Obesity Clinical Trial
Official title:
Effects of High-Dose Resveratrol on Resting Energy Expenditure and HOMA in Non-Diabetic Obese Males
The primary aim of our study was to examine the effects of two weeks of oral resveratrol on resting energy expenditure and insulin sensitivity in non-diabetic obese male subjects. Secondary variables included plasma lipid subfraction, blood pressure and glycated hemoglobin (HbA1c).
Patients were recruited between July 2009 and July 2012 from a single hospital in Singapore.
Eligible patients were Chinese males, aged between 21 and 55 years old, with a body mass
index (BMI) of 30 kg/m2 or more and venous glucose of <7.0 and <11.1 mmol/L at 0 and 120
minutes respectively on oral glucose tolerance testing (OGTT) following a 12-hour fast. They
must be willing to abstain from embarking on an exercise regime or ingesting large
quantities of resveratrol-containing foods including alcohol during the study period.
The study was a randomized, double-blind, parallel group trial consisting of a screening
visit, a two-week treatment period and a post-treatment visit.
Randomization was centrally performed during treatment assignment with a 2-digit reference
code placed in sealed opaque envelopes maintained by the person responsible for the
preparation of the intervention drug and placebo. Trans-resveratrol extract from Polygonum
Cuspidatum (Mega Resveratrol, Danbury, USA) was used in the trial. The placebo was not
distinguishable by color, form, or taste from the active drug. The randomization code was
unblinded only after all predefined data were recorded.
Subjects were given 1g three times a day of either resveratrol or placebo for two weeks and
instructed to abstain from foods with high resveratrol content during the entire duration of
the trial. Compliance was determined by pill counting at the end of the trial period.
Subjects in both arms were not allowed to commence on an exercise regimen or supplements
during the study period. Subjects who dropped out of the trial would not be replaced. All
variables were measured at baseline and at the end of the treatment period.
RMR was measured by indirect calorimetry using a breath-by-breath metabolic gas analyser via
the face-mask method.
The investigators estimated that a sample size of 18 patients per group (Total N = 36) was
needed to provide 80% power and two-sided 5% to detect a difference in a Cohen's effect size
of 1.0 between the two groups.
All analyses were performed using SPSS 21.0 (IBM) with statistical significance set at p <
0.05 and with the percentage change from baseline as the unit of analysis. All data were
analyzed according to the intention-to-treat principle. MANOVA was performed to compare the
intervention and placebo groups for the unadjusted and adjusted p-values on the study
variables of interest. Normal distribution was verified with the Kolmogorov-Smirnov test and
data were presented as mean ± standard deviation (SD).
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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