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Trial registered on ANZCTR
Registration number
ACTRN12608000517370
Ethics application status
Approved
Date submitted
2/09/2008
Date registered
2/10/2008
Date last updated
4/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Impact of a whole grain-rich diet on markers of metabolic syndrome
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Scientific title
A 14 week randomised study investigating the effect of a diet rich in wholegrain foods on markers of metabolic syndrome.
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Secondary ID [1]
658
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md46a issued by the Commonwealth Scientific Industrial Research Organisation
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Universal Trial Number (UTN)
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Trial acronym
WG
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
obesity
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Condition category
Condition code
Diet and Nutrition
3799
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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
Participants will be randomised to 1 of 2 treatments of 6 weeks duration each and crossed over at the end of each 6 weeks to the alternative. The treatments are either test foods (rice, cereal, bread) consumed daily containing either wholegrain or refined flour. Rice (white/brown) is 60gram raw weight per day, cereal is(weeties/cornflakes) 70gram per day, bread (white/wholemeal multigrain) is 6 slices per day. The wholegrain and refined foods will provide 55% of the total energy of the participants diet (based on 8000 kilojoules). Participants will be required to incorporate the test foods into their existing diet by replacing like foods. In this way efforts will be made to keep the diet kilojoule stable and hence participant weight stable.
There is a 2 week washout period between each treatment phase and participants will consume their usual diet for this time.
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Intervention code [1]
3347
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Lifestyle
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Comparator / control treatment
Refined flour is the control treatment.
When refined flour is produced commercially, the germ and outer layers of the grain are removed prior to grinding. This flour consists almost entirely of endosperm, for example the floury part of the kernel. Participants will consume 60gm raw weight per day of white rice, 70gm per day of cornflakes, 6 slices of white bread per day.
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Control group
Active
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Outcomes
Primary outcome [1]
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Continuous glucose monitoring system for 24-48hrs (CGMS)
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Assessment method [1]
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Timepoint [1]
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Week 6 and week 14
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Secondary outcome [1]
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fibrinolytic factors by blood analysis
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Assessment method [1]
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Timepoint [1]
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Week 0, week 6, week 8 and week 14
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Secondary outcome [2]
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insulin, glucose, Total Cholesterol, Triglycerides by blood analysis
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Assessment method [2]
7915
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Timepoint [2]
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Week 0, week 6 week 8 and week 14
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Eligibility
Key inclusion criteria
Weight not greater than 150kg.
Metabolic syndrome (International Diabetes Federation (IDF) 2006 definition: waist circumference >94cm for men and 80cm for women plus 2 of the following: fasting Triglycerides>1.7 mmol/l, High Density Lipoprotein (HDL) cholesterol< 1.03 (male) or 1.29 (female) , blood pressure> 130/85 or on antihypertensive medication, fasting glucose >5.6mmol/L).
Participants must understand the procedures involved and agree to participate in the study by giving full informed, written consent.
No abnormality of clinical significance on medical history.
If female, not pregnant or breast feeding.
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Minimum age
18
Years
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Maximum age
70
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
Coeliac disease or gluten intolerance.
Have Type 1 or 2 Diabetes.
Have proteinuria, a malignancy, or a history of metabolic disease such as liver, kidney, unstable cardiovascular, clinically significant respiratory or gastrointestinal disease that impairs normal functioning, or are pregnant or lactating.
Have high uncontrolled hypertension (resting recumbent blood pressure (BP) >160/100 mmHg).
History of heavy alcohol consumption (> 5 Standard drinks/day).
Currently on a weight reducing diet.
Unable to comprehend or cope with study requirements.
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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 are screened for inclusion and exclusion criteria and once deemed eligible are randomly allocated into one of the 2 lifestyle intervention groups. Allocation was concealed by central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random allocation using the computer software "Clinstat".
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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
Crossover
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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
11/08/2008
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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
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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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Cereal Partners
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Address [1]
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69 Killeens Rd
Rutherglen Vic 3685
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Country [1]
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Australia
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Primary sponsor type
Government body
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Name
Commonwealth Scientific and Industrial Research Organisation (CSIRO) Human Nutrition
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Address
Gate 13 Kintore Avenue Adelaide SA 5000
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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]
3299
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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CSIRO Human Research Ethics Committee
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Ethics committee address [1]
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Gate 13 Kintore Avenue Adelaide SA 5000
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Ethics committee country [1]
5871
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Australia
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Date submitted for ethics approval [1]
5871
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Approval date [1]
5871
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21/01/2008
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Ethics approval number [1]
5871
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07/39
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Summary
Brief summary
A 14 week study investigating whether whole grain rich diets have beneficial effects on the markers of metabolic syndrome compared to diets rich in refined grains. There will be 2 different diets of 6 weeks each duration. Participants will be required to follow one diet for 6 weeks, then a 2 week "Wash out" (normal eating pattern) before following the second diet for 6 weeks. The study will compare the effect of a diet rich in whole grain foods versus a diet rich in refined grain foods on glucose levels and clot breakdown.
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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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Anne McGuffin
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Address
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CSIRO Human Nutrition
Gate 13 Kintore Ave
Adelaide SA 5000
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Country
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Australia
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Phone
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+61 83038988
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Fax
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+61 83038899
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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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Dr Peter Clifton
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Address
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CSIRO Human Nutrition
Gate 13 Kintore Ave
Adelaide SA 5000
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Country
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Australia
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Phone
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+61 8303 8826
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Fax
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+61 83038899
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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
No additional documents have been identified.
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