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出境医 / 临床实验 / Blueberry Study Aimed at Improving Cognition and Peripheral Blood Flow

Blueberry Study Aimed at Improving Cognition and Peripheral Blood Flow

Study Description
Brief Summary:

Blueberries are rich in the content of a variety of biologically active chemicals that contribute to their health properties. The consumption of blueberries has beneficial effects on vascular function and brain health and function. Blueberries are present in human diet in a number of forms, but the investigator do not know which form is best for health and why people respond differently to eating blueberries.

The aim of the present study is to assess the effects of 1 week's supplementation of whole blueberries or freeze-dried blueberry powder or encapsulated blueberry components on vascular function and brain health and function. Investigators will then categorise participants as those who have large effects of the intervention (responders) and those that don't show much effect at all (non-responders). Then the investigators will look into the role that genes play in this response and determine if metabolism is similar in these groups of participants. Any changes in participants' brain health and vascular function will be linked to these metabolic and genomic pathways, and this will help the investigators to further understand how blueberry consumption can benefit human health.


Condition or disease Intervention/treatment Phase
Vascular Stiffness Cognitive Change Blood Pressure Dietary Supplement: Blueberries Dietary Supplement: Blueberry powder Dietary Supplement: Blueberry components capsules Not Applicable

Detailed Description:

Study design: The present study will supply either 160 g of fresh whole blueberry (4 handful portion) or 20 g of freeze-dried blueberry powder (measured with tablespoon provided; equivalent to 160 g of whole fresh blueberry), or placebo capsule with only microcrystalline cellulose (approx. 10 g, they will be blinded that this is encapsulated blueberry extract components) to 80 subjects on separate occasions with age range of 18-60 years old for 1 week with 1 week of washout period. Fresh blueberries will be purchased from local supermarkets; freeze-dried blueberry powder will be purchased from Lio-Licious freeze-dried fruits range; the microcrystalline cellulose will be purchased from Blackburn Distributions. There is no outside interest that could constitute commercial conflict of interest.

Methodology and sampling strategy: a randomised crossover design will be implemented. The study is a quantitative experiment and participants will be recruited through opportunity sampling.

Data collection: On each visit, cognition data will be obtained from computerised testing system COMPASS. Blood pressure will be obtained using fully automatic oscillometric device. On visits 2-7, PWV value is obtained by SphygmoCor; untargeted metabolomics and genomic data will be obtained from blood and urine sample collection.

For data analysis: The identification of responders to the treatments will be done by the calculation of response level first: response level = (change from baseline score/baseline score) x 100%. The calculated percentage will be used to characterise subjects from lowest response to highest response level. The association among -omics biomarkers and cognitive tests/endothelial parameters, lipid status under each treatment will be analysed using linear regression models after adjusting for confounding factors like age. Pathway analysis will be used to identify metabolic pathways that characterise responders and non-responders. Pathways will be identified using discriminatory metabolites from metabolomics and SNP analysis.

Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 36 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Metabolic Mechanisms Underlying the Responsiveness to Blueberry Interventions Aimed at Improving Cognition and Peripheral Blood Flow
Actual Study Start Date : January 1, 2019
Actual Primary Completion Date : January 1, 2020
Actual Study Completion Date : January 1, 2020
Arms and Interventions
Arm Intervention/treatment
Experimental: Blueberries
Fresh blueberries purchased from local supermarket will be distributed to each participant for 1 week's consumption, 160 grams per day
Dietary Supplement: Blueberries
fresh spanish blueberries

Experimental: Blueberry powder
Freeze-dried blueberry powder will be distributed to each participant for 1 week's consumption, 20 grams per day, equivalent to 160 grams of fresh blueberries
Dietary Supplement: Blueberry powder
freeze-dried blueberry powder

Placebo Comparator: Blueberry components capsules
Encapsulated microcrystalline cellulose powder will be blinded as blueberry components capsules to be distributed to each participant for 1 week's consumption
Dietary Supplement: Blueberry components capsules
encapsulated blueberry components (microcrystalline cellulose powder in actual)

Outcome Measures
Primary Outcome Measures :
  1. Accuracy of participant recalling word list Immediately [ Time Frame: 1 minute ]
    will be assessed via COMPASS (Computerised Mental Performance Assessment System) tasks by participants recalling word list immediately after displays; the result will be presented as accuracy (%) and as an assessment of short-term memory

  2. Correct responses of participants counting down from certain number by subtracting 3 [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by participants counting down from certain number by threes. The result will be presented as correct responses and as an assessment of executive function

  3. Correct responses of participants counting down from certain number by subtracting 7 [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by participants counting down from certain number by sevens, the result will be presented as correct responses and as an assessment of executive function

  4. Reaction time of participants' vigilance during rapid visual tracking and accurate selection of target digit stimuli [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by measuring participants' vigilance during rapid visual tracking and accurate selection of target stimuli, presented by reaction time in millisecond (ms), as an assessment of attention and psychomotor speed

  5. Accuracy of participant recalling word list 30 minutes after displays [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by participants recalling word list after 30 minutes, the result will be presented as accuracy (%) and as an assessment of memory

  6. Brachial-radial distance [ Time Frame: 1 minute ]
    brachial-radial distance in meters (m), will be measured by tape

  7. Pulse wave time [ Time Frame: 10 minutes ]
    time of the pulse wave moves down from brachial to radial artery in seconds (s), will be measured by Sphygmocor (ScanMed medical)

  8. Pulse wave velocity (PWV) [ Time Frame: 10 minutes ]
    will be measured by Sphygmocor (ScanMed medical), by outcome 7 pulse wave time (s) dividing outcome 6 brachial-radial distance (m), PWV will be presented in the units of m/s, as an assessment of endothelial function

  9. Blood Pressure [ Time Frame: 10 minutes ]
    will be assessed by BP monitor and reported in the units of mm Hg


Secondary Outcome Measures :
  1. Inter-cellular Adhesion Molecules (ICAMs) and Vascular Cell Adhesion Molecules (VCAMs) [ Time Frame: 1 day ]
    Endothelial dysfunction's biomarkers (ICAMs and VCAMs) assessed by ELISA Kits and reported in the units of U/mL

  2. C-reactive Protein (CRP) [ Time Frame: 1 day ]
    Endothelial dysfunction's biomarkers (CRP) assessed by ELISA Kits in the units of mg/L

  3. Plasma Lipid Status [ Time Frame: 1 day ]
    Total and High-density lipoprotein (HDL-), Low-density lipoprotein (LDL-) cholesterol and triglycerides assessed by outsourcing to the local hospital, the results will be reported in the units of mmol/L

  4. Untargeted Plasma and Urine Metabolites [ Time Frame: 1 day ]
    liquid-chromatography mass spectrometry-based techniques (LCMS) will be applied to identify untargeted metabolites in the plasma and urine samples

  5. Single Nucleotide Polymorphisms (SNPs) [ Time Frame: 7 days ]
    SNP arrays will be applied for genotyping participants' DNA collected from the buffy coat of the blood sample, following the removal of plasma


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Interested in taking part in the study
  • Healthy
  • Aged 18-60 years (inclusive)

Exclusion Criteria:

  • Smoking
  • Aged under 18 or over 60
  • Blood Pressure ≥ 145/100 mmHg and are taking medication
  • Have vascular disease, or other cardiac abnormalities
  • Have previously suffered any head injuries, history of seizures or other neurological disorders
  • Have any metabolic disorders, malabsorption syndromes or gastrointestinal complications
  • Current use of above disease relevant prescription medications (excluding contraception)
  • Irregular bowel function (less than 1 bowel movement per day)
  • Regularly consume blueberries/blueberry-contained products more than twice per week
  • Have regularly used nutritional supplements or medications within the previous 3 months (defined as more than 3 consecutive days or 4 days in total)
  • Learning difficulties and dyslexia
  • Visual impairment that cannot be corrected with glasses or contact lenses including colour blindness
  • Currently suffer from migraines (> 1 per month)
  • Body mass index (BMI) under 18.5 or over 30
  • Pregnancy, seeking to become pregnant, or current lactation
  • Inability to complete all of the study assessments
  • Current participation in other clinical or nutrition intervention studies
  • Not proficient in English equivalent to IELTS band 6 or above
  • Have any known active infections
Contacts and Locations

Locations
Layout table for location information
United Kingdom
Northumbria University
Newcastle upon Tyne, Tyne And Wear, United Kingdom, NE1 8ST
Sponsors and Collaborators
Northumbria University
Investigators
Layout table for investigator information
Principal Investigator: Yueyue Wang Miss
Tracking Information
First Submitted Date  ICMJE March 4, 2019
First Posted Date  ICMJE July 10, 2019
Last Update Posted Date March 4, 2020
Actual Study Start Date  ICMJE January 1, 2019
Actual Primary Completion Date January 1, 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: March 2, 2020)
  • Accuracy of participant recalling word list Immediately [ Time Frame: 1 minute ]
    will be assessed via COMPASS (Computerised Mental Performance Assessment System) tasks by participants recalling word list immediately after displays; the result will be presented as accuracy (%) and as an assessment of short-term memory
  • Correct responses of participants counting down from certain number by subtracting 3 [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by participants counting down from certain number by threes. The result will be presented as correct responses and as an assessment of executive function
  • Correct responses of participants counting down from certain number by subtracting 7 [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by participants counting down from certain number by sevens, the result will be presented as correct responses and as an assessment of executive function
  • Reaction time of participants' vigilance during rapid visual tracking and accurate selection of target digit stimuli [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by measuring participants' vigilance during rapid visual tracking and accurate selection of target stimuli, presented by reaction time in millisecond (ms), as an assessment of attention and psychomotor speed
  • Accuracy of participant recalling word list 30 minutes after displays [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by participants recalling word list after 30 minutes, the result will be presented as accuracy (%) and as an assessment of memory
  • Brachial-radial distance [ Time Frame: 1 minute ]
    brachial-radial distance in meters (m), will be measured by tape
  • Pulse wave time [ Time Frame: 10 minutes ]
    time of the pulse wave moves down from brachial to radial artery in seconds (s), will be measured by Sphygmocor (ScanMed medical)
  • Pulse wave velocity (PWV) [ Time Frame: 10 minutes ]
    will be measured by Sphygmocor (ScanMed medical), by outcome 7 pulse wave time (s) dividing outcome 6 brachial-radial distance (m), PWV will be presented in the units of m/s, as an assessment of endothelial function
  • Blood Pressure [ Time Frame: 10 minutes ]
    will be assessed by BP monitor and reported in the units of mm Hg
Original Primary Outcome Measures  ICMJE
 (submitted: July 9, 2019)
  • Immediated word recall [ Time Frame: 1 minute ]
    will be assessed via COMPASS (Computerised Mental Performance Assessment System) tasks by participants recalling word list immediately after displays; the result will be presented as accuracy (%) and as an assessment of short-term memory
  • Serial 3s [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by participants counting down from certain number by threes. The result will be presented as correct responses and as an assessment of executive function
  • Serial 7s [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by participants counting down from certain number by sevens, the result will be presented as correct responses and as an assessment of executive function
  • Digit Vigilance [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by measuring participants' vigilance during rapid visual tracking and accurate selection of target stimuli, presented by reaction time in millisecond (ms), as an assessment of attention and psychomotor speed
  • Delayed word recall [ Time Frame: 5 minutes ]
    will be assessed via COMPASS tasks by participants recalling word list after 30 minutes, the result will be presented as accuracy (%) and as an assessment of memory
  • Brachial-radial distance [ Time Frame: 1 minute ]
    brachial-radial distance in meters (m), will be measured by tape
  • Pulse wave time [ Time Frame: 10 minutes ]
    time of the pulse wave moves down from brachial to radial artery in seconds (s), will be measured by Sphygmocor (ScanMed medical)
  • Pulse wave velocity (PWV) [ Time Frame: 10 minutes ]
    will be measured by Sphygmocor (ScanMed medical), by outcome 7 pulse wave time (s) dividing outcome 6 brachial-radial distance (m), PWV will be presented in the units of m/s, as an assessment of endothelial function
  • Blood Pressure [ Time Frame: 10 minutes ]
    will be assessed by BP monitor and reported in the units of mm Hg
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: July 9, 2019)
  • Inter-cellular Adhesion Molecules (ICAMs) and Vascular Cell Adhesion Molecules (VCAMs) [ Time Frame: 1 day ]
    Endothelial dysfunction's biomarkers (ICAMs and VCAMs) assessed by ELISA Kits and reported in the units of U/mL
  • C-reactive Protein (CRP) [ Time Frame: 1 day ]
    Endothelial dysfunction's biomarkers (CRP) assessed by ELISA Kits in the units of mg/L
  • Plasma Lipid Status [ Time Frame: 1 day ]
    Total and High-density lipoprotein (HDL-), Low-density lipoprotein (LDL-) cholesterol and triglycerides assessed by outsourcing to the local hospital, the results will be reported in the units of mmol/L
  • Untargeted Plasma and Urine Metabolites [ Time Frame: 1 day ]
    liquid-chromatography mass spectrometry-based techniques (LCMS) will be applied to identify untargeted metabolites in the plasma and urine samples
  • Single Nucleotide Polymorphisms (SNPs) [ Time Frame: 7 days ]
    SNP arrays will be applied for genotyping participants' DNA collected from the buffy coat of the blood sample, following the removal of plasma
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Blueberry Study Aimed at Improving Cognition and Peripheral Blood Flow
Official Title  ICMJE Metabolic Mechanisms Underlying the Responsiveness to Blueberry Interventions Aimed at Improving Cognition and Peripheral Blood Flow
Brief Summary

Blueberries are rich in the content of a variety of biologically active chemicals that contribute to their health properties. The consumption of blueberries has beneficial effects on vascular function and brain health and function. Blueberries are present in human diet in a number of forms, but the investigator do not know which form is best for health and why people respond differently to eating blueberries.

The aim of the present study is to assess the effects of 1 week's supplementation of whole blueberries or freeze-dried blueberry powder or encapsulated blueberry components on vascular function and brain health and function. Investigators will then categorise participants as those who have large effects of the intervention (responders) and those that don't show much effect at all (non-responders). Then the investigators will look into the role that genes play in this response and determine if metabolism is similar in these groups of participants. Any changes in participants' brain health and vascular function will be linked to these metabolic and genomic pathways, and this will help the investigators to further understand how blueberry consumption can benefit human health.

Detailed Description

Study design: The present study will supply either 160 g of fresh whole blueberry (4 handful portion) or 20 g of freeze-dried blueberry powder (measured with tablespoon provided; equivalent to 160 g of whole fresh blueberry), or placebo capsule with only microcrystalline cellulose (approx. 10 g, they will be blinded that this is encapsulated blueberry extract components) to 80 subjects on separate occasions with age range of 18-60 years old for 1 week with 1 week of washout period. Fresh blueberries will be purchased from local supermarkets; freeze-dried blueberry powder will be purchased from Lio-Licious freeze-dried fruits range; the microcrystalline cellulose will be purchased from Blackburn Distributions. There is no outside interest that could constitute commercial conflict of interest.

Methodology and sampling strategy: a randomised crossover design will be implemented. The study is a quantitative experiment and participants will be recruited through opportunity sampling.

Data collection: On each visit, cognition data will be obtained from computerised testing system COMPASS. Blood pressure will be obtained using fully automatic oscillometric device. On visits 2-7, PWV value is obtained by SphygmoCor; untargeted metabolomics and genomic data will be obtained from blood and urine sample collection.

For data analysis: The identification of responders to the treatments will be done by the calculation of response level first: response level = (change from baseline score/baseline score) x 100%. The calculated percentage will be used to characterise subjects from lowest response to highest response level. The association among -omics biomarkers and cognitive tests/endothelial parameters, lipid status under each treatment will be analysed using linear regression models after adjusting for confounding factors like age. Pathway analysis will be used to identify metabolic pathways that characterise responders and non-responders. Pathways will be identified using discriminatory metabolites from metabolomics and SNP analysis.

Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Condition  ICMJE
  • Vascular Stiffness
  • Cognitive Change
  • Blood Pressure
Intervention  ICMJE
  • Dietary Supplement: Blueberries
    fresh spanish blueberries
  • Dietary Supplement: Blueberry powder
    freeze-dried blueberry powder
  • Dietary Supplement: Blueberry components capsules
    encapsulated blueberry components (microcrystalline cellulose powder in actual)
Study Arms  ICMJE
  • Experimental: Blueberries
    Fresh blueberries purchased from local supermarket will be distributed to each participant for 1 week's consumption, 160 grams per day
    Intervention: Dietary Supplement: Blueberries
  • Experimental: Blueberry powder
    Freeze-dried blueberry powder will be distributed to each participant for 1 week's consumption, 20 grams per day, equivalent to 160 grams of fresh blueberries
    Intervention: Dietary Supplement: Blueberry powder
  • Placebo Comparator: Blueberry components capsules
    Encapsulated microcrystalline cellulose powder will be blinded as blueberry components capsules to be distributed to each participant for 1 week's consumption
    Intervention: Dietary Supplement: Blueberry components capsules
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: March 2, 2020)
36
Original Estimated Enrollment  ICMJE
 (submitted: July 9, 2019)
80
Actual Study Completion Date  ICMJE January 1, 2020
Actual Primary Completion Date January 1, 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Interested in taking part in the study
  • Healthy
  • Aged 18-60 years (inclusive)

Exclusion Criteria:

  • Smoking
  • Aged under 18 or over 60
  • Blood Pressure ≥ 145/100 mmHg and are taking medication
  • Have vascular disease, or other cardiac abnormalities
  • Have previously suffered any head injuries, history of seizures or other neurological disorders
  • Have any metabolic disorders, malabsorption syndromes or gastrointestinal complications
  • Current use of above disease relevant prescription medications (excluding contraception)
  • Irregular bowel function (less than 1 bowel movement per day)
  • Regularly consume blueberries/blueberry-contained products more than twice per week
  • Have regularly used nutritional supplements or medications within the previous 3 months (defined as more than 3 consecutive days or 4 days in total)
  • Learning difficulties and dyslexia
  • Visual impairment that cannot be corrected with glasses or contact lenses including colour blindness
  • Currently suffer from migraines (> 1 per month)
  • Body mass index (BMI) under 18.5 or over 30
  • Pregnancy, seeking to become pregnant, or current lactation
  • Inability to complete all of the study assessments
  • Current participation in other clinical or nutrition intervention studies
  • Not proficient in English equivalent to IELTS band 6 or above
  • Have any known active infections
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 60 Years   (Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United Kingdom
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04015258
Other Study ID Numbers  ICMJE Research Ethics 10113
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Northumbria University
Study Sponsor  ICMJE Northumbria University
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Yueyue Wang Miss
PRS Account Northumbria University
Verification Date July 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP