Vegetable Consumption in Relation to Health - Full Text View

Purpose

Rationale: Consumption of vegetables is generally considered to be associated with several positive effects on health. Vegetables are a heterogeneous group of our diet which is rich in bio-actives. The vegetables contain a range of vitamins, minerals, dietary fibres and phytochemicals like potassium, flavonoids, carotenoids, and vitamin C. The recommended intake of vegetables by the Dutch Health Council is 200 grams daily (Health Council, 2006).

Health in this project is defined as the possibility of a subject to change and adapt easily in response to a certain challenge. Healthy subjects show resilience in different physiological processes related to oxidative stress, metabolic stress, neurological stress and inflammatory stress. The reaction/response to a challenge might be changed when subjects have consumed more or less vegetables and have an improved health status. The response might also differentiate between subjects differing in BMI (healthy weight versus overweight/obese). Supplementation of vegetables will be provided in two conditions: a low and a high daily intake (50 versus 200 grams daily). An intervention known to have positive effects on health is weight loss. This will be studied in relation to health (the reaction to the challenge test) as well.

A beneficial effect is present when 5% improvement of health markers is shown with vegetable supplementation, similar as is known from weight loss studies.

Objective: The primary objective of the present study is to set-up a methodology to investigate health based on the resilience to challenge. A secondary objective is the effectiveness of the challenge concept with a food intervention. The vegetable supplementation study is a first example to test the challenge concept. Therefore, vegetable consumption according to the recommendations of the Dutch Health Council of 200 grams of vegetables daily will be studied with an exercise challenge test, to investigate the beneficial 'health' effects.

Condition	Intervention
Health Obesity Oxidative Stress	Dietary Supplement: Vegetables Dietary Supplement: energy restriction

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Basic Science
Official Title:	Beneficial Effects of Vegetable Consumption and a Diet Intervention on Health in Lean and Obese Men.

Resource links provided by NLM:

MedlinePlus related topics: Exercise and Physical Fitness Obesity Weight Control

U.S. FDA Resources

Further study details as provided by TNO Quality of Life:

Primary Outcome Measures:

Investigate whether the maximal exercise performance test is a good concept for a challenge test, to examine 'health'. Health is defined as the ability to adapt in different circumstances. [ Time Frame: after 4 weeks intervention ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Compare outcomes on the exercise test after high or low vegetable consumption and after weight loss. Differences are expected between the lean and obese subjects. [ Time Frame: after four weeks of intervention ] [ Designated as safety issue: No ]

Enrollment:	32
Study Start Date:	January 2009
Study Completion Date:	December 2010
Primary Completion Date:	December 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: High vegetable dose Consumption of 200 grams of vegetables daily, for four weeks.	Dietary Supplement: Vegetables 200 or 50 grams of vegetables daily for four weeks
Experimental: Low vegetable dose Consumption of 50 grams of vegetables daily, for four weeks.	Dietary Supplement: Vegetables 200 or 50 grams of vegetables daily for four weeks
Active Comparator: Weight loss interventio Consumption of - 1000 kcal daily, for four weeks to be used as a positive control for the vegetables interventions.	Dietary Supplement: energy restriction Consume about 1000 kcal less daily, for four weeks, as a positive control to the vegetables interventions.

Detailed Description:

Study design: The study is designed as a randomized, cross-over and parallel, open study.

Study population: The number of subjects participating in the study will be 32, healthy, lean and obese men, aged between 18-45 years.

Intervention: each intervention lasts four weeks:

High Vegetable treatment: consumption of 200 grams of vegetables daily;
Low Vegetable treatment: consumption of 50 grams of vegetables daily;
An energy restricted diet intervention with the habitual vegetable consumption.

Main study parameters/endpoints: A 'challenge test' will be used as a physical stress test to examine whether subjects show more or less resilience to the test. The reaction and recovery of the human system to the exercise test may be used as indicators of health status on different biological analyses (transcriptomics; metabolomics; rules based medicine pm). Different analyses to measure oxidative stress will be performed. Also standard health biomarkers will be determined to examine the intervention effects.

Eligibility

Ages Eligible for Study:	18 Years to 45 Years
Genders Eligible for Study:	Male
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Healthy as assessed by the
- health and lifestyle questionnaire, (P8374 F02; in Dutch)
- physical examination
- results of the pre-study laboratory tests
Males aged between 18 and 45 years at Day 01 of the study
Body Mass Index (BMI): for the lean : between 20 and 25 kg/m2; obese between 30 and 35 kg/m2
Normal Dutch eating habits as assessed by P8374 F02
Used to consume vegetables daily and liking vegetables (P8374 F02 and F06)
Physically able to perform a maximal cycling exercise test
Voluntary participation
Having given written informed consent
Willing to comply with the study procedures
Appropriate veins for blood sampling according to TNO
Willing to accept use of all nameless data, including publication, and the confidential use and storage of all data for at least 15 years
Willing to accept the disclosure of the financial benefit of participation in the study to the authorities concerned.

Exclusion Criteria:

Participation in any clinical trial including blood sampling and/or administration of substances up to 90 days before Day 01 of this study
Participation in any non-invasive clinical trial up to 30 days before Day 01 of this study, including no blood sampling and/or oral, intravenous, or inhalatory administration of substances
Having a history of medical or surgical events that may significantly affect the study outcome, including cardiovascular disease or hypertension and/or (food) allergy
Using prescribed medication or taking pain killers on a regular basis (judged by the medical investigator) ;
Smoking
Exercise regularly and exceed the Dutch Standard of Healthy Physical Activity of 2.5 hours/week
Alcohol consumption > 28 units/week
Reported unexplained weight loss or gain of > 2 kg in the month prior to the pre-study screening
Reported slimming or medically prescribed diet
Recent blood donation (<1 month prior to the start of the study)
Not willing to give up blood donation during the study
Personnel of TNO Quality of Life, their partner and their first and second degree relatives
Not having a general practitioner
Not willing to accept information-transfer concerning participation in the study, or information regarding his health, like laboratory results, findings at anamnesis or physical examination and eventual adverse events to and from his general practitioner.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00959790

Locations

Netherlands
TNO Quality of Life, Metabolic ward
Zeist, Utrecht, Netherlands, 3700 AJ

Sponsors and Collaborators

TNO Quality of Life

Netherlands: Ministry of Health, Welfare and Sports

Investigators

Principal Investigator:	Wilrike Pasman, PhD	TNO Quality of Life
Study Director:	Ineke Klöpping-Ketelaars, PhD, MD	TNO Quality of Life

More Information

No publications provided

Responsible Party:	W.J. Pasman, TNO, Zeist, The Netherlands, TNO Quality of Life
ClinicalTrials.gov Identifier:	NCT00959790 History of Changes
Other Study ID Numbers:	P8374
Study First Received:	August 14, 2009
Last Updated:	February 27, 2012
Health Authority:	Netherlands: Dutch Health Care Inspectorate Netherlands: Medical Ethics Review Committee (METC) Netherlands: Ministry of Health, Welfare and Sport Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

Keywords provided by TNO Quality of Life:

Health
Obesity
Oxidative stress
Challenge concept
Vegetables

Additional relevant MeSH terms:

Obesity
Overnutrition
Nutrition Disorders

Overweight
Body Weight
Signs and Symptoms

ClinicalTrials.gov processed this record on May 21, 2013

Vegetable Consumption in Relation to Health (8374)