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Effects of Biofunctional Orange Juice on Cardiometabolic Risk Markers

Not Applicable
Completed
Conditions
Hypertension
Prediabetes
Overweight and Obesity
Dyslipidemias
Interventions
Other: Orange juice enriched with vitamin D3 and encapsulated probiotics
Other: Conventional orange juice
Registration Number
NCT06114576
Lead Sponsor
Agricultural University of Athens
Brief Summary

The effects of orange juice enriched with vitamin D3 and encapsulated probiotics (Lacticaseibacillus casei Shirota and Lacticaseibacillus rhamnosus GG) compared to conventional orange juice on several cardiometabolic and anthropometric parameters in individuals at risk of cardiovascular disease.

Detailed Description

This randomized, double-blind, controlled clinical trial aims to evaluate the effects of the consumption of orange juice enriched with vitamin D3 and encapsulated probiotics (Lacticaseibacillus casei Shirota and Lacticaseibacillus rhamnosus GG) compared to conventional orange juice in 50 high cardiometabolic risk volunteers. The participants must be overweight/obese with either prediabetes, and/or hypertension, and/or hyperlipidemia, and will be divided and randomly assigned into 2 groups of 25 individuals each. Participants will consume 250 ml of either orange juice enriched with vitamin D3 and encapsulated probiotics (Lacticaseibacillus casei Shirota and Lacticaseibacillus rhamnosus GG) or conventional orange juice daily for 8 weeks as an addition to their usual dietary intake. Participants will be asked to maintain their usual physical activity during the intervention period. At the beginning of the study and at 8 weeks, blood samples will be collected after 12 hours of fasting. Two-hour oral glucose tolerance test (OGTT) will be performed using a continuous glucose monitoring system at the beginning and at 8 weeks. Anthropometric measurements will be performed at the beginning and every week for 8 weeks. Basal metabolic rate (BMR) and central aortic blood pressure will be measured at the beginning, 4 weeks, and 8 weeks of intervention. Fecal samples will be collected and analyzed to study gut microbiome compositob at the intervention's beginning and at 8 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Body Mass Index >= 25 kg/m2
  • Prediabetes [fasting blood glucose > 100 mg/dL], or/and
  • Hypertension [Systolic blood pressure (SBP) > 130 mmHg or Diastolic blood pressure (DBP) > 80 mmHg], or/and
  • Hyperlipidemia [total cholesterol > 200 mg/dL, and/or LDL-C > 100 mg/dL, and/or triglycerides > 150 mg/dL]
Exclusion Criteria
  • Severe chronic disease (e.g. cardiovascular diseases, diabetes mellitus, kidney or liver diseases, endocrine conditions)
  • Medication that affects glycemia such as metformin, glucocorticoids, thiazide diuretics
  • Gastrointestinal disorders
  • Pregnancy
  • Lactation
  • Alcohol abuse
  • Drug dependency
  • Body weight lowering medications and/or history of bariatric surgery
  • Depression and other psychiatric diseases
  • Cancer
  • Probiotic, prebiotic, and vitamin D supplemental intake

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Orange juice enriched with vitamin D3 and encapsulated probioticsOrange juice enriched with vitamin D3 and encapsulated probiotics250 ml of orange juice enriched with vitamin D3 and encapsulated probiotics
Conventional orange juiceConventional orange juice250 ml of conventional orange juice
Primary Outcome Measures
NameTimeMethod
Change in blood glucose concentrations8 weeks

Clinically significant change in blood glucose concentrations (mg/dL)

Secondary Outcome Measures
NameTimeMethod
Change in blood insulin concentrations8 weeks

Clinically significant change in blood insulin concentrations (μU/L)

Change in basal metabolic rate (BMR)8 weeks

Clinically significant change in basal metabolic rate (kcal/day)

Change in energy intake8 weeks

Clinically significant change in energy intake (kcal/day)

Change in blood lipids8 weeks

Clinically significant in triglycerides (mg/dL), total cholesterol (mg/dL), low-density lipoprotein (mg/dL), and high-density lipoprotein (mg/dL)

Change in central aortic blood pressure8 weeks

Clinically significant change in central pressure (mmHg)

Change in body weight8 weeks

Clinically significant change in body weight (kg)

Change in gut microbiome8 weeks

The microbial composition in fecal samples will be measured via taxonomic profiling by 16S (V3-V4 region) ribosomal RNA gene amplicon sequencing using the MiSeq Illumina platform (v3 300bp pair-end sequencing) to identify a wide diversity of microbes

Trial Locations

Locations (1)

Agricultural University of Athens

🇬🇷

Athens, Attica, Greece

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