Chagas Cardiomyopathy Clinical Trial
Official title:
Effects of Omega-3 Polyunsaturated Fatty Acid Supplementation on the Cytokine and Lipid Profiles in Patients With Chronic Chagas Cardiomyopathy: a Randomized Controlled Clinical Trial
The objective of this trial is to study the effects of omega-3 PUFA supplementation on the
inflammatory response and lipid profile in patients with chronic Chagas cardiomyopathy.
Study Type: Interventional
Study Design: A total 40 patients will be randomly assigned into two parallel groups. The
intervention will be treatment with omega-3 PUFAs at a dose of 3 g/day for 8 weeks, compared
to placebo (corn oil). The primary endpoints will be the concentrations of inflammatory
markers (IL-1, IL-2, IL-4, IL-6, IL-10, TNF-alpha, IFN-γ, and TGF-β). Secondary endpoints
will be the fasting glucose, lipid, and anthropometric profiles.
Several studies have shown the beneficial effects of polyunsaturated fatty acids on
inflammatory processes, dyslipidemia, and cardiovascular diseases, there are no reports
about food intake and PUFA supplementation in chronic Chagas cardiomyopathy patients. Thus,
the objective of this study is to assess the effects of omega-3 PUFA supplementation on the
lipid profile and the pro-inflammatory and anti-inflammatory cytokine profiles in chronic
Chagas cardiomyopathy patients.
After patients are selected by cardiologists, they will be seen by study nutritionists, who
will explain the study procedures to the patients and administer the free and informed
consent form. The patients who agree to participate in the study will sign the consent form
and undergo the initial assessment.
The following data will be collected and evaluated in the study: sociodemographic data (age,
sex, ethnicity/race, education, and domicile), clinical data (functional class and vital
signs), alcoholism, smoking, prescription drugs, 3-day food record, 24-hour recall,
anthropometric assessment (height, weight, BMI, waist circumference, tricipital skinfold
thickness, and arm circumference), lipid profile (total cholesterol, triglycerides, HDL-c,
LDL-c, and VLDL-c), and cytokines (IL-1, IL-2, IL-4, IL-6, IL-10, TNF-alpha, IFN-γ, and
TGF-β). Clinical, nutritional, and anthropometric assessments will take place immediately
before starting the intervention and after 4 and 8 weeks during the study; lipid profile and
cytokines will be evaluated before the intervention and at the end of 8 weeks. Each patient
will be followed for 8 weeks.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Health Services Research
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