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Persea Americana for Total Health (PATH ) Study

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状态
赞助商
University of Illinois at Urbana-Champaign
合作者
Hass Avocado Board

关键词

抽象

The proposed work will investigate the effects of avocados on abdominal obesity and glycemic control among overweight/obese adults.

描述

The proposed work will investigate the effects of avocados on abdominal obesity and glycemic control among overweight/obese adults. Further, changes in GI microbiota composition and cognitive function will be assessed to comprehensively understand systemic benefits of avocado consumption on gut and brain function. This research study has two aims: 1) To determine the effects of regular avocado intake on metabolic syndrome risk factors, specifically, abdominal obesity and glycemic control, among overweight and obese adults; and 2) to investigate the implications of avocado intake on measures of GI microbiota composition and cognitive function.

日期

最后验证: 09/30/2016
首次提交: 04/10/2016
提交的预估入学人数: 04/10/2016
首次发布: 04/14/2016
上次提交的更新: 10/13/2016
最近更新发布: 10/16/2016
实际学习开始日期: 01/31/2016
预计主要完成日期: 01/31/2019
预计完成日期: 01/31/2019

状况或疾病

Obesity, Abdominal
Insulin Resistance
Insulin Sensitivity

干预/治疗

Other: Intervention Meal

Other: Control Meal

-

手臂组

干预/治疗
Experimental: Intervention Meal
Intervention meals will contain 1 large avocado and be consumed daily for 12 weeks.
Other: Intervention Meal
The intervention meals will contain 1 large avocado.
Placebo Comparator: Control Meal
Control meals will be isocaloric to the intervention meals but without avocado. They will also be consumed daily for 12 weeks.
Other: Control Meal
The control meals will be isocaloric to the intervention meals but will not contain avocado.

资格标准

有资格学习的年龄 25 Years 至 25 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Males and females

- Between the ages of 25-45 years at the time of consent

- Body mass index ≥27.5kg/m2

- Normal or corrected-to-normal vision based on the minimal 20/20 standard in order to complete the cognitive task (below 20/20 vision).

- Ability to drop-off fecal sample within 15 minutes of defecation

Exclusion Criteria:

- Current pregnancy or lactation

- Tobacco use

- Avocado allergy or intolerance

- Food allergies, lactose intolerance

- Latex allergy

- Prior diagnosis of metabolic and gastrointestinal disease (cardiovascular disease and type 1 or type 2 diabetes, chronic constipation, diarrhea, Crohn's disease, celiac disease, ulcerative colitis, irritable bowel syndrome, diverticulosis, stomach or duodenal ulcers, hepatitis, HIV, cancer, etc.)

- Prior diagnosis of cognitive or physical disability, including ADHD, severe asthma, epilepsy, chronic kidney disease, and dependence upon a wheelchair/walking

- Use of any anti-psychotic, anti-depressant, anti-anxiety, or ADD/ADHD medications

- Use of medications that alter normal bowel function and metabolism (e.g., recent antibiotic use, laxatives, enemas, anti-diarrheal agents, narcotics, antacids, antispasmodics, diuretics, anticonvulsants).

- High BMI that is not representative of being overweight or obese (e.g. resistance trained individuals, football players)

- Prior malabsorptive bariatric surgery (i.e. gastric bypass, sleeve gastrectomy) or restrictive bariatric surgery (i.e. adjustable gastric band) within the past 2 years

结果

主要结果指标

1. Abdominal obesity [Baseline, 4 weeks, 8 weeks, 12 weeks]

Changes to abdominal and whole body composition including visceral and subcutaneous adipose tissue will be estimated by DEXA.

2. Glycemic Control [Baseline, 4 weeks, 8 weeks,12 weeks]

Glycemic control will be assessed using oral glucose tolerance tests and hemoglobin A1c.

3. Insulin Resistance [Baseline, 4 weeks, 8 weeks, 12 weeks]

Insulin resistance will be evaluated using the Homeostasis Assessment Model (HOMA) index.

4. Insulin Sensitivity [Baseline, 12 weeks]

Insulin sensitivity will be assessed using the insulinogenic index, Stumvoll Metabolic Clearance Rate, Oral Glucose Insulin Sensitivity, and the Matsuda Index.

次要成果指标

1. Gastrointestinal Microbiota Composition and Short Chain Fatty Acids [Baseline, 4 weeks, 8 weeks, 12 weeks]

Microbial taxonomy will be assessed using high throughput sequencing and short chain fatty acids will be quantified using gas chromatography and mass spectrometry.

2. Cognitive Function [Baseline, 4 weeks, 8 weeks, 12 weeks]

Cognitive function will be evaluated using tasks that measure prefrontal cognitive control and hippocampal relational memory networks.

3. Retinal Lutein [Baseline, 4 weeks, 8 weeks, 12 weeks]

Retinal lutein will be assessed using Macular Pigment Optical Density.

4. Serum Lutein [Baseline, 12 weeks]

Serum lutein will be assessed using venous blood samples.

5. Blood Lipid Panel [Baseline, 12 weeks]

Total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides will be assessed using venous blood samples.

6. Resting Energy Expenditure [Baseline, 12 weeks]

REE will be measured by indirect calorimetry.

7. Neuroelectric Assessment [Baseline, 4 weeks, 8 weeks, 12 weeks]

A Neuroelectric Assessment will be conducted during cognitive tasks using an Electroencephalogram (EEG) amplifier.

8. DNA Analyses [Baseline]

Genetic markers related to obesity and cognitive function will be assessed using blood samples to determine the mediating effects of genetics on changes related to study outcomes.

9. Dietary Intake [Baseline, 4 weeks, 8 weeks, 12 weeks]

Dietary intake will be evaluated using 7 day diet records at baseline, 4, 8, and 12 weeks and by NCI NHANES 30-day food frequency questionnaires at baseline and 12 weeks.

10. Sleep and Fatigue [Baseline, 12 weeks]

Sleep and fatigue will be evaluated using the Pittsburgh Sleep Quality Index

11. Physical Activity [Baseline, 12 weeks]

Physical activity will be measured over 7 day periods by a waist mounted accelerometer.

12. Blood Pressure [Baseline, 12 weeks]

Blood pressure will be measured using an automatic blood pressure cuff.

13. Liver Enzymes [Baseline, 12 weeks]

Liver enzymes will be assessed using venous blood samples.

14. Inflammatory Markers [Baseline, 12 weeks]

Markers of inflammation such as c-reactive protein (CRP) will be assessed using venous blood samples.

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