Actively Recruiting
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
Eligibility Criteria
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
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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