Cheese Consumption and Human Microvascular Function
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 13
- 试验地点
- 1
- 主要终点
- Microvascular Reactivity to Acetylcholine
研究概览
简要总结
Increased dairy intake is associated with improved measures of blood vessel health. Dairy cheese, however, is often high in sodium. Dietary sodium can impair blood vessel function. The researchers examine if and how natural cheese may protect against impairments in blood vessel function caused by sodium. For this study, participants complete four 8-day controlled feeding periods in which they eat cheese (6 oz/day) or no cheese during a low-sodium or high-sodium base-diet. The participants complete baseline experiments while on their normal personal diet and then repeat experiments at the end of each controlled feeding period. In some of our experiments, the researchers use a technique called "microdialysis" (MD). With MD, the researchers perfuse some research drugs into the skin on the forearm through tiny tubing that mimics capillaries. These MD drugs mimic or block substances the body naturally makes to control the small blood vessels in the skin. The drugs remain in nickel-sized areas around the tubing and do not go into the rest of the body. The researchers also use a standard technique called "flow mediated dilation" (FMD) that uses blood pressure cuffs and ultrasound to look at the health of larger blood vessels in the body. FMD includes placing a small tablet of nitroglycerin under the tongue during part of the test.
详细描述
Subject screening will be performed by the Penn State Clinical Translational Research Center (CTRC) medical staff and will include a physical exam by a clinician, anthropometry, and a chemical and lipid profile, liver and renal function. Participants meet with a registered dietitian to determine their caloric energy requirements and identify food preferences. The interview includes surveying the subject's physical activity over the previous 7 days.
Subjects will undergo baseline microdialysis experiments to examine the function of the blood vessels in the skin microcirculation. Subjects will also go through a baseline assessment of conduit vessel endothelial and vascular smooth muscle function with brachial artery flow-mediated vasodilation (FMD), and sublingual nitroglycerin. Following baseline experiments, subjects participate in 4 controlled feeding periods, each 8 days in duration. The controlled feeding periods are assigned in a randomized order. At the end of each 8-day controlled dietary period, subjects will repeat microdialysis experiments, brachial artery FMD, and responsiveness to sublingual nitroglycerin.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Basic Science
- 盲法
- None (Investigator, Outcomes Assessor)
盲法说明
Investigator and Outcomes Assessor are masked according to treatment.
入排标准
- 年龄范围
- 55 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Seated systolic pressure 120-140 mmHg
- •Seated diastolic pressure 70-90 mmHg.
- •Normoglycemic (HbA1C <5.7%)
排除标准
- •Taking pharmacotherapy that alters peripheral vascular control
- •Pregnancy
- •Breastfeeding
- •Females taking contraceptives (pills, patches, shots, etc.) or hormone replacement therapy
- •Taking illicit and/or recreational drugs
- •Use of nicotine containing-products (e.g. smoking, chewing tobacco, etc.)
- •Known allergy to latex or investigative substances
研究组 & 干预措施
Impact of Dairy and Sodium on Microvascular Health
Cross over design with a baseline and 4 dietary interventions
干预措施: Low sodium no cheese (Dietary Supplement)
Impact of Dairy and Sodium on Microvascular Health
Cross over design with a baseline and 4 dietary interventions
干预措施: Low sodium cheese (Dietary Supplement)
Impact of Dairy and Sodium on Microvascular Health
Cross over design with a baseline and 4 dietary interventions
干预措施: High sodium no cheese (Dietary Supplement)
Impact of Dairy and Sodium on Microvascular Health
Cross over design with a baseline and 4 dietary interventions
干预措施: High sodium cheese (Dietary Supplement)
结局指标
主要结局
Microvascular Reactivity to Acetylcholine
时间窗: 1 hour
Skin blood flow is measured with laser Doppler flowmetry (flux units) and normalized to cutaneous vascular conductance by dividing by mean arterial pressure. Log molar increasing concentrations of acetylcholine are perfused and dose response curves are generated. Dose response curves were analyzed to determine the logEC50 (log Molar)
次要结局
- Diastolic Blood Pressure(8 days)
- Systolic Blood Pressure(8 days)
- Flow Mediated Dilation(8 days)
研究者
Lacy Alexander
Associate Professor of Kinesiology
Penn State University
