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Cardiovascular Risk FactorsNCT01596309

Cocoa Extract-enriched Meals and Cardiovascular Risk in Older Population

A study testing Cocoa extract in people with Cardiovascular Risk Factors, run by Clinica Universidad de Navarra, Universidad de Navarra at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Obesity prevalence in elderly populations has increased in the last years, and the reduction of overweight and obesity is a priority target in populations of all age ranges worldwide. Read more about this study

Who is it for?
Ages 50 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Cardiovascular Risk Factors
What is being tested?
Cocoa extract
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
1 siteSpain
Study dates
Jan 2012to Dec 2012
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Body Mass Index between 27 and 35.5 kg/m2
  • Subjects with central adiposity (waist circumference over 94 cm in males and 80 cm in females)
  • Subjects presenting insulin resistance non pharmacologically treated
  • Subjects presenting hyperlipidemia non pharmacologically treated

Who cannot join

  • Subjects following dietotherapy to loose weight at the moment of the study or in the past three months.
  • Subjects with variations of weight greater than 5% of their body weight in the last three months).
  • Subjects with deficient nutritional or hydration status.
  • Subjects suffering from chronic diseases such as cancer, diabetes, hyperlipidemia, etc.
  • Subjects with functional or structural impairments in digestive tract (peptic ulcer, malabsorption syndrome, inflammatory state, etc.)
  • Subjects having gone under digestive surgery and have permanent consequences.
Show all 9Show fewer
  • Subjects suffering from allergy to cocoa or derived products.
  • Subjects being physically or psychologically affected, with difficulties to attend the facilities with the required frequency.
  • Smokers and frequent (more than 3 portions of beer/wine/spirits per day in males and 2 portions of beer/wine/spirits per day in females)

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Department of Nutrition, Food Science, Physiology and Toxicology. University of Navarra

    Pamplona, Navarre, 31008

Other trials in Spain

About this study

Official title: Study of the Effect of Ready-cooked Meals Containing Cocoa Extract, as a Potential Functional Ingredient, on Cardiovascular Risk Markers in Older Population

Obesity prevalence in elderly populations has increased in the last years, and the reduction of overweight and obesity is a priority target in populations of all age ranges worldwide. Obesity is a disease frequently accompanied by a pro-inflammatory state, in which metabolic functions may be compromised, and therefore there is a risk of developing comorbidities such as type-2 diabetes, hyperlipidemias, hypertension, atherosclerosis, etc. In this context, plant extracts are a good source of antioxidant compounds. Among these compounds, polyphenols have been shown to have an important antioxidant effect. Scientific evidence based on epidemiological studies suggest that flavonoids from the diet play an important role on the prevention of cardiovascular disease. Cocoa and related products are an important source of flavonoids, providing even more than tea or wine. Generally, benefits associated to cocoa consumption are related to the ability for improving lipid profile and insulin sensitivity, reducing blood pressure, platelet activity and improving endothelial dysfunction. Some studies have also shown an improvement of inflammatory conditions, mainly due to the capacity of the polyphenols contained to modify cellular transcription, and the secretion of proinflammatory cytokines in peripheral blood mononuclear cells, macrophages and lymphocytic strains. Therefore, the hypothesis of this study is that the consumption of cocoa extract-enriched prepared meals, within a hypocaloric diet, will help to reduce body weight and to improve cardiovascular risk factors compared to the same diet with standard prepared meals.

Being tested
Cocoa extract
Keywords
cardiovascular risk, Elderly population, cocoa extract, overweight and obesity, Glycemic profile, lipid profile, antioxidant status, inflammatory state, Cardiovascular Risk factors in elder population
Medical subject headings
Overweight, Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cocoa extractDietary supplement

    Also called Ready prepared meals, bioactive ingredients

    Participants will follow a hypocaloric diet during two periods of 4 weeks, each. Within these diets, participants will consume daily 2 ready prepared frozen meals containing cocoa extract (0.7 g per meal; 1.4g per day) or nothing (placebo).

Study groups in NCT01596309
Study groupRoleWhat they receive
control group, placeboPlacebo comparatorThis period will consist on a structured personalised hypocaloric diet containing ready prepared meals without extract added
Receives: Dietary Supplement: Cocoa extract
Intervention group, cocoa extractExperimentalThis period will consist on a structured personalised hypocaloric diet containing ready prepared meals with cocoa extract added. Final cocoa extract daily intake will be of 1.4 g.
Receives: Dietary Supplement: Cocoa extract

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline of Plasma Oxidized LDL

    Levels of LDL-ox in plasma will be analysed at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

Secondary outcomes (35)
  1. Change from baseline of fat mass content

    Fat mass will be measured by bioelectric impedance and Dual X-ray absorptiometry at baseline and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  2. Change from baseline of waist circumference

    Waist circumference will be measured with a measure tape at baseline and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  3. Change from baseline of hip circumference

    Hip circumference will be measured with a measure tape at baseline and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  4. Height

    Measured: Baseline

  5. Change from baseline of body weight

    Measured: Baseline and 2 weeks

  6. Change from baseline of body weight

    Measured: Baseline and 4 weeks

  7. Change from baseline of skinfolds

    Tricipital, Bicipital, subscapular and suprailiac skinfolds will be measured at baseline and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  8. Change from baseline of serum glucose levels

    Serum glucose concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  9. Change from baseline of serum insulin concentration

    Serum insulin concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  10. Change from baseline of serum free fatty acids concentration

    Serum free fatty acids concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  11. Change from baseline of serum total cholesterol concentration

    Serum total cholesterol concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  12. Change from baseline of serum HDL-cholesterol concentration

    Serum HDL-cholesterol concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  13. Change from baseline of serum LDL-cholesterol concentration

    Serum LDL-cholesterol concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  14. Change from baseline of serum triglycerides concentration

    Serum triglycerides concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  15. Change from baseline of serum total protein concentration

    Serum total protein concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  16. Change from baseline of serum transaminases concentration

    Serum transaminases (AST \& ALT) concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  17. Change from baseline of serum homocystein concentration

    Serum homocystein concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  18. Change from baseline of Diastolic blood pressure

    Diastolic blood pressure will be measured at baseline and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  19. Change from baseline of Systolic blood pressure

    Systolic blood pressure will be measured at baseline and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  20. Change from baseline of Food intake

    Food intake will be measured by a 72 h weighed food record at baseline and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  21. Change from baseline of plasma PAI-1 concentration

    Plasma PAI-1 concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  22. Change from baseline of plasma malonyldialdehyde (MDA) concentration

    Plasma MDA concentration will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  23. Change from baseline of plasma total antioxidant capacity (TAC)

    Plasma TAC will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  24. Change from baseline of serum uric acid levels

    Serum uric acid levels will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  25. Change from baseline of Glutathione peroxidase activity

    Glutathione peroxidase activity will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  26. Change from baseline of plasma C-Reactive Protein levels

    C-Reactive Protein levels will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  27. Change from baseline of plasma IL-6 levels

    IL-6 levels will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  28. Change from baseline of plasma TNF-alpha levels

    TNF-alpha levels will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  29. Personality Test

    Personality will be evaluated through the NEO-PI-R test.

    Measured: Baseline

  30. Change from baseline of depression degree

    Depression degree will be evaluated through the Beck depression inventory, the anxiety/STAI inventory and subjective anxiety and depression thermometer scale, at the beginning and the end of each intervention period

    Measured: Baseline and 4 weeks

  31. Change from baseline of health status

    Health status will be evaluated through the SF-36v2 Health survey at the beginning and the end of each intervention period

    Measured: Baseline and 4 weeks

  32. Change from baseline of plasma VCAM-1 levels

    VCAM-1 levels will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  33. Change from baseline of plasma ICAM-1 levels

    ICAM-1 levels will be measured in a fasting state at the beginning and the end (4 weeks) of each intervention period

    Measured: Baseline and 4 weeks

  34. Cocoa Bioavailability

    Metabolites from cocoa polyphenols will be analysed in plasma and urine at the beginning and the end of each intervention period in order to estimate the bioavailability of cocoa extract studied.

    Measured: Baseline and 4 weeks

  35. DNA damage

    DNA ability to self-repair and DNA damage extent will be quantified through commet assay at the beginning and the end of each intervention period.

    Measured: Baseline and 4 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 May 2012 (estimated)
  2. Study startJan 2012
  3. Primary completionJul 2012
  4. Study completionDec 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01596309
Sponsor's protocol ID
UNAV-006/2012
Status last verified
Sep 2012
First submitted
9 May 2012
Last updated
18 Jun 2013
Results posted
No
Data monitoring committee
No

Publications

  • Ibero-Baraibar I, Perez-Cornago A, Ramirez MJ, Martinez JA, Zulet MA. An Increase in Plasma Homovanillic Acid with Cocoa Extract Consumption Is Associated with the Alleviation of Depressive Symptoms in Overweight or Obese Adults on an Energy Restricted Diet in a Randomized Controlled Trial. J Nutr. 2015 Apr 1;146(4):897S-904S. doi: 10.3945/jn.115.222828.

    PubMed 26962189
  • Ibero-Baraibar I, Azqueta A, Lopez de Cerain A, Martinez JA, Zulet MA. Assessment of DNA damage using comet assay in middle-aged overweight/obese subjects after following a hypocaloric diet supplemented with cocoa extract. Mutagenesis. 2015 Jan;30(1):139-46. doi: 10.1093/mutage/geu056.

    PubMed 25527736
  • Ibero-Baraibar I, Navas-Carretero S, Abete I, Martinez JA, Zulet MA. Increases in plasma 25(OH)D levels are related to improvements in body composition and blood pressure in middle-aged subjects after a weight loss intervention: Longitudinal study. Clin Nutr. 2015 Oct;34(5):1010-7. doi: 10.1016/j.clnu.2014.11.004. Epub 2014 Nov 11.

    PubMed 25434574
  • Ibero-Baraibar I, Abete I, Navas-Carretero S, Massis-Zaid A, Martinez JA, Zulet MA. Oxidised LDL levels decreases after the consumption of ready-to-eat meals supplemented with cocoa extract within a hypocaloric diet. Nutr Metab Cardiovasc Dis. 2014 Apr;24(4):416-22. doi: 10.1016/j.numecd.2013.09.017. Epub 2013 Nov 1.

    PubMed 24462367

Questions about this trial

What is this clinical trial studying?

A study testing Cocoa extract in people with Cardiovascular Risk Factors, run by Clinica Universidad de Navarra, Universidad de Navarra at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Jun 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline of Plasma Oxidized LDL (time frame: Baseline and 4 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01596309, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jun 2013.

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