Shift work is associated with a higher risk of the development of cardiometabolic syndrome (CMtS) than in people working only during the day. One of the factors predisposing to the development of the CMtS in shift workers is an inappropriate composition of their diet. It was observed that the shift workers diet is characterized by a higher intake of saturated fatty acids (SFA) and a lower consumption of unsaturated fatty acids. One potential way to reduce the risk of CMtS in this study group seems to be a modification of their everyday diet by excluding the products of animal origin (e.g. butter) with simultaneously including vegetable oils (i.e. canola oil). The aim of the study is to evaluate the effect of replacement in the everyday diet of saturated fats (butter) with unsaturated fats (canola oil-based spread and canola oil added to main meals) in centrally obese shift workers on changes in body weight and body composition parameters as well as on changes in CMtS markers.
The study was designed as a randomized clinical trial to investigate the effects of the dietary intervention with moderate in fat content (\~35% energy as fat) for 12 weeks on the improvement of cardiometabolic risk factors in centrally obese shift workers. Forty centrally obese shift workers (waist circumference ≥94 cm) were randomized (1:1) to the experimental group (n = 20) or the control group (n = 20). Eligibility criteria included: aged between 30-60 years, working rotating shifts for at least 5 years and working night shifts minimum five times a month. Excluded criteria was described in the point "Eligibility". Written informed consent was obtained from all of the participants, and the local ethic committee approved the study. The dietary intervention was mainly based on the simple rearrangement of shift workers' diets by replacing food items including SFA (e.g. butter) with those being sources of unsaturated fatty acids (UFA), mainly canola oil (given to the diet as spread or this oil was added separately to main meals)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Isocaloric diet including \~50g canola oil
ESC/EAS Guidelines for the management of dyslipidemias
Poznan University of Life Science
Poznan, Poland
RECRUITINGWaist circumference (WC)
Changes in WC within groups and between groups
Time frame: Baseline, 4, 8 and 12 week
HDL-cholesterol (HDL-C)
Changes in HDL-C within groups and between groups
Time frame: Baseline, 12 week
LDL-cholesterol (LDL-C)
Changes in LDL-C within groups and between groups
Time frame: Baseline, 12 week
Triglycerides (TG)
Changes in TG within groups and between groups
Time frame: Baseline, 12 week
Glucose (GLU)
Changes in GLU within groups and between groups
Time frame: Baseline, 12 week
Blood pressure (BP)
Changes in BP within groups and between groups
Time frame: Baseline, 12 week
Body weight (BW)
Changes in BW within groups and between groups
Time frame: Baseline, 4, 8 and 12 week
Fat mass (FM)
Changes in FM within groups and between groups
Time frame: Baseline, 4, 8 and 12 week
Insulin (INS)
Changes in INS within groups and between groups
Time frame: Baseline, 12 week
High-sensitivity C-reactive Protein (hs-CRP)
Changes in hs-CRP within groups and between groups
Time frame: Baseline, 12 week
Cardiotrophin-1 (CT-1)
Changes in CT-1 within groups and between groups
Time frame: Baseline, 12 week
Lipase (LPS)
Changes in LPS within groups and between groups
Time frame: Baseline, 12 week
Cholinesterase (CHE)
Changes in CHE within groups and between groups respectively
Time frame: Baseline, 12 week
Alanine transaminase (ALT)
Changes in ALT within groups and between groups
Time frame: Baseline, 12 week
Aspartate transaminase (AST)
Changes in AST within groups and between groups
Time frame: Baseline, 12 week
Gamma-glutamyltransferase (GGTP)
Changes in GGTP within groups and between groups
Time frame: Baseline, 12 week
Melatonin (MEL)
Changes in MEL within groups and between groups
Time frame: Baseline, 12 week
Fatty acids (FA) erythrocyte membranes concentration
Changes in FA within groups and between groups
Time frame: Baseline, 12 week
Dietary intake
Changes in dietary intake within groups and between groups
Time frame: Baseline, 4, 8, 12 week
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