Obesity Clinical Trial
Official title:
Oxidative Damage and Inflammation in Obese Diabetic Emirati Subjects Supplemented With Antioxidants and B-vitamins: a Randomized Placebo-controlled Trail
Substantial evidence shows that diets incorporating antioxidants and B-group vitamins can offer significant protection against infections and cardiovascular disease (CVD) especially in diabetic patients. The proposed study will determine whether improvements in antioxidants and B-group vitamins in diabetic patients who are known to have a high risk of CVD will lead to a clinical benefit
Following informed written consent 96 diabetic patients will be randomly assigned to receive
either an oral dose of daily B-group vitamins (5 mg folic acid, 5mg vitamin B-2, 50 mg
vitamin B-6, 0.4 mg vitamin B-12) and antioxidant vitamins [800 IU (727mg) of a-tocopherol
and 500mg of vitamin C] [n=48], or no supplements [n= 48] daily for 90 days. All subjects
will have three assessments, at baseline, 3, and 12 months post-randomisation. The
assessment will include markers of inflammation, endothelial dysfunction, oxidative stress,
antioxidants, total plasma homocysteine and risk of infections. A fasting 15-ml of blood
will be taken for measurements of total plasma homocysteine concentration, markers of
inflammation, endothelial dysfunction, oxidative damage and vitamin concentrations. Further
information on clinical variables which may influence endothelial dysfunction, antioxidant
capacity, immunity and diabetes control status will be collected and adjusted for during
analysis.
Potential Significance- the study will help to clarify the temporal relationships between ,
markers of inflammation, endothelial dysfunction and oxidative stress and risk of infections
and form the basis of appropriate intervention strategies to minimise the long-term
complications associated with type 2 diabetes mellitus.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention
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