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TerminatedNCT02993458CampDASHUpdated Dec 8, 2017

DASH-Sodium Trial in Adolescents

An interventional study of DASH diet and Low Na diet in Blood High Pressure, sponsored by Purdue University. Terminated at 2 sites in United States. Open to participants aged 11 Years to 15 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-12-08.

Sponsored by Purdue University · Not applicable, Interventional, and Prevention

Why this study was terminated
safety risks to youth in the study required early termination of the study
Phase
Not applicable
Study type
Interventional
Enrollment
79
Allocation
Randomized
Ages
11 Years to 15 Years
Sex
All
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Study summary

The Camp DASH study trial will compare the effect of two dietary patterns and two levels of sodium intake on blood pressure and blood lipids in adolescents in the upper third of distribution for blood pressure. The two dietary patterns are based on the Dietary Approaches to Stop Hypertension (DASH) trial in adults.

Read the detailed description

The Camp DASH study is a controlled trial. the aim of which is to compare the effect of two dietary patterns and two levels of sodium intake on blood pressure and blood lipids in adolescents in the upper third of distribution for blood pressure. The study also assesses whether influences on blood pressure and blood lipids of dietary interventions vary according to sex, race/ethnic groups, baseline levels, and other personal characteristics. The proposed dietary interventions of DASH dietary patterns and sodium reduction have been shown to be effective in lowering blood pressure in adults. The two dietary patterns are based on the Dietary Approaches to Stop Hypertension (DASH) trial in adults. They are a Usual diet typical of what many American adolescents eat, and a DASH-type diet. The DASH diet is rich in fruits, vegetables, and low-fat dairy foods and low in saturated fat and total fat compared to the Usual diet. The two sodium levels are High reflecting current US consumption and Low reflecting current recommended intake levels. Weight will be held constant by adjusting energy intake. The study participants will live in a residence hall on the Purdue campus where all food and beverages will be provided, and meals and snacks will be supervised.

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Conditions studied

  • Blood High Pressure

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Keywords

  • dietary patterns
  • blood pressure
  • adolescents
  • dietary sodium
03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.

This study's enrollment of 79 is below the median of 90 across 4,995 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Purdue University is the lead sponsor of 168 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
11 Years to 15 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • White, black, Hispanic, and Asian
  • SBP in the upper one-third of the distribution for their given sex, age, and height

Exclusion criteria

Exclusion Criteria:

  • Pre-existing lipid disorders, abnormal liver or kidney function
  • Taking medications that alter mineral absorption or metabolism, affect blood pressure or lipids
  • If subjects are taking dietary supplements and refuse to discontinue them 2 months prior to the study.
  • Taking non-prescription illegal drugs, smoke, or drink alcohol
  • Pregnancy
  • Carry an epi pen for food-related allergies
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
79 participants (actual)

Study arms

  • Experimental
    DASH diet-Low Na diet

    DASH style diet, low sodium (1500 mg/d).

    Other: DASH diet · Other: Low Na diet

  • Active comparator
    DASH diet-High Na diet

    DASH style diet, high sodium (3500 mg/d).

    Other: DASH diet · Other: High Na diet

  • Active comparator
    Usual diet-Low Na diet

    Diet reflecting typical dietary pattern of American adolescents, low sodium (1500 mg/d).

    Other: Low Na diet · Other: Usual Diet

  • Active comparator
    Usual diet-High Na diet

    Diet reflecting typical dietary pattern of American adolescents, high sodium (3500 mg/d).

    Other: High Na diet · Other: Usual Diet

Interventions

  • OtherDASH diet

    DASH style diet rich in fruits, vegetables, and low-fat dairy foods and low in saturated fat and total fat

  • OtherLow Na diet

    Sodium intake of 1500 mg/d (65 mmol, or 0.75 mg/Kcal/d), representing the Adequate Intake recommended by the Institute of Medicine.

  • OtherHigh Na diet

    Sodium intake of 3500 mg/d (152 mmol, or 1.73 mg/Kcal/d, representing the highest sodium intake used for adults in the DASH Sodium trial.

  • OtherUsual Diet

    The usual diet will include foods that provide the majority of energy for adolescents in the U.S., i.e. grain based desserts, pizza, sugary drinks,pasta, chicken, and chicken mixed dishes.

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What researchers measure

Primary outcomes

  1. Mean systolic blood pressure (SBP)

    The primary outcome is mean SBP at the end of each intervention feeding period. Mean end of intervention SBP is the average of daily readings during days 19-25 of each intervention feeding period. Blood pressure will also be measured periodically at baseline and throughout the study.

    Time frame: End of 25 day feeding intervention

  2. Non-HDL Cholesterol (HDLC)

    Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period

    Time frame: End of 25 day feeding intervention

Secondary outcomes

  1. Diastolic blood pressure (DBP)

    The secondary outcome is mean DBP at the end of each intervention feeding period. Mean end of intervention DBP is the average of daily readings during days 19-25 of each intervention feeding period. Blood pressure will also be measured periodically at baseline and throughout the study..

    Time frame: End of 25 day feeding intervention

  2. Total cholesterol

    Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period.

    Time frame: End of 25 day feeding intervention

  3. HDL-cholesterol

    Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period

    Time frame: End of 25 day feeding intervention

  4. LDL-cholesterol

    Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period

    Time frame: End of 25 day feeding intervention

  5. Cholesterol:HDLC ratio

    Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period.

    Time frame: End of 25 day feeding intervention

  6. Triglycerides

    Fasting blood samples for lipids and other variables will be drawn at the beginning and end of each feeding period

    Time frame: End of 25 day feeding intervention

  7. Urinary mineral excretion

    Two 24-hr urine samples at the end of the feeding periods will be analyzed for sodium, potassium, magnesium, and calcium..

    Time frame: End of 25 day feeding intervention

  8. Regulators of sodium metabolism

    Regulators of sodium homeostasis (renin, aldosterone, angiotensin) will be measured at the beginning and end of the feeding period

    Time frame: End of 25 day feeding intervention

  9. Augmentation index

    Pulse wave analysis (At Cor Medical) will be used to measure changes in augmentation index (AI) with intervention to index central blood pressure.

    Time frame: End of 25 day feeding intervention

  10. Vasoreactivity

    Skin flow motion (laser-doppler flowmetry) to measure diet-induced changes in vaso-reactivity will provide mechanistic information on microvascular control.

    Time frame: End of 25 day feeding intervention

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Study locations

2 sites
  • Department of Pediatrics, IU School of Medicine
    Indianapolis, Indiana 46202, United States
  • Department of Nutrition Science, Purdue University
    West Lafayette, Indiana 47907-2059, United States
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References and documents

Publications

  • Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, Bray GA, Vogt TM, Cutler JA, Windhauser MM, Lin PH, Karanja N. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med. 1997 Apr 17;336(16):1117-24. doi: 10.1056/NEJM199704173361601. PubMed 9099655 ↗
  • Berenson GS, Srinivasan SR, Bao W, Newman WP 3rd, Tracy RE, Wattigney WA. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The Bogalusa Heart Study. N Engl J Med. 1998 Jun 4;338(23):1650-6. doi: 10.1056/NEJM199806043382302. PubMed 9614255 ↗
  • Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation. 2008 Jun 24;117(25):3171-80. doi: 10.1161/CIRCULATIONAHA.107.730366. Epub 2008 Jun 16. PubMed 18559702 ↗
  • Couch SC, Saelens BE, Levin L, Dart K, Falciglia G, Daniels SR. The efficacy of a clinic-based behavioral nutrition intervention emphasizing a DASH-type diet for adolescents with elevated blood pressure. J Pediatr. 2008 Apr;152(4):494-501. doi: 10.1016/j.jpeds.2007.09.022. Epub 2007 Nov 5. PubMed 18346503 ↗
  • Food and Nutrition Board, Institute of Medicine. 'Sodium and chloride', Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. Washington, D.C.: National Academies Press; 2005. 269-423.
  • Palacios C, Wigertz K, Martin BR, Braun M, Pratt JH, Peacock M, Weaver CM. Racial differences in potassium homeostasis in response to differences in dietary sodium in girls. Am J Clin Nutr. 2010 Mar;91(3):597-603. doi: 10.3945/ajcn.2009.28400. Epub 2009 Dec 9. PubMed 20007307 ↗
  • Palacios C, Wigertz K, Braun M, Martin BR, McCabe GP, McCabe L, Pratt JH, Peacock M, Weaver CM. Magnesium retention from metabolic-balance studies in female adolescents: impact of race, dietary salt, and calcium. Am J Clin Nutr. 2013 May;97(5):1014-9. doi: 10.3945/ajcn.112.039867. Epub 2013 Apr 3. PubMed 23553157 ↗
  • Palacios C, Wigertz K, Martin BR, Jackman L, Pratt JH, Peacock M, McCabe G, Weaver CM. Sodium retention in black and white female adolescents in response to salt intake. J Clin Endocrinol Metab. 2004 Apr;89(4):1858-63. doi: 10.1210/jc.2003-031446. PubMed 15070956 ↗
  • Rakova N, Juttner K, Dahlmann A, Schroder A, Linz P, Kopp C, Rauh M, Goller U, Beck L, Agureev A, Vassilieva G, Lenkova L, Johannes B, Wabel P, Moissl U, Vienken J, Gerzer R, Eckardt KU, Muller DN, Kirsch K, Morukov B, Luft FC, Titze J. Long-term space flight simulation reveals infradian rhythmicity in human Na(+) balance. Cell Metab. 2013 Jan 8;17(1):125-31. doi: 10.1016/j.cmet.2012.11.013. PubMed 23312287 ↗
  • 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. doi: 10.1056/NEJM200101043440101. PubMed 11136953 ↗
  • Van Horn L, Obarzanek E, Barton BA, Stevens VJ, Kwiterovich PO Jr, Lasser NL, Robson AM, Franklin FA Jr, Lauer RM, Kimm SY, Dorgan JF, Greenlick MR. A summary of results of the Dietary Intervention Study in Children (DISC): lessons learned. Prog Cardiovasc Nurs. 2003 Winter;18(1):28-41. doi: 10.1111/j.0889-7204.2003.01007.x. PubMed 12624570 ↗
  • Weaver CM, Martin BR, McCabe GP, McCabe LD, Woodward M, Anderson CA, Appel LJ. Individual variation in urinary sodium excretion among adolescent girls on a fixed intake. J Hypertens. 2016 Jul;34(7):1290-7. doi: 10.1097/HJH.0000000000000960. PubMed 27176144 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 8, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02993458
Lead sponsor
Purdue University
Collaborators
Centers for Disease Control and Prevention, Johns Hopkins University, Indiana University School of Medicine, University of California, San Diego, National Heart, Lung, and Blood Institute (NHLBI)
Responsible party
Berdine Martin (Senior Research Scientist, Purdue University) — Principal investigator
First posted
Dec 15, 2016
Start date
Oct 2016
Primary completion
Oct 18, 2017
Completion
Oct 18, 2017
Last update
Dec 8, 2017

Study contacts

Connie M Weaver, PhD
principal investigator · Department of Nutrition Science, Purdue University
Berdine R Martin, PhD
study director · Department of Nutrition Science, Purdue University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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