Functional Yogurt Powder Effect on Bone Health Biomarkers (bonefoods)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Randomized, parallel, double-blind, placebo controlled clinical trial to evaluate the effect of a functional yogurt powder on bone health biomarkers in menopause, middle-aged women at high risk of osteoporosis.
78 volunteers will be recruited at the La Paz University Hospital of Madrid. Participants should meet the next inclusion criteria: being menopausal, aged between 50 and 65 years, IMC≥18.5 <35 Kg/m2 and having a diagnosis of osteopenia without pharmacological treatment (Volunteers without osteopenia diagnosis should meet two of the next: dairy intake under 2 servings a day, sedentary lifestyle and/or smokers of more than 5 cigarettes a day).
Participants will be randomized in two arms:
- Functional yogurt powder arm: they will receive over 24 weeks a daily serving of the functional yogurt powder containing Calcium, D, K, C vitamins, Zn, Mg, L-leucin and the Lactobacillus plantarum 3547 probiotic.
- Control yogurt powder arm: they will receive over 24 weeks a daily serving of the control yogurt powder (not enriched).
All participants will be advised to follow a healthy diet and practice physical activity.
Follow up will include 3 individualized visits and 4 group visits to check the product intake compliance and the tolerance to the product. The primary outcome, vitamin D level, will be measured at the beginning (basal condition) and at the end of the intervention (24 weeks). Other bone health biomarkers (Parathyroid hormone (PTH) calcium, phosphorus, calcitonin, osteocalcin, adrenocorticotropic hormone (ACTH),osteopontin, osteoprotegerin, sclerostin,the N-terminal telopeptide (NTx) and C-terminal telopeptide CTx) and safety issues (transaminases and creatinine) will be measured at the same time points (0 and 24 weeks).
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Madrid, Spain, 28046
- Hospital Universitairo La Paz
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- With healthy weight, overweight or obesity type I (IMC ≥18.5 <35 Kg/m2);
With diagnosis of osteopenia without pharmacological treatment or that meet at least two of the following criteria:
- Dairy intake under 2 servings daily in the last year
- Sedentary lifestyle (measured with the International physical activity questionary IPAQ)
- Smokers of more than 5 cigarettes daily
- Signed informed consent.
Exclusion Criteria:
- Severe diseases (hepatic, kidney, cancer…)
- Renal failure (defined as serum creatinine level >200 mol/L)
- Phosphate binding antacids (> 6 months a year)
- Oral glucocorticoids (>5 mg/day of prednison equivalent in the last 8 months or a total dose of 2g of prednison equivalent in the last 12 months)
- Local treatment with injectable glucocorticoids (>5 injections/year)
- Treatment with inhaled glucocorticoids (>6months in the last year and more than 2 mg/day of prednison equivalent)
- Previous or concomitant treatment for metabolic bone disease
- Use of hormone replacement therapy (oral estrogen, estradiol vaginal ring, antiestrogen, progesterone)
- Anabolic steroid use in the last 3 months or more than one in the last 6 months
- Estradiol implants in the last 3 years
- Isoflavan use in the last 6 months or more than once a month for the last 12 months
- Calcitonin use in the last month or more than 1 month in the last 6 months
- Concomitant use of nutritional supplements with silicon, horsetail extracts, bamboo, colloidal silicic acid or silanol derivatives in the last 6 months
- Hyperparathyroidism and/or hyperthyroidism
- Chronic intestinal disease (Gastritis, ulcerative colitis, irritable bowel disease, pseudomembranous colitis, inflammatory bowel disease, Crohn disease, etc)
- Dementia, mental disease or diminished cognitive function
- Mayor surgery in the last month or gastrointestinal surgery in the last 3 months
- Prebiotic, probiotic ad/or symbiotic consumption, antioxidant supplements, supplements with omega 3, vitamins or minerals in the last 2 weeks prior to the start of the study
- Participation in programs and / or drug use for weight control in the last 6 months
- Alcohol consumption over 30g/day
Habitual laxative use and non acceptance in giving up its use during the study
- Individuals using topic glucocorticoids can enter the trial
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Functional yogurt powder
This arm will receive one daily serving of the functional yogurt which is enriched in Calcium, D, K, C vitamins, Zn, Mg, L-leucin and the Lactobacillus plantarum 3547 probiotic
|
Once daily during 24 weeks, 150g of yogurt powder enriched with: Calcium (mg) 501 D3 Vitamin (Colecalciferol) (μg(UI)) 6(240) K Vitamin (μg) 80 C Vitamin (mg) 100 Zinc (mg) 10,39 Magnesium (mg) 250,5 L-Leucin (g) 1 Lactobacillus plantarum 3547 (ufc) 1x10e10 |
|
Placebo Comparator: Control yogurt powder
This arm will receive one daily serving of the control yogurt which consists of a regular yogurt not enriched
|
Once daily during 24 weeks, 150g of yogurt powder not enriched, isocaloric and with an equal macronutrient composition than the functional yogurt
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
changes in plasma 25(OH)D concentration
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline Body composition by Dual-energy X-ray absorptiometry (DXA)
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline calcium levels in blood
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline Parathyroid hormone (PTH)
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline adrenocorticotropic hormone (ACTH)
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline Calcitonin
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline osteocalcin
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline Osteopontin
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline Osteoprotegerin
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline sclerostin
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline phosphorus
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline N-terminal telopeptide
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
|
Change from baseline the C-terminal telopeptide
Time Frame: 0 and 24 weeks
|
0 and 24 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Carmen Gomez Candela, MD, PhD, Hospital Universitario La Paz
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BONEFOODS
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