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Evaluation of the Potential of Grape Consumption to Improve Muscle Strength and Cognitive Function

Not Applicable
Recruiting
Conditions
Healthy
Registration Number
NCT07208916
Lead Sponsor
Western New England University
Brief Summary

The goal of this clinical trial is to learn if eating grapes can improve muscle strength and thinking in generally healthy women over 65. The main questions it aims to answer are:

Does eating grapes improve muscle strength in women over 65? Does eating grapes improve cognition in women over 65?

Participants will be asked to take part in 4 sessions on campus. Each session will include:

Functional muscle strength testing Cognitive testing Blood draws

Detailed Description

The goal of this project is to perform a translational study to evaluate the potential of grape consumption to improve muscle and cognitive function with female human volunteers. The study will examine the impact of grape consumption on the functional strength and cognition of females over the age of 65. We will recruit 35 women who are in good overall health. On Day 1, consented participants will undergo baseline screening and assessments and will receive education on dietary restrictions for the following two weeks. After the two-week run-in diet period, on Day 14 participants will complete functional strength and cognitive testing, provide blood samples, and receive pouches of grape powder to be ingested daily. During the grape consumption phase of the trial, participants will ingest two 36 g pouches of grape powder daily for 30 days - equivalent to three servings of fresh grapes per day. Additional blood work, strength and cognitive testing will be performed on Day 28 and again on Day 42. Results will help to inform future studies on the effectiveness of regular grape intake on functional muscle strength and cognition in women over the age of 65, along with serum markers that are indicative of underlying mechanisms of action.

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
35
Inclusion Criteria
  • Healthy female (confirmed by medical history)
  • Aged 65 or older;
  • Able to walk household distances without assistance from another person
  • Non-smoker;
  • Dominant hand grip strength at or below normal value for age and gender;
  • Had not consumed recreational drugs for one week prior;
  • Agreed not to participate in any clinical or patch test studies at Day 1 through study completion;
  • Completed a medical intake;
  • Read, understood, and signed an informed consent.
Exclusion Criteria
  • Using nasally inhaled/systemic/topical corticosteroids within 4 weeks prior to and/or during the study, or systemic/topical antihistamines 72 hours prior to and during the study;

  • Using certain antifungal drugs, antihistamines (including diphenhydramine, or Benadryl), antibiotics 4 (including "sulfa" drugs, quinolones and tetracyclines), oral diabetes drugs, sulfonylureas, diuretics, and tricyclic antidepressants. Some herbal supplements such as St. John's Wort would make a person ineligible;

  • Not willing to refrain from using acetaminophen (occasional use permitted, except within 48 hours of a study visit) or systemic/topical anti-inflammatory analgesics such as aspirin, Aleve, Motrin, Advil, Orudis, or Nuprin for 72 hours prior to and during study visits;

  • Any of the following in the 4 weeks prior to start of study:

    1. Major surgery for any indication
    2. On cytotoxic chemotherapy for any indication (including methotrexate for arthritis)
    3. Hormonal therapy for cancer prevention (including tamoxifen). Note: treatment with finasteride/dutasteride for BPH does not render a participant ineligible
    4. Using medication which, in the opinion of the Investigator, would interfere with the study results (e.g., anti-inflammatory medications, antipsychotics, anticonvulsants with potential pain relief effects, immunomodulatory medications; blood thinners);
  • Known sensitivity or allergy to grape powder;

  • Nut allergies;

  • Had received treatment for any type of internal cancer within 5 years prior to study entry;

  • Had a history of or currently being treated for:

    1. Hepatitis;
    2. Diabetes (including insulin injections);
    3. Solid organ or bone marrow transplant
    4. Keloid formation
    5. Chronic renal or hepatic disorder
    6. Significant bleeding disorder
    7. Progressive neurodegenerative condition
    8. Swallowing disorder
  • OTHER

    a. Any condition that might have compromised study results;

  • Uncontrolled concurrent illness including ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, uncontrolled symptomatic cardiac arrhythmia, psychiatric illness/social situations that limited compliance with study requirements or other underlying serious medical condition which, in the investigator's opinion precluded study participation.

    b. Currently participating in any clinical testing; c. Received any investigational drug(s) within 28 days from Day 1.

Participants must also follow the following Subject Responsibilities:

Participants are not to consume the following foods during the study: Artichokes, figs, green tea, almonds, red fruits and vegetables, turmeric, olive oil, berries (blueberries, blackberries, grapes, raspberries, strawberries, goji berries, etc.), cocoa, dark chocolate, pomegranate, red wine

Participants are to limit the following foods during the study:

Coffee/Tea - 1X per day, beans/legumes - 2X per week, Soy foods (tofu, soy milk, miso, tempeh) 2X per week

Participants are not to consume the following supplements during the study: Multivitamin, Alpha lipoic acid, B vitamins, Coenzyme Q10, Elderberry, Ellagic acid, Fish oil, Flaxseed or flaxseed oil, Grapeseed extract, Green tea, Lycopene 6, Niacinamide, Quercetin, Resveratrol, Selenium, Turmeric, Vitamin C, E, K

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Biomarker - MyostatinFrom start of enrollment to the end of treatment at 4 weeks

Through serum analysis, myostatin will be measured in units of pg/mL at three points throughout the study.

Biomarker - IL-6From start of enrollment through treatment at week 4

Through serum analysis, Interleukin-6 (IL-6) will be measured in units of pg/mL at three points throughout the study.

Biomarker - GDF-15From start of enrollment to the end of treatment at 4 weeks

Through serum analysis, Growth Differentiation Factor 15 (GDF-15) will be measured in units of pg/mL at three points throughout the study.

BIomarker - BDNFFrom start of enrollment through end of treatment at 4 weeks

Through serum analysis, Brain-derived neurotrophic factor (BDNF) will be measured in units of pg/mL at three points throughout the study.

Biomarker - Cystatin CFrom start of enrollment through the end of treatment at 4 weeks

Through serum analysis, biomarker Cystatin C will be measured in units of pg/mL at three points throughout the study.

Biomarker - TNF-αFrom start of enrollment through the end of treatment at 4 weeks

Through serum analysis, biomarker Tumor necrosis factor-alpha will be measured in units of pg/mL at three points throughout the study.

Biomarker - CRPFrom start of enrollment through the end of treatment at 4 weeks

Through serum analysis, biomarker C-reactive protein (CRP) will be measured in units of pg/mL at three points throughout the study.

Biomarker - CCL-2/MCP-1From start of enrollment through the end of treatment at 4 weeks

Through serum analysis, biomarker C-C motif chemokine ligand 2 / Monocyte chemoattractant protein 1 will be measured in units of pg/mL at three points throughout the study.

Biomarker - CAFFrom start of enrollment through the end of treatment at 4 weeks

Through serum analysis, biomarker C-terminal fragment of agrin (CAF) will be measured in units of pg/mL at three points throughout the study.

Biomarker - MalondialdehydeFrom start of enrollment through the end of treatment at 4 weeks

Through serum analysis, biomarker malondialdehyde will be measured in units of µM at three points throughout the study.

Secondary Outcome Measures
NameTimeMethod
Functional Muscle Strength - Standing BalanceFrom start of enrollment to the end of treatment at 4 weeks

Standing Balance - Timed Up and Go (TUG) Test - a quick and effective measure of mobility and balance, predicting fall risk in older populations.

Functional Muscle Strength - Overall Physical PerformanceFrom start of enrollment to the end of treatment at 4 weeks

Overall Physical Performance - Short Physical Performance Battery (SPPB) -evaluates lower extremity function through balance, gait speed, and chair stand tests. It is a validated tool for assessing physical performance and predicting disability and mortality in older adults.

Functional Muscle Strength - Self-Reported Instrumental Activities of Daily LivingFrom start of enrollment to the end of treatment at 4 weeks

Self-Reported Instrumental Activities of Daily Living - Lawton-Brody IADL Scale - assesses an individual's ability to perform complex daily tasks, providing insight into functional independence.

Functional CognitionFrom start of enrollment to the end of treatment at 4 weeks

Montreal Cognitive Assessment (MoCA) - a brief cognitive screening tool that effectively detects mild cognitive impairment, offering greater sensitivity than other instruments like the MMSE. It assesses multiple cognitive domains and is validated for use in older populations.

Functional Muscle Strength - Bilateral Grip StrengthFrom start of enrollment to the end of treatment at 4 weeks

Bilateral Grip Strength -Hydraulic Hand Dynamometer - a reliable indicator of overall muscular strength and has been correlated with functional status and health outcomes in older adults.

Functional Muscle Strength - Bilateral Pinch StrengthFrom start of enrollment to the end of treatment at 4 weeks

Bilateral Pinch Strength -Hydraulic Pinch Gauge - provide insight into fine motor function and hand dexterity, which are crucial for daily activities.

Body Composition Total ScoreFrom start of enrollment to the end of treatment at 4 weeks

A body composition total score is an indicator of an individual's overall health by quantifying their body's components (fat, muscle, bone, and water) and providing a numerical rating, often out of 100, that serves as a health risk indicator. A body composition analysis machine will be used for this calculation.

Trial Locations

Locations (1)

Western New England University

🇺🇸

Springfield, Massachusetts, United States

Western New England University
🇺🇸Springfield, Massachusetts, United States
Brittany C Adams
Principal Investigator
Michael Salemi
Sub Investigator
John Pezzuto
Sub Investigator
Eun Jung Park
Sub Investigator

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