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Effects of Blueberries in Older Adults

Not Applicable
Completed
Conditions
Orthostatic Hypotension
Vascular Diseases
Blood Pressure
Interventions
Behavioral: Blueberry Consumption
Behavioral: Dried Date Consumption
Registration Number
NCT05358210
Lead Sponsor
Beth Israel Deaconess Medical Center
Brief Summary

This randomized, parallel-design trial will evaluate specific clinical and physiological effects of whole blueberries in adults 70 years of age or older.

Detailed Description

Although much is already known about the benefits of a healthy diet for the prevention of a wide range of chronic diseases, including the particular health benefits of anthocyanin-rich foods, these effects have been examined with much less frequency in older adults, who tend to be excluded from formal feeding studies and, until recently, have represented a small proportion of ongoing cohort studies. The proposed study will randomize approximately 46 women and 24 men, representative of the proportion of elderly women and men in the U.S. to consume either:

1. 1 cup of frozen blueberries daily for 12 weeks

or

2. 2-3 dried dates daily for 12 weeks.

Dates were chosen as a control food because they contain negligible polyphenols, proportionately high caloric content, and a convenient form for storage. After the 12-week intervention, researchers will repeat in-person study assessments from baseline.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
61
Inclusion Criteria
  • 70 years old
  • Independent-living
Exclusion Criteria
  • Cardiovascular event or procedure within 3 months of randomization
  • AHA Class III-IV heart failure
  • Intolerance or allergy to blueberries or dates
  • History of gastric bypass surgery
  • Any planned hospitalization or vacation in the ensuing 4 months
  • Any current cancer treatment
  • End-stage renal disease
  • Any organ transplant
  • Uncontrolled diabetes mellitus with hemoglobin A1c >9%
  • Systolic blood pressure >200 mmHg
  • Inability to provide personal informed consent (e.g. cognitive impairment)
  • Investigator concern

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Blueberry ConsumptionBlueberry ConsumptionRandomized participants will consume 1 cup of frozen blueberries, provided by the trial, daily for 12 weeks.
Dried Date ConsumptionDried Date ConsumptionRandomized participants will consume 2-3 dried dates, provided by the trial, daily for 12 weeks.
Primary Outcome Measures
NameTimeMethod
Ambulatory Blood Pressure Monitoring12 weeks after randomization

24-hour wake-time ambulatory blood pressure monitoring

Lower Extremity Functioning12 weeks after randomization

Short Physical Performance Battery

Cognition12 weeks after randomization

Cogstate Brief Battery of four core cognitive domains: processing speed, attention, visual learning, and working memory

Orthostatic Hypotension12-weeks after randomization

Supine and standing blood pressure

Secondary Outcome Measures
NameTimeMethod
Number of Self-Reported FallsWeekly for 12 weeks between baseline and follow-up

Investigators will administer the Fall Follow-Up Questionnaire from the Study to Understand Fall Reduction and Vitamin D in You (STURDY) to participants that self-report falls to record details on each fall.

Total Cholesterol12 weeks after randomization

Measured in fasted blood as part of a lipid panel

Free Fatty Acids12 weeks after randomization

Measured in blood samples

Sleep12 weeks after randomization

Pittsburgh Sleep Quality Index. The 19 self-rated items are combined to form 7 "component" scores, each of which has a range of 0-3 points. In all cases, a score of "0" indicates no difficulty, while a score of "3" indicates severe difficulty. The 7 component scores are then added to yield one "global score", with a range of 0-21 points, "0" indicating no difficulty and "21" indicated severe difficulties in all sleep areas.

Troponin T (HS)12 weeks after randomization

Measured in blood sample

Derived Low Density Lipoprotein Cholesterol12 weeks after randomization

Measured in fasted blood as part of a lipid panel

Triglycerides12 weeks after randomization

Measured in fasted blood as part of a lipid panel

Grip Strength12 weeks after randomization

Bilateral grip strength measured by a dynamometer

Estimated Glomerular Filtration Rate (eGFR)12 weeks after randomization

Measured in blood as part of basic metabolic panel

C-Reactive Protein (CRP)12 weeks after randomization

Measured concentration in blood in response to inflammation

Incontinence12 weeks after randomization

Questionnaire for Urinary Incontinence Diagnosis. The first 3 items focus on stress incontinence symptoms and the last 3 on urge incontinence symptoms. Each item includes 6 frequency-based response options, which are scored from 0 to 5 points. Scores are calculated in an additive fashion, resulting in separate Stress and Urge score, each ranging from 0-15 points. Higher scores indicate more severe incontinence symptoms.

Cardiac Ectopy12 weeks after randomization

Number of participants with atrial premature beats detected by a 24-hour Holter monitor

High Density Lipoprotein Cholesterol12 weeks after randomization

Measured in fasted blood as part of a lipid panel

Albumin-to-Creatinine Ratio12 weeks after randomization

Measured in a spot urine sample to detect albuminuria

C-terminal telopeptide of type 1 collagen12 weeks after randomization

Measured in blood samples to assess bone turnover

Fructosamine12 weeks after randomization

Measured in blood to estimate glucose levels over the previous 2-3 weeks.

T-Cell Receptor Portfolio12 weeks after randomization

Adaptive Immune Receptor Repertoire sequences in blood samples

Immune System Diversity12 weeks after randomization

Measure in blood samples to show diversity of immune sequences

Trial Locations

Locations (2)

Center Communities of Brookline (CCB)

đŸ‡ºđŸ‡¸

Brookline, Massachusetts, United States

NewBridge on the Charles

đŸ‡ºđŸ‡¸

Dedham, Massachusetts, United States

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