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临床试验/NCT03595774
NCT03595774已完成1 期

Dose-response Effect of Dietary Nitrate on Muscle Function in Older Individuals

Indiana University1 个研究点 分布在 1 个国家目标入组 13 人开始时间: 2018年9月1日最近更新:
适应症
干预措施

试验速览

阶段
1 期
状态
已完成
入组人数
13
试验地点
1
主要终点
Maximal Knee Extensor Power

研究概览

简要总结

Nitrate is a naturally-occurring substance found in foods, especially green leafy vegetables and beets. Increasing nitrate intake (by drinking beetroot juice (BRJ) has been shown to improve muscle function young and middle-aged subjects, athletes, and patients with heart failure. The purpose of this study is to determine whether dietary nitrate provides a similar benefit in older individuals, and if so, the optimal dose. We will be comparing the effects of ingesting BRJ containing a smaller or greater amount of nitrate versus the effects of a placebo (BRJ from which the nitrate has been removed).

详细描述

This study consists of four visits that will take a minimum of 15 days to complete.

Study Visit One (Screening) 1-2 hours The purpose of the screening visit is to explain all aspects of the study. The investigators will also determine if individuals can participate in the study. Eligible subjects will undergo a complete medical history and physical exam. They will have their blood drawn, and will provide a urine sample (to determine if they are pregnant). Subjects will also practice the entire neuromuscular function exercise test. During this test, the strength of the subject's muscles will be determined by having them kick, push and/or pull back as hard as they can while their leg is strapped to an exercise device. Blood pressure and heart rate and rhythm will be monitored.

Subjects will be instructed to consume their normal diet throughout the study. However, they will be asked to avoid eating foods high in nitrate such as beets, spinach, and collard greens the evening before each visit. They will be asked to refrain from the use of antibacterial mouthwash, such as Listerine or Cepacol, during the study. Subjects will also be asked to not chew gum or to consume alcohol or food and drinks that contain caffeine for 24 hour before each visit. This includes coffee, tea, chocolate and soft drinks such as Mountain Dew. Finally, they will be asked to fast for 12 hour prior to each study visit.

Study Visit Two - Approximately 5 hours At the beginning of this visit a catheter (small, flexible, sterile plastic tube) will be placed through a vein in one of the subject's arms. This is for collection of blood samples. Blood will be drawn four times during this visit. Each draw will be 6mL or about 1.2 teaspoons. The first blood draw will check nitrate and nitrogen levels. Subjects will then have a breath test to check nitric oxide. They will then drink about 280 mL (about 1 cup) of BRJ. In one trial, this will be a placebo, that is, BRJ from which the essentially all of the nitrate has been removed. In another trial, they will drink BRJ still containing nitrate. In a third trial, they will drink an equal mixture of the placebo and nitrate-containing BRJ. Blood and breath samples will be obtained every hour. Heart rate and blood pressure will be measured at the same times the blood and breath samples are obtained. About 2 hours after ingestion of BRJ (or placebo) subjects will be asked to perform the neuromuscular function test that was practiced during the screening visit. After completing the exercise test one final blood and breath sample will be obtained.

Study Visits Three and Four

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Treatment
盲法
Triple (Participant, Investigator, Outcomes Assessor)

入排标准

年龄范围
65 Years 至 79 Years(Older Adult)
性别
All
接受健康志愿者
是

入选标准

  • •In good health, as determined by the investigator's review of history (provided by subject at screening visit), physical examination, and routine blood and urine tests (done at screening visit)

排除标准

  • •Men and women <65 or >79 years of age
  • •Unable to provide informed consent
  • •Currently pregnant or lactating (given the age range for the study, verbal confirmation by subject is believed to be sufficient)
  • •Current smokers
  • •Significant orthopedic limitations or other contraindications to strenuous exercise
  • •Those taking phosphodiesterase inhibitors (e.g., Viagra)
  • •Those taking proton pump inhibitors, antacids, xanthine oxidase inhibitors, or on hormone replacement therapy
  • •Those taking anti-coagulants (e.g., Coumadin) or on anti-platelet therapy
  • •History of neuromuscular disease (e.g., cervical spondylotic radiculomyelpathy, lumbar spondylosis, amyotrophic lateral sclerosis, Guillain-Barré syndrome, and acquired demyelinating polyneuropathies), cardiovascular disease (e.g., > stage I hypertension, heart failure, myocardial infarction/ischemia, significant myocardial or pericardial diseases (e.g. amyloidosis, constriction), moderate or severe valvular disease, renal disease, liver disease, or anemia

研究组 & 干预措施

Placebo

Placebo Comparator

3.3 mL/kg concentrated beet root juice *depleted of nitrate* Other names: Beet It Sport Nitrate 400 placebo

干预措施: Beet root juice (Dietary Supplement)

low nitrate

Active Comparator

1.55 mL/kg concentrated beet root juice depleted of nitrate + 1.55 mL/kg concentrated beet root juice *depleted of nitrate*

Other names: Beet It Sport Nitrate 400 placebo + Beet It Sport Nitrate 400

干预措施: Beet root juice (Dietary Supplement)

high nitrate

Active Comparator

3.3 mL/kg concentrated beet root juice containing nitrate

Other names:Beet It Sport Nitrate 400

干预措施: Beet root juice (Dietary Supplement)

结局指标

主要结局

Maximal Knee Extensor Power

时间窗: 1 day

Maximal knee extensor power determined using isokinetic dynamometry

Maximal Knee Extensor Velocity

时间窗: 1 day

Maximal knee extensor velocity determined using isokinetic dynamometry

次要结局

  • Plasma Nitrate(0, 1, 2, 3 h after ingestion)
  • Plasma Nitrite(0, 1, 2, 3 h after ingestion)
  • Breath Nitric Oxide(0, 1, 2, 3 h after ingestion)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Andrew Coggan

Associate Professor

Indiana University

研究点 (1)

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