History
# Registration date Revision Id
2 2024-06-25, 1403/04/05 314793
1 2024-02-01, 1402/11/12 293344
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  • Recruitment centers

    #1
    Name of recruitment center - English: Imam Ali Clinic/Shahrekord University of Medical Sciences
    Name of recruitment center - Persian: کلینیک امام علی/ دانشگاه علوم پزشکی شهرکرد
    Full name of responsible person - English: گلشن تقی پور بروجنی
    Full name of responsible person - Persian: Golshan Taghipour Borojni
    Street address - English: Shahrekord, Shariati Blvd., Imam Ali (A.S.) Specialized Clinic
    Street address - Persian: شهرکرد، بلوار شریعتی، کلینیک تخصصی امام علی(ع)
    City - English: shahrekord
    City - Persian: شهرکرد
    Province: Chahar-Mahal-va-Bakhtiari
    Country: Iran (Islamic Republic of)
    Postal code: 8816758915
    Phone: +98 38 3224 2696
    Fax:
    Email: golshan.taghipour@gmail.com
    Web page address: https://imamaliclinic.skums.ac.ir/#
    Name of recruitment center - English: Imam Ali Clinic; Shahrekord University of Medical Sciences
    Name of recruitment center - Persian: کلینیک امام علی؛ دانشگاه علوم پزشکی شهرکرد
    Full name of responsible person - English: Reihaneh Sadeghian
    Full name of responsible person - Persian: ریحانه صادقیان
    Street address - English: Imam Ali (A.S.) Specialized Clinic; Shariati Blvd.; Shahrekord
    Street address - Persian: شهرکرد، بلوار شریعتی، کلینیک تخصصی امام علی(ع)
    City - English: Shahrekord
    City - Persian: شهرکرد
    Province: Chahar-Mahal-va-Bakhtiari
    Country: Iran (Islamic Republic of)
    Postal code: 8816758915
    Phone: +98 915 205 8035
    Fax:
    Email: reihaneh.sadeghian5@gmail.com
    Web page address: https://orcid.org/0000-0002-0777-002X
  • Sponsors / Funding sources

    #1

    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Golshan Taghipour
    Full name of responsible person - Persian: گلشن تقی پور
    Street address - English: Shahrekord, Hajar Hospital
    Street address - Persian: شهرکرد، بیمارستان هاجر
    City - English: Shahrekord
    City - Persian: شهرکرد
    Province: Chahar-Mahal-va-Bakhtiari
    Country: Iran (Islamic Republic of)
    Postal code: 8816854633
    Phone: +98 913 184 2580
    Fax:
    Email: golshan.taghipour@gmail.com
    Web page address: https://imamaliclinic.skums.ac.ir/

    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Golshan Taghipour
    Full name of responsible person - Persian: گلشن تقی پور
    Street address - English: Clinic No. 1 of Hajar Hospital; Parastar street; Shahrekord
    Street address - Persian: شهرکرد، خیابان پرستار، کلینیک شماره ۱ بیمارستان هاجر
    City - English: Shahrekord
    City - Persian: شهرکرد
    Province: Chahar-Mahal-va-Bakhtiari
    Country: Iran (Islamic Republic of)
    Postal code: 8816854633
    Phone: +98 913 184 2580
    Fax:
    Email: golshan.taghipour@gmail.com
    Web page address: https://imamaliclinic.skums.ac.ir/
  • Person responsible for general inquiries


    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Reihaneh Sadeghian
    Full name of responsible person - Persian: ریحانه صادقیان
    Position - English: Assistant Professor of neurophysiology
    Position - Persian: استادیار
    Latest degree: phd
    Area of specialty/work: 63
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Headquarters of Shahrekord University of Medical Sciencesl; Kashani Street
    Street address - Persian: خیابان کاشانی، ستاد مرکزی دانشگاه علوم پزشکی شهرکرد
    City - English: Shahrekord
    City - Persian: شهرکرد
    Province: Chahar-Mahal-va-Bakhtiari
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8815713471
    Phone: +98 38 3334 9509
    Mobile: +98 915 205 8035
    Fax:
    Email: reihaneh.sadeghian5@gmail.com
    Web page address:

    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Reihaneh Sadeghian
    Full name of responsible person - Persian: ریحانه صادقیان
    Position - English: Assistant Professor of physiology
    Position - Persian: استادیار
    Latest degree: phd
    Area of specialty/work: 69
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Headquarters of Shahrekord University of Medical Sciencesl; Kashani Street
    Street address - Persian: خیابان کاشانی، ستاد مرکزی دانشگاه علوم پزشکی شهرکرد
    City - English: Shahrekord
    City - Persian: شهرکرد
    Province: Chahar-Mahal-va-Bakhtiari
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8815713471
    Phone: +98 38 3334 9509
    Mobile: +98 915 205 8035
    Fax:
    Email: reihaneh.sadeghian5@gmail.com
    Web page address:
  • Trial results

    No
    Yes
    empty
    2024-09-21, 1403/06/31
    Variable Group
    Control.N=19 intervention.N=19 p-value
    Frequency (Percentage)
    Gender                                                   male 9(47.4) 7(36.8) 0.511
                                                                 female 10(52.6) 12(63.2)
    Marital status                                        Single 0(0) 0(0) 1.000
                                                                 marreid 19(100) (100)19
    Blood sugar lowering drug Metformin 11(57.9) 15(78.9) 0.163
    Insulin 8(42.1) 4(21.1)
    Family History 1st degree family 0(0.0) 0(0.0)
    2nd degree family (100)19 (100)19 1.000
    No record 0(0.0) 0(0.0)
    Level of Education Illiterate 7(36.8) 6(31.6) 0.723
    Primary education 7(36.8) 9(47.4)
    Secondary education 4(21.1) 2(10.5)
    Bachelor 's degree and above 1(5.3) 2(10.5)
    Average ± Standard Deviation
    Age (years) 56.94 ±9.11 55.21±3.45 0.445
    Body mass index (BMI) 27.47 ±2.58 29.35±1.63 0.076
    Fasting blood sugar (FBS) 142.89±42.58 154.26 ±26.97 0.333
    B5 Vitamin nutritional status 97.5±30.1 91.4±56.0 0.095
    Trait anxiety 48.21±5.88 48.53±6.23 0.873
    Situational anxiety 48.47±3.38 49.37±5.13 0.530
    General health 18.32±1.11 18.37±1.16 0.887
    Physical performance 23.00±2.19 24.84±2.34 0.017
    Limitation due to physical health condition 15.11±2.26 14.21±2.68 0.273
    Limitation caused by emotional health status 11.42±2.19 11.16±3.24 0.771
    Energy and vitality 10.79±1.51 10.74±1.51 0.911
    Emotional health 16.37±1.74 17.05±2.72 0.361
    Social performance 6.05±0.85 6.21±1.27 0.655
    Pain 6.21±1.51 5.95±1.99 0.649
    Cortisol levels 6.19±1.96 8.37 ±3.37 0.020
    Middle (first and third quadrants)
    Depression, Anxiety, Stress (DASS-21) 16 (10-30) 14 (8-24) 0.704
    Beck Anxiety Inventory (BAI) 9 (3-11) 8 (4-15) 0.520

    متغیر گروه Pمقدار
    کنترل.N=19 مداخله.N=19
    فراوانی(درصد)
    جنسیت مرد (47.4)9 (36.8)7 0.511
    زن (52.6)10 (63.2)12
    وضعیت تاهل مجرد (0)0 (0)0 1.000
    متاهل (100)19 (100)19
    داروی مصرفی متفورمین (57.9)11 (78.9)15 0.163
    انسولین (42.1)8 (21.1)4
    سابقه فامیلی خانواده درجه1 (0.0)0 (0.0)0 1.000
    خانواده درجه 2 (100)19 (100)19
    بدون سابقه (0/0)0 (0/0)0
    سطح تحصیلات بی سواد (36.8)7 (31.6)6 0.723
    ابتدایی (36.8)7 (47.4)9
    سیکل (21.1)4 (10.5)2
    لیسانس وبالاتر (5.3)1 (10.5)2
    میانگین±انحراف استاندارد
    سن(سال) 56.94±9.11 55.21±3.45 0.445
    شاخص توده بدنی(BMI) 27.47±2.58 29.35±1.63 0.076
    قندخون ناشتا(FBS) 142.89±42.58 154.26±26.97 0.333
    وضعیت ویتامینB5تغذیه ایی 97.5±30.1 91.4±56.0 0.095
    اضطراب صفتی 48.21±5.88 48.53±6.23 0.873
    اضطراب موقعیتی 48.47±3.38 49.37±5.13 0.530
    سلامت عمومی 18.32±1.11 18.37±1.16 0.887
    عملکردجسمانی 23.00±2.19 24.84±2.34 0.017
    محدودیت ناشی ازوضعیت سلامت جسمانی 15.11±2.26 14.21±2.68 0.273
    محدودیت ناشی ازوضعیت سلامت هیجانی 11.42±2.19 11.16±3.24 0.771
    انرژی ونشاط 10.79±1.51 10.74±1.51 0.911
    سلامت عاطفی 16.37±1.74 17.05±2.72 0.361
    عملکرداجتماعی 6.05±0.85 6.21±1.27 0.655
    درد 6.21±1.51 5.95±1.99 0.649
    سطح کورتیزول 6.19±1.96 8.37±3.37 0.020
    میانه(چارک اول وسوم)
    نمره افسردگی(Dass-21)  (10-30)16  (8-24)14 0.704
    نمره اضطراب(Beck)  (3-11)9  (4-15)8 0.520

    Reihaneh Sadeghian Supervisor
    Seyed Hasan Hosseini  MD student
    Golshan Taghipour Supervisor
    Motahareh Sadat Mirhaj Advisor
    Ammar Salehi Advisor
    Mahboobe Taghipour Scientific Co-Workers
    Alireza Amirbeigi Scientific Co-Workers

    ریحانه  صادقیان استاد راهنما
    سیدحسن حسینی دانشجوی پزشکی
    گلشن تقی پور استاد راهنما
    مطهره سادات میرحاج استاد مشاور
    عمار صالحی استاد مشاور
    محبوبه تقی پور همکارعلمی
    علیرضا امیریگی همکار علمی

    control intervention difference
    variables before after p-value before after p-value control internention p-value
    Body mass index (BMI) 27.47±2.58 27.51±2.57 0.217 29.35±1.63 29.40±1.57 0.488 0.04±0.13 0.05±0.23 0.844
    Fasting blood sugar (FBS) 142.89±42.58 142±41.70 0.601 154.26±26.97 148.42±12.44 0.251 -0.89±7.33 -5.84±21.47 0.352
    B5 Vitamin nutritional status 5.97±1.30 5.83±1.29 0.164 4.91±0.56 4.97±0.51 0.202 0.14±0.41 0.06±0.19 0.073
    Trait anxiety 48.21±5.88 49.11±5.85 0.056 48.53±6.23 46.89±6.80 0.047 0.89±1.91 -1.63±3.74 0.014
    Situational anxiety 48.47±3.39 48.95±3.70 0.432 49.37±5.13 46.42±5.26 0.002 0.47±2.57 -2.95±3.50 0.002
    General health 18.32±1.11 18.37±1.42 0.790 18.37±1.16 18.05±1.68 0.187 0.05±0.85 -0.32±1.00 0.229
    Physical performance 23.00±2.19 23.72±2.22 0.007 24.84±2.34 25.68±3.00 0.145 0.42±0.61 0.84±2.41 0.469
    Limitation due to physical health condition 15.11±2.26 14.68±2.31 0.002 14.21±2.68 14.53±3.15 0.055 -0.42±0.51 0.32±0.67 0.001
    Limitation caused by emotional health status 11.42±2.19 11.68±2.45 0.056 11.16±3.24 12.42±2.83 <0.001 0.26±0.56 1.26±1.15 0.002
    Energy and vitality 10.79±1.151 11.16±1.64 0.005 10.47±1.37 11.00±1.89 0.471 0.37±0.50 0.26±1.56 0.782
    Emotional health 16.37±1.74 16.37±1.74 1.000 17.05±2.72 17.58±3.08 0.249 0.00±0.82 0.53±1.93 0.280
    Social performance 6.05±0.85 6.21±1.51 0.083 6.21±1.27 6.47±1.26 0.056 0.16±0.37 0.26±0.56 0.501
    Pain 6.21±1.51 5.79±1.44 0.002 5.95±1.99 5.53±2.41 0.119 -0.42±0.51 -0.42±1.12 1.000
    Cortisol levels 6.19±1.96 6.37±2.02 0.211 8.37±3.37 6.12±2.57 0.042 0.18±0.60 -2.25±4.48 0.031
    Depression, Anxiety, Stress (DASS-21) 16 (10-30) 16 (10-28) 0.042 14 (8-24) 7 (6-13) 0.003 0 (-2-0) -5 (-10-1) <0.001
    Beck Anxiety Inventory (BAI) 9 (3-11) 7 (3-10) 0.047 8 (4-15) 6 (4-13) <0.001 -1 (-2-0) -1 (-4-0) 0.235

    متغیر کنترل.قبل کنترل.بعد مقدارp.کنترل مداخله.قبل مداخله. بعد مقدارp.مداخله تفاوت.کنترل تفاوت.مداخله pمقدار.تفاوت
    شاخص توده بدنی(BMI) 27.47±2.58 27.51±2.57 0.217 29.35±1.63 29.40±1.57 0.488 0.04±0.13 0.05±0.23 0.844
    قندخون ناشتا(FBS) 142.89±42.58 142±41.70 0.601 154.26±26.97 148.42±12.44 0.251 0.89±7.33- 5.84±21.47- 0.352
    وضعیت ویتامینB5تغذیه ایی 5.97±1.30 5.83±1.29 0.164 4.91±0.56 4.97±0.51 0.202 0.14±0.41 0.06±0.19 0.073
    اضطراب صفتی 48.21±5.88 49.11±5.85 0.056 48.53±6.23 46.89±6.80 0.047 0.89±1.91 1.63±3.74- 0.014
    اضطراب موقعیتی 48.47±3.39 48.95±3.70 0.432 49.37±5.13 46.42±5.26 0.002 0.47±2.57 2.95±3.50- 0.002
    سلامت عمومی 18.32±1.11 18.37±1.42 0.790 18.37±1.16 18.05±1.68 0.187 0.05±0.85 0.32±1.00- 0.229
    عملکردجسمانی 23.00±2.19 23.72±2.22 0.007 24.84±2.34 25.68±3.00 0.145 0.42±0.61 0.84±2.41 0.469
    محدودیت ناشی ازوضعیت سلامت جسمانی 15.11±2.26 14.68±2.31 0.002 14.21±2.68 14.53±3.15 0.055 0.42±0.51- 0.32±0.67 0.001
    محدودیت ناشی ازوضعیت سلامت هیجانی 11.42±2.19 11.68±2.45 0.056 11.16±3.24 12.42±2.83 <0.001 0.26±0.56 1.26±1.15 0.002
    انرژی ونشاط 10.79±1.151 11.16±1.64 0.005 10.47±1.37 11.00±1.89 0.471 0.37±0.50 0.26±1.56 0.782
    سلامت عاطفی 16.37±1.74 16.37±1.74 1.000 17.05±2.72 17.58±3.08 0.249 0.00±0.82 0.53±1.93 0.280
    عملکرداجتماعی 6.05±0.85 6.21±1.51 0.083 6.21±1.27 6.47±1.26 0.056 0.16±0.37 0.26±0.56 0.501
    درد 6.21±1.51 5.79±1.44 0.002 5.95±1.99 5.53±2.41 0.119 0.42±0.51- 0.42±1.12- 1.000
    سطح کورتیزول 6.19±1.96 6.37±2.02 0.211 8.37±3.37 6.12±2.57 0.042 0.18±0.60 2.25±4.48- 0.031
    نمره افسردگی (10-30)16 (10-28)16 0.042 (8-24)14  (6-13)7 0.003  (2-0-)0  (10-1-)5- <0.001
    نمره اضطراب (3-11)9 (3-10)7 0.047 (4-15)8  (4-13)6 <0.001  (2-0-)1-  (4-0-)1- 0.235

    empty
    There have been limited research on the impact of a particular dietary pattern, like consuming pantothenic acid, on the emergence of stress, anxiety, and depression during diabetes induction. According to this issue, this study was designed. The study involved 38 patients aged 30–65 with type 2 diabetes, divided into two groups receiving vitamin B5 and a control group. The intervention group received 250 mg of vitamin B5 tablets for two months, and stress, anxiety, and depression parameters and the level of cortisol were measured at the start and end of the study. The results showed that in the intervention group, situational anxiety (P<0.01), cortisol level (P<0.05), depression score (P<0.01), and anxiety score of Dass-21 (P = 0.001) after the intervention were significantly lower than before the intervention. The difference (after-before) between trait anxiety (P<0.05), situational anxiety (P = 0.002), and anxiety score (P<0.001) in the intervention group was significantly lower than the control group. Also, the difference (after-before) in the limitation due to physical health status (P = 0.001), limitation due to emotional health status (P = 0.002), and cortisol level (P = 0.031) in the intervention group was significantly higher than the control group. Vitamin B5 supplementation may reduce depression and cortisol levels in type 2 diabetes patients but doesn't affect anxiety, highlighting the need for future studies to understand its role.
    empty
    تحقیقات محدودی در مورد تأثیر یک الگوی غذایی خاص، مانند مصرف اسید پانتوتنیک، بر ظهور استرس، اضطراب و افسردگی در طی القای دیابت انجام شده است. با توجه به این موضوع، این پژوهش طراحی شد. این مطالعه شامل 38 بیمار 30 تا 65 ساله مبتلا به دیابت نوع 2 بود که به دو گروه دریافت کننده ویتامین B5 و یک گروه کنترل تقسیم شدند. گروه مداخله به مدت دو ماه 250 میلی گرم قرص ویتامین B5 دریافت کردند و پارامترهای استرس، اضطراب و افسردگی و سطح کورتیزول در ابتدا و انتهای مطالعه اندازه گیری شد. نتایج نشان داد که در گروه مداخله، اضطراب موقعیتی (01/0P<)، سطح کورتیزول (05/0P<)، نمره افسردگی (01/0P<) و نمره اضطراب Dass-21 (001/0P=) پس از مداخله معنی‌دار بود. کمتر از قبل از مداخله تفاوت (بعد از قبل) بین اضطراب صفت (05/0P<)، اضطراب موقعیتی (002/0 = P) و نمره اضطراب (001/0>P) در گروه مداخله به طور معنی‌داری کمتر از گروه کنترل بود. همچنین تفاوت (بعد از قبل) در محدودیت ناشی از وضعیت سلامت جسمانی (001/0 = P)، محدودیت ناشی از وضعیت سلامت عاطفی (002/0 = P) و سطح کورتیزول (031/0 = P) در گروه مداخله به‌طور معنی‌داری بیشتر بود. نسبت به گروه کنترل مکمل ویتامین B5 ممکن است میزان افسردگی و کورتیزول را در بیماران دیابتی نوع 2 کاهش دهد، اما بر اضطراب تأثیری ندارد و نیاز به مطالعات آینده برای درک نقش آن را برجسته می کند.

Protocol summary

Study aim
Determining the effect of vitamin B5 administration on stress; depression; anxiety, oxidative stress level and cortisol level in patients with type 2 diabetes
Design
Clinical trial with a control group, double-blind, randomized, phase 2 on 48 patients. The randomized treatment allocation sequence will be generated by the statistical consultant using a table of random numbers.
Settings and conduct
The current clinical trial study will be conducted on 48 patients with type 2 diabetes referred to the Imam Ali clinic in Shahrekord. After the diagnosis of type 2 diabetes and stress, anxiety, or depression, their cortisol level will be evaluated. Then, for two months, they will be given vitamin B5 tablets (250 mg) or a placebo in a blinded manner, and the status of the investigated parameters will be checked at the end of the two months.
Participants/Inclusion and exclusion criteria
Inclusion criteria: age between 30-65 years; not taking oral contraceptives in the last month; non-smokers; People who have not received vitamin B supplements at least 3 months before the study; People who are not professional athletes. Exclusion criteria: non-cooperation of patients to participate in the study; the presence of congenital anxiety diseases; incomplete completion of the questionnaire; People taking combined oral blood sugar-lowering drugs such as Sinuripa tablets; People taking drugs related to severe depression (bipolar); People taking vitamin B5 supplements before starting the tests
Intervention groups
The intervention group: will receive vitamin B5 chewable tablets along with metformin/insulin. The control group: the group of diabetic patients who will receive metformin/insulin along with placebo.
Main outcome variables
Average score of depression; Average score of anxiety; Average score of stress

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20230702058641N2
Registration date: 2024-02-01, 1402/11/12
Registration timing: registered_while_recruiting

Last update: 2024-09-21, 1403/06/31
Update count: 1
Registration date
2024-02-01, 1402/11/12
Registrant information
Name
Reihaneh Sadeghian
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 915 205 8035
Email address
reihaneh.sadeghian5@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-01-20, 1402/10/30
Expected recruitment end date
2024-03-20, 1403/01/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
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Scientific title
The effect of vitamin B5 administration compared to placebo on stress; depression; Anxiety, oxidative stress level and serum cortisol level in type 2 diabetes patients
Public title
The effect of vitamin B5 on stress; depression and anxiety
Purpose
Health service research
Inclusion/Exclusion criteria
Inclusion criteria:
Age between 30-65 years People who are not professional athletes. Receiving metformin/insulin. Patients should not take melatonin, aspirin, D3, omega3 during the study period. Not taking oral contraceptives in the last month people who have not received vitamin B supplements at least 3 months before the study.
Exclusion criteria:
Non-cooperation of patients to participate in the study Use of corticosteroids and anticoagulants in the last month Smokers The existence of congenital cognitive and anxiety diseases Incomplete completion of the questionnaire People taking combined oral hypoglycemic drugs such as Sinuripa tablets People taking drugs related to severe depression (bipolar) People taking vitamin B5 supplements before starting the tests
Age
From 30 years old to 65 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Investigator
Sample size
Target sample size: 48
Randomization (investigator's opinion)
Randomized
Randomization description
Diabetic patients are randomly divided into two groups "control and intervention" after examination and if they meet the criteria to enter the plan. By using online sites for random allocation, random block method with blocks of 4 will be used. For the random sequence, a numerical code will be defined and people will receive the numerical code in the same order as they enter and will be placed in groups according to the block.
Blinding (investigator's opinion)
Double blinded
Blinding description
Double-blind (researcher and patients do not know which person is assigned to which treatment group). Patients were also blinded according to the received intervention, which is the use of tablets with the same shape, taste, and color.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Shahrekord University of Medical Sciences
Street address
Headquarters of Shahrekord University of Medical Sciencesl; Kashani Street
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8816758915
Approval date
2023-11-21, 1402/08/30
Ethics committee reference number
IR.SKUMS.MED.REC.1402.063

Health conditions studied

1

Description of health condition studied
Type 2 diabetes
ICD-10 code
E11
ICD-10 code description
Type 2 diabetes mellitus

Primary outcomes

1

Description
Score of depression
Timepoint
At the beginning of the study and after two months after taking vitamin B5 or placebo
Method of measurement
DASS-21 Scale

2

Description
Score of anxiety
Timepoint
At the beginning of the study and after two months after taking vitamin B5 or placebo
Method of measurement
DASS-21 Scale

3

Description
Score of stress
Timepoint
At the beginning of the study and after two months after taking vitamin B5 or placebo
Method of measurement
DASS-21 Scale

Secondary outcomes

1

Description
Cortisol level
Timepoint
At the beginning of the study and after two months
Method of measurement
ELISA technique

2

Description
Nitric oxide levels
Timepoint
At the beginning of the study and after two months
Method of measurement
Gress method

3

Description
Malondialdehyde level
Timepoint
At the beginning of the study and after two months
Method of measurement
Thiobarbituric acid method

4

Description
Antioxidant capacity
Timepoint
At the beginning of the study and after two months
Method of measurement
FRAP measurement

Intervention groups

1

Description
Intervention group: vitamin B5 chewable tablet with a dose of 250 mg (produced by Shehab Pharmaceutical Company) once a day, which will be given to them along with metformin/insulin for 8 weeks.
Category
Treatment - Drugs

2

Description
Control group: Placebo along with metformin/insulin will be given to them for 8 weeks.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Imam Ali Clinic; Shahrekord University of Medical Sciences
Full name of responsible person
Reihaneh Sadeghian
Street address
Imam Ali (A.S.) Specialized Clinic; Shariati Blvd.; Shahrekord
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8816758915
Phone
+98 915 205 8035
Email
reihaneh.sadeghian5@gmail.com
Web page address
https://orcid.org/0000-0002-0777-002X

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Shahre-kord University of Medical Sciences
Full name of responsible person
Golshan Taghipour
Street address
Clinic No. 1 of Hajar Hospital; Parastar street; Shahrekord
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8816854633
Phone
+98 913 184 2580
Email
golshan.taghipour@gmail.com
Web page address
https://imamaliclinic.skums.ac.ir/
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shahre-kord University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Shahre-kord University of Medical Sciences
Full name of responsible person
Reihaneh Sadeghian
Position
Assistant Professor of physiology
Latest degree
Ph.D.
Other areas of specialty/work
Physiology
Street address
Headquarters of Shahrekord University of Medical Sciencesl; Kashani Street
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8815713471
Phone
+98 38 3334 9509
Email
reihaneh.sadeghian5@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Shahre-kord University of Medical Sciences
Full name of responsible person
Golshan Taghipour
Position
assistant professor
Latest degree
Subspecialist
Other areas of specialty/work
Internal Medicine
Street address
Shahrekord University of Medical Sciences, Kashani Blvd., Shahrekord
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8816854633
Phone
+98 913 184 2580
Email
golshan.taghipour@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Motahareh Sadat Mirhaj Mohammadabadi
Position
specialist
Latest degree
Subspecialist
Other areas of specialty/work
Psychiatrics
Street address
Imam Khomeini Hospital (RA); Kamarbandi Boulevard; Darghaz
City
Mashhad
Province
Razavi Khorasan
Postal code
9188843585
Phone
+98 915 205 8035
Email
motahar_mirhaj@yahoo.com
Web page address
https://www.researchgate.net/scientific-contributions/Motahareh-Sadat-Mirhaj-Mohammadabadi-2198157046

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
All data is potentially shareable after de-identifying individuals
When the data will become available and for how long
The access period starts 6 months after the results are published
To whom data/document is available
It will be available for researchers working in academic and scientific institutions
Under which criteria data/document could be used
The data can be used after obtaining permission from both supervisors
From where data/document is obtainable
Reihane Sadeghian; Adress: University Headquarters; Kashani Blvd.; Shahrekord. Postal code: 8815713471. Phone number: 038-0333061-5-3333061; Email: reihaneh.sadeghian5@gmail.com
What processes are involved for a request to access data/document
The data can be accessed after the official letter from the Research and Technology Vice-Chancellor of the relevant university.
Comments

Trial results

Please tick if results have been published
Yes
Summary result posting date
2024-09-21, 1403/06/31
Table of baseline comparison
Variable Group
Control.N=19 intervention.N=19 p-value
Frequency (Percentage)
Gender                                                   male 9(47.4) 7(36.8) 0.511
                                                             female 10(52.6) 12(63.2)
Marital status                                        Single 0(0) 0(0) 1.000
                                                             marreid 19(100) (100)19
Blood sugar lowering drug Metformin 11(57.9) 15(78.9) 0.163
Insulin 8(42.1) 4(21.1)
Family History 1st degree family 0(0.0) 0(0.0)
2nd degree family (100)19 (100)19 1.000
No record 0(0.0) 0(0.0)
Level of Education Illiterate 7(36.8) 6(31.6) 0.723
Primary education 7(36.8) 9(47.4)
Secondary education 4(21.1) 2(10.5)
Bachelor 's degree and above 1(5.3) 2(10.5)
Average ± Standard Deviation
Age (years) 56.94 ±9.11 55.21±3.45 0.445
Body mass index (BMI) 27.47 ±2.58 29.35±1.63 0.076
Fasting blood sugar (FBS) 142.89±42.58 154.26 ±26.97 0.333
B5 Vitamin nutritional status 97.5±30.1 91.4±56.0 0.095
Trait anxiety 48.21±5.88 48.53±6.23 0.873
Situational anxiety 48.47±3.38 49.37±5.13 0.530
General health 18.32±1.11 18.37±1.16 0.887
Physical performance 23.00±2.19 24.84±2.34 0.017
Limitation due to physical health condition 15.11±2.26 14.21±2.68 0.273
Limitation caused by emotional health status 11.42±2.19 11.16±3.24 0.771
Energy and vitality 10.79±1.51 10.74±1.51 0.911
Emotional health 16.37±1.74 17.05±2.72 0.361
Social performance 6.05±0.85 6.21±1.27 0.655
Pain 6.21±1.51 5.95±1.99 0.649
Cortisol levels 6.19±1.96 8.37 ±3.37 0.020
Middle (first and third quadrants)
Depression, Anxiety, Stress (DASS-21) 16 (10-30) 14 (8-24) 0.704
Beck Anxiety Inventory (BAI) 9 (3-11) 8 (4-15) 0.520

Participant flow diagram
Reihaneh Sadeghian Supervisor
Seyed Hasan Hosseini  MD student
Golshan Taghipour Supervisor
Motahareh Sadat Mirhaj Advisor
Ammar Salehi Advisor
Mahboobe Taghipour Scientific Co-Workers
Alireza Amirbeigi Scientific Co-Workers

Table of variable outcomes' results
control intervention difference
variables before after p-value before after p-value control internention p-value
Body mass index (BMI) 27.47±2.58 27.51±2.57 0.217 29.35±1.63 29.40±1.57 0.488 0.04±0.13 0.05±0.23 0.844
Fasting blood sugar (FBS) 142.89±42.58 142±41.70 0.601 154.26±26.97 148.42±12.44 0.251 -0.89±7.33 -5.84±21.47 0.352
B5 Vitamin nutritional status 5.97±1.30 5.83±1.29 0.164 4.91±0.56 4.97±0.51 0.202 0.14±0.41 0.06±0.19 0.073
Trait anxiety 48.21±5.88 49.11±5.85 0.056 48.53±6.23 46.89±6.80 0.047 0.89±1.91 -1.63±3.74 0.014
Situational anxiety 48.47±3.39 48.95±3.70 0.432 49.37±5.13 46.42±5.26 0.002 0.47±2.57 -2.95±3.50 0.002
General health 18.32±1.11 18.37±1.42 0.790 18.37±1.16 18.05±1.68 0.187 0.05±0.85 -0.32±1.00 0.229
Physical performance 23.00±2.19 23.72±2.22 0.007 24.84±2.34 25.68±3.00 0.145 0.42±0.61 0.84±2.41 0.469
Limitation due to physical health condition 15.11±2.26 14.68±2.31 0.002 14.21±2.68 14.53±3.15 0.055 -0.42±0.51 0.32±0.67 0.001
Limitation caused by emotional health status 11.42±2.19 11.68±2.45 0.056 11.16±3.24 12.42±2.83 <0.001 0.26±0.56 1.26±1.15 0.002
Energy and vitality 10.79±1.151 11.16±1.64 0.005 10.47±1.37 11.00±1.89 0.471 0.37±0.50 0.26±1.56 0.782
Emotional health 16.37±1.74 16.37±1.74 1.000 17.05±2.72 17.58±3.08 0.249 0.00±0.82 0.53±1.93 0.280
Social performance 6.05±0.85 6.21±1.51 0.083 6.21±1.27 6.47±1.26 0.056 0.16±0.37 0.26±0.56 0.501
Pain 6.21±1.51 5.79±1.44 0.002 5.95±1.99 5.53±2.41 0.119 -0.42±0.51 -0.42±1.12 1.000
Cortisol levels 6.19±1.96 6.37±2.02 0.211 8.37±3.37 6.12±2.57 0.042 0.18±0.60 -2.25±4.48 0.031
Depression, Anxiety, Stress (DASS-21) 16 (10-30) 16 (10-28) 0.042 14 (8-24) 7 (6-13) 0.003 0 (-2-0) -5 (-10-1) <0.001
Beck Anxiety Inventory (BAI) 9 (3-11) 7 (3-10) 0.047 8 (4-15) 6 (4-13) <0.001 -1 (-2-0) -1 (-4-0) 0.235

Table of adverse events
First publication date
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Abstract of published paper
There have been limited research on the impact of a particular dietary pattern, like consuming pantothenic acid, on the emergence of stress, anxiety, and depression during diabetes induction. According to this issue, this study was designed. The study involved 38 patients aged 30–65 with type 2 diabetes, divided into two groups receiving vitamin B5 and a control group. The intervention group received 250 mg of vitamin B5 tablets for two months, and stress, anxiety, and depression parameters and the level of cortisol were measured at the start and end of the study. The results showed that in the intervention group, situational anxiety (P<0.01), cortisol level (P<0.05), depression score (P<0.01), and anxiety score of Dass-21 (P = 0.001) after the intervention were significantly lower than before the intervention. The difference (after-before) between trait anxiety (P<0.05), situational anxiety (P = 0.002), and anxiety score (P<0.001) in the intervention group was significantly lower than the control group. Also, the difference (after-before) in the limitation due to physical health status (P = 0.001), limitation due to emotional health status (P = 0.002), and cortisol level (P = 0.031) in the intervention group was significantly higher than the control group. Vitamin B5 supplementation may reduce depression and cortisol levels in type 2 diabetes patients but doesn't affect anxiety, highlighting the need for future studies to understand its role.
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