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Clinical Trials/NCT03166540
NCT03166540CompletedNot Applicable

Bioavailability and Beneficial Properties of Espresso Coffee and Confectionery Derived Coffee Bioactive Compounds

University of Parma1 site in 1 country21 target enrollmentStarted: May 10, 2017Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
21
Locations
1
Primary Endpoint
Daily mean concentration of phenolic metabolites

Study Overview

Brief Summary

The aim of this study will be to define the bioavailability and the beneficial properties of coffee bioactive compounds. Moreover, the contribution of cocoa-based products containing coffee to the pool of circulating metabolites will be investigated with the aim of evaluating the effect of the combination of bioactives from different sources.

To study the bioavailability of coffee/cocoa bioactive compounds and their effects in cardiometabolic health, the objectives will be:

i) Assessing the bioavailability of the four main groups of phytochemicals in roasted coffee (methylxanthines, phenolic compounds, trigonelline, and diterpenes), its modulation by the level of consumption, and establishing the daily average concentration of coffee-derived plasma circulating metabolites; ii) Investigating the effect of different levels of coffee consumption on cardiometabolic risk factors; iii) Evaluating circulating metabolites and their putative bioactivity when substituting coffee consumption with the intake of cocoa-based products containing coffee.

A 3-arm, crossover, randomized trial will be conducted. Twenty-one volunteers will be randomly assigned to consume three treatments in a random order for 1 month: 1 cup of espresso coffee/day, 3 cups of espresso coffee/day, 1 cup of espresso coffee at breakfast and 2 cocoa-based products containing coffee two times per day. The last day of the treatment subjects will refer to the ambulatory where blood and urine samples will be collected at specific time points up to 24 hours following the consumption of the testing coffee or of the cocoa-based products containing coffee. In addition to the bioavailability of the bioactive compounds, the effect of the coffee consumption on several cardiometabolic risk factors (blood pressure, anthropometric measures, inflammatory markers, nitric oxide, blood lipids, fasting indices of glucose/insulin metabolism, DNA damage, eicosanoids, nutri-metabolomics) will be investigated. At the end of the treatment, the same protocol will be repeated, switching the allocation group.

Detailed Description

A human bioavailability study will be carried out to achieve the above-described goals. The human intervention study will consist of a short-term randomized cross-over trial, addressed at measuring the daily mean concentrations of each coffee/cocoa-derived circulating metabolite (CCDCM) for the four main groups of coffee/cocoa phytochemicals (methylxanthines, trigonelline, phenolics, diterpenes). On the basis of different patterns of consumption, this free-living study (although some minimal dietary restrictions will be provided two days before sampling times) will also take into consideration the effects of repeated doses on the bioavailability of coffee/cocoa bioactives.

The study will follow a repeat-dose, 3-arm, cross-over design. This design has been chosen according to ILSI's guidelines for intervention trials with dietary products.

Subjects were assigned to consume the following treatments in a random order for 1 month:

  1. 1 cup of espresso coffee/day ("low consumers") at 9.00 A.M.
  2. 3 cups of espresso coffee/day ("high consumers") at 9.00 A.M., 12.00 P.M.noon and 3.00 P.M.
  3. 1 cup of espresso coffee at breakfast 9.00 A.M. and 2 cocoa-based products containing coffee two times per day (at 12.00 P.M.noon and 3.00 P.M.). The group will be named "medium consumers", considering the caffeine content of the cocoa-based products containing coffee.

Minimal recommendations to avoid other sources of coffee/cocoa phytochemicals besides what introduced through the assigned treatment, and to standardise the time of coffee consumption, will be provided for the two days prior to each sampling day and on the sampling day. Dinner timing and composition will also be standardised the day before the sampling day. Only water could be drunk during the night. At the sampling day (i.e. the last day of each intervention period), the subjects will refer in the morning at the ambulatory where fasting baseline blood and urine samples will be collected. Then, low and high consumers will drink one or three cups of espresso coffee, respectively (without sugar, sweeteners, and milk for the first coffee; with 5 g of sugar for the last two coffees), while medium consumers will drink a cup of espresso coffee and 2 cocoa-based products containing coffee twice during the day, following the above-described timing. After ingestion of the first coffee together with a phytochemical-free breakfast (a pastry), blood and urine samples will be collected at selected time points along the following 24-h. Five hours after the consumption of the first coffee, participants will receive a standardised mixed meal (sandwich with ham and cheese) free of coffee/cocoa phytochemical-related compounds. Water will be available ad libitum. Twenty-four hours after receiving the treatment, blood and urine samples will also be taken in order to assess return to baseline. In addition, anthropometric characteristics and blood pressure (BP) will be measured.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Basic Science
Masking
Single (Outcomes Assessor)

Masking Description

Sample codification, done by the PI, will be hidden to the researchers analysing the samples.

Eligibility Criteria

Ages
18 Years to 60 Years (Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • •both genders
  • •normal weight (BMI 18-25)
  • •regular coffee consumers of 1-5 cups per day

Exclusion Criteria

  • •younger than 18 y.o. or older than 60 y.o.
  • •clinically diagnosis for metabolic, renal or digestive disorders
  • •regular consumption of medication
  • •antibiotic therapy taken within the last 3 months
  • •intense physical activity
  • •pregnancy or lactation
  • •underweight or overweight/obese
  • •no regular consumption of coffee or regular intake exceeding 5 coffees/day

Arms & Interventions

low consumers

Experimental

1 cup of espresso coffee/day at 9.00 A.M. for 1 month

Intervention: cup of espresso coffee (Other)

high consumers

Experimental

3 cup of espresso coffee/day at 9.00 A.M. 12.00 P.M. and 3.00 P.M. for 1 month

Intervention: cup of espresso coffee (Other)

medium consumers

Experimental

1 cup of espresso coffee at 9.00 A.M. + cocoa-based products containing coffee at 12.00 P.M. and 3.00 P.M. for 1 month

Intervention: cup of espresso coffee (Other)

medium consumers

Experimental

1 cup of espresso coffee at 9.00 A.M. + cocoa-based products containing coffee at 12.00 P.M. and 3.00 P.M. for 1 month

Intervention: cocoa-based products containing coffee (Other)

Outcomes

Primary Outcomes

Daily mean concentration of phenolic metabolites

Time Frame: 24 hours (0 -overnight fasting-, 30, 60, 120, 180, 240, 300, 360, 420, 480, 540, 1440 -overnight fasting- minutes)

Assessment of the daily mean concentration of coffee derived plasma circulating phenolic metabolites

Secondary Outcomes

  • Nitric oxide (NO) in plasma(1440 -overnight fasting- minutes)
  • Coffee-derived bioactives in urine(24 hours (0 -overnight fasting-, 180, 360, 540, 1440 -overnight fasting- minutes))
  • Cocoa-derived plasma circulating bioactives(24 hours (0 -overnight fasting-, 30, 60, 120, 180, 240, 300, 360, 420, 480, 540, 1440 -overnight fasting- minutes))
  • Cocoa-derived bioactives in urine(24 hours (0 -overnight fasting-, 180, 360, 540, 1440 -overnight fasting- minutes))
  • Blood Pressure(two time (0 -overnight fasting-, 1 month-fasting-))
  • Body Mass Index (BMI)(two time (0 -overnight fasting-, 1 month-fasting-))
  • DNA damage(24 hours (0 -overnight fasting-, 60, 240, 420, 1440 -overnight fasting- minutes))
  • Coffee-derived plasma circulating bioactives(24 hours (0 -overnight fasting-, 30, 60, 120, 180, 240, 300, 360, 420, 480, 540, 1440 -overnight fasting- minutes))
  • Glucose and Insulin(1440 -overnight fasting- minutes)
  • DNA catabolites(24 hours (0 -overnight fasting-, 60, 240, 420, 1440 -overnight fasting- minutes))
  • Trimethyl-ammine-N-oxide (TMAO) in plasma(24 hours (0 -overnight fasting-, 30, 60, 120, 180, 240, 300, 360, 420, 480, 540, 1440 -overnight fasting- minutes))
  • Trimethyl-ammine-N-oxide (TMAO) in urine(24 hours (0 -overnight fasting-, 180, 360, 540, 1440 -overnight fasting- minutes))
  • Blood lipids(1440 -overnight fasting- minutes)
  • Waist circumference(two time (0 -overnight fasting-, 1 month-fasting-))
  • Nutri-metabolomics in plasma(1440 -overnight fasting- minutes)
  • Nutri-metabolomics in urine(24 hours (0 -overnight fasting-, 180, 360, 540, 1440 -overnight fasting- minutes))
  • Eicosanoids in urine(24 hours (0 -overnight fasting-, 180, 360, 540, 1440 -overnight fasting- minutes))
  • Inflammatory markers in plasma(1440 -overnight fasting- minutes)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Daniele Del Rio

Prof.

University of Parma

Study Sites (1)

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