Overweight and Obesity Clinical Trial
Official title:
Nutritional Effects of Different Doses of Cottonseed Oil in Humans
NCT number | NCT05686954 |
Other study ID # | PROJECT00006633 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | March 1, 2023 |
Est. completion date | May 2027 |
Adding cottonseed oil to the diet has been shown to improve cholesterol profiles and other markers of chronic disease risk in both healthy and at-risk adults. However, CSO has only been tested in the context of high-fat diets. The goal of this clinical trial is to learn about the health effects of lower amounts of cottonseed oil (CSO) added to the diet in adults at increased risk for cardiovascular disease. The main questions it aims to answer are: - How do different amounts of CSO in the diet affect fasting cholesterol profiles and markers of liver function? - How do different amounts of CSO in the diet affect fasting and post-meal markers of lipid metabolism (i.e. triglycerides) and glycemic control (i.e. blood sugar and insulin)? - How do different amounts of CSO in the diet affect fasting and post-meal markers of chronic disease risk factors such as oxidative stress, inflammation, coagulation potential, and appetite control? Participants will be asked to: - Consume provided breakfast shakes and snacks daily for 28-days. - Attend three weekly short visits for fasting blood draws, body measurements, and collect the next week of study materials. - Attend two longer (5.5 h) testing visits which include eating a standardized breakfast meal and having blood drawn periodically before and after breakfast. Researchers will compare CSO LOW, CSO MID, CSO HIGH, and Control groups (receiving a mixture of oils) to see if lower doses of CSO in the diet impart the same health benefits as previously shown with high doses of CSO.
Status | Recruiting |
Enrollment | 80 |
Est. completion date | May 2027 |
Est. primary completion date | May 2026 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 25 Years to 75 Years |
Eligibility | Inclusion Criteria: - 25-75-year-old men and women at increased risk for cardiovascular disease. Increased risk for cardiovascular disease will be defined by either elevated cholesterol profiles -or- overweight/obesity. - Elevated cholesterol profiles will be defined as: - "Borderline High" and/or "at risk" in two or more of the following variables (total cholesterol: 180-239 mg/dL, LDL cholesterol 110-159 mg/dL, triglycerides 130-199 mg/dL) --or--- - "High" in total cholesterol (240 mg/dL and higher), LDL (160 mg/dL or higher), or triglycerides (between 200 - 350 mg/dl). Overweight/obesity will be defined by body mass index (overweight 25-29.9 kg/m2 or obesity 30 kg/m2 or greater). Exclusion Criteria: - Probable familial hypercholesterolemia, defined by: total cholesterol greater than 290 mg/dL or LDL levels greater than 190 mg/dL plus a family history of myocardial infarction (MI) before 50 years of age in a 2nd-degree relative or below age 60 in a 1st-degree relative. - women on hormone replacement therapy for less than 2 years - women who are pregnant - individuals who regularly exercise more than 3 h/w - weight gain or loss of more than 5% of their body weight in the past 3 months - plans to begin a weight loss/exercise regimen during the trial - history of medical or surgical events that could affect digestion or swallowing - gastrointestinal surgeries, conditions or disorders, - any chronic diseases (including moderate to severe asthma, chronic lung disease, and kidney disease), - metabolic diseases - atherosclerosis - previous MI or stroke - cancer - fasting blood glucose levels greater than 126 mg/dL - blood pressure greater than 180/120 mmHg - medication use affecting digestion and absorption, metabolism (e.g., thyroid meds), lipid-lowering medications, medications for diabetes, steroid/hormone therapies, or current antibiotic cycles - medically prescribed or special diets - Food allergies (specific to the foods in the study, including wheat, dairy, and cottonseed oil) - fish oil supplements, - excessive alcohol use (greater than 3 drinks/d for men; greater than 2 drinks/d for women) - tobacco or nicotine use - underweight BMI (<18.5 kg/m2) |
Country | Name | City | State |
---|---|---|---|
United States | University of Georgia | Athens | Georgia |
Lead Sponsor | Collaborator |
---|---|
University of Georgia | Cotton Incorporated |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Change in blood pressure | Systolic and diastolic blood pressure (mmHg) | baseline, 4 weeks | |
Other | Change in body weight | body weight (kg) | baseline, 4 weeks | |
Other | Change in body composition | BodPod will be used to measure body fat percentage (body fat %) | baseline, 4 weeks | |
Other | Change in diet composition | 3-day food logs will be used to record foods and beverages consumed before and during the 28-day intervention period | baseline, week 2, week 4 | |
Other | Change in fasting and postprandial fatty acid composition | Fatty acid composition of plasma before and after the high saturated fat meal challenge at pre- and post-intervention visits (% total triglycerides). | baseline, 4 weeks | |
Other | Change in fasting tocopherol concentrations | Plasma tocopherol concentrations (ug/ml) | baseline, 4 weeks | |
Other | Change in anthropometric circumferences | hip and waist circumferences (cm) | baseline, 4 weeks | |
Other | Change in resting metabolic rate | Resting metabolic rate (RMR) will be measured for 30 minutes on the TrueOne 2400 (Parvo Medics, Sandy, UT) | Screening | |
Other | Change in perceived stress | Perceived Stress Scale will be administered and scored to determine stress levels | baseline, 4 weeks | |
Other | Change in anxiety | The State Trait Anxiety Inventory will be administered and scored to determine anxiety levels. | baseline, 4 weeks | |
Other | Change in self reported physical activity levels | The International Physical Activity Questionnaire will be used to collect self-reported average physical activity levels (met/min) | baseline, 2 weeks, 4 weeks | |
Other | Change in body Mass Index (BMI) | BMI will be calculated based on height and weight measures (kg/m2) | baseline, 4 weeks | |
Primary | Change in fasting serum lipoprotein and cholesterol concentrations | The concentration of fasting serum total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, apolipoprotein B (mg/dl) | baseline, 4 weeks | |
Primary | Change in fasting serum lipoprotein particle numbers | Number of particles of low density lipoproteins (LDL), LDL small, HDL large, LDL medium, lipoprotein (a) (nmol/L) | baseline, 4 weeks | |
Primary | Change in fasting and postprandial plasma triglyceride concentrations | The concentration of plasma triglycerides before and after the high saturated fat meal challenge at both pre- and post-intervention visits (mg/dL) | baseline, 4 weeks | |
Primary | Change in fasting and postprandial plasma non-esterified fatty acid (NEFA) concentrations | The concentration of plasma NEFAs before and after the high saturated fat meal challenge at both pre- and post-intervention visits (mEq/L) | baseline, 4 weeks | |
Primary | Change in fasting and postprandial plasma glucose concentrations | The concentration of plasma glucose before and after the high saturated fat meal challenge at both pre- and post-intervention visits (mg/dL) | baseline, 4 weeks | |
Primary | Change in fasting and postprandial plasma insulin concentrations | The concentration of plasma insulin before and after the high saturated fat meal challenge at both pre- and post-intervention visits (uU/mL) | baseline, 4 weeks | |
Primary | Change in fasting and postprandial plasma appetite control hormones concentrations | The concentration of plasma appetite control hormones before and after the high saturated fat meal challenge at both pre- and post-intervention visits. Appetite control hormones include Cholecystokinin (CCK), Peptide YY (PYY), Ghrelin (pg/mL) | baseline, 4 weeks | |
Primary | Change in fasting and postprandial subjective feelings related to appetite | Visual analog scale ratings of feelings related to appetite before and after the high saturated fat meal challenge at both pre- and post-intervention visits. Subjective feelings of hunger, fullness, desire to eat, prospective consumption, and a composite appetite score are measured by visual analog scales (mm). | baseline, 4 weeks | |
Primary | Change in fasting and postprandial plasma Malondialdehyde (MDA) | The concentration of MDA before and after the high saturated fat meal challenge at both pre- and post-intervention visits (nmol/mL). | baseline, 4 weeks | |
Primary | Change in fasting and postprandial plasma total antioxidant capacity | Total antioxidant capacity before and after the high saturated fat meal challenge at both pre- and post-intervention visits (U/mL). | baseline, 4 weeks | |
Primary | Change in fasting and postprandial plasma inflammatory cytokine concentrations | The concentration of interleukin-1 beta, C reactive protein, tumor-necrosis factor-alpha, and interleukin-6 before and after the high saturated fat meal challenge at both pre- and post-intervention visits (pg/mL). | baseline, 4 weeks | |
Primary | Change in fasting and postprandial plasma markers of coagulation potential | The concentration of plasminogen activator inhibitor-1, and tissue factor before and after the high saturated fat meal challenge at both pre- and post-intervention visits (pg/mL). | baseline, 4 weeks | |
Primary | Change in fasting and postprandial plasma angiopoietin-like (ANGPTL) proteins | The concentration of ANGPTL 3, ANGPTL 4, and ANGPTL 8 before and after the high saturated fat meal challenge at both pre- and post-intervention visits (ng/mL). | baseline, 4 weeks | |
Primary | Change in fasting insulin resistance metrics | Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) and Homeostatic Model Assessment for ß-cell function (HOMA-B) will be calculated from fasting insulin and glucose measures before and after the 28-day intervention. | baseline, 4 weeks | |
Secondary | Change in fasting serum hepatic enzymes | Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), Alkaline phosphatase (ALP), Gamma-Glutamyl Transferase (GGT) (U/L) | Baseline, 4 weeks | |
Secondary | Change in fasting serum hepatic proteins | Total protein and albumin (g/dL) | Baseline, 4 weeks | |
Secondary | Change in fasting serum bilirubin | Total total bilirubin, direct bilirubin, and indirect bilirubin (mg/dL) | Baseline, 4 weeks | |
Secondary | Change in additional fasting and postprandial plasma appetite control hormones concentrations | The concentration of additional plasma appetite control hormones before and after the high saturated fat meal challenge at both pre- and post-intervention visits. Additional appetite control hormones include Glucagon-like peptide-1 (GLP-1), Gastric inhibitory peptide (GIP), Pancreatic Polypeptide (PP) (pg/mL) | baseline, 4 weeks | |
Secondary | Change in fasting and postprandial plasma antioxidant parameters | Glutathione peroxidase activity, superoxide dismutase activity, glutathione-s-transferase activity before and after the high saturated fat meal challenge at both pre- and post-intervention visits (U/mL). | baseline, 4 weeks | |
Secondary | Change in additional fasting and postprandial plasma inflammatory cytokine concentrations | The concentration of monocyte chemoattractant protein-1, and interleukin-10 before and after the high saturated fat meal challenge at both pre- and post-intervention visits (pg/mL). | baseline, 4 weeks | |
Secondary | Change in additional fasting and postprandial plasma markers of coagulation potential | The concentration of Von Willebrand factor, tissue factor pathway inhibitor, fibrinogen and D-dimer before and after the high saturated fat meal challenge at both pre- and post-intervention visits (pg/mL). | baseline, 4 weeks | |
Secondary | Change in acute dietary intake | One-day food logs will be used to record all foods and beverages consumed on testing days | baseline, 4 weeks |
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