Stroke Clinical Trial
Official title:
DASH Dietary Pattern and Cardiometabolic Risk: An Umbrella Review of Systematic Reviews and Meta-analyses of Prospective Cohort Studies and Randomized and Non-randomized Controlled Trials
Verified date | December 2018 |
Source | University of Toronto |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The European Association for the Study of Diabetes (EASD) guidelines have not made any specific recommendations regarding the Dietary Approaches to Stop Hypertension (DASH) diet, a dietary pattern that emphasizes fruits and vegetables, low-fat or non-fat dairy, limiting saturated fat intake and usually also recommends limiting sodium intake. To update the recommendations, the Diabetes and Nutrition Study Group (DNSG) of the EASD commissioned an umbrella review of systematic reviews and meta-analyses using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to summarize the available evidence from recent systematic reviews and meta-analyses of prospective cohort studies and randomized and non-randomized controlled trials of the relationship between the DASH dietary pattern and cardiometabolic risk.
Status | Active, not recruiting |
Enrollment | 1 |
Est. completion date | June 1, 2019 |
Est. primary completion date | January 31, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Systematic reviews and meta-analyses of prospective cohorts or controlled clinical trials - Assessment of the DASH dietary pattern - Viable outcome data with = 1 outcome of interest Exclusion Criteria: - Non-systematic review and meta-analysis publications - Non-human studies - No assessment of the exposure of the DASH dietary pattern - No viable outcome data |
Country | Name | City | State |
---|---|---|---|
Canada | The Toronto 3D (Diet, Digestive tract and Disease) Knowledge Synthesis and Clinical Trials Unit, Clinical Nutrition and Risk Factor Modification Centre, St. Michael's Hospital | Toronto | Ontario |
Lead Sponsor | Collaborator |
---|---|
University of Toronto |
Canada,
Anderson TJ, Grégoire J, Pearson GJ, Barry AR, Couture P, Dawes M, Francis GA, Genest J Jr, Grover S, Gupta M, Hegele RA, Lau DC, Leiter LA, Lonn E, Mancini GB, McPherson R, Ngui D, Poirier P, Sievenpiper JL, Stone JA, Thanassoulis G, Ward R. 2016 Canadian Cardiovascular Society Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in the Adult. Can J Cardiol. 2016 Nov;32(11):1263-1282. doi: 10.1016/j.cjca.2016.07.510. Epub 2016 Jul 25. Review. — View Citation
Balshem H, Helfand M, Schünemann HJ, Oxman AD, Kunz R, Brozek J, Vist GE, Falck-Ytter Y, Meerpohl J, Norris S, Guyatt GH. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol. 2011 Apr;64(4):401-6. doi: 10.1016/j.jclinepi.2010.07.015. Epub 2011 Jan 5. — View Citation
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003 May 21;289(19):2560-72. Epub 2003 May 14. Erratum in: JAMA. 2003 Jul 9;290(2):197. — View Citation
Diabetes Canada Clinical Practice Guidelines Expert Committee, Sievenpiper JL, Chan CB, Dworatzek PD, Freeze C, Williams SL. Nutrition Therapy. Can J Diabetes. 2018 Apr;42 Suppl 1:S64-S79. doi: 10.1016/j.jcjd.2017.10.009. — View Citation
Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, Savovic J, Schulz KF, Weeks L, Sterne JA; Cochrane Bias Methods Group; Cochrane Statistical Methods Group. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011 Oct 18;343:d5928. doi: 10.1136/bmj.d5928. — View Citation
Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, Cooney MT, Corrà U, Cosyns B, Deaton C, Graham I, Hall MS, Hobbs FDR, Løchen ML, Löllgen H, Marques-Vidal P, Perk J, Prescott E, Redon J, Richter DJ, Sattar N, Smulders Y, Tiberi M, van der Worp HB, van Dis I, Verschuren WMM. [2016 European guidelines on cardiovascular disease prevention in clinical practice. The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts. Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation]. G Ital Cardiol (Rome). 2017 Jul-Aug;18(7):547-612. doi: 10.1714/2729.27821. Italian. — View Citation
Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, Obarzanek E, Conlin PR, Miller ER 3rd, Simons-Morton DG, Karanja N, Lin PH; DASH-Sodium Collaborative Research Group. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group. N Engl J Med. 2001 Jan 4;344(1):3-10. — View Citation
Wells GA, Shea B, O'Connell D, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa: Ottawa Hospital Research Institute; 2014. Available: www.ohri.ca/programs/clinical_epidemiology/oxford.asp
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incident CVD (Prospective Cohort Studies) | Relative Risk | At least 1 year | |
Primary | Blood Pressure - Systolic Blood Pressure (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Incident CHD (Prospective Cohort Studies) | Relative Risk | At least 1 year | |
Secondary | Incident Stroke (Prospective Cohort Studies) | Relative Risk | At least 1 year | |
Secondary | Incident Diabetes (Prospective Cohort Studies) | Relative Risk | At least 1 year | |
Secondary | Blood Pressure - Diastolic Blood Pressure (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Blood Lipids - Total-Cholesterol (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Blood Lipids - LDL-C (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Blood Lipids - HDL-C (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Blood Lipids - Triglycerides (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Glycemic Control - HbA1c (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Glycemic Control - Fasting Blood Glucose (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Glycemic Control - Fasting Blood Insulin (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Glycemic Control - HOMA-IR (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Adiposity - Body Weight (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years | |
Secondary | Inflammation - C-Reactive Protein (randomized and non-randomized controlled trials) | Mean Difference | Up to 20 years |
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