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Effects of a Chilean Diet Supplemented With Gevuina Avellana on Lipid Profile in Humans With Hypercholesterolemia

Not Applicable
Completed
Conditions
Hypercholesterolemia
Registration Number
NCT07087704
Lead Sponsor
Universidad de Concepcion
Brief Summary

The purpose of this study is to determine if supplementing a Chilean diet with Chilean hazelnut (Gevuina avellana) improves cholesterol levels in adults with hypercholesterolemia. The main question is whether this supplementation reduces total serum cholesterol compared to a low-fat diet without hazelnut.

Detailed Description

This is a 6-month randomized controlled parallel study involving hypercholesterolemic volunteers (serum cholesterol \> 200 mg/dL, with or without triglycerides \> 150 mg/dL) aged 18-60 years from Concepción, Chile. Participants are randomly assigned to two groups:

Intervention group: Receives the Chilean diet supplemented daily with 30 g of Chilean hazelnut (Gevuina avellana).

Control group: Receives dietary advice to follow a low-fat diet based on American Heart Association recommendations, without hazelnut supplementation.

Primary outcome is total serum cholesterol. Secondary assessments include anthropometric measures, blood pressure, diet adherence, physical activity, sociodemographic variables, smoking habits, medical diagnoses, medication use, and biochemical markers of lipid profile, oxidative damage, antioxidant capacity, endothelial peptides, and inflammation.

Data collection occurs at baseline, 2, 4, and 6 months. Individual motivational interviews and group motivational sessions (approximately 25 participants each) are conducted to enhance adherence. Blood samples for lipid profiling and other biochemical analyses are collected fasting at baseline and study completion.

Blood fractionation is performed to obtain plasma, serum, erythrocytes, and peripheral blood mononuclear cells (PBMCs) for detailed fatty acid profiling and biomarker measurements.

This study aims to provide insight into the potential cardiovascular benefits of Gevuina avellana supplementation in a Chilean dietary context.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
106
Inclusion Criteria
  • Serum cholesterol level greater than 200 mg/dL with or without triacylglycerol greater than 150 mg/dL
  • Have received both doses included in the SARS-CoV-2 vaccination campaign and possess their corresponding mobility pass.
Exclusion Criteria
  • Be undergoing medical treatment for hypercholesterolemia.
  • Have systemic diseases such as diabetes, hypertension, kidney, or liver disease.
  • Pregnant or breastfeeding women.
  • Have a household member or close relative who has been previously recruited.
  • Have allergies to tree nuts.
  • Have an electronic implant such as a pacemaker.
  • Also, individuals who do not meet the minimum conditions compatible with the study modality will not be able to participate in the intervention, such as: having access to an electronic device such as a cellphone or computer; having access to mobile internet or Wi-Fi at home; or having the necessary knowledge or support to use the platform

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Total cholesterol (mg/dL)From enrollment to the end of treatment at 6 months

Total serum cholesterol under fasting condition

Secondary Outcome Measures
NameTimeMethod
Blood pressure (mmHg)From enrollment to the end of treatment at 6 months

Blood pressure measured by a semi-automatic sphygmomanometer

Body weight (kg)From enrollment to the end of treatment at 6 months

Body weight is measured using a portable digital scale (Seca®) with a precision of 100 g, placed on a flat, horizontal, and firm surface. Participants are asked to remove their shoes and wear minimal clothing to ensure accurate measurement.

Height (m)From enrollment to the end of treatment at 6 months

Height is measured using a portable stadiometer (Seca® 213) with 0.1 cm precision. Participants stand barefoot with heels together (forming a 45-60° angle), back straight and in contact with the stadiometer, fully extended. The head is positioned in the Frankfurt horizontal plane. Participants are instructed to take a deep breath and remain still. The headpiece is gently lowered to contact the head, applying slight pressure to compress the hair.

Body Mass Index (kg/m2)From enrollment to the end of treatment at 6 months

Weight and height will be combined to report BMI in kg/m2)

Waist circumference (mm)From enrollment to the end of treatment at 6 months

Waist circumference is measured using a non-stretchable measuring tape (Seca® 201) with 0.1 cm precision. The participant stands upright, shirtless or with the waist area exposed, feet 25-30 cm apart, arms relaxed at the sides, and weight evenly distributed. Measurement is taken at the midpoint between the lower rib and the iliac crest along the midaxillary line. Reference points are palpated and marked. The tape is placed horizontally, snug but not compressing soft tissues, and measurement is taken at the end of a normal exhalation. Two measurements are taken; if they differ by more than 1 cm, a third is taken. The final value is the average of the two closest readings.

LDL cholesterol (mg/dL)From enrollment to the end of treatment at 6 months

LDL cholesterol under fasting condition

HDL cholesterol (mg/dL)From enrollment to the end of treatment at 6 months

HDL cholesterol under fasting condition

Triglycerides (mg/dL)From enrollment to the end of treatment at 6 months

Triglycerides under fasting condition

Superoxide dismutase activityFrom enrollment to the end of treatment at 6 months

Superoxide dismutase activity is measured in plasma and erythrocytes using spectrophotometric methods.

Catalase activityFrom enrollment to the end of treatment at 6 months

Catalase is measured in plasma and erythrocytes using spectrophotometric methods.

HomocysteineFrom enrollment to the end of treatment at 6 months

Plasma homocysteine is measured using a commercial ELISA kit, following the manufacturer's instructions.

AdiponectinFrom enrollment to the end of treatment at 6 months

Adiponectin levels in plasma are measured using a commercial ELISA kit according to the manufacturer's protocol

Oxidized low-density lipoprotein (LDLox)From enrollment to the end of treatment at 6 months

Oxidized low-density lipoprotein (LDLox) levels in plasma are measured using a commercial ELISA kit following the manufacturer's instructions.

Trial Locations

Locations (1)

Laboratorio Prevegen

🇨🇱

Concepción, BioBio, Chile

Laboratorio Prevegen
🇨🇱Concepción, BioBio, Chile

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