DASHLOW
IRCT registration information
IRCT registration number: IRCT20180712040438N5
Registration date: 2020-07-12, 1399/04/22
Registration timing: prospective

Last update: 2020-07-12, 1399/04/22
Update count: 0
Registration date
2020-07-12, 1399/04/22
Registrant information
Name
Jalal Moludi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 41 3335 2148
Email address
jmoludi@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-07-25, 1399/05/04
Expected recruitment end date
2020-10-22, 1399/08/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the effect of dietary approaches to stop hypertension (DASH) diet with regular hypocaloric diet on on anthropometric indices, expression of some micro RNAs and genes involved in metabolic, inflammatory and hormonal status in obese adults
Public title
The effect of dietary approaches to stop hypertension (DASH) diet on obesity
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Body mass index 35-25 kg /m 2 Age range from 20 to 50 years old
Exclusion criteria:
Patients with severe diseases Pregnancy Alcohol consumption
Age
From 20 years old to 50 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
Sample size
Target sample size: 120
Randomization (investigator's opinion)
Randomized
Randomization description
Permuted block randomization method: First, the list of participants was provided according to their referral. Then all possible sequences that can be written with three groups, were written on paper (for 3 groups 12 sequences can be written). Then one of the numbers from 1 to 12 was considered for each sequence, for example for the ABC sequence 1 and for the ACB sequence 2 and as such, one of the numbers 3 to 6 was considered for the other 4 sequences. Then, using random number table, the random numbers were selected from one point to the left or right. Wherever the random number was 1 to 6, the corresponding sequence was recorded on the paper. This method continued until groups for the total number of participants were determined. Then, the names of subjects on the list were allocated to the specific groups according to the sequence of groups which had been determined by the above mentioned procedure.
Blinding (investigator's opinion)
Double blinded
Blinding description
Participants, care giver and investigator are unaware of the differences in the incoming regimes.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Kermanshah University of Medical Sciences
Street address
Faculty of Nutrition and Food Technology, Next to Farabi Hospital, Kermanshah, Iran , Postcode: 6719851552
City
Kermanshah
Province
Kermanshah
Postal code
6719851552
Approval date
2020-06-16, 1399/03/27
Ethics committee reference number
IR.KUMS.REC.1399.345

Health conditions studied

1

Description of health condition studied
Obesity
ICD-10 code
E66
ICD-10 code description
Overweight and obesity

Primary outcomes

1

Description
Anthropometric indices
Timepoint
Baseline and End-of-trial
Method of measurement
Digital scale

2

Description
Blood sugar
Timepoint
Baseline and End-of-trial
Method of measurement
Automatic clinical chemical analysis device

3

Description
Lipid profile including TG, HDL-C, and TC
Timepoint
Baseline and End-of-trial
Method of measurement
Automatic clinical chemical analysis device

4

Description
Insulin
Timepoint
Baseline and End-of-trial
Method of measurement
Insulin

Secondary outcomes

1

Description
Adipokines levels include spixin, leptin, and adiponectin
Timepoint
At the beginning of the study (before intervention) and three months after the beginning of the intervention
Method of measurement
ElISA

2

Description
Interleukin 6 and 10
Timepoint
At the beginning of the study (before intervention) and three months after the beginning of the intervention
Method of measurement
ElISA

3

Description
hs-CRP
Timepoint
At the beginning of the study (before intervention) and three months after the beginning of the intervention
Method of measurement
ElISA

4

Description
Expression of micro RNA 122a, mir15, mir155a, mir 146, mir 193
Timepoint
At the beginning of the study (before intervention) and three months after the beginning of the intervention
Method of measurement
RT-PCR

5

Description
PPARg Expression
Timepoint
At the beginning of the study (before intervention) and three months after the beginning of the intervention
Method of measurement
RT-PCR

6

Description
FTO Expression
Timepoint
At the beginning of the study (before intervention) and three months after the beginning of the intervention
Method of measurement
RT-PCR

7

Description
Bile acid (BA) profiles
Timepoint
At the beginning of the study (before intervention) and three months after the beginning of the intervention
Method of measurement
Elisa

8

Description
LPS
Timepoint
At the beginning of the study (before intervention) and three months after the beginning of the intervention
Method of measurement
ElISA

9

Description
Trimethylamine N-oxide
Timepoint
At the beginning of the study (before intervention) and three months after the beginning of the intervention
Method of measurement
ElISA

Intervention groups

1

Description
Control group: They will use a diet based on the Iranian food pyramid and routine training that is normally provided by hospital nutrition experts.
Category
Placebo

2

Description
Intervention group: Receiving hypocaloric diet. In this group, the required energy of each person will be determined based on Mifflin-St Jeor formula, the rate of 500 kcal will be deducted then units of each food groups will be determined based on a regular diet.
Category
Treatment - Other

3

Description
Intervention group: Receiving dietary approaches to stop hypertension diet (DASH) hypocaloric diet. In this group, the required energy of each person will be determined based on Harris Benedict formula, the rate of 500 kcal will be deducted then units of each food groups will be determined based on DASH diet.DASH diet is rich in fruits, vegetables, whole grains, low-fat dairy foods and is limited in saturated fatty acids, total fat and cholesterol, refined cereals and sugar sweetened drinks with an overall 2400 mg per day sodium intake.
Category
Treatment - Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Imam Reza Medical Research & Training Hospital
Full name of responsible person
Dr. Jalal Moludi
Street address
Imam Reza Medical Research & Training Hospital
City
Kermanshah
Province
Kermanshah
Postal code
5125814711
Phone
+98 21 8670 5503
Email
jmoludi@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Kermanshah University of Medical Sciences
Full name of responsible person
Dr. Farid Najafi
Street address
Vice Chancellor for Research No 2 Central Building, Kermanshah University of Medical Sciences, Beheshti Street, Tabriz
City
Kermanshah
Province
Kermanshah
Postal code
2589631478
Phone
+98 83 8380 2008
Email
farid_n32@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Kermanshah University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Kermanshah University of Medical Sciences
Full name of responsible person
Jalal Moludi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Isar St
City
Tabriz
Province
Kermanshah
Postal code
1236549875
Phone
+98 41 3335 2148
Fax
+98 41 3335 2148
Email
moludij@tbzmed.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Kermanshah University of Medical Sciences
Full name of responsible person
Jalal Moludi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Isar St
City
Kermanshah
Province
Kermanshah
Postal code
32164547965
Phone
+98 41 3335 2148
Fax
+98 41 3335 2148
Email
moludij@tbzmed.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Kermanshah University of Medical Sciences
Full name of responsible person
Jalal Moludi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Isar St
City
Kermanshah
Province
Kermanshah
Postal code
322456876212
Phone
+98 41 3335 2148
Fax
+98 41 3335 2148
Email
moludij@tbzmed.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
Data collected for the primary outcomes will be shared
When the data will become available and for how long
Accessibility to data is possible 8 months after publication.
To whom data/document is available
The data will only be available for people working in academic institutions.
Under which criteria data/document could be used
he data of the present study will only be accessible by other researchers, for conducting Meta analysis
From where data/document is obtainable
Dr Jalal Moludi, Faculty of Nutrition Sciences and Food Technology, Kermanshah University of Medical Sciences, +989399516766, j.moloudi@yahoo.com
What processes are involved for a request to access data/document
Any one who request our data should provide a brief explanation of the purpose and method of their meta-analysis study. The applicant's request will be reviewed by the researchers and if all agree, the requested data will be sent to the applicant via email in the form of an Excel file. All these steps will not take more than 10 days.
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