- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03500601
Effects of Consumption of Nut Components on Cognitive Function, Intestinal Microbial Communities and Markers of Health
Effects of Daily Tree Nut Consumption on Cognitive Function, Metabolomics and Intestinal Microbiota
Tree nuts (for example brazil nuts, almonds, hazelnuts, walnuts, cashew nuts etc) contain a wide variety of nutrients including fatty acids, polyphenols and micronutrients. The beneficial health effects ascribed to the consumption of tree nuts include improvements to cardiovascular outcomes and regulation of glucose levels and inflammation. Emerging evidence suggests that specific components of nuts may also contribute to brain health and function.
The aim of the present study is to assess the effects of four weeks' supplementation of nut components on cognition and subjective measures. Urinary metabolites and intestinal microbial communities will also be assessed allowing biomarkers of nut exposure to be highlighted.
Study Overview
Status
Intervention / Treatment
Detailed Description
To date, only two small human intervention trials have evaluated the effects of nuts as a sole intervention on cognition. One study reported a benefit verbal fluency and constructional praxis following daily consumption of 6 g brazil nuts for 6 months in older adults diagnosed with mild cognitive impairment. Eight weeks' consumption of 60 g/d walnuts in healthy young adults aged 18-25 years also resulted in improved inferential verbal reasoning scores compared to placebo.
The development of various 'omics' technologies has enabled researchers to investigate the influence of nutrients or dietary change on metabolic pathways at multiple levels with a view to developing biological markers of dietary intake.
Metabolomic approaches have been used successfully to study nut consumption; for example putative biomarkers of nut consumption have been revealed as metabolites associated with serotonin pathways. Furthermore, certain nut biomarkers identified using metabolomics appear to be negatively associated with health parameters which is suggested to be due to gut microbiota dysbiosis and provides an important link between nut consumption, the gut microflora and metabolic pathways.
This study will assess the effects of four weeks' supplementation with nut components on cognition. Metabolomic and metagenomic approaches will be utilised to analyse urinary metabolites and intestinal microbial communities allowing biomarkers of nut exposure to be highlighted. Metabolic and gut microbiota responses will then be correlated with changes in cognition in order to identify inter-individual differences in response, and further understanding of the mechanisms underpinning cognitive benefits of nut consumption.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Tyne & Wear
-
Newcastle upon Tyne, Tyne & Wear, United Kingdom, NE1 8ST
- Northumbria University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Healthy
- Willing to abstain throughout the trial from any nutritional supplementation
- Willing to abstain throughout the trial from the intake of any nuts or nut containing products
Exclusion Criteria:
- Aged under 18 or over 49
- Relevant pre-existing medical condition/illness
- Current use of prescription medications (excluding contraception)
- Learning difficulties and dyslexia
- Visual impairment that cannot be corrected with glasses or contact lenses including colour blindness
- Currently suffer from migraines (> 1 per month)
- Smoking or use of any nicotine replacement products e.g. vaping, gum, patches
- History of or any current food intolerances/sensitivities, including nut/peanut allergies
- Never consumed nuts, or regularly consume nuts more than twice per week
- Irregular bowel function (less than one bowel movement per day)
- Body mass index (BMI) under 18.5 or over 30
- Pregnancy, seeking to become pregnant, or current lactation
- Inability to complete all of the study assessments
- Current participation in other clinical or nutrition intervention studies
- Not proficient in English equivalent to IELTS band 6 or above
- Have any known active infections
- Blood pressure >139/89mmHg
- Are employed in a job that includes night shift work
- Have habitually used supplements within the last month (defined as more than 3 consecutive days or 4 days in total)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
|
Placebo consumed daily for a period of 28 days
|
|
Experimental: Active treatment
Nut components
|
nut components consumed daily for a period of 28 days
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Logical reasoning
Time Frame: At 28 days post dose, adjusted for baseline
|
Cognition - executive function
|
At 28 days post dose, adjusted for baseline
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Location learning
Time Frame: At 28 days post dose, adjusted for baseline
|
Cognition - spatial memory
|
At 28 days post dose, adjusted for baseline
|
|
Choice reaction time
Time Frame: At 28 days post dose, adjusted for baseline
|
Cognition - attention
|
At 28 days post dose, adjusted for baseline
|
|
Rapid Visual Information Processing
Time Frame: At 28 days post dose, adjusted for baseline
|
Cognition - working memory
|
At 28 days post dose, adjusted for baseline
|
|
Numeric working memory
Time Frame: At 28 days post dose, adjusted for baseline
|
Cognition - working memory
|
At 28 days post dose, adjusted for baseline
|
|
Stroop
Time Frame: At 28 days post dose, adjusted for baseline
|
Cognition - executive function
|
At 28 days post dose, adjusted for baseline
|
|
Peg and Ball
Time Frame: At 28 days post dose, adjusted for baseline
|
Cognition - executive function
|
At 28 days post dose, adjusted for baseline
|
|
Word recall
Time Frame: At 28 days post dose, adjusted for baseline
|
Cognition - episodic memory
|
At 28 days post dose, adjusted for baseline
|
|
Word recognition
Time Frame: At 28 days post dose, adjusted for baseline
|
Cognition - episodic memory
|
At 28 days post dose, adjusted for baseline
|
|
Picture recognition
Time Frame: At 28 days post dose, adjusted for baseline
|
Cognition - episodic memory
|
At 28 days post dose, adjusted for baseline
|
|
Bond-Lader
Time Frame: At 28 days post dose, adjusted for baseline
|
Mood
|
At 28 days post dose, adjusted for baseline
|
|
Profile of Mood States (POMS)
Time Frame: At 28 days post dose, adjusted for baseline
|
Mood
|
At 28 days post dose, adjusted for baseline
|
|
Urinary metabolites (fingerprinting and profiling)
Time Frame: At 28 days post dose, adjusted for baseline
|
Liquid chromatography/mass spectrometry, combined with data mining using specific software to identify specific metabolites influenced by supplementation
|
At 28 days post dose, adjusted for baseline
|
|
Intestinal microbial communities
Time Frame: At 28 days post dose, adjusted for baseline
|
Analysis of total DNA using standardised procedures targeting bacteria using the 16S rRNA gene.
|
At 28 days post dose, adjusted for baseline
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Crystal Haskell-Ramsay, Northumbria University
Publications and helpful links
General Publications
- Pribis P, Bailey RN, Russell AA, Kilsby MA, Hernandez M, Craig WJ, Grajales T, Shavlik DJ, Sabate J. Effects of walnut consumption on cognitive performance in young adults. Br J Nutr. 2012 May;107(9):1393-401. doi: 10.1017/S0007114511004302. Epub 2011 Sep 19.
- Rita Cardoso B, Apolinario D, da Silva Bandeira V, Busse AL, Magaldi RM, Jacob-Filho W, Cozzolino SM. Effects of Brazil nut consumption on selenium status and cognitive performance in older adults with mild cognitive impairment: a randomized controlled pilot trial. Eur J Nutr. 2016 Feb;55(1):107-16. doi: 10.1007/s00394-014-0829-2. Epub 2015 Jan 8. Erratum In: Eur J Nutr. 2021 Feb;60(1):557.
- Tulipani S, Llorach R, Jauregui O, Lopez-Uriarte P, Garcia-Aloy M, Bullo M, Salas-Salvado J, Andres-Lacueva C. Metabolomics unveils urinary changes in subjects with metabolic syndrome following 12-week nut consumption. J Proteome Res. 2011 Nov 4;10(11):5047-58. doi: 10.1021/pr200514h. Epub 2011 Sep 29.
- Mora-Cubillos X, Tulipani S, Garcia-Aloy M, Bullo M, Tinahones FJ, Andres-Lacueva C. Plasma metabolomic biomarkers of mixed nuts exposure inversely correlate with severity of metabolic syndrome. Mol Nutr Food Res. 2015 Dec;59(12):2480-90. doi: 10.1002/mnfr.201500549. Epub 2015 Oct 21.
- Haskell-Ramsay CF, Dodd FL, Smith D, Cuthbertson L, Nelson A, Lodge JK, Jackson PA. Mixed Tree Nuts, Cognition, and Gut Microbiota: A 4-Week, Placebo-Controlled, Randomized Crossover Trial in Healthy Nonelderly Adults. J Nutr. 2023 Jan 14;152(12):2778-2788. doi: 10.1093/jn/nxac228.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 51BQ1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Cognitive Function
-
National Taipei University of Nursing and Health...Active, not recruitingCognitive Function | Physical FunctionTaiwan
-
University School of Physical Education in WroclawActive, not recruitingCognitive Function | Executive FunctionPoland
-
Maastricht UniversityWageningen University and Research; Top Institute Food and Nutrition; Netherlands...TerminatedCognitive Function | Ageing | Physical Function | Mitochondrial FunctionNetherlands
-
University Hospital, GenevaCompletedCognitive Function | Falls | Physical FunctionSwitzerland
-
University of FloridaNational Institutes of Health (NIH); National Institute on Aging (NIA)CompletedCognitive Function | Older Adults | Physical FunctionUnited States
-
Columbia UniversityNational Institute on Aging (NIA)Terminated
-
Örebro University, SwedenActive, not recruitingCognitive FunctionSweden
-
Radicle ScienceCompletedCognitive FunctionUnited States
-
Radicle ScienceCompletedCognitive FunctionUnited States
-
Radicle ScienceCompletedCognitive FunctionUnited States
Clinical Trials on Nut components
-
University of GuamNational Cancer Institute (NCI); University of Hawaii Cancer Research CenterCompletedTobacco Cessation | Betel Nut ChewerGuam
-
University of California, DavisRecruiting
-
Rio de Janeiro State UniversityCompleted
-
Universidade Federal FluminenseActive, not recruitingInflammation | Chronic Kidney Diseases | Inflammatory Response | Oxidative Stress | Chronic Kidney Disease stage4 | Chronic Kidney Disease stage3 | Chronic Kidney Disease Stage 3B | Intestinal Microbiota | Chronic Kidney Disease Stage 3ABrazil
-
Loma Linda UniversityCompletedHeart Diseases | Inflammation | Cardiovascular Risk FactorUnited States
-
Universidad Autonoma de Nuevo LeonHospital Universitario Dr. Jose E. Gonzalez; Centro de Investigación y Asistencia...Recruiting
-
Action Contre la FaimInternational Centre for Diarrhoeal Disease Research, BangladeshCompleted
-
International Centre for Diarrhoeal Disease Research...Washington University School of Medicine; University of Virginia; International...CompletedSevere Acute MalnutritionBangladesh
-
Monash UniversityCompleted
-
Medical University of WarsawNot yet recruitingSustained Unresponsiveness (SU) to Cashew Nut Protein Following Oral Allergen-Specific ImmunotherapyFood Allergy in ChildrenPoland