Mechanistic Assessment of the Acute and Chronic Cognitive Effects of Flavanol/Anthocyanin Intervention in Humans - Chronic Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Change in Cognitive Performance (0-24 weeks)
研究概览
简要总结
A double-blind, randomised, controlled, parallel arm chronic intervention trial with healthy older adults will be conducted to determine the effect of a flavonoid-rich supplement on cognitive function, peripheral arterial health and brain mechanisms. It is predicted that chronic flavonoid supplementation will result in cognitive benefits and that these may be due to beneficial effects of flavonoids on vascular and brain function.
详细描述
There has recently been an increasing interest in the potential of flavonoids, plant derived compounds found in foods such as fruit and vegetables, to improve cognitive function. Research suggests that flavonoids improve memory and learning, possibly as a result of their anti-inflammatory and neuroprotective effects, for example by increasing cerebral blood flow (CBF), protecting vulnerable neurons, or by stimulating neuronal function and growth. The proposed research will involve a parallel design chronic dietary supplementation trial using a flavonoid-supplement and a matched control containing no flavonoids, to investigate long-term changes in cognitive performance. To understand the neural mechanisms behind potential changes in cognitive performance, resting cerebral blood flow (CBF), blood-oxygen level dependent (BOLD) response during two sensitive tests of cognitive performance, and structural brain changes will be measured in a group of healthy elderly adults (N=70, age range 60-75 years) using magnetic resonance imaging (MRI). Additionally, peripheral vascular health will be measured using flow mediated dilatation (FMD), and bioavailability of flavonoid monomers and metabolites will be determined through analysis of plasma and urine samples. Biomarkers in the blood associated with vascular health and neural functioning as well as markers of interest in relation to the possible mechanisms of action of flavonoids will also be measured. All endpoints will be acquired before and after a 24-week chronic supplementation of either a high flavonoid supplementation or a control product, consumed in addition to participants' normal diet. Measures will also be taken following a 12-week post-intervention washout period in order to investigate whether any beneficial effects are sustained following cessation of supplementation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Males and females aged 60-75 years
- •English as primary language, able to understand the study information sheet, follow instructions in English and give informed consent
- •Non-smokers
- •Alcohol consumption should be within the current National Health Service (NHS) recommendation - women: ≤21 units per week (max 3 per day), 1 large 250mL glass of wine (Alcohol By Volume 12%) is 3 units; men: ≤ 28 units per week (max 4 per day), 1 pint of strong lager/beer/cider (Alcohol By Volume 5.2%) is 3 units
- •BP <150/90 (determined at screening)
- •BMI <30 (determined at screening)
- •Full blood count parameters within the normal range, specifically:
- •Haemoglobin to check for anaemia (>12.5 g/dL for males and >11.5 g/dL for females)
- •Total white cell count (3.6-11.0 x109/L)
- •Differential count:
- •Neutrophils (1.8 - 7.5 x109/L)
- •Lymphocytes (1.0 - 4.0 x109/L)
- •Monocytes (0.2 - 0.8 x109/L)
- •Eosinophils (0.1 - 0.4 x109/L)
- •Basophils (0.02 - 0.1 x109/L)
- •Normal platelet function (platelet count 140-400 x109/L)
- •Red cell count (4.50-6.50 x1012/L for males; 3.80-5.80 x1012/L for females)
- •Haematocrit (0.40-0.54 L/L for males; 0.37-0.47 L/L for females)
- •Mean Cell Volume (80-100 fL)
- •Mean Cell Haemoglobin (27-32 pg)
- •Reticulocyte Count (0.2-2.0 %)
- •The following blood parameters within the normal range:
- •Liver function (gamma-glutamyl transpeptidase [GGT] level < 80 IU/L, alanine transaminase [ALT] < 30 U/L, alkaline phosphatase [ALP] < 320 U/L),
- •Kidney function (total bilirubin ≤ 22 μmol/L, creatinine ≤ 106 μmol/L, uric acid < 506 μmol/L),
- •Fasting blood glucose level (< 7 mmol/L),
- •Triglycerides (< 2.2 mmol/L)
- •Plasma cholesterol (< 8 mmol/L)
排除标准
- •General global cognitive impairment (Mini Mental State Examination score < 24)
- •Un-corrected vision or hearing problems
- •Speech or communication difficulties
- •Currently suffering from depression (Brief Symptom Inventory score of ≥ 11)
- •Diagnosed with any learning difficulty such as Dyslexia or Dyspraxia
- •Sensitive/allergic to the intervention or any of the study foods
- •Suffering from any form of clinically diagnosed disease, including:
- •Major mental illness (current or previous episode with hospitalization)
- •Chronic fatigue syndrome
- •Liver disease
- •Diabetes mellitus
- •Heart disease or myocardial infarction
- •Taking blood pressure medication, anticoagulants, anti-platelet medication or antidepressants
- •On a weight reducing dietary regimen or taking any dietary supplements (including dietary fatty acids), unless willing to temporarily refrain from taking dietary supplements for the duration of the study
- •Subjects consuming more than seven portions of fruit and vegetables a day
- •Subjects consuming more than five cups of tea a day
- •Men taking part in more than 10.5 hours of moderate to vigorous exercise per week and women taking part in more than 7 hours of moderate to vigorous exercise per week (assessed on an individual basis to avoid recruitment of people who exercise too vigorously)
- •Taking illegal substances
- •Has a heart pacemaker or metal implants (including any non-removable ferro-magnetic dental items)
- •Any body piercing items that cannot be removed
- •Is claustrophobic
- •Note: Participation in other research trials within the last month will need to be declared and may affect the start date for participation in the current trial.
研究组 & 干预措施
Active
Cocoa-Flavanol Supplements: 3 capsules per day each containing 300mg (total dose of 900mg daily) for 24 weeks
干预措施: Cocoa-Flavanol Supplements (Dietary Supplement)
Control
Control Supplements: 0mg cocoa-flavanols per day for 24 weeks
干预措施: Control Supplements (Dietary Supplement)
结局指标
主要结局
Change in Cognitive Performance (0-24 weeks)
时间窗: Change from baseline (pre intervention) to week 24 (post intervention)
Composite measure of global cognitive function (scores from different cognitive tasks will be standardised to allow an overall score of global cognitive function to be calculated)
Change in Cognitive Performance (0-36 weeks)
时间窗: Change from baseline (pre intervention) to week 36 (follow-up)
Composite measure of global cognitive function (scores from different cognitive tasks will be standardised to allow an overall score of global cognitive function to be calculated)
次要结局
- Change in levels of markers of neuronal function(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in cerebral blood flow (0-24 weeks)(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in Flow Mediated Dilatation (0-24 weeks)(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in flavanol monomer levels(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in levels of nitroso compounds(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in levels of a marker of oxidative stress(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in Flow Mediated Dilatation (0-36 weeks)(Change from baseline (pre intervention) to week 36 (follow-up))
- Change in brain structure (0-24 weeks)(Change from baseline (pre intervention) to week 24 (follow-up))
- Change in procyanidin levels(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in cerebral blood flow (0-36 weeks)(Change from baseline (pre intervention) to week 36 (post intervention))
- Change in brain activity (0-24 weeks)(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in brain activity (0-36 weeks)(Change from baseline (pre intervention) to week 36 (post intervention))
- Change in brain structure (0-36 weeks)(Change from baseline (pre intervention) to week 36 (follow-up))
- Change in levels of flavanol monomer metabolites/derivatives(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in levels of procyanidin metabolites/derivatives(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in levels of markers of inflammation(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in levels of markers of vascular function/cardiovascular disease (CVD) risk(Change from baseline (pre intervention) to week 24 (post intervention))
- Change in levels of a marker of stress/anxiety(Change from baseline (pre intervention) to week 24 (post intervention))
研究者
Jeremy Paul Edward Spencer
Professor of Nutritional Medicine
University of Reading