Metabolic Syndrome Clinical Trial
Official title:
Effects of Walnuts on Endothelial Function in Overweight Adults With at Least One Factor of Metabolic Syndrome: A Randomized, Controlled, Cross-Over Trial
The purpose of this study is to examine the effects of walnut consumption on endothelial function and lipid markers in overweight patients with at least one factor of metabolic syndrome as compared to the control group.
The prevalence of obesity in both adults and children in the United States has increased
significantly over the past 50 years. More than 66% of adults in the US are now overweight or
obese and at least 17% of children in the population at large are now considered
overweight.Obesity may be a factor predisposing patients to a myriad of comorbidities that
increase the associated mortality rate.Several large prospective trials have documented that
obesity is an independent risk factor for mortality from cardiovascular disease (CVD).
Considering the major metabolic and biochemical changes that occur in obesity, such as
atherogenic dyslipidemia, insulin resistance and hyperinsulinemia, endothelial dysfunction,
and chronic inflammatory and prothrombotic states, obesity plays a role in the pathogenesis
of systemic atherosclerosis and its clinical complications.
Walnuts are rich in alpha-linolenic acid, an essential omega-3 fatty acid, L-arginine and
antioxidants. Polyunsaturated fatty acids and antioxidants have anti-oxidative effects and
are thought to help preserve the endothelium's capacity to generate nitric oxide (NO), which
acts to promote vasodilation, stabilize platelets, and promote the anti-inflammatory
abilities of the endothelium. Evidence of this anticipated effect would have implications for
strategies to prevent or retard type 2 diabetes mellitus and cardiovascular disease.
Endothelial function testing using high frequency ultrasound imaging of the brachial artery
to assess endothelium-dependent flow-mediated dilatation (FMD) offers a non-invasive,
uniquely valuable means of assessing aggregated influences on cardiac risk by gauging a
physiologic response of the vascular endothelium. Proposed, therefore, is a randomized,
controlled, cross-over clinical trial, to assess the effects of walnuts on endothelial
function in overweight adults with elevated waist circumference and at least one risk factor
of metabolic syndrome.
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