Almonds, Gut Microbiome and Kids
Nutritional Impact of Almond Butter on Gut Microbiome and Cardiometabolic Health in School-Aged Children: A Novel and Timely Pilot Randomized Controlled Trial
This 8-week parallel-arm randomized controlled trial (N=70; ages 6-13) will determine the impact of daily almond butter consumption on gut microbiome composition and function, intestinal barrier integrity, and cardiometabolic health in school-aged children. Participants will be randomized to either a once-daily snack of personalized-portion almond butter (ALB; 16g, Creamy Natural Almond Butter) or an isocaloric nut-free chocolate spread control (CTL; 16g, Cadbury Milk Chocolate), each served on two plain unsalted saltine crackers, added to their habitual diet. The primary outcomes include oro-gut microbial composition and diversity, gut microbial functional capacity and metabolomics (SCFAs, bile acids, amino acid metabolites), and intestinal barrier integrity. Secondary outcomes include fasting cardiometabolic markers, systemic inflammation, appetite-regulatory and metabolic hormones, and sleep-related biomarkers. Feasibility, adherence (weekly logs; serum α-tocopherol), and precision nutrition potential will also be assessed, with stratified analyses by age, sex, BMI, ethnicity, and pubertal stage.
This pilot trial will generate the first multi-omics characterization of almond butter's effects on the gut-immune-metabolic axis in children.
調査の概要
状態
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前:FSU College of Education, Health and Human Services
- 電話番号:850-644-1829
- メール:healthandhumansciences@fsu.edu
研究連絡先のバックアップ
- 名前:Rayven Nairn, MS, RD
- 電話番号:850-644-1829
- メール:rsn25b@fsu.edu
研究場所
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Florida
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Tallahassee、Florida、アメリカ、32306
- 募集
- The Gut Biome Lab
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コンタクト:
- Ravinder Nagpal, PhD
- 電話番号:850-644-1829
- メール:rnagpal@fsu.edu
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副調査官:
- Cole Patoine, MS, RD
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参加基準
適格基準
就学可能な年齢
- 子
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Enrolled in elementary or middle school (grades 1-8)
- Aged 6-13 years old
- Ability to speak and read in English
Exclusion Criteria:
- Intake of antibiotics in the last 3 months
- Intake of pre/pro/postbiotics in the last 3 months
Food allergy to study foods
◦ Any allergy to nuts or almonds
- Any allergy to the isocaloric snack (chocolate or wheat)
- Regular consumption of nuts or almonds greater than 2 servings / week
- Gastrointestinal disease (ulcerative colitis, Crohn's disease, diverticulosis, peptic ulcers, small intestinal bacterial overgrowth, short bowel syndrome, irritable bowel syndrome, gastroesophageal reflux disease), neurological (multiple sclerosis, meningitis, recent stroke) or endocrine disorders (uncontrolled thyroid disorders, growth hormone disorders, adrenal gland disorders, uncontrolled diabetes - A1C > 9%).
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:基礎科学
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
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アクティブコンパレータ:コントロールスナック状態
コントロール(CTL)グループ:この状態には、毎日補充された通常の食事が含まれています。ナッツフリーの植物油ベースのチョコレートスプレッド(Cadbury Milk Chocolate)は、2つのプレーンな無塩の塩水クラッカー(未塩のトップスプレミアムソルトクラッカー)の間に挟まれ、2つのクラッカーごとに同じ16gの制限があります。
毎日提供されるチョコレートスプレッドの量は、各参加者の個々の毎日のカロリー摂取量の20%に相当します。
これらのカロリーのニーズは、参加者の年齢と性別に基づいて、アメリカ人のための食事ガイドライン(DGA)を使用して確立されます
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コントロール(CTL)グループ:このグループの参加者には、2つのプレーンな無塩のソルトンクラッカー(「閉鎖されていないトップスプレミアムサルチンクラッカー」)の間に、ナッツフリーの植物油ベースのチョコレートスプレッド(「キャドバリーミルクチョコレート」)のイソカロリー量で構成される毎日のスナックを受け取ります。
ピーナッツバターグループと同様に、チョコレートスプレッドは2つのクラッカーあたり16gに制限され、必要に応じて追加のクラッカーが提供されます。
他の名前:
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実験的:Almond Butter Condition
Participants in the ALB group will maintain their habitual diet supplemented with a once-daily snack of smooth natural almond butter (Creamy Richards 100% Almonds!
Creamy Natural Almond Butter) spread between two plain unsalted saltine crackers (Unsalted Tops Premium Saltine Crackers), with a maximum of 16g of almond butter per two crackers.
The daily portion of almond butter will be individualized to provide 20% of each participant's estimated daily caloric needs, calculated using Dietary Guidelines for Americans (DGA) age- and sex-specific energy requirements.
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Almond Butter (ALB) Group: Participants in this group will receive a daily snack consisting of a personalized portion of smooth natural almond butter (Creamy Richards 100% Almonds!
Creamy Natural Almond Butter) spread between two plain unsalted saltine crackers (Unsalted Tops Premium Saltine Crackers).
The amount of almond butter will be limited to 16g per two crackers; additional crackers will be provided if the personalized portion exceeds this limit.
他の名前:
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Gut Microbiome Alpha and Beta Diversity Measured by 16S rRNA Gene Sequencing of Fecal Samples
時間枠:Baseline (day 0), midpoint (week 4) and endpoint (week 8)
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Freshly voided fecal samples will be collected and DNA extracted using the PowerFecal Pro DNA kit.
The V3-V4 hypervariable region of the bacterial 16S ribosomal RNA gene will be PCR-amplified and sequenced.
Sequences will be processed using the QIIME2 software package to assess microbial diversity (alpha and beta diversity) and taxonomic composition.
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Baseline (day 0), midpoint (week 4) and endpoint (week 8)
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Change in Oral Microbiome Alpha and Beta Diversity Measured by 16S rRNA Gene Sequencing of Oral Swabs
時間枠:Baseline (day 0) and Endpoint (week 8)
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Oral biofilm swabs (omniswab - tongue, palate, cheek/lip lining, gums) and unstimulated saliva will be collected in 5ml tubes.
DNA will be extracted and the V3-V4 region of the bacterial 16S ribosomal RNA gene PCR-amplified and sequenced.
Sequences will be processed using the QIIME2 software package to assess oral microbial diversity (alpha and beta diversity) and taxonomic composition.
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Baseline (day 0) and Endpoint (week 8)
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Change in Fecal Metabolome
時間枠:Baseline (day 0) and endpoint (week 8)
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The endpoint of fecal metabolomics will be assessed by collecting fecal samples from participants at the beginning and end of the study.
These samples will be analyzed using advanced techniques, such as mass spectrometry, to identify and quantify various metabolites present in the feces.
The changes in the levels of specific metabolites, which can reflect shifts in gut microbiome composition and metabolic health, will be compared between pre- and post-intervention periods.
This analysis will help determine how regular almond butter intake affects metabolic processes and gut health.
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Baseline (day 0) and endpoint (week 8)
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Change in Serum Metabolome
時間枠:Baseline (day 0) and endpoint (week 8)
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The endpoint of serum metabolomics will be assessed by collecting blood serum from participants at the beginning and end of the study.
These samples will be analyzed using advanced techniques, such as mass spectrometry, to identify and quantify various metabolites present in the serum.
The changes in the levels of specific metabolites, which can reflect shifts in gut microbiome composition and metabolic health, will be compared between pre- and post-intervention periods.
This analysis will help determine how regular almond butter intake affects metabolic processes and gut health.
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Baseline (day 0) and endpoint (week 8)
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Gut Transit Time
時間枠:Baseline (day 0) and endpoint (week 8)
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Evaluate changes in gut transit time after almond butter or control snack consumption from baseline to final analysis, using a blue-dye capsule.
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Baseline (day 0) and endpoint (week 8)
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Change in Waist/Hip Circumference
時間枠:Baseline (week 0), midpoint (week 4), and endpoint (week 8)
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Evaluate changes in waist and hip circumference (centimeters), as well as waist-hip ratio at each study visit before, after and during almond butter consumption, compared to a control snack.
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Baseline (week 0), midpoint (week 4), and endpoint (week 8)
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Change in Habitual Dietary Intake
時間枠:Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Assess changes in habitual dietary intake via 3-day food logs, analyzed using nutrient analysis software (NDSR).
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Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Change in Body Weight
時間枠:Baseline (day 0), midpoint (week 4), endpoint (week 8)
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The endpoint of body weight (kg) will be measured at each visit to assess changes in weight before and after 8 week consumption of almond butter or a control snack spread.
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Baseline (day 0), midpoint (week 4), endpoint (week 8)
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Change in Urinary Melatonin
時間枠:Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Changes in melatonin (urine metabolite 6-sulphatoxymelatonin) will be assessed before, during and after 8-week consumption of almond butter or control snack spread.
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Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Change in Body Fat Percentage
時間枠:Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Evaluate changes in body composition, including fat mass, expressed as a percentage of total weight (%).
This is assessed using a bioimpedance spectroscopy device (ImpediMed SBF7) at each study visit before, after and during almond butter or control snack consumption.
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Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Change in Lipid Profiles
時間枠:Baseline (day 0) and endpoint (week 8)
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Relevant biomarkers are to be collected via venous blood samples to determine changes in cardiometabolic health including HDL, LDL, total cholesterol, and triglycerides.
All will be expressed in units of mg/dL.
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Baseline (day 0) and endpoint (week 8)
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Change in Biomarkers of Inflammation
時間枠:Baseline (day 0) and endpoint (week 8)
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Relevant biomarkers are to be collected via venous blood samples to determine changes in inflammation, including but not limited to C-reactive protein (CRP), IL-1 (Interleukin-1), IL-1 beta, IL-6, IL-10, IL-17, IL-23, Tumor Necrosis Factor Alpha (TNF-a), Interferon-gamma (IFN-Y).
All will be expressed in units of pg/mL.
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Baseline (day 0) and endpoint (week 8)
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Change in Biomarkers of Intestinal Barrier Function
時間枠:Baseline (day 0) and endpoint (week 8)
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Relevant biomarkers are to be collected via venous blood samples to determine changes in intestinal barrier function including LPS (lipopolysaccharides), LBP (lipopolysaccharide binding protein), CD14, Secretory IgA.
All will be expressed in units of pg/mL.
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Baseline (day 0) and endpoint (week 8)
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Change in Lean Mass
時間枠:Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Evaluate changes in body composition, including lean mass (kg).
This is assessed using a bioimpedance spectroscopy device (ImpediMed SBF7) at each study visit before, after and during almond butter or control snack consumption.
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Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Change in Biomarkers of Appetite
時間枠:Baseline (day 0) and endpoint (week 8)
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Relevant biomarkers are to be collected via venous blood samples to determine changes in appetite including Insulin, Glucagon, glucagon-like peptide 1 (GLP-1), Adiponectin, Leptin, Ghrelin, and Peptide YY.
All will be expressed in units of pg/mL.
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Baseline (day 0) and endpoint (week 8)
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Change in Rested, Seated Blood Pressure
時間枠:Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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This outcome measure will measure changes in blood pressure taken at rest in the seated position at each visit, before during and after almond butter or control snack consumption, expressed as systolic over diastolic blood pressure in units of millimeters of mercury (mmHg).
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Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Change in Fasting Blood glucose
時間枠:Baseline (day 0) and endpoint (week 8)
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Venous blood samples will be collected to determine changes in fasting blood glucose (expressed as mg/DL).
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Baseline (day 0) and endpoint (week 8)
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Dietary Adherence
時間枠:Daily, baseline (day 0) through endpoint (week 8)
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Assess adherence to the intervention and control snack throughout the study, as determined by dietary adherence logs kept by the participants each week.
Adherence is expressed as a daily percent (%) consumption of their assigned snack
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Daily, baseline (day 0) through endpoint (week 8)
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Change in Total Body Water
時間枠:Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Evaluate changes in body composition, including, total body water (L).
This is assessed using a bioimpedance spectroscopy device (ImpediMed SBF7) at each study visit before, after and during almond butter or control snack consumption.
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Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Change in Intracellular Fluid
時間枠:Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Evaluate changes in body composition, including intracellular fluid (L).
This is assessed using a bioimpedance spectroscopy device (ImpediMed SBF7) at each study visit before, after and during almond butter or control snack consumption.
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Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Change in Extracellular Fluid
時間枠:Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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Evaluate changes in body composition, including extracellular fluid (L).
This is assessed using a bioimpedance spectroscopy device (ImpediMed SBF7) at each study visit before, after and during almond butter or control snack consumption.
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Baseline (day 0), midpoint (week 4), and endpoint (week 8)
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協力者と研究者
スポンサー
捜査官
- 主任研究者:Ravinder Nagpal, PhD、Florida State University
出版物と役立つリンク
便利なリンク
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- STUDY00007355
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
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