- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT07636850
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.
연구 개요
상태
정황
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: FSU College of Education, Health and Human Services
- 전화번호: 850-644-1829
- 이메일: healthandhumansciences@fsu.edu
연구 연락처 백업
- 이름: Rayven Nairn, MS, RD
- 전화번호: 850-644-1829
- 이메일: rsn25b@fsu.edu
연구 장소
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Florida
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Tallahassee, Florida, 미국, 32306
- 모병
- The Gut Biome Lab
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연락하다:
- Ravinder Nagpal, PhD
- 전화번호: 850-644-1829
- 이메일: rnagpal@fsu.edu
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부수사관:
- Cole Patoine, MS, RD
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참여기준
자격 기준
공부할 수 있는 나이
- 어린이
건강한 자원 봉사자를 받아들입니다
설명
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%).
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 기초 과학
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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활성 비교기: 제어 간식 상태
CONTROL (CTL) 그룹 :이 조건에는 두 개의 크래커 당 동일한 16g 한계가있는 두 개의 평범한 무염 소금물 크래커 (무산 탑 프리미엄 소금물 크래커) 사이에 샌드위치 된 너트가없는 식물성 오일 기반 초콜릿 스프레더 (Cadbury Milk Chocolate)의 등방성 양의 비위한 양의 야생 유성 초콜릿 스프레드 (Cadbury Milk Chocolate)가 포함 된 정상적인식이가 포함됩니다.
매일 제공되는 초콜릿 스프레드의 양은 각 참가자의 개별 일일 칼로리 섭취량의 20%에 해당합니다.
이러한 칼로리 요구는 참가자의 나이와 성별에 따라 미국인을위한식이 가이드 라인 (DGA)을 사용하여 확립됩니다.
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CONTROL (CTL) 그룹 :이 그룹의 참가자는 두 개의 평범한 비 침금 된 솔트 크래커 ( "무살 무너진 프리미엄 솔트 크래커") 사이에 흩어져있는 식물성 유전성 초콜릿 스프레드 ( "Cadbury Milk Chocolate")로 구성된 일일 간식을 받게됩니다.
땅콩 버터 그룹과 마찬가지로 초콜릿 스프레드는 2 개의 크래커 당 16G로 제한되며 필요한 경우 추가 크래커가 제공됩니다.
다른 이름들:
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실험적: 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.
다른 이름들:
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Change in Gut Microbiome Alpha and Beta Diversity Measured by 16S rRNA Gene Sequencing of Fecal Samples
기간: 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
기간: 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
기간: 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
기간: 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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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Change in Gut Transit Time
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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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공동 작업자 및 조사자
수사관
- 수석 연구원: Ravinder Nagpal, PhD, Florida State University
간행물 및 유용한 링크
유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
추가 관련 MeSH 약관
기타 연구 ID 번호
- STUDY00007355
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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