Metabolic Syndrome Clinical Trial
Official title:
Randomized Clinical Study Investigating the Effect of Moringa Oleifera Infusion on Bioclinical Parameters of Health
The study aims at investigating the effects of the consumption of Moringa oleifera Lam leaves
on biomedical markers of health among healthy individuals who are hyperglycaemic with a
fasting blood glucose equal or greater than 5.5mmol/L.
The main objectives are as follows:
1. To determine the effect of consuming 4 grams of Moringa oleifera Lam leaves infused in
200 ml of hot water twice daily on blood glucose level [BSc (Hons) Medical Science
Student].
2. To assess the effect of consuming 4 grams of Moringa oleifera Lam leaves infused in 200
ml of hot water twice daily on plasma lipids level [Master of Public Health Students].
3. To compare the effect of the Moringa tea consumption on lipid profiles of both healthy
and hyperglycemic participants [Master of Public Health Students].
4. To evaluate the effects of Moringa oleifera Lam leaves on blood anti-oxidant status [BSc
(Hons) Nutritional Sciences Student].
The research work will consist of (1) Experimental intervention: The experimental group will
drink Moringa tea; (2) Survey questionnaire, (3) Anthropometric measurements, (4) Blood
pressure determination and (5) Blood collections at 15-day intervals during 9 weeks. The
blood tests to be performed are as follows: Glucose, HbA1C, Uric acid, C-Protein reactive,
Lipid Profile (Total Cholesterol, HDL Cholesterol, Triglycerides), and blood antioxidants
(superoxide dismutase, glutathione peroxidase, total blood anti-oxidant capacity).
Study population
120 participants to include 60 healthy individuals and 60 individuals who are hyperglycaemic
with a fasting blood glucose equal or greater than 5.5mmol/L will be recruited by means of
flyers, posters and mass email by the help of Staff Club of the UoM.
Experimental design
This research work will to be undertaken under the responsibility and coordination of the
Applicant who is the Principal Investigator working with two Academic Supervisors for the
supervision of the four student projects.
This randomized clinical study will consist of two parallel groups with a crossover design.
There will be two arms as follows for each group:
1. Intervention group [drinking Moringa tea] and
2. Control group [drinking plain water].
Computer-generated random numbers will be used for simple randomization of subjects to either
the experimental or control (equal amount of water) groups. Half of the participants will be
assigned to the experimental group and the other control (water) for the first 4 weeks during
Phase 1.
The experimental group will be provided with Moringa tea bags and instructed to consume twice
daily 2 tea bags (4 tea bags equivalent to 8 grams) of Moringa tea (Kanhye brand) infused in
200 ml of hot water (during 5 minutes) for a period of 4 weeks. The locally available Moringa
tea with the international certification by ECOCERT France will be used in this study.
With the cross over design, there will be two phases for both healthy and hyperglycaemic
groups with an interchange of the groups during Phase 1 and 2 as follows:
Four-week Phase 1 - Group A drinking Moringa tea v/s Group B drinking plain water One-week
washout Four-week Phase 2 - Group A drinking plain water v/s Group B drinking Moringa tea
The duration of the clinical study will normally be nine weeks with possible extension of
four weeks.
Outcome Measurements Baseline data collection Measurements of body weight and blood pressure
will be performed. Anthropometric measurements will be taken for each subject: Weight will be
measured using an electronic weighing machine, height will be measured using a stadiometer,
waist circumference will be measured using a non-stretchable measuring tape. Blood pressure
will be measured using a sphygmomanometer.
Blood samples will be drawn by Specialized Nursing Officers from right or left ante-cubital
vein of participant after a 12-h overnight fast. Blood tests which will be performed are as
follows: Glucose, Lipid profile [Triglycerides, Total Cholesterol and HDL Cholesterol levels
(LDL Cholesterol being calculated)], Uric Acid, HbA1C, C-Reactive Protein (hs-CRP) and Blood
anti-oxidants (superoxide dismutase, glutathione peroxidase, total blood anti-oxidant
capacity).
Fortnight monitoring sessions All participants of the two groups will be monitored on a
fortnight basis for body weight, height, waist circumference, blood pressure and specified
blood tests. Food intake and physical exercise questionnaires will be collected from
participants to determine confounding factors.
[The individual quantity of physical activity, in metabolic equivalent-minutes per week
(MET-min/week), will be determined by using validated physical activity questionnaire].
Outcome Measurements Baseline data collection Measurements of body weight and blood pressure
will be performed. Anthropometric measurements will be taken for each subject: Weight will be
measured using an electronic weighing machine, height will be measured using a stadiometer,
waist circumference will be measured using a non-stretchable measuring tape. Blood pressure
will be measured using a sphygmomanometer.
Blood samples will be drawn by Specialized Nursing Officers from right or left ante-cubital
vein of participant after a 12-h overnight fast. Blood tests which will be performed are as
follows: Glucose, Lipid profile [Triglycerides, Total Cholesterol and HDL Cholesterol levels
(LDL Cholesterol being calculated)], Uric Acid, HbA1C, C-Reactive Protein (hs-CRP) and Blood
anti-oxidants (superoxide dismutase, glutathione peroxidase, total blood anti-oxidant
capacity).
Fortnight monitoring sessions All participants of the two groups will be monitored on a
fortnight basis for body weight, height, waist circumference, blood pressure and specified
blood tests. Food intake and physical exercise questionnaires will be collected from
participants to determine confounding factors.
[The individual quantity of physical activity, in metabolic equivalent-minutes per week
(MET-min/week), will be determined by using validated physical activity questionnaire].
;
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