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Cardio Protective Properties of a Yogurt Enriched With Bioactive Lipids of Olive Oil Products

Not Applicable
Conditions
Cardiovascular Diseases
Interventions
Other: Plain Yogurt
Other: Enriched Yogurt
Registration Number
NCT02259205
Lead Sponsor
Harokopio University
Brief Summary

This study evaluates the effectiveness of a yogurt enriched with bioactive lipids extracted from olive mill waste in platelet aggregation and other inflammatory and oxidative stress markers. The study will include three groups: the intervention group will receive the enriched yogurt while the other two groups will serve as controls (plain yogurt and no yogurt consumption).

Detailed Description

Cardiovascular diseases are the leading cause of mortality worldwide. Data from the investigators research group indicate that platelet activating factor (PAF) is one of the most important inflammatory factors and the main mediator of thrombosis during the formation of atherosclerotic plaque. Thus, dietary interventions aimed at inhibition of PAF is of particular importance in public health level. The aim of the study is to examine the efficacy of administering in humans bioactive lipids extracted from olive mill waste (with proven in vitro anti-thrombotic activity and in vivo anti-atherosclerotic properties in rabbits fed an atherogenic diet) to inhibit the activity of PAF and other inflammatory mediators.

Bioactive lipids are isolated by standardized methodology of oil manufacture byproducts. Preliminary studies have been done in animals to establish the safety of administration of these compounds and to clarify the effective dosages of administration for inhibiting formation of atherosclerotic plaques. The effectiveness of these compounds in humans will be examined in a randomized, double-blind clinical trial in subjects aged 40-60 years, lasting eight weeks. Supplementation with the bioactive lipids will be in the form of an enriched yogurt provided daily. The study includes three groups: treatment group, where enriched yogurt will be provided, plain yogurt treatment group and no consumption of yogurt group . Parameters that will be assessed are the inhibition of platelet aggregation (with three different stimuli, including PAF), lipid profile, inflammatory markers such as CRP, IL-6, TNFa, and oxidative stress markers.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • All individuals, aged 40-60 years, without any of the exclusion criteria
Exclusion Criteria
  • Any anti-inflammatory medication
  • Hyper-lipidemic medications
  • Use of antibiotics within two months from study entry
  • Pregnancy or childbirth in the previous year
  • Intake of any nutritional supplement
  • Any serious dental, respiratory, liver, kidney, gastrointestinal disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Plain YogurtPlain Yogurt150 g not enriched yogurt provided daily for 8 weeks
Enriched YogurtEnriched Yogurt150 g yogurt enriched with approximately 0.5 g bioactive lipids extract from olive oil mill provided daily for 8 weeks
Primary Outcome Measures
NameTimeMethod
Changes in Platelet aggregation0 (baseline), end of 4th week and 8th week

The ability of platelets to aggregate will be measured in platelet rich plasma (PRP) of volunteers using PAF, thrombin and ADP as aggregating factor.

Secondary Outcome Measures
NameTimeMethod
Changes in Blood lipid profile0 (baseline), end of 4th week and 8th week

Blood levels of cholesterol, LDL-cholesterol, HDL-cholesterol and triacylglycerols will be measured.

Changes in Inflammation-related markers0 (baseline), end of 4th week and 8th week

C-reactive protein (CRP), IL-6, TNFa, IL-10 levels in fasting blood samples.

Change in Dietary intake0 (baseline), end of 8th week

Dietary intake will be assessed through two dietary recalls and a food frequency questionnaire at each time point.

Changes in Glucose and Insulin0 (baseline), end of 4th week and 8th week

Blood levels of glucose and insulin

Changes in Oxidative stress0 (baseline), end of 4th week and 8th week

Ex vivo serum oxidation as a marker for lipid oxidation and protein carbonyls as a marker for protein oxidation will be measured.

Changes in Gastro-intestinal symptoms0 (baseline), end of 4th week and 8th week

Gastro-intestinal symptoms and possible side effects from yogurt consumption will be assessed through validated questionnaires.

Changes in Gut microbiota populations0 (baseline), end of 8th week

the populations of lactobacilli, bifidobacteria and Clostridium histolyticum group will be estimated by real-time PCR using genus specific primers. Furthermore, the metabolic products of the gut microorganisms will be evaluated by measuring the short chain fatty acids profile in fecal samples.

Trial Locations

Locations (1)

Harokopio University, Department of Nutrition and Dietetics

🇬🇷

Athens, Attiki, Greece

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