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The Effects of Apple Consumption on Cardiovascular Health in Prediabetics and Type 2 Diabetics

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02224365
Recruitment Status : Completed
First Posted : August 25, 2014
Last Update Posted : December 8, 2016
Sponsor:
Collaborator:
U.S. Apple Association
Information provided by (Responsible Party):
Bahram Arjmandi, Florida State University

Tracking Information
First Submitted Date  ICMJE August 21, 2014
First Posted Date  ICMJE August 25, 2014
Last Update Posted Date December 8, 2016
Study Start Date  ICMJE August 2014
Actual Primary Completion Date December 2016   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: August 21, 2014)
Blood Pressure [ Time Frame: 12 weeks ]
By measuring brachial and aortic blood pressure at rest and during physiological stress (handgrip exercise and post-exercise muscle ischemia).
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: August 21, 2014)
  • Arterial Stiffness [ Time Frame: 12 weeks ]
    By measuring arterial stiffness and augmentation index at rest and during physiological stress (handgrip exercise and post-exercise muscle ischemia).
  • Autonomic Control of Blood Pressure [ Time Frame: 12 weeks ]
    By measuring blood pressure variability and baroreflex sensitivity at rest and during physiological stress.
  • Endothelial-mediated Vasodilation [ Time Frame: 12 weeks ]
    By measuring flow-mediated dilation in the brachial artery.
  • Inflammation [ Time Frame: 12 weeks ]
    By measuring markers of inflammation.
  • Oxidative Stress [ Time Frame: 12 weeks ]
    By measuring markers of oxidative stress.
  • Insulin Sensitivity [ Time Frame: 12 weeks ]
    By measuring fasting glucose, insulin, homeostatic model of insulin resistance, and hemoglobin A1C.
  • Atherogenic Markers [ Time Frame: 12 weeks ]
    By measuring adhesion factors, lipid profiles, and atherogenic risk ratios.
  • Body Composition [ Time Frame: 12 weeks ]
    By measuring fat mass and fat-free mass using dual-energy X-ray absorptiometry and anthropometrics.
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE The Effects of Apple Consumption on Cardiovascular Health in Prediabetics and Type 2 Diabetics
Official Title  ICMJE Regular Apple Consumption Improves Cardiovascular Risk Factors and Glycemic Control in Overweight and Obese Prediabetics and Type 2 Diabetics
Brief Summary The hypothesis of this study is that the daily consumption of 75 g dried apple powder for twelve weeks will improve arterial stiffness and blood pressure by improving endothelial-mediated vasodilation and vascular sympathetic activity and favorably altering biochemical markers associated with cardiovascular risk and glycemic control compared to a macronutrient-matched control powder. 50 men and women between the ages of 45 and 65 with prediabetes or type 2 diabetes who are overweight or obese will be included in the study. After a two-week run-in phase, eligible men and women will be randomly assigned to one of two treatment groups: 1) 75 g dried apple powder; or 2) 75 g placebo powder daily for twelve weeks. After an initial telephone screening, all participants will be requested to report to the study site for their first visit. On the first visit (screening), participants will be provided with verbal and written explanation of the project. They will then be asked to sign an informed consent form, followed by measuring fasting glucose levels and a medical history questionnaire to confirm prediabetes or type 2 diabetes. Baseline assessments will be performed for medical history, medication use, dietary intake, and physical activity. Qualified participants will be scheduled for their second visit two weeks later (actual baseline data collection) and randomly assigned to their treatment group. On the second (baseline) visit between the hours of 6:00-11:00 A.M., blood pressure and vascular function will be measured followed by blood draw and urine collection. Anthropometrics will be measured. Participants will be provided with their assigned treatment and will receive standard instructions on how to fill out daily diaries for their treatment, and for food and physical activity records. Blood pressure, vascular function, blood draw, urine collection, and anthropometric, body composition, diet, and physical activity assessments will be repeated at 6- (third visit), and 12-week (final visit) intervals. All cardiovascular measurements will be performed between 6:00 to 11:00 A.M., in a quiet temperature-controlled room in the supine position after an overnight fast and 12 hours after the abstinence of caffeine and/or 24 hours after the last bout of moderate to heavy physical activity.
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 2
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Condition  ICMJE
  • Diabetes
  • Cardiovascular Diseases
  • Prediabetes
Intervention  ICMJE
  • Dietary Supplement: Apple
    12 weeks of 75 g dried apple powder taken in 480 ml per day.
  • Dietary Supplement: Placebo
    12 weeks of 75 g apple-flavored placebo powder taken in 480 ml per day.
Study Arms  ICMJE
  • Experimental: Apple
    12 weeks of 75 g dried apple powder taken in 480 ml per day.
    Intervention: Dietary Supplement: Apple
  • Placebo Comparator: Placebo
    12 weeks of 75 g apple-flavored placebo powder taken in 480 ml per day.
    Intervention: Dietary Supplement: Placebo
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: August 21, 2014)
50
Original Estimated Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE December 2016
Actual Primary Completion Date December 2016   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Men and women (1 to 10 years postmenopausal)
  • Aged 45-65 years
  • Prediabetes or Type 2 Diabetes (Hemoglobin A1c ≥ 5.7%)
  • Overweight or obese (body mass index between 25 and 40 kg/m2)

Exclusion Criteria:

  • Diagnosed cardiovascular disease
  • Uncontrolled hypertension (≥ 160/100 mmHg)
  • Other active chronic diseases such as cancer, asthma, glaucoma, thyroid, kidney, liver and pancreatic disease
  • Participating in a weight loss program
  • Heavy smokers (> 20 cigarettes per day)
  • Heavy drinkers (> 12 alcoholic drinks per week)
  • Consumption of more than two apples per week
  • Body mass index less than 25 or greater than 40 kg/m2)
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 45 Years to 65 Years   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT02224365
Other Study ID Numbers  ICMJE RF02435
2015.14930 ( Other Identifier: FSU IRB )
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Current Responsible Party Bahram Arjmandi, Florida State University
Original Responsible Party Same as current
Current Study Sponsor  ICMJE Florida State University
Original Study Sponsor  ICMJE Same as current
Collaborators  ICMJE U.S. Apple Association
Investigators  ICMJE
Principal Investigator: Bahram H. Arjmandi, PhD, RD Department of Nutrition, Food and Exercise Sciences, Center for Advancing Exercise and Nutrition Research on Aging, Florida State University
Principal Investigator: Arturo Figueroa, MD, PhD Department of Nutrition, Food and Exercise Sciences, Florida State University
Principal Investigator: Sarah A. Johnson, PhD, RDN Department of Food Science and Human Nutrition, Colorado State University
PRS Account Florida State University
Verification Date December 2016

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP