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出境医 / 临床实验 / Effect of Bioactive Enriched Food on Markers of Metabolic Syndrome (PATHWAY-27)

Effect of Bioactive Enriched Food on Markers of Metabolic Syndrome (PATHWAY-27)

Study Description
Brief Summary:
This pilot study will investigate the enrichment type, in pancakes, most effective at improving markers of metabolic syndrome. Ready-made pancakes enriched with either docosahexaenoic acid (DHA), beta-glucan (BG) or anthocyanins (AC), alone or in combination of DHA+BG or DHA+AC, will be consumed for 4 weeks.

Condition or disease Intervention/treatment Phase
Metabolic Syndrome Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid (DHA) Dietary Supplement: Ready-made pancakes enriched with beta-glucan (BG) Dietary Supplement: Ready-made pancakes enriched with anthocyanins (AC) Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid and beta-glucan (DHA+BG) Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid and anthocyanins (DHA+AC) Not Applicable

Detailed Description:
There is scientific evidence to support health claims that docosahexaenoic acid (DHA), an omega-3 fatty acid, and beta-glucan (BG), a soluble plant fibre, can help to maintain healthy cholesterol and triglyceride levels. It is also reported that anthocyanins (AC), colour pigments found in many dietary plants, can lower concentrations of low-density lipoprotein (LDL) cholesterol and increase high-density lipoprotein (HDL) cholesterol in dyslipidemic adults. Research studies often focus on bioactives administered as supplements, this study will also investigate the effectiveness of the food matrix. The project addresses the exploitation of bioactive compounds extracted from natural food sources that when added as ingredients to foods and consumed within the common diet, could significantly benefit human health and wellbeing.
Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 35 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Five treatment groups, no placebo.
Masking: Double (Participant, Investigator)
Masking Description: Double-blind
Primary Purpose: Basic Science
Official Title: Investigation of the Effect of Daily Consumption of Bioactive Enriched Foods (BEFs) on Biochemical and Anthropometric Markers of the Metabolic Syndrome in Human Volunteers (a Pilot Study)
Actual Study Start Date : September 1, 2014
Actual Primary Completion Date : July 4, 2015
Actual Study Completion Date : July 4, 2015
Arms and Interventions
Arm Intervention/treatment
Experimental: Docosahexaenoic Acid enriched pancakes
One portion of pancakes enriched with 250 mg docosahexaenoic acid (DHA) to be consumed daily for 4 weeks.
Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid (DHA)
One portion of DHA-enriched pancakes will be eaten each day for 4 weeks.

Experimental: Beta-glucan enriched pancakes
One portion of pancakes enriched with 3 g beta-glucan (BG) to be consumed daily for 4 weeks.
Dietary Supplement: Ready-made pancakes enriched with beta-glucan (BG)
One portion of BG-enriched pancakes will be eaten each day for 4 weeks.

Experimental: Anthocyanin enriched pancakes
One portion of pancakes enriched with 320 mg anthocyanins (AC) to be consumed daily for 4 weeks.
Dietary Supplement: Ready-made pancakes enriched with anthocyanins (AC)
One portion of AC-enriched pancakes will be eaten each day for 4 weeks.

Experimental: DHA+BG enriched pancakes
One portion of pancakes enriched with 250 mg docosahexaenoic acid (DHA) plus 3 g beta-glucan (BG) to be consumed daily for 4 weeks.
Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid and beta-glucan (DHA+BG)
One portion of DHA+BG-enriched pancakes will be eaten each day for 4 weeks.

Experimental: DHA+AC enriched pancakes
One portion of pancakes enriched with 250 mg docosahexaenoic acid (DHA) plus 320 mg anthocyanins (AC) to be consumed daily for 4 weeks.
Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid and anthocyanins (DHA+AC)
One portion of DHA+AC-enriched pancakes will be eaten each day for 4 weeks.

Outcome Measures
Primary Outcome Measures :
  1. Fasting triglyceride concentration [ Time Frame: Day 1 to Day 28 ]
    Change in fasting triglyceride concentration between baseline and endpoint

  2. Fasting HDL concentration [ Time Frame: Day 1 to Day 28 ]
    Change in fasting HDL concentration between baseline and endpoint


Secondary Outcome Measures :
  1. Blood pressure [ Time Frame: Day 1 to day 28 ]
    Change in systolic and/or diastolic blood pressure between baseline and endpoint

  2. Fasting blood glucose concentration [ Time Frame: Day 1 to day 28 ]
    Change in fasting blood glucose concentration between baseline and endpoint

  3. Waist circumference [ Time Frame: Day 1 to day 28 ]
    Change in waist circumference between baseline and endpoint

  4. Body mass index [ Time Frame: Day 1 to day 28 ]
    Change in body mass index between baseline and endpoint


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

Subjects will be eligible to the pilot study if they present with two to four of the criteria for metabolic syndrome (MetS), at least one of them being alteration of fasting triglycerides or HDL-C cholesterol. MetS is defined when three of the following criteria are met:

  • elevated waist circumference (men ≥ 102 cm; women ≥ 88 cm)
  • elevated fasting triglycerides (≥ 150 mg/dL)
  • reduced fasting HDL-cholesterol (men ≤ 40 mg/dL; women ≤ 50 mg/dL)
  • elevated blood pressure (systolic ≥ 130 mmHg and/or diastolic ≥ 85 mmHg) or hypotensive treatment
  • elevated fasting glucose (≥ 110 mg/dL)

Exclusion Criteria:

Participants are excluded if three or more clinical criteria for metabolic syndrome are met. Additionally, major exclusion criteria are:

  • regular drug therapy with impact on serum lipids;
  • diabetes (fasting glucose > 1.26 g/L, or anti-diabetic treatment);
  • recent history of cancer or cancer treatment (less than 2 years);
  • active or recently diagnosed intestinal malabsorption or disorders associated with malabsorption: Crohn's disease, short bowel syndrome, Pancreatic insufficiency , cystic fibrosis, Tropical Sprue, whipple's disease, chronic pancreatitis, gastrojejunostomy, surgical treatments for obesity, cholestasis, biliary atresia, parasite infections, HIV/AIDS
  • familial dyslipidemia;
  • use of medication known to cause malabsorption: tetracycline, cholestyramine, thiazide diuretics, aluminum/magnesium hydroxide, colchicine, neomycin, methotrexate, methyldopa, and allopurinol, and laxatives
  • illegal drug use, chronic alcoholism or active smoking;
  • intensive physical exercise (≥ 5 hour/week);
  • consumption of nutritional supplements containing DHA, BG or AC;
  • history of allergy or intolerance to any components used in BEFs, celiac disease, lactose intolerance, allergy to milk or egg proteins;
  • institutionalised patients, those who lack autonomy to consent or are unable to meet all examinations;
  • women who are pregnant, lactating or actively trying to conceive;
  • participation in other clinical trials that may impact on outcome;
  • subjects deprived of their liberty by judicial or administrative decision.
Contacts and Locations

Locations
Layout table for location information
United Kingdom
University of Leeds
Leeds, West Yorkshire, United Kingdom, LS2 9JT
Sponsors and Collaborators
University of Leeds
The Leeds Teaching Hospitals NHS Trust
AdWare Research Ltd.
University of Bologna
European Union
Tracking Information
First Submitted Date  ICMJE January 26, 2018
First Posted Date  ICMJE May 20, 2019
Last Update Posted Date May 20, 2019
Actual Study Start Date  ICMJE September 1, 2014
Actual Primary Completion Date July 4, 2015   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: May 17, 2019)
  • Fasting triglyceride concentration [ Time Frame: Day 1 to Day 28 ]
    Change in fasting triglyceride concentration between baseline and endpoint
  • Fasting HDL concentration [ Time Frame: Day 1 to Day 28 ]
    Change in fasting HDL concentration between baseline and endpoint
Original Primary Outcome Measures  ICMJE Same as current
Change History No Changes Posted
Current Secondary Outcome Measures  ICMJE
 (submitted: May 17, 2019)
  • Blood pressure [ Time Frame: Day 1 to day 28 ]
    Change in systolic and/or diastolic blood pressure between baseline and endpoint
  • Fasting blood glucose concentration [ Time Frame: Day 1 to day 28 ]
    Change in fasting blood glucose concentration between baseline and endpoint
  • Waist circumference [ Time Frame: Day 1 to day 28 ]
    Change in waist circumference between baseline and endpoint
  • Body mass index [ Time Frame: Day 1 to day 28 ]
    Change in body mass index between baseline and endpoint
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 Effect of Bioactive Enriched Food on Markers of Metabolic Syndrome
Official Title  ICMJE Investigation of the Effect of Daily Consumption of Bioactive Enriched Foods (BEFs) on Biochemical and Anthropometric Markers of the Metabolic Syndrome in Human Volunteers (a Pilot Study)
Brief Summary This pilot study will investigate the enrichment type, in pancakes, most effective at improving markers of metabolic syndrome. Ready-made pancakes enriched with either docosahexaenoic acid (DHA), beta-glucan (BG) or anthocyanins (AC), alone or in combination of DHA+BG or DHA+AC, will be consumed for 4 weeks.
Detailed Description There is scientific evidence to support health claims that docosahexaenoic acid (DHA), an omega-3 fatty acid, and beta-glucan (BG), a soluble plant fibre, can help to maintain healthy cholesterol and triglyceride levels. It is also reported that anthocyanins (AC), colour pigments found in many dietary plants, can lower concentrations of low-density lipoprotein (LDL) cholesterol and increase high-density lipoprotein (HDL) cholesterol in dyslipidemic adults. Research studies often focus on bioactives administered as supplements, this study will also investigate the effectiveness of the food matrix. The project addresses the exploitation of bioactive compounds extracted from natural food sources that when added as ingredients to foods and consumed within the common diet, could significantly benefit human health and wellbeing.
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
Five treatment groups, no placebo.
Masking: Double (Participant, Investigator)
Masking Description:
Double-blind
Primary Purpose: Basic Science
Condition  ICMJE Metabolic Syndrome
Intervention  ICMJE
  • Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid (DHA)
    One portion of DHA-enriched pancakes will be eaten each day for 4 weeks.
  • Dietary Supplement: Ready-made pancakes enriched with beta-glucan (BG)
    One portion of BG-enriched pancakes will be eaten each day for 4 weeks.
  • Dietary Supplement: Ready-made pancakes enriched with anthocyanins (AC)
    One portion of AC-enriched pancakes will be eaten each day for 4 weeks.
  • Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid and beta-glucan (DHA+BG)
    One portion of DHA+BG-enriched pancakes will be eaten each day for 4 weeks.
  • Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid and anthocyanins (DHA+AC)
    One portion of DHA+AC-enriched pancakes will be eaten each day for 4 weeks.
Study Arms  ICMJE
  • Experimental: Docosahexaenoic Acid enriched pancakes
    One portion of pancakes enriched with 250 mg docosahexaenoic acid (DHA) to be consumed daily for 4 weeks.
    Intervention: Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid (DHA)
  • Experimental: Beta-glucan enriched pancakes
    One portion of pancakes enriched with 3 g beta-glucan (BG) to be consumed daily for 4 weeks.
    Intervention: Dietary Supplement: Ready-made pancakes enriched with beta-glucan (BG)
  • Experimental: Anthocyanin enriched pancakes
    One portion of pancakes enriched with 320 mg anthocyanins (AC) to be consumed daily for 4 weeks.
    Intervention: Dietary Supplement: Ready-made pancakes enriched with anthocyanins (AC)
  • Experimental: DHA+BG enriched pancakes
    One portion of pancakes enriched with 250 mg docosahexaenoic acid (DHA) plus 3 g beta-glucan (BG) to be consumed daily for 4 weeks.
    Intervention: Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid and beta-glucan (DHA+BG)
  • Experimental: DHA+AC enriched pancakes
    One portion of pancakes enriched with 250 mg docosahexaenoic acid (DHA) plus 320 mg anthocyanins (AC) to be consumed daily for 4 weeks.
    Intervention: Dietary Supplement: Ready-made pancakes enriched with docosahexaenoic acid and anthocyanins (DHA+AC)
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: May 17, 2019)
35
Original Actual Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE July 4, 2015
Actual Primary Completion Date July 4, 2015   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

Subjects will be eligible to the pilot study if they present with two to four of the criteria for metabolic syndrome (MetS), at least one of them being alteration of fasting triglycerides or HDL-C cholesterol. MetS is defined when three of the following criteria are met:

  • elevated waist circumference (men ≥ 102 cm; women ≥ 88 cm)
  • elevated fasting triglycerides (≥ 150 mg/dL)
  • reduced fasting HDL-cholesterol (men ≤ 40 mg/dL; women ≤ 50 mg/dL)
  • elevated blood pressure (systolic ≥ 130 mmHg and/or diastolic ≥ 85 mmHg) or hypotensive treatment
  • elevated fasting glucose (≥ 110 mg/dL)

Exclusion Criteria:

Participants are excluded if three or more clinical criteria for metabolic syndrome are met. Additionally, major exclusion criteria are:

  • regular drug therapy with impact on serum lipids;
  • diabetes (fasting glucose > 1.26 g/L, or anti-diabetic treatment);
  • recent history of cancer or cancer treatment (less than 2 years);
  • active or recently diagnosed intestinal malabsorption or disorders associated with malabsorption: Crohn's disease, short bowel syndrome, Pancreatic insufficiency , cystic fibrosis, Tropical Sprue, whipple's disease, chronic pancreatitis, gastrojejunostomy, surgical treatments for obesity, cholestasis, biliary atresia, parasite infections, HIV/AIDS
  • familial dyslipidemia;
  • use of medication known to cause malabsorption: tetracycline, cholestyramine, thiazide diuretics, aluminum/magnesium hydroxide, colchicine, neomycin, methotrexate, methyldopa, and allopurinol, and laxatives
  • illegal drug use, chronic alcoholism or active smoking;
  • intensive physical exercise (≥ 5 hour/week);
  • consumption of nutritional supplements containing DHA, BG or AC;
  • history of allergy or intolerance to any components used in BEFs, celiac disease, lactose intolerance, allergy to milk or egg proteins;
  • institutionalised patients, those who lack autonomy to consent or are unable to meet all examinations;
  • women who are pregnant, lactating or actively trying to conceive;
  • participation in other clinical trials that may impact on outcome;
  • subjects deprived of their liberty by judicial or administrative decision.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 80 Years   (Adult, Older 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 NCT03956433
Other Study ID Numbers  ICMJE PW27_Pilot_Protocol_v1.2
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 Samantha Sutulic, University of Leeds
Study Sponsor  ICMJE University of Leeds
Collaborators  ICMJE
  • The Leeds Teaching Hospitals NHS Trust
  • AdWare Research Ltd.
  • University of Bologna
  • European Union
Investigators  ICMJE Not Provided
PRS Account University of Leeds
Verification Date May 2019

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