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Impact of Low-fat and Full-fat Milk on Lipids and Cardiac Function in Patients With Coronary Artery Disease

Not Applicable
Completed
Conditions
Coronary Artery Disease
Interventions
Dietary Supplement: 500 mL/day of low-fat milk (fat <1.5%) for 12 weeks
Dietary Supplement: 500 mL/day of full-fat milk from corn-fed cows (fat >3.8%) for 12 weeks
Dietary Supplement: 500 mL/day of full-fat milk from grass-fed cows (fat >3.8%) for 12 weeks
Registration Number
NCT06542172
Lead Sponsor
Chinese PLA General Hospital
Brief Summary

This trial aimed to investigate the effects of low-fat and full-fat milk on patients with coronary artery disease (CAD).

Detailed Description

The effects of low-fat and full-fat milk on lipid profiles and sphingolipid profiles in CAD patients are not well understood. In addition, milk intake is at a low level in the Chinese population compared with developed countries. Therefore, we aimed to conduct a randomized controlled trial to investigate the effects of low-fat and full-fat milk on lipid profiles, sphingolipid profiles, and cardiac performance in Chinese CAD patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria

(1) Patients with CAD

Exclusion Criteria

(1) patients <18 years of age; (2) patients with systemic active infection; (3) patients with severe hepatic and renal dysfunction [alanine aminotransferase (ALT) > 135mmol/L, creatinine > 200umol/L), or chronic lung disease; (4) patients with a life expectancy ≀ 6 months due to bleeding tendency and hematological diseases, malignant tumors, and end-stage diseases; (5) patients with valvular heart disease or left ventricular aneurysm who needed simultaneous surgeries; (6) patients with cerebrovascular disease (cerebral infarction or cerebral hemorrhage within 6 months before enrollment); (7) patients who enrolled in other drug intervention trials; (8) patients who received emergency percutaneous coronary intervention (PCI); and (9) patients who reported intolerance to lactose.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
500 mL/day of low-fat milk (fat <1.5%)500 mL/day of low-fat milk (fat <1.5%) for 12 weeksAll milk is provided by the Inner Mongolia Yili Industrial Group Limited by Share Ltd (Inner Mongolia, China).
500 mL/day of full-fat milk from corn-fed cows (fat >3.8%)500 mL/day of full-fat milk from corn-fed cows (fat >3.8%) for 12 weeksAll milk is provided by the Inner Mongolia Yili Industrial Group Limited by Share Ltd (Inner Mongolia, China).
500 mL/day of full-fat milk from grass-fed cows (fat >3.8%)500 mL/day of full-fat milk from grass-fed cows (fat >3.8%) for 12 weeksAll milk is provided by the Inner Mongolia Yili Industrial Group Limited by Share Ltd (Inner Mongolia, China).
Primary Outcome Measures
NameTimeMethod
differences in lipids, sphingolipids, and cardiac function between the three groups after 12 weeks of interventionafter 12 weeks of intervention

The lipids contain total cholesterol, triglycerides, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), small dense LDL (sd LDL), large buoyant LDL (lb LDL), phospholipids, apolipoprotein A β…  (apoA β… ), apolipoprotein B (apoB), and lipoprotein (a). Sphingomyelins (C16:0, C20:0, C20.1:0, C22:0, C24.1:0) as well as their metabolites such as ceramides (C16:0, C18:0, C18.1:0, C20:0, C20.1:0, C22:0, C24:0, C24.1:0), sphingosine, and sphingosine 1-phosphate, were also measured.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (7)

Beijing Chaoyang Hospital Affiliated to Capital Medical University

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Beijing, China

Chinese PLA General Hospital

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Beijing, China

The Third Military Medical University of the Chinese people's Liberation Army

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Chongqing, China

Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine

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Shanghai, China

The Second Affiliated Hospital of Kunming Medical University

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Kunming, China

Nanjing First Hospital

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Nanjing, China

Dongzhimen Hospital

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Beijing, China

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