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Actively Recruiting

Phase Not Applicable
Age: 18Years - 70Years
All Genders
ID05745194

Nutritional Counselling Promoting Adherence to the Mediterranean Diet as Adjuvant in the Treatment of Major Depressive Disorder A Randomized Open Controlled Trial Study

Led by Associacao para Investigacao e Desenvolvimento da Faculdade de Medicina - CETERA · Updated on 2024-08-06

190

Participants Needed

2

Research Sites

47 weeks

Total Duration

On this page

Sponsors

A

Associacao para Investigacao e Desenvolvimento da Faculdade de Medicina - CETERA

Lead Sponsor

U

University of Lisbon

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating whether promoting adherence to the Mediterranean Diet MedDiet can reduce symptoms of depression in adults diagnosed with Major Depressive Disorder MDD who have elevated inflammation markers such as C-reactive protein CRP and Interleukin 6 IL-6. The study aims to assess if adding dietary counseling to usual antidepressant medication treatment can improve depressive symptoms, inflammatory markers, quality of life, and the economic cost-effectiveness of care. This is a randomized, open controlled trial lasting 12 weeks with follow-up assessments at 6 and 12 months. Participants will be assigned to one of two groups the intervention group receives six personalized nutrition consultations over 10 weeks to encourage adherence to the MedDiet alongside their usual depression treatment, while the control group continues with their usual depression treatment alone. The dietary advice emphasizes increasing intake of olive oil, vegetables, fruits, legumes, fish, nuts, and poultry, and reducing intake of cream, butter, processed meats, sugary drinks, pastries, and fried foods. There are no calorie or weight change goals. During the study, participants will be evaluated at baseline, 12 weeks, 6 months, and 12 months for changes in depression symptoms using the Beck Depression Inventory-II BDI-II and inflammatory biomarkers. Researchers will also monitor quality of life and analyze cost-effectiveness. The trial plans to recruit about 700 participants, expecting 190 with elevated inflammation to complete the study. Safety and adherence will be tracked throughout the study period.

CONDITIONS

Brief Title

Influence of Nutrition in Depression Treatment (INDEPT)

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged between 18-70 years old
  • Able to understand and provide informed consent
  • Able to read and write
  • Diagnosed with Major Depressive Disorder according to ICD-10 criteria
  • Beck Depression Inventory-II score greater than 13
  • Elevated inflammation biomarkers (CRP > 3mg/l or IL-6 ≥ 2pg/ml)
  • Able to follow the Mediterranean Diet without physical or religious limitations, allergies, or intolerances
  • Currently under pharmacological treatment for depressive disorder
Not Eligible

You will not qualify if you...

  • Diagnosis of autoimmune diseases, thyroid dysfunction, or cancer
  • Diagnosis of bipolar disorder, psychotic disorders, or eating disorders
  • Acute infection within 2 weeks before blood sample collection
  • Pregnancy or lactation
  • Use of glucocorticoid medication
  • Prescribed NMDA Receptor Antagonists
  • Undergoing brain stimulation treatments for depression
  • Currently participating in another intervention targeting diet, exercise, or depressive disorder treatment

Research Team

N

Nuno Sousa-Santos, BSc

C

Cátia Clara, BSc

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