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DEFINITIONS
Trial Review
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Trial registered on ANZCTR
Registration number
ACTRN12625000755437p
Ethics application status
Submitted, not yet approved
Date submitted
19/05/2025
Date registered
17/07/2025
Date last updated
17/07/2025
Date data sharing statement initially provided
17/07/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Fruits and Vegetables for Chronic Obstructive Pulmonary Disease (COPD): A Cross-Sectional, Observational Study
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Scientific title
Fruits and Vegetables for Chronic Obstructive Pulmonary Disease (COPD): A Cross-Sectional, Observational Study
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Secondary ID [1]
313834
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None
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Universal Trial Number (UTN)
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Trial acronym
FVC-O
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Obstructive Pulmonary Disease (COPD)
336482
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Condition category
Condition code
Respiratory
332993
332993
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0
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Chronic obstructive pulmonary disease
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Two participant groups will be recruited:
• Group one (COPD group): Adults with a physician diagnosis of chronic obstructive pulmonary disease (COPD) as their primary respiratory condition.
• Group two (healthy control group): Adults with no diagnosed respiratory disease.
This study uses a cross-sectional design to examine the relationship between fruit and vegetable intake and COPD outcomes.
After completing a screening questionnaire, eligible participants will receive a link to complete the study questionnaires online via REDCap, accessible both in their web browser and link provided via email. Participants may begin the questionnaires immediately or return to complete them later.
The questionnaires will cover topics related to health and wellbeing, including dietary intake, quality of life, and respiratory symptoms. Specifically, participants will be asked about their medical history, medications, COPD symptoms (if applicable), diet, barriers to fruit and vegetable consumption, chronic fatigue symptoms, sleep, food access and insecurity, physical activity, and symptoms of anxiety and depression.
Fruit and vegetable intake will be assessed using the Australian Eating Survey. Participation in this study will take approximately 30-60 minutes.
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Intervention code [1]
330419
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Not applicable
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Comparator / control treatment
Control Group: Healthy controls, without respiratory diagnosis
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Control group
Active
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Outcomes
Primary outcome [1]
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Total number of fruit serves per day over 6-month period with a standard portion size provided for each food item and determined using ‘natural’ serving size (eg. piece of fruit) where possible
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Assessment method [1]
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Measured by the Australian Eating Survey
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Timepoint [1]
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Cross-sectional survey measured at a single timepoint
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Primary outcome [2]
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Total number of both fruit and vegetable serves per day over 6-month period with a standard portion size provided for each food item and determined using ‘natural’ serving size (eg. piece of fruit) where possible
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Assessment method [2]
340534
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Measured by the Australian Eating Survey
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Timepoint [2]
340534
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Cross-sectional survey measured at a single timepoint
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Primary outcome [3]
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Total number of vegetable serves per day over 6-month period with a standard portion size provided for each food item and determined using ‘natural’ serving size (eg. piece of fruit) where possible
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Assessment method [3]
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Measured by the Australian Eating Survey
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Timepoint [3]
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [1]
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Magnesium intake (mg/day), average daily intake over 6 months
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Assessment method [1]
449393
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Measured by the Australian Eating Survey
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Timepoint [1]
449393
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [2]
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Vitamin A intake (µg/day), average daily intake over 6 months
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Assessment method [2]
449385
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Measured by the Australian Eating Survey
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Timepoint [2]
449385
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [3]
444365
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Daytime sleepiness
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Assessment method [3]
444365
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Assessed using the Epworth sleepiness scale
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Timepoint [3]
444365
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [4]
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Folate intake (µg/day), average daily intake over 6 months
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Assessment method [4]
449386
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Measured by the Australian Eating Survey
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Timepoint [4]
449386
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [5]
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Health related quality of life
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Assessment method [5]
444359
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Measured by the St George’s respiratory questionnaire for COPD patients
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Timepoint [5]
444359
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [6]
449391
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Iodine intake (µg/day), average daily intake over 6 months
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Assessment method [6]
449391
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Measured by the Australian Eating Survey
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Timepoint [6]
449391
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [7]
449397
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Potassium intake (mg/day), average daily intake over 6 months
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Assessment method [7]
449397
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Measured by the Australian Eating Survey
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Timepoint [7]
449397
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [8]
444363
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Depression
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Assessment method [8]
444363
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Assessed by the Kessler Psychological Distress Scale (K10)
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Timepoint [8]
444363
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [9]
444361
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Degree of disability caused by breathlessness in daily activities
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Assessment method [9]
444361
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Measured by the Modified Medical Research Council Dyspnoea Scale
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Timepoint [9]
444361
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [10]
444357
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Dietary fibre intake (average grams per day over 6 month period)
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Assessment method [10]
444357
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Measured by the Australian Eating Survey
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Timepoint [10]
444357
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [11]
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Food insecurity and access to adequate food over 12 month period
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Assessment method [11]
445779
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The FIES Survey Module (FIES-SM)
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Timepoint [11]
445779
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [12]
445777
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Symptoms of chronic fatigue
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Assessment method [12]
445777
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Assessed using Fatigue Assessment Scale (FAS)
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Timepoint [12]
445777
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [13]
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Health status of people with COPD
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Assessment method [13]
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Measured by the Clinical COPD Questionnaire (CCQ)
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Timepoint [13]
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [14]
449390
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Calcium intake (mg/day), average daily intake over 6 months
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Assessment method [14]
449390
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Measured by the Australian Eating Survey
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Timepoint [14]
449390
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [15]
449673
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Sitting time: Reported as minutes per day spent sitting
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Assessment method [15]
449673
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Measured by the International Physical Activity Questionnaire (IPAQ) short form
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Timepoint [15]
449673
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [16]
445778
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Appetite
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Assessment method [16]
445778
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SNAQ Simplified Nutritional Appetite Questionnaire
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Timepoint [16]
445778
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [17]
449671
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Moderate physical activity: calculated as MET-minutes/week from moderate-intensity activity
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Assessment method [17]
449671
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Measured by the International Physical Activity Questionnaire (IPAQ) short form
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Timepoint [17]
449671
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [18]
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Barriers to fruit and vegetable consumption
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Assessment method [18]
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Food attitudes and behaviours survey (FAB)
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Timepoint [18]
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [19]
449384
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Vitamin C intake (mg/day), average daily intake over 6 months
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Assessment method [19]
449384
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Measured by the Australian Eating Survey
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Timepoint [19]
449384
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [20]
449392
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Iron intake (mg/day), average daily intake over 6 months
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Assessment method [20]
449392
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Measured by the Australian Eating Survey
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Timepoint [20]
449392
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [21]
444364
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Anxiety
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Assessment method [21]
444364
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Assessed with the Kessler Psychological Distress Scale (K10)
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Timepoint [21]
444364
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [22]
449383
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Sedentary behaviour: average daily sitting time (minutes/day)
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Assessment method [22]
449383
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Measured by the International Physical Activity Questionnaire (IPAQ) short form
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Timepoint [22]
449383
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [23]
449387
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Niacin intake (mg/day), average daily intake over 6 months
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Assessment method [23]
449387
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Measured by the Australian Eating Survey
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Timepoint [23]
449387
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [24]
449672
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Total time spent walking: calculated as total MET-minutes/week from time spent walking
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Assessment method [24]
449672
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Measured by the International Physical Activity Questionnaire (IPAQ) short form
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Timepoint [24]
449672
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [25]
449396
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Phosphorus intake (mg/day), average daily intake over 6 months
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Assessment method [25]
449396
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Measured by the Australian Eating Survey
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Timepoint [25]
449396
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [26]
449399
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Zinc intake (mg/day), average daily intake over 6 months
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Assessment method [26]
449399
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Measured by the Australian Eating Survey
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Timepoint [26]
449399
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [27]
449398
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Sodium intake (mg/day), average daily intake over 6 months
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Assessment method [27]
449398
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Measured by the Australian Eating Survey
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Timepoint [27]
449398
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [28]
449669
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Total physical activity: calculated as total MET-minutes/week from vigorous, moderate, and walking activity
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Assessment method [28]
449669
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Measured by the International Physical Activity Questionnaire (IPAQ) short form
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Timepoint [28]
449669
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Cross-sectional survey measured at a single timepoint
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Secondary outcome [29]
449670
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Vigorous physical activity: calculated as MET-minutes/week from vigorous-intensity activity
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Assessment method [29]
449670
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Measured by the International Physical Activity Questionnaire (IPAQ) short form
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Timepoint [29]
449670
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Cross-sectional survey measured at a single timepoint
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Eligibility
Key inclusion criteria
Group 1 (COPD group) (n=75)
1. Adults 40+ with a physician diagnosis of COPD as the primary respiratory diagnosis
Group 2 (Healthy controls) (n=75)
1. Adults 40+ with no respiratory disease
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Group 1 (COPD group)
1. Respiratory condition other than COPD as the primary respiratory diagnosis (e.g. asthma, lung cancer, interstitial lung disease, non-COPD bronchiectasis).
2. No COPD exacerbation, oral corticosteroid burst or antibiotic use for a COPD exacerbation in the previous four weeks
3, Pregnancy or breastfeeding
Group 2 (Healthy controls)
1. Any respiratory disease.
2. Pregnancy or breastfeeding
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Statistical analysis: Statistical analysis will be conducted to determine the impact of having COPD on fruit and vegetable intake and other clinical outcomes. Data will be summarised as mean and standard deviation, or median and inter-quartile range (IQR) if skewed. Categorical variables will be summarised as frequency count and percentage. Group comparisons for continuous data (e.g., fruit and vegetable score, fibre and antioxidant intake/day) will be performed using two sample t-testing. Dietary intake of fruits and vegetables will also be correlated with clinical measures.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2025
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Actual
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Date of last participant enrolment
Anticipated
31/05/2026
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Actual
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Date of last data collection
Anticipated
30/11/2026
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Actual
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Sample size
Target
150
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
318254
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University
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Name [1]
318254
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The University of Newcastle Research Training Program (RTP) Scholarship
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Address [1]
318254
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Country [1]
318254
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Australia
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Primary sponsor type
University
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Name
The University of Newcastle
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Address
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Country
Australia
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Secondary sponsor category [1]
320691
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None
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Name [1]
320691
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Address [1]
320691
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Country [1]
320691
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
316895
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The University of Newcastle Human Research Ethics Committee
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Ethics committee address [1]
316895
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http://www.newcastle.edu.au/research/research-services/human-ethics/
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Ethics committee country [1]
316895
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Australia
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Date submitted for ethics approval [1]
316895
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02/05/2025
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Approval date [1]
316895
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Ethics approval number [1]
316895
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Summary
Brief summary
Purpose of study: Fruits and vegetables are known for their many health benefits, with research suggesting they may improve respiratory and inflammatory outcomes in people with COPD, However the relationship between fruits and vegetables and COPD is still being explored. This study aims to compare fruit and vegetable intake in participants with COPD versus healthy control participants, with the goal of identifying any significant differences in fruit and vegetable intake between the two groups. By comparing fruit and vegetable consumption levels, this study aims to explore whether individuals with COPD tend to consume fewer servings compared to people without COPD, potentially due to factors related to their COPD, such as reduced appetite, physical limitations, or lifestyle changes influenced by symptoms of their condition. We hypothesise that participants with COPD consume significantly fewer serves of fruits and vegetables compared to healthy controls, and a higher fruit and vegetable intake is associated with fewer respiratory symptoms in individuals with COPD.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Hayley Scott
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Address
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Level 2, Hunter Medical Research Institute Lot 1 Kookaburra Circuit, New Lambton Heights NSW 2305
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Country
139350
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Australia
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Phone
139350
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+61 2 4042 0113
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Fax
139350
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Email
139350
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[email protected]
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Contact person for public queries
Name
139351
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Rhiannon Stent
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Address
139351
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Level 2, Hunter Medical Research Institute Lot 1 Kookaburra Circuit, New Lambton Heights NSW 2305
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Country
139351
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Australia
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Phone
139351
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+61 2 4042 0978
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Fax
139351
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Email
139351
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[email protected]
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Contact person for scientific queries
Name
139352
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Rhiannon Stent
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Address
139352
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Immune Health Research Program, The University of Newcastle Level 2, Hunter Medical Research Institute Lot 1 Kookaburra Circuit, New Lambton Heights NSW 2305
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Country
139352
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Australia
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Phone
139352
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+61 2 4042 0978
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Fax
139352
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Email
139352
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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