Dyslipidemia Clinical Trial
Official title:
The Effects of Resveratrol on Serum Apolipoprotein A-I Concentrations in Men and Women With Low HDL-cholesterol Concentrations
Although much effort has been done to lower LDL-cholesterol concentrations, there is still a
substantial risk for cardiovascular disease (CVD). Another strategy to lower the risk for
CVD is elevating the HDL-cholesterol (HDL-C). Both in vitro and in vivo studies showed that
elevating HDL-C or apolipoprotein A-I (Apo A-I) levels protect against CVD. However, despite
many initiatives, no new widely applicable intervention strategies with proven efficacy have
been developed.
Epidemiologic studies have shown that a higher polyphenol intake is associated with a lower
risk for CVD. Resveratrol, a polyphenol, could, through several beneficial mechanisms, exert
a positive effect on formation of atherosclerotic plaques and thus on developing CVD. It has
been shown in animals that resveratrol elevates PPAR-alpha activity. This may lead to
elevated apo A-I and HDL-C levels in the blood. However, these effects are not shown in
human intervention studies.
Status | Completed |
Enrollment | 50 |
Est. completion date | August 2013 |
Est. primary completion date | December 2012 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 45 Years to 70 Years |
Eligibility |
Inclusion Criteria: - aged between 45 and 70 years - HDL-C <1.0 mmol/L (men) - HDL-C <1.3 mmol/L (women) - serum total cholesterol <8.0 mmol/L - plasma glucose <7.0 mmol/L - BMI between 25 - 35 kg/m2 - non-smoking - willingness to abstain from resveratrol rich products from two weeks prior to the study and the duration of the study: - grapes and grape juice - wine (red and white) - all berries - peanuts - peanut butter - soy (products) - pomegranate Exclusion Criteria: - unstable body weight (weight gain or loss >3 kg in the past 3 months) - indication for treatment with cholesterol-lowering drugs according to the Dutch Cholesterol Consensus - use of medication or a medically-prescribed diet known to affect serum lipid or glucose metabolism - Active cardiovascular disease (for instance congestive heart failure) or recent (<6 months) event, such as acute myocardial infarction or cerebro-vascular accident - not willing to stop the consumption of vitamin supplements, fish oil capsules or products rich in plant stanol or sterol esters 3 weeks before the start of the study - men: consumption of >21 glasses of alcohol-containing drinks per week women: consumption of >14 glasses of alcohol-containing drinks per week - abuse of drugs - pregnant or breastfeeding women - participation in another biomedical study within 1 month prior to the screening visit - having donated blood (as blood donor) within 1 month prior to the screening visit or planning to do so during the study - impossible or difficult to puncture as evidenced during the screening visits |
Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Basic Science
Country | Name | City | State |
---|---|---|---|
Netherlands | Maastricht University Medical Center | Maastricht |
Lead Sponsor | Collaborator |
---|---|
Maastricht University Medical Center | DSM Nutritional Products, Inc. |
Netherlands,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | ApoA-I level | Measured at baseline, after 4 weeks, 8 weeks and 12 weeks | No | |
Secondary | Endothelial function and arterial stiffness | Measured in weeks 4 and 12 | No | |
Secondary | Endothelial function of the retinal microvasculature | Measured in weeks 4 and 12 | No | |
Secondary | Lipid and glucose metabolism during the fasting and postprandial phase | Measured at baseline, after 4 weeks, 8 weeks and 12 weeks | No | |
Secondary | biomarkers for low-grade systemic inflammation and endothelial function | Measured at baseline, after 4 weeks, 8 weeks and 12 weeks | No |
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