| Unique ID issued by UMIN | UMIN000054043 |
|---|---|
| Receipt number | R000059554 |
| Scientific Title | Dietary Intervention Study for Adult Asthmatics |
| Date of disclosure of the study information | 2024/05/30 |
| Last modified on | 2025/04/09 08:20:37 |
Dietary Intervention Study for Adult Asthmatics
Asthma Diet Study
Dietary Intervention Study for Adult Asthmatics
Asthma Diet Study
| Japan |
Asthma
| Pneumology | Clinical immunology |
Others
NO
To examine the impact and mechanisms of lifestyle-based dietary interventions on asthma control in adult asthmatics.
Efficacy
Exploratory
Not applicable
Change in AQLQ (Asthma Quality of Life Questionnaire) from baseline after 4 weeks of dietary intervention
Changes in weight and body composition assessment using InBody at the start of the dietary intervention (0 weeks), 4 weeks, and 8 weeks
The following questionnaire items at the start of dietary intervention (week 0), 2, 4, and 8 weeks
Self-assessment of compliance with nutritional guidance
Dietary survey including frequency of consumption of fermented foods, etc.
Asthma control (ACQ-5)
Asthma Quality of Life Questionnaire (AQLQ)
Gastroesophageal reflux symptoms (FSSG)
Depression and anxiety (HADS)
Questionnaire items of the following items at the start of the dietary intervention (week 0) and at week 8
Nutritional Questionnaire prepared by the National Institute of Biomedical Innovation, National Institute of Health and Nutrition (Questionnaire used for analysis of intestinal bacteria)
Questionnaire prepared by the National Institute of Biomedical Innovation and Nutrition (Questionnaire used for analysis of intestinal bacteria)
The following laboratory indices at the start of the dietary intervention (week 0), at 4 weeks, and at 8 weeks:
Blood samples: (peripheral blood, fractionated), TARC, inhaled antigen-specific IgE, total IgE)
LDL-C, HDL-C, lipoprotein, triglycerides, HbA1c, insulin, C-peptide, uric acid, zinc
Respiratory function tests: spirometry-assessed lung air volume fraction, effort lung capacity
Respiratory function tests: respiratory resistance evaluated by spirometry, respiratory reactance
Exhaled nitric oxide concentration (FeNO)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Self control
1
Treatment
| Food | Behavior,custom |
Patients will receive dietary intervention based on the specific suggestions of the dietitian for 4 weeks from the start of the intervention; the strict dietary intervention period.
Recipes supervised by a dietitian from Oishi-Kenko will be proposed to the patients based on nutritional guidance for obesity, diabetes, dyslipidemia, and hyperuricemia.
Patients are required to cook at least one meal (night meal is the best) a day by shopping based on the list of ingredients necessary for the proposed meal.
Patients are encouraged not to miss any meals for the remaining two meals, and to try to follow the diet based on the nutritional guidance through meetings with a dietitian (including online, SMS tools, etc.). This may include a photographic evaluation of prepared meals.
No snacking is to be done, and if snacking is done, it is to be kept to a minimum.
The two points, which are reported to have a positive effect on bronchial asthma, should be followed; taking tree nuts/soy products.
Send a daily evaluation of their ability to follow the suggested diet to the dietitian and receive feedback and guidance from the dietitian.
The diet during the period when the subjects are unable to adhere to the proposed diet because they are unable to shop or cook for themselves as suggested for some reason will be left up to the research subjects. This case will be treated as deficient; which is assumed to be approximately 30% of the 4-week period of the strict diet intervention period.
After the 4-week period, it is not mandatory to practice the eating behaviors proposed during the strict diet intervention period. However, patients will be encouraged to adhere to the eating behaviors in accordance with the guidelines for lifestyle-related diseases by using the app during the following 4 weeks (weeks 4-8 of the intervention), and feedback by the dietitian will continue at a reduced frequency of twice a week (tolerance period)
| 18 | years-old | <= |
| Not applicable |
Male and Female
Patients who have been diagnosed with bronchial asthma in the past, are able to visit Keio University Hospital, and meet one of the following criteria
Obesity with a BMI of 25 or more
Type 2 diabetes with HbA1c less than 8%.
Dyslipidemia
Hyperuricemia
The above conditions do not require the applicant to be a patient at Keio University hospital. If the patient has an outpatient clinic, obtain verbal consent from the attending physician.
Pregnant or lactating mothers
Chronic kidney disease Grade 3a or higher or renal failure with eGFR less than 59 ml/min/1.73m2
Type 1 diabetes mellitus, type 2 diabetes mellitus on insulin, or type 2 diabetes mellitus with HbA1c of 8% or higher
Patients with hypertension that is judged to be poorly controlled by the clinician
Other conditions for which the clinician determines that the diet recommended in this study may be associated with exacerbation of the underlying disease
Those who cannot give their consent to participate in the study.
Those who have difficulty using the contents of the Oishii Kenko App
30
| 1st name | Katsunori |
| Middle name | |
| Last name | Masaki |
Keio University School of Medicine
Division of Pulmonary Medicine, Department of Medicine
160-8582
35 Shinanomachi, Shinjuku-ku, Tokyo ,Japan
+81333531211
masakik@keio.jp
| 1st name | Katsunori |
| Middle name | |
| Last name | Masaki |
Keio University School of Medicine
Division of Pulmonary Medicine, Department of Medicine
160-8582
35 Shinanomachi, Shinjuku-ku, Tokyo, Jaoan
+81333531211
masakik@keio.jp
Keio University
self-procurement
Self funding
Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine
35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan
+81333531211
masakik@keio.jp
NO
| 2024 | Year | 05 | Month | 30 | Day |
Unpublished
Enrolling by invitation
| 2023 | Year | 12 | Month | 16 | Day |
| 2024 | Year | 06 | Month | 25 | Day |
| 2024 | Year | 08 | Month | 29 | Day |
| 2034 | Year | 12 | Month | 31 | Day |
| 2024 | Year | 04 | Month | 03 | Day |
| 2025 | Year | 04 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059554