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| Name | Class |
|---|---|
| Dairy Management Inc. | INDUSTRY |
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The Dietary Approaches to Stop Hypertension (DASH) trial has been shown to reduce blood pressure and plasma total and LDL-cholesterol (C) compared to a Western diet, but shows no benefit on other blood lipid variables associated with cardiovascular disease (CVD) risk, namely HDL-cholesterol and triglycerides. The overall objective of this study is to determine whether modification of the DASH diet by substituting carbohydrate with fat will result in improvements in multiple biomarkers of CVD risk. Specifically, the investigators will test the hypotheses that modification of the DASH diet by reducing carbohydrate, primarily in the form of simple sugars and glycemic starches, and allowing for a more liberal intake of total and saturated fat, primarily from dairy foods, will: (1) improve lipoprotein markers of CVD risk (reduced total/HDL-C ratio, apolipoprotein B, small LDL particles, and increased HDL-C, apoAI, and large HDL particles); and (2) result in comparable reductions of systolic and diastolic blood pressure to those achieved with the standard DASH diet. The investigators will also assess the effects of the modified DASH diet on markers of insulin resistance and inflammation. Our main hypotheses will be tested by a controlled dietary intervention conducted in 40 healthy men and women who will be randomly allocated to consume, for 3 weeks each, a control Western diet, a standard DASH diet, and a modified low-carbohydrate DASH diet, separated by 2-week washout periods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dietary Intervention: Control Diet | Experimental |
| |
| Dietary Intervention: DASH-based diet | Experimental |
| |
| Dietary Intervention: Modified DASH diet | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dietary Intervention | Other | 3 weeks of a typical Western diet pattern. 48% carbohydrate, 15% protein, 37% fat. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total:HDL-cholesterol ratio | 4 weeks | |
| HDL-cholesterol | 4 weeks | |
| Apolipoprotein B | 4 weeks | |
| Apolipoprotein AI | 4 weeks | |
| Small LDL particles | 4 weeks | |
| Large HDL particles | 4 weeks | |
| Total:HDL-cholesterol ratio | 9 weeks | |
| Total:HDL-cholesterol ratio | 14 weeks | |
| HDL-cholesterol | 9 weeks | |
| HDL-cholesterol | 14 weeks | |
| Apolipoprotein B | 9 weeks | |
| Apolipoprotein B | 14 weeks | |
| Apolipoprotein AI |
| Measure | Description | Time Frame |
|---|---|---|
| Blood Pressure | End of each experimental diet (4 wks, 9 wks, and 14 wks) | |
| Triglycerides | End of each experimental diet (4 wks, 9 wks, and 14 wks) | |
| Total Cholesterol |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ronald M Krauss, MD | UCSF Benioff Children's Hospital Oakland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cholesterol Research Center, Children's Hospital Oakland Research Institute | Berkeley | California | 94705 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26718414 | Derived | Chiu S, Bergeron N, Williams PT, Bray GA, Sutherland B, Krauss RM. Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: a randomized controlled trial. Am J Clin Nutr. 2016 Feb;103(2):341-7. doi: 10.3945/ajcn.115.123281. Epub 2015 Dec 30. |
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| Dietary Intervention | Other | 3 weeks of a diet based on the Dietary Approaches to Stop Hypertension (DASH) diet plan. 57% carbohydrate, 18% protein, 25% fat. |
|
| Dietary Intervention | Other | 3 weeks of a reduced carbohydrate, higher fat modification of the DASH diet plan. 42% carbohydrate, 18% protein, 40% fat. |
|
| 9 weeks |
| Apolipoprotein AI | 14 weeks |
| Small LDL particles | 9 weeks |
| Small LDL particles | 14 weeks |
| Large HDL particles | 9 weeks |
| Large HDL particles | 14 weeks |
| End of each experimental diet (4 wks, 9 wks, and 14 wks) |
| LDL-Cholesterol | End of each experimental diet (4 wks, 9 wks, and 14 wks) |
| Lipoprotein Subclasses (HDL, LDL, IDL, VLDL) | End of each experimental diet (4 wks, 9 wks, and 14 wks) |
| HOMA-IR | End of each experimental diet (4 wks, 9 wks, and 14 wks) |
| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D050171 | Dyslipidemias |
| ID | Term |
|---|---|
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D004035 | Diet Therapy |
| ID | Term |
|---|---|
| D044623 | Nutrition Therapy |
| D013812 | Therapeutics |
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