The Healthy Cantonese Diet on Cardiometabolic Syndrome

Sun Yat-sen University90 enrolled

Overview

The DASH diet (Dietary Approaches to Stop Hypertension) have been proven to lower risk of cardiovascular diseases. But the DASH diet is inconsistent with Chinese dietary pattern. In this study, based on the typical Cantonese diet, the healthy Cantonese diet is developed according to the DASH diet and the balanced dietary pattern of the Chinese Dietary Guidelines 2016. The randomized control trial is designed to investigate whether the healthy Cantonese diet has benefit to blood pressure, blood lipid, blood glucose and other cardiometabolic biomarkers among adults with cardiometabolic syndrome in Guangdong, China.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

Conditions

Cardiovascular Diseases Cardiovascular Risk Factor High Blood Pressure Hypertension

Eligibility

Sex: ALLMin age: 25 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age 25-75 years old, male or female; 2. have lived in this community for the past six months, and have no plans to move out or go out in the next three months; 3. the systolic blood pressure is within 130-159mmHg regardless of medication. 4. maintaining the current medication (mainly drugs for hypertension, diabetes or hyperlipidemia) throughout the research period, with the category and dose unchanged; 5. the number of test meal consumed is no less than 18; 6. community feeding mode: eat a meal at least once a day at the research center (preferably lunch or dinner); or home delivery mode: upload meal pictures for three meals every day, and eat a meal and have physical examination at the research center at least once a week; 7. sign the informed consent form. Exclusion Criteria: 1. fasting blood glucose ≥10.0mmol/L; 2. total cholesterol ≥7.2mmol/L; 3. injected inulin within a month; 4. unwilling or unable to change the original dietary pattern, or have special dietary needs (such as vegetarians); 5. alcoholism; 6. BMI ≥30kg/m\^2, or losing weight currently; 7. have acute cardiovascular and cerebrovascular events occurred in the past six months; 8. have a history of chronic kidney disease, intestinal irritation or asthma; 9. women who have been/are preparing for pregnancy or lactation; 10. in combination with other serious diseases such as cancer, chronic heart failure, severe depression or other mental disorders, long-term bedridden or unable to move freely; 11. have a history of common food allergies (eggs, seafood, peanuts, etc.); 12. have undergone gastrointestinal surgery; 13. currently suffering from acute phase of diseases such as respiratory infections, fever, severe diarrhea; 14. have deaf-mutism, dementia, unable to communicate properly.

Outcomes

Primary Outcomes

Metabolic syndrome score

Changes of metabolic syndrome score in healthy Cantonese diet compared with changes of typical Cantonese diet. Metabolic syndrome score will be derived by standardizing and then summing the following continuously distributed indices of adiposity (waist circumference) to create a z score: hypertension (the average of systolic blood pressure and diastolic blood pressure); hyperglycaemia (fasting plasma glucose); insulin resistance (fasting insulin); fasting HDL-cholesterol × -1; and fasting triacylglycerol z score.