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Dietary HabitsNCT04085874

Effectiveness of Food-Based Recommendations for Minangkabau Women of Reproductive Age With Dyslipidemia

A study testing Promotion of Food-based recommendations and Nutrition counseling from standard health services care in people with Dietary Habits and Nutrient Deficiency, run by Politeknik Kesehatan Kemenkes Padang at 1 site in Indonesia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study aimed to assess effectiveness of promoting the optimized Food-based recommendations (FBRs) for improving dietary practices, nutrient intakes, nutritional status and lipid profile among Minangkabau women of reproductive age with dyslipidemia in a community setting. Read more about this study

Who is it for?
Ages 20 to 44 years, women onlyHealthy volunteers can take part
Conditions the study is for
Dietary Habits, Nutrient Deficiency, Obesity
What is being tested?
Promotion of Food-based recommendations and Nutrition counseling from standard health services care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
123 participants
Where
1 siteIndonesia
Study dates
7 Jan 2019to 10 Jun 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 44 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • women of reproductive age (20-44 years);
  • native Minangkabau ethnic (both father and mother from the Minangkabau tribe);
  • had abnormal one of isolated blood lipid profiles (cholesterol > 200 mg / dl, LDL-cholesterol >100 mg / dl, HDL < 60 mg/dl, TG > 150 mg/dl);
  • signing a written inform consent.

Who cannot join

  • in pregnancy;
  • having a history or active smoker and alcoholic addict;
  • has a history of heart disease, diabetes, asthma, cancer, chronic digestive tract disorders, hemophilia and other chronic diseases;
  • routinely taking cholesterol-lowering or blood pressure medications;
  • vegetarians;
  • use estrogen therapy;
  • are participating in other studies.

Trial locations and contacts

1 site in 1 country.

Indonesia1 site
  • Dinas Kesehatan Kota Padang

    Padang, West Sumatra, 25171

Other trials in Indonesia

About this study

Official title: Effectiveness of Optimized Food-Based Recommendations to Improve Dietary Practice, Intake of Problem Nutrient, Nutritional Status and Lipid Profile Among Minangkabau Women of Reproductive Age With Dyslipidemia

This study aimed to assess effectiveness of promoting the optimized Food-based recommendations (FBRs) for improving dietary practices, nutrient intakes, nutritional status and lipid profile among Minangkabau women of reproductive age with dyslipidemia in a community setting. A cluster randomized community-based trial was conducted in Padang City, West Sumatra, Indonesia. Subjects are Minagabau women of reproductive age (20-44 y) with dyslipidemia. The subjects were assigned either into FBR group (n=48) that involved in 12-weeks prolonged contact of FBRs promotion or into non-FBR group, that received once nutrition counselling from usual standard of nutrition program. Baseline and end-line lipid profiles, nutritional status, dietary practice and nutrient intake data were assessed through biochemical assessment, anthropometri, and interview structured questionaire.

Read the detailed description

This study was conducted in two sequential phases. The first stage was a formative phase in the form of observational survey to develop and validate food-based recommendations (FBRs). The second phase was an intervention study to assess the effectiveness of the FBRs in improving dietary practice, the intake of problem nutrient, nutritional status and lipid profile of the subject.

Sample size for intervention per group (n=60/group; 2 groups) was expected to detect mean(±SD) differences in LDL-cholesterol concentration (as an secondary outcome) of 14±20 mg/dL as observed in a previous study in other area, with assumption of 80% power and 25% loss of follow up. Potential subjects were identified prior to dyslipidemia screening before intervention. Field nutritionist and volunteer cadres were requested to identify and list women of reproductive age fulfilling the inclusion criteria living in selected sites. An invitation letter was sent to all identified eligible subjects to visit appointed field laboratory to perform blood measurement. Inform consent was signed by all potential participants before blood measurement.

This study did not compare an intervention group (FBR group) with a true control group, but with a comparison group that received once nutrition counselling from usual nutrition health program (non-FBR group). Drawing on concepts of Plan Behavior Theory, persuasive FBR promotion was designed to influence subjects' attitude, subjective norms, perceive behavior control related to dyslipidemia and dietary management, and intention to change. Participants were prompted to set goals for themselves to improve their dietary practices in order to fulfill their nutrient requirements, improve nutritional status and lipid profile.

Being tested
Promotion of Food-based recommendations, Nutrition counseling from standard health services care
Keywords
Nutrition intervention, Food-Based Recommendations, dietary practices, women of reproductive age, dyslipidemia
Medical subject headings
Feeding Behavior, Obesity, Dyslipidemias

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Promotion of Food-based recommendationsBehavioural

    Also called Nutrition education

    Prolonged contact through weekly home visits and monthly group meeting for 12 weeks

  • Nutrition counseling from standard health services careBehavioural

    Also called Standard nutrition care

    once nutrition counselling from health services

Study groups in NCT04085874
Study groupRoleWhat they receive
FBR groupExperimentalweekly home visit and monthly group meeting for 12 weeks
Receives: Behavioral: Promotion of Food-based recommendations
non-FBR groupActive comparatoronce nutrition counseling from standard health care services
Receives: Behavioral: Nutrition counseling from standard health services care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Dietary practice

    Change in food consumption from baseline at 12-week intervention, evaluated based on participant's compliance to the Optimized Food-Based Recommendations. The compliance were measured using one-week Food Frequency Questionnaire (FFQ), stated in servings/week for staple foods. snacks, animal protein (sea fish, eggs, poultry), soy protein (tofu/tempeh), potato, fruits,dark green vegetables (DGLV), total vegetables and fried foods. The recommendations (servings/week) for those food groups/items was 14-21, 7-14, minimum 5, 3-4, 2-3,minimum 7,minimum 5, minimum 7, minimum 5, minimum 14, and maximum 14 respectively. Those who complied with the recommendations was scored 1 for each recommendations, and 0 for those who did not. The total score for the compliance to the FBRs was 0-11. Higher score represents better participant's compliance

    Measured: baseline (before the intervention) and end-line (after 12-weeks intervention)

  2. Change in energy intake

    Change from baseline at 12-week intervention for energy intake( in Kcal). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  3. Change in protein intake

    Change from baseline at 12-week intervention for protein intake( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  4. Change in total fat intake

    Change from baseline at 12-week intervention for total fat intake( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  5. Change in carbohydrate intake

    Change from baseline at 12-week intervention for carbohydrate intake ( in gram)

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  6. Change in poly unsaturated fatty acids (PUFA) intake

    Change from baseline at 12-week intervention for PUFA intake ( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  7. Change in mono unsaturated fatty acids (MUFA) intakes

    Change from baseline at 12-week intervention for MUFA intake ( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  8. Change in saturated fatty acids (SFA) intakes

    Change from baseline at 12-week intervention for SFA intake ( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  9. Change in PUFA/SFA (P/S) ratio

    Change from baseline at 12-week intervention for P/S

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  10. Change in dietary fiber intakes

    Change from baseline at 12-week intervention for dietary fiber intake ( in gram). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  11. Change in iron (Fe) intake

    Change from baseline at 12-week intervention for iron intake ( in mg). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  12. Change in zinc (Zn) intake

    Change from baseline at 12-week intervention for zinc intake ( in mg). The intake was measured through interview using two replicates 24-hour food recall on non-consecutive days. The foods were converted to energy and nutrients based on Indonesia food composition tables available in nutrisurvey software.

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

Secondary outcomes (6)
  1. Change in Body weight

    Change in Body weight (in Kg) from baseline at 12-week intervention

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  2. Change in waist circumference

    change of waist circumference (in cm), from baseline at 12-week intervention

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  3. Change in total cholesterol level

    Change of total cholesterol (in mg/dL) from baseline at 12-week intervention

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  4. Change in Low Desnsity Lipoprotein (LDL) cholesterol

    Change of LDL (in mg/dL) from baseline at 12-week intervention

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  5. Change in serum High Density Lipoprotein (HDL) cholesterol

    Change of HDL (mg/dL) from baseline at 12-week intervention

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

  6. Change in serum triglyceride (TG)

    Change of TG (mg/dL) from baseline at 12-week intervention

    Measured: baseline (before intervention and end-line (after 12-weeks interventions)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Sep 2019
  2. Study start7 Jan 2019
  3. Primary completion5 May 2019
  4. Study completion10 Jun 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
123 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04085874
Sponsor's protocol ID
18-12-1376
Status last verified
Sep 2019
First submitted
4 Sep 2019
Last updated
11 Sep 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Gusnedi G, Fahmida U, Witjaksono F, Nurwidya F, Mansyur M, Djuwita R, Dwiriani CM, Abdullah M. Effectiveness of optimized food-based recommendation promotion to improve nutritional status and lipid profiles among Minangkabau women with dyslipidemia: A cluster-randomized trial. BMC Public Health. 2022 Jan 6;22(1):21. doi: 10.1186/s12889-021-12462-5.

    PubMed 34991541

Questions about this trial

What is this clinical trial studying?

A study testing Promotion of Food-based recommendations and Nutrition counseling from standard health services care in people with Dietary Habits and Nutrient Deficiency, run by Politeknik Kesehatan Kemenkes Padang at 1 site in Indonesia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Indonesia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Dietary practice (time frame: baseline (before the intervention) and end-line (after 12-weeks intervention)). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04085874, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Sep 2019.

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