Cardiometabolic & Cognitive Effects of Peanut Butter in Prediabetes
Peanut Butter Glycemic Control, Cognition and Cardiovascular Health
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Kristina Petersen, PhD
- Telefonnummer: +1 814 865 7206
- E-mail: kup63@psu.edu
Undersøgelse Kontakt Backup
- Navn: Stacey Meily
- Telefonnummer: +1 814 863 8622
- E-mail: sas117@psu.edu
Studiesteder
-
-
Pennsylvania
-
University Park, Pennsylvania, Forenede Stater, 16802
- The Pennsylvania State University
-
Kontakt:
- Kristina Petersen, PhD
- Telefonnummer: +1 814-865 7206
- E-mail: kup63@psu.edu
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Age 40-65 years
- BMI 25 to 40 kg/m2
- HbA1c 5.7-6.4%
- Low habitual intake of peanut butter (<0.5 Tablespoons/day on average)
- Have a smartphone device or be willing to use one provided by the study
Exclusion Criteria:
- Hemoglobin <13.2 g/dL for men or < 11.7 g/dL for women at screening
- Fasting triglycerides >350 mg/dL at screening
- LDL-cholesterol ≥190 mg/dL assessed by the Martin-Hopkins equation at screening
- ≥10% change in body weight within the 6 months prior to enrollment
- Blood pressure >140/90 mmHg at screening
- Diagnosed type 1 or type 2 diabetes
- Takes any (prescription or over-the-counter) anti-hypertensive, lipid-lowering, glucose-lowering or body weight altering drugs
- Intake of supplements that affect the outcomes of interest (i.e., lipids, blood pressure, glucose, body weight, and microbiome) and are unwilling to cease during the study period.
- Unwilling to refrain from starting to take any supplements, vitamins, nutritional products, or health foods that are not prescribed by a doctor for the duration of the study
- Self-reported history of diagnosed liver, kidney, or autoimmune disease
- Self-reported history of a prior cardiovascular event (e.g., stroke, heart attack)
- Self-reported history of diagnosed neurological disease (e.g. Alzheimer's Disease, Parkinson's Disease, Multiple Sclerosis)
- Current pregnancy or intention of pregnancy within the next 12 months
- Lactation within the prior 6 months
- Peanut allergy/intolerance/sensitivity/dislike
- Antibiotic use within the prior four weeks
- Oral steroid use within the prior four weeks
- Use of tobacco or nicotine-containing products within the past 6 months
- History of cancer at any site within the past 10 years (eligible if ≥10 years without recurrence) or non-melanoma skin cancer within the past 5 years (eligible if ≥5 years without recurrence)
- Participation in another clinical trial within 60 days of baseline
- Currently following a restricted or weight-loss diet
- Prior bariatric surgery
- Intake of >14 alcoholic drinks/week and/or not willing to avoid alcohol consumption for 48 hours prior to test visits
- Does not speak and/or understand English
- Unwilling to refrain from donating blood and/or plasma during the study
- Weight <110 lb
- Unwilling to contact study staff before enrolling in other health-related research and avoid participating in any research that may interfere with this study
- For individuals taking thyroid medication: abnormal thyroid stimulated hormone (TSH) concentration, or change in dose of thyroid medication within the last 6 months
- Principal Investigator discretion related to the potential participant's ability to adhere to the study requirements, including being able to come to attend visits
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Peanut Butter-Usual Diet
In the first period, participants will be provided with 43 g/day of peanut butter with instructions to consume it at breakfast (or the first meal of the day).
In the second period, participants will be instructed to continue their usual intake.
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Intake of 43 g/day of peanut butter as part of breakfast (or the first meal of the day)
Continue intake of usual diet.
|
|
Aktiv komparator: Usual Diet-Peanut Butter
In the first period, participants will be instructed to continue their usual intake.
In the second period, participants will be provided with 43 g/day of peanut butter with instructions to consume it at breakfast (or the first meal of the day).
|
Intake of 43 g/day of peanut butter as part of breakfast (or the first meal of the day)
Continue intake of usual diet.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in HbA1c
Tidsramme: 12 weeks
|
HbA1c will be assessed at the beginning and end of each 12-week period and expressed as percentage.
The change in HbA1c will be calculated as the post-condition value minus the pre-condition value and expressed as percentage point change.
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12 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in fasting glucose
Tidsramme: 12 weeks
|
Change in fasting plasma glucose expressed as mg/dL.
Change in glucose will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.
|
12 weeks
|
|
Change in fasting insulin
Tidsramme: 12 weeks
|
Change in fasting serum insulin expressed as micro IU/mL.
Change in insulin will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.
|
12 weeks
|
|
Mean glucose
Tidsramme: 12 weeks
|
Mean glucose assessed by a continuous glucose monitor (CGM) expressed as mg/dL.
The between-condition difference in mean glucose will be evaluated by comparing the mean glucose calculated from 7 days of CGM wear at the end of each study period.
|
12 weeks
|
|
Mean glucose time in range
Tidsramme: 12 weeks
|
Mean glucose time in range (70-140 mg/dL) assessed by a continuous glucose monitor (CGM) expressed as minutes per day.
The between-condition difference in mean glucose time in range will be evaluated by comparing the mean glucose time in range from 7 days of CGM wear at the end of each study period.
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12 weeks
|
|
Glycemic variability
Tidsramme: 12 weeks
|
Glycemic variability assessed by a continuous glucose monitor (CGM) expressed as the coefficient of variability.
The between-condition difference in glycemic variability will be evaluated by comparing the glycemic variability calculated from 7 days of CGM wear at the end of each study period.
|
12 weeks
|
|
Change in homeostatic model of insulin resistance (HOMA-IR)
Tidsramme: 12 weeks
|
HOMA-IR will be calculated as (fasting insulin μIU/mL × fasting glucose mg/dL) / 405.
Change in HOMA-IR will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.
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12 weeks
|
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Difference in ambulatory processing speed
Tidsramme: 12 weeks
|
Ambulatory processing speed assessed by ecological momentary assessment (EMA) administered Symbol Search, expressed as median response time correct.
The between-condition difference in ambulatory processing speed will be evaluated by comparing mean values from 7 days of EMA at the end of each study period.
|
12 weeks
|
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Difference in ambulatory working memory
Tidsramme: 12 weeks
|
Ambulatory working memory assessed by ecological momentary assessment (EMA) administered Grid Memory, expressed as number of correct dots.
The between-condition difference in ambulatory working memory will be evaluated by comparing mean values from 7 days of EMA at the end of each study period.
|
12 weeks
|
|
Difference in ambulatory attention
Tidsramme: 12 weeks
|
Ambulatory attention assessed by ecological momentary assessment (EMA) administered Multiple Object Tracking expressed as number of correct dots.
The between-condition difference in ambulatory attention will be evaluated by comparing mean values from 7 days of EMA at the end of each study period.
|
12 weeks
|
|
Change in body weight
Tidsramme: 12 weeks
|
Change in body weight expressed as kg.
Change in body weight will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.
|
12 weeks
|
|
Difference in hunger
Tidsramme: 12 weeks
|
Hunger assessed by ecological momentary assessment (EMA) administered visual analog scale (scored 0-100).
The between-condition difference in hunger will be evaluated by comparing mean values from 7 days of EMA at the end of each study period.
|
12 weeks
|
|
Difference in satiety
Tidsramme: 12 weeks
|
Satiety assessed by ecological momentary assessment (EMA) administered visual analog scale (scored 0-100).
The between-condition difference in satiety will be evaluated by comparing mean values from 7 days of EMA at the end of each study period.
|
12 weeks
|
|
Change in total cholesterol
Tidsramme: 12 weeks
|
Change in fasting serum total cholesterol expressed as mg/dL.
Change in total cholesterol will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.
|
12 weeks
|
|
Change in LDL-cholesterol
Tidsramme: 12 weeks
|
Change in fasting serum LDL-cholesterol calculated with the Martin-Hopkins equation expressed as mg/dL.
Change in LDL-cholesterol will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.
|
12 weeks
|
|
Change in triglycerides
Tidsramme: 12 weeks
|
Change in fasting serum triglycerides expressed as mg/dL.
Change in triglycerides will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.
|
12 weeks
|
|
Change in HDL-cholesterol
Tidsramme: 12 weeks
|
Change in fasting serum HDL-cholesterol expressed as mg/dL.
Change in HDL-cholesterol will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.
|
12 weeks
|
|
Change in non-HDL cholesterol
Tidsramme: 12 weeks
|
Change in fasting serum non-HDL cholesterol expressed as mg/dL.
Change in non-HDL cholesterol will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.
|
12 weeks
|
|
Change in central systolic and diastolic blood pressure
Tidsramme: 12 weeks
|
Change in central blood pressure measured using a SphymoCor Xcel (Atcor Medical) expressed as mmHg.
Change in systolic and diastolic blood pressure will be calculated as the post-condition value minus the pre-condition value and expressed as mmHg.
|
12 weeks
|
|
Change in peripheral systolic and diastolic blood pressure
Tidsramme: 12 weeks
|
Change in peripheral blood pressure measured using a SphymoCor Xcel (Atcor Medical) expressed as mmHg.
Change in systolic and diastolic blood pressure will be calculated as the post-condition value minus the pre-condition value and expressed as mmHg.
|
12 weeks
|
|
Change in carotid-femoral pulse wave velocity
Tidsramme: 12 weeks
|
Change in carotid-femoral pulse wave velocity (PWV) measured using a SphymoCor Xcel (Atcor Medical) expressed as m/s.
Change in PWV will be calculated as the post-condition value minus the pre-condition value and expressed as m/s.
|
12 weeks
|
|
Change in diet quality
Tidsramme: 12 weeks
|
Assessed from a 24-hour recall completed prior to the beginning of each study period and at the end of each study period.
Diet quality will be calculated according to the Healthy Eating Index-2020 (HEI).
Change in HEI will be calculated at the post-condition value minus the pre-condition value
|
12 weeks
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Difference in microbiota composition
Tidsramme: 12 weeks
|
Microbiota composition assessed by 16S rRNA sequencing.
The between-condition difference in microbiota composition will be evaluated by alpha and beta diversity and taxa profile at the end of each study period.
|
12 weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- PB
Plan for individuelle deltagerdata (IPD)
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IPD-planbeskrivelse
IPD-delingstidsramme
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
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