Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01235390
Other study ID # 200917609-1
Secondary ID
Status Completed
Phase Phase 1
First received October 28, 2010
Last updated November 1, 2013
Start date October 2010
Est. completion date June 2012

Study information

Verified date November 2013
Source University of California, Davis
Contact n/a
Is FDA regulated No
Health authority United States: Institutional Review Board
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine the effects of the 4-week consumption of California walnuts on vascular function and immune health in postmenopausal women of ages 50-70.

Primary outcome measures:

- vascular endothelial function

- platelet reactivity

- indoleamine 2, 3-deoxygenase (IDO)

Secondary outcome measures:

- relationship of walnut intake to lipoprotein, fatty acids and oxylipins


Description:

Cardiovascular disease is the leading cause of morbidity and mortality in the United States. The initiation and progression of atherosclerotic vascular disease is multifactoral in nature, and includes endothelial dysfunction, triggered by chronic inflammation. The consumption of foods rich in flavonoids and other phytochemicals has been inversely associated with cardiovascular disease risk in several epidemiological studies.

Aging is physiologically associated with a variable decline in several features of the immune function. In fact, immunosenescence, or aging of the immune system, is characterized by a reduced ability to fight infection and mount an adequate immune response once a novel infection is introduced. Both the innate and acquired immune systems can be affected with immune specific cells, cell signaling, cytokine production, and cell surface marker expression being all subject to age-related changes. The immune system cells within the digestive tract are an accessible and ideal target to stimulate immunity and diet-based nutritional interventions represent a non-invasive, relatively low-cost, and effective method of stimulating the immune function thus ultimately improving the antibody production in subjects at risk for immunosenescence. This is also based on the significant and dynamic interaction between luminal nutrients and the overall immune function. The study of nutritional influences on the immune system represents an area of growing interest to nutritionists, food scientists and immunologists. In general terms, dietary components have the potential to be an accessible and effective immune stimulant given the antigen presenting capacity of the intestine.

Due to their age and menopausal status, postmenopausal women are at a greater risk population for developing CVD. Males tend to show greater rates of CVD than pre-menopausal women, while women following menopause show an increase in CVD development. This increase in CVD for postmenopausal women is associated with endothelial dysfunction that becomes worse with age.

Recent studies have reported that consumption of walnuts is associated with beneficial effects in prevention of chronic diseases, such as cardiovascular disease (CVD), by favorably altering human serum profiles (i.e. decrease in LDL cholesterol and triglycerides and increase in HDL cholesterol and apolipoprotein A1). It has been shown that the consumption of walnuts, which mainly contain α-linolenic acid (ALA), L-arginine, and polyphenols, can beneficially alter vascular function and reduce inflammatory biomarkers. For example, Dr. Ros and his colleagues demonstrated that the addition of walnuts to a high-fat meal could improve endothelial function. This favorable influence on vasoactivity has been attributed to the antioxidant and anti-inflammatory properties of certain biofactors found in the walnuts.

In this study, we will focus on defining the potential role of California walnuts and its effects on vascular health and immune function. We will determine whether short term (4 week) consumption of California walnuts, particularly rich in ALA, L-arginine and polyphenols will improve endothelial function, platelet reactivity and immune function in an at-risk population of postmenopausal women 55-70 years of age.


Recruitment information / eligibility

Status Completed
Enrollment 36
Est. completion date June 2012
Est. primary completion date June 2012
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group 50 Years to 70 Years
Eligibility Inclusion Criteria:

- 50 to 70 years of age

- Lack of menses in the last year and FSH 23-116.3 mlU/mL

- Subject is willing and able to comply with the study protocols.

- Subject is willing to consume California walnuts daily for four weeks.

- BMI 18.5-34.9 kg/m2

- Weight = 110 pounds

Exclusion Criteria:

- BMI = 35 kg/m2

- Self reported use of anticoagulation agents including NSAIDs

- Self reported use of oral cortisone or other immunosuppressive agents,

- Self reported underlying neoplasia or immunological disease,

- Dislike of walnuts

- Food faddists or those taking a non-traditional diet

- Self reported physical activity restricted or reduced due to chronic health conditions

- Self reported diabetes

- Blood pressure = 160/90 mm Hg

- PFA-100 readings 10 % outside of normal reference range (normal reference range for ADP-Collagen: 71-118 sec; Epinephrine-Collagen: 94-193 sec).

- Self reported renal or liver disease

- Self reported heart disease, which includes cardiovascular events and Stroke

- Self reported Cushing's syndrome

- Self reported chronic/routine high intensity exercise

- Inability to properly place or wear the PAT probes or abnormal measurements on pre-screening PAT

- Abnormal Liver, CBC or Chemistry panels (laboratory values outside the reference range) if determined to be clinically significant by Dr. M. Eric Gershwin.

- Self reported cancer within past 5 years

- Self reported history of psychiatric disorders i.e. schizophrenia or bi-polar or depression treated with antidepressants within the last 1 year.

- Self reported use of MAOI inhibitor within the last 1 year (e.g. phenelzine (Nardil), tranylcypromine (Parnate), etc)

- Self reported malabsorption

- Self reported anxiety medications

- Self reported routine use of prescription drugs or over-the counter medications, which may potentially modulate the outcome of this study; including antibiotics, aspirin and aspirin-containing formulations, COX-2 inhibitors, antihistamines, corticosteroids, hypertensive medications, such as ACE-inhibitors and beta-blockers.

- Asthma (can be worsened by mild to moderate food allergies).

- Indications of substance or alcohol abuse within the last 3 years

- Use of multi-vitamin and mineral other than a general formula of vitamins and minerals that meet the RDA

- Use of herbal or plant-based supplements; omega-3 fatty acids, and fish oils in the past 3-6 months, and unwilling to discontinue use while participating in the study.

- Self reported nut allergies

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Basic Science


Related Conditions & MeSH terms


Intervention

Dietary Supplement:
Walnuts
The consumption of assigned walnuts once a day during 4 weeks

Locations

Country Name City State
United States Ragle Human Nutrition Research Center Davis California

Sponsors (2)

Lead Sponsor Collaborator
University of California, Davis California Walnut Commission

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Endothelial function Endothelial function is assessed by using peripheral arterial tonometry (PAT). 0 and 4 hours, 4 weeks after No
See also
  Status Clinical Trial Phase
Completed NCT05986058 - Preliminary Efficacy of a Technology-based Physical Activity Intervention for Older Korean Adults During the COVID-19 Pandemic N/A
Active, not recruiting NCT04811885 - The Effects of Covid-19 Pandemic on the Cardiovascular Heath of Children With Autism Spectrum Disorder
Recruiting NCT05122689 - Dietary Inorganic Nitrate and the Enteral Microbiome N/A
Completed NCT03119792 - Salud Integral Colombia N/A
Completed NCT01767051 - Children Follow-up of PCOS Women N/A
Recruiting NCT05695586 - Effects of the Mindful Self-Compassion (MSC) Program N/A
Recruiting NCT06260579 - Home-based Exercise and Physical Activity Intervention After Kidney Transplantation: Impact of Exercise Intensity N/A
Withdrawn NCT02202707 - Vasomotor Symptoms and Cardiovascular Control N/A
Active, not recruiting NCT04791618 - MECA Clinical Intervention ( MECA Health360x) N/A
Completed NCT03187704 - Boston Puerto Rican Health Study N/A
Completed NCT02453217 - The Potential Efficacy of the Chinese Health Improvement Profile- A Pilot Clustered Randomised Controlled Trial N/A
Recruiting NCT03090321 - MyHeart Counts Cardiovascular Health Study N/A
Completed NCT01293253 - Effect of Daily Stair Walking on Cardiovascular Health N/A
Active, not recruiting NCT03504059 - School-based Behavioural Intervention to Face Obesity and Promote Cardiovascular Health Among Spanish Adolescents N/A
Completed NCT01551355 - Promoting Heart Health in Preschool Children Phase 3
Completed NCT05004454 - Effect of Bacillus Subtilis BS50 Supplementation on Gastrointestinal Symptoms in Healthy Adults N/A
Recruiting NCT05887622 - The Potassium Supplementation Study N/A
Active, not recruiting NCT04121741 - Singing and Cardiovascular Health in Older Adults N/A
Completed NCT04715126 - Evaluate Efficacy of Oxyjun on Cardiovascular Health in Healthy Individuals. N/A
Completed NCT03467061 - The Effect of Dietary Nitrate on the Oral Microbiome N/A