Obesity, Type 2 Diabetes
Conditions
Keywords
Obesity, Type 2 diabetes, Fiber, Dietary fiber, Low-carbohydrate diet, High protein diet
Brief summary
Using a 2x2 complete factorial design, approximately 140 obese men and women who may or may not have type 2 diabetes will be randomized to one of two conditions (70 in each condition): (a) a high fiber diet, or (b) a low-carbohydrate diet. Participants will be instructed to follow their assigned diets for 1 year. Outcome measures of interest will include participants' BMI, waist circumference, blood lipids (total, HDL, and LDL cholesterol, and triglycerides), C-reactive protein, and gastrointestinal peptides. Participants will be recruited from the Loma Linda and San Bernardino city area in southern California.
Interventions
High fiber diet involves at least 40 grams of dietary fiber or more per day for women and at least 50 grams of dietary fiber per day for men. Low-carbohydrate diet involves less than 120 grams of carbohydrate per day for both men and women.
Sponsors
Study design
Eligibility
Inclusion criteria
* BMI 30.0-42.0 kg/m2 * English-speaking
Exclusion criteria
* Pregnancy * Lactation * Acute or chronic infection * Type 1 diabetes * Participation in another trial * Active cancers * Currently using Byetta * Currently on weight loss medication * Weight loss of more than 4 lbs. within the last 3 months * Vegan * Active eating disorder * Gastrointestinal problems that may be worsened by a high fiber intake
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Weight | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Gastrointestinal hormones | 1 year |
| Waist circumference | 1 year |
| C-reactive protein | 1 year |
| Lipid profiles | 1 year |
| Serum insulin | 1 year |
| Hemoglobin A1c | 1 year |
| Blood glucose | 1 year |
Countries
United States