PostmenopausalNCT04015544
Markers of Atherosclerosis in Overweight, Postmenopausal Women Following Daily Watermelon Consumption
A study testing Watermelon in people with Postmenopausal and Overweight and Obesity, run by Appalachian State University at 1 site in United States.
Trial summary
The primary purpose of this study is to determine the effectiveness of six weeks of watermelon puree supplementation, compared to control (no treatment), on blood antioxidant capacity, inflammation markers in the blood, biomarkers of metabolism in the blood, and cardiovascular disease markers in the blood, and… Read more about this study
- Who is it for?
- Ages 50 to 75 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Postmenopausal, Overweight and Obesity
- What is being tested?
- Watermelon
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 52 participants
- Where
- 1 siteUnited States
- Study dates
- Apr 2014to Jul 2014
- 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 75 years
- Women only
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Female
- 50 to 75 years of age,
- have not menstruated for at least 1 year (menopause),
- have a BMI of ≥25 kg/m2,
- nonsmoker with
- no diagnosed history of chronic diseases including: coronary heart disease, stroke, cancer, type 1 or 2 diabetes mellitus, or rheumatoid arthritis;
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- may not regularly consume large quantities of L-citrulline/L-arginine rich foods (red meat, tuna fish, cheese, nuts),
- may not regularly take L-citrulline/L-arginine supplements,
- may not use anti-hypertension medications (including diuretic medications),
- may not use exogenous ovarian hormones, or
- may not use medications known to influence inflammation within the two weeks of the study period (specifically non-steroidal anti-inflammatory drugs; NSAIDS).
Who cannot join
- Male,
- younger than 50 or older than 75 years of age,
- menstruated within the last year,
- have a BMI of <25 kg/m2, smoker,
- diagnosed history of chronic diseases including: coronary heart disease, stroke, cancer, type 1 or 2 diabetes mellitus, or rheumatoid arthritis;
- regularly consume large quantities of L-citrulline/L-arginine rich foods (red meat, tuna fish, cheese, nuts),
Show all 10Show fewer
- regularly take L-citrulline/L-arginine supplements,
- use anti-hypertension medications (including diuretic medications),
- use exogenous ovarian hormones, or
- use medications known to influence inflammation within the two weeks of the study period (specifically non-steroidal anti-inflammatory drugs; NSAIDS).
Trial locations and contacts
1 site in 1 country.
United States1 site
Appalachian State University
Boone, North Carolina, 28608
About this study
Official title: Expression of Systemic Markers of Atherosclerosis in Free-living, Overweight, Postmenopausal Women Following Daily Watermelon Consumption for Six Weeks: A Randomized Controlled Trial
The primary purpose of this study is to determine the effectiveness of six weeks of watermelon puree supplementation, compared to control (no treatment), on blood antioxidant capacity, inflammation markers in the blood, biomarkers of metabolism in the blood, and cardiovascular disease markers in the blood, and biomarkers in the blood related to watermelon ingestion in overweight post-menopausal women. The secondary purpose is to compare body composition and body mass between the watermelon supplement group and the control group.
Read the detailed description
ORIENTATION AND PRE-STUDY TESTING (1-2 hours):
- Come to the Lab in the morning in an overnight fasted state.
- Complete orientation to the study, and provide voluntary consent to join the study.
- Complete a medical health questionnaire to verify medical history and lifestyle habits, and provide a 3-day food record.
- Record symptoms on a questionnaire regarding how subjects have felt for the previous four weeks using a 12-point Likert scale. Symptoms relate to digestive health, hunger, energy, infection, pain, allergies, stress, mental focus, and overall wellbeing.
- All forms reviewed to determine eligibility to participate in this study.
- Subject height, body weight, and percent body fat measured.
- A blood sample taken by a trained phlebotomist; the sample not to exceed 40 mL. Blood tested for markers associated with inflammation and cardiovascular health, and nutritional compounds related to drinking watermelon puree.
- Subjects randomized to the Control or Watermelon group. If assigned to the Watermelon group subjects provided a six-week supply of watermelon puree.
- The morning of the study subjects consume the three bottles of watermelon puree (710 mL total, Watermelon group) each day thereafter for six weeks or maintain normal daily fluid intake (Control group).
- Six weeks after beginning the study subjects return to the Laboratory for the final measurements. Subjects to bring all beverage bottles.
6-WEEK LAB VISIT (1-2 hours):
- Participants come to the Lab in the morning in an overnight fasted state.
- Subject body weight, and percent body fat are measured.
- Subjects record symptoms on a questionnaire regarding how they have felt for the previous six weeks.
- A final blood sample (40 mL) taken by a trained phlebotomist.
BLOOD SAMPLE ANALYSES
- Blood borne cardiovascular disease markers: ADAM metallopeptidase with thrombospondin type 1 motif, 13 (ADAMTS13), soluble vascular cell adhesion molecule-1 (sVCAM-1), soluble P-selectin (sP-selectin), growth differentiation factor-15 (GDF-15), and soluble intercellular adhesion molecule-1 (sICAM-1) measured according to the manufacturer's specifications using the MAGPIX instrument and xPONENT analysis software (Luminex, Austin, TX).
- Fasting blood glucose, insulin, vitamin C, and high-sensitivity C-reactive (hs-CRP) protein were measured by LabCorp (Burlington, NC).
- Fasting plasma carotenoid concentrations measured commercially (Craft Technologies Inc., Wilson, NC).
- Fasting plasma amino acid concentration determined by high-performance liquid chromatography.
- Conditions
- Postmenopausal, Overweight and Obesity
- Being tested
- Watermelon
- Keywords
- insulin, glucose, cardiovascular disease, inflammation, watermelon, L-citrulline, L-arginine
- Medical subject headings
- Overweight, Obesity, Insulin Resistance, Cardiovascular Diseases, Inflammation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
WatermelonDietary supplement
Pureed whole (100%) watermelon
| Study group | Role | What they receive |
|---|---|---|
| Watermelon | Experimental | Watermelon puree 710 mL per day for six weeks Receives: Dietary Supplement: Watermelon |
| Control | No intervention | No intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in select plasma cardiovascular disease markers
Plasma concentrations of ADAMTS13, sVCAM-1, sP-selectin, GDF-15, hs-CRP, and sICAM-1
Measured: Pre-study and study completion (6 weeks)
Secondary outcomes (6)
Blood glucose
Fasting blood glucose
Measured: Pre-study and study completion (6 weeks)
Blood insulin
Fasting blood insulin
Measured: Pre-study and study completion (6 weeks)
Blood carotenoids
Fasting blood carotenoids
Measured: Pre-study and study completion (6 weeks)
Blood amino acids
Fasting blood amino acids
Measured: Pre-study and study completion (6 weeks)
Body mass
Body mass (kg)
Measured: Pre-study and study completion (6 weeks)
Body mass index
Body mass index (kg/m2)
Measured: Pre-study and study completion (6 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jul 2019
- Study startApr 2014
- Primary completionJul 2014
- Study completionJul 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for PostmenopausalStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- randomized
- Masking
- None (open label)
- Enrolment
- 52 participants (actual)
Sponsor and investigators
- Lead sponsor
- Appalachian State University
- Sponsor type
- University, hospital or other
- Collaborators
- National Watermelon Promotion Board
- Responsible party
- Sponsor
- Investigators
- R. Andrew Shanely, Ph.D., Principal investigator, Appalachian State University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04015544
- Sponsor's protocol ID
- 14-0092
- Status last verified
- Jul 2019
- First submitted
- 2 Jul 2019
- Last updated
- 11 Jul 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Collins JK, Wu G, Perkins-Veazie P, Spears K, Claypool PL, Baker RA, Clevidence BA. Watermelon consumption increases plasma arginine concentrations in adults. Nutrition. 2007 Mar;23(3):261-6. doi: 10.1016/j.nut.2007.01.005.
PubMed 17352962Kannel WB, Hjortland MC, McNamara PM, Gordon T. Menopause and risk of cardiovascular disease: the Framingham study. Ann Intern Med. 1976 Oct;85(4):447-52. doi: 10.7326/0003-4819-85-4-447.
PubMed 970770Lum T, Connolly M, Marx A, Beidler J, Hooshmand S, Kern M, Liu C, Hong MY. Effects of Fresh Watermelon Consumption on the Acute Satiety Response and Cardiometabolic Risk Factors in Overweight and Obese Adults. Nutrients. 2019 Mar 12;11(3):595. doi: 10.3390/nu11030595.
PubMed 30870970Edwards AJ, Vinyard BT, Wiley ER, Brown ED, Collins JK, Perkins-Veazie P, Baker RA, Clevidence BA. Consumption of watermelon juice increases plasma concentrations of lycopene and beta-carotene in humans. J Nutr. 2003 Apr;133(4):1043-50. doi: 10.1093/jn/133.4.1043.
PubMed 12672916Cook-Mills JM, Marchese ME, Abdala-Valencia H. Vascular cell adhesion molecule-1 expression and signaling during disease: regulation by reactive oxygen species and antioxidants. Antioxid Redox Signal. 2011 Sep 15;15(6):1607-38. doi: 10.1089/ars.2010.3522. Epub 2011 May 11.
PubMed 21050132
Study at a glance
From the registry record, last updated by the sponsor on 11 Jul 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Expression of Systemic Markers of Atherosclerosis in Free-living, Overweight, Postmenopausal Women Following Daily Watermelon Consumption for Six Weeks: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT04015544
- Acronym / sponsor ID
- 14-0092
- Conditions
- Postmenopausal, Overweight and Obesity
- Keywords
- insulin, glucose, cardiovascular disease, inflammation, watermelon, L-citrulline, L-arginine
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 52 participants (actual)
- Lead sponsor
- Appalachian State UniversityUniversity, hospital or other
- Collaborators
- National Watermelon Promotion Board
- Study start
- Apr 2014 (actual)
- Primary completion
- Jul 2014 (actual)
- Study completion
- Jul 2014 (actual)
- First posted
- 11 Jul 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary purpose of this study is to determine the effectiveness of six weeks of watermelon puree supplementation, compared to control (no treatment), on blood antioxidant capacity, inflammation markers in the blood, biomarkers of metabolism in the blood, and cardiovascular disease markers in the blood, and biomarkers in the blood related to watermelon ingestion in overweight post-menopausal women. The secondary purpose is to compare body composition and body mass between the watermelon supplement group and the control group.
Detailed description
ORIENTATION AND PRE-STUDY TESTING (1-2 hours):
- Come to the Lab in the morning in an overnight fasted state.
- Complete orientation to the study, and provide voluntary consent to join the study.
- Complete a medical health questionnaire to verify medical history and lifestyle habits, and provide a 3-day food record.
- Record symptoms on a questionnaire regarding how subjects have felt for the previous four weeks using a 12-point Likert scale. Symptoms relate to digestive health, hunger, energy, infection, pain, allergies, stress, mental focus, and overall wellbeing.
- All forms reviewed to determine eligibility to participate in this study.
- Subject height, body weight, and percent body fat measured.
- A blood sample taken by a trained phlebotomist; the sample not to exceed 40 mL. Blood tested for markers associated with inflammation and cardiovascular health, and nutritional compounds related to drinking watermelon puree.
- Subjects randomized to the Control or Watermelon group. If assigned to the Watermelon group subjects provided a six-week supply of watermelon puree.
- The morning of the study subjects consume the three bottles of watermelon puree (710 mL total, Watermelon group) each day thereafter for six weeks or maintain normal daily fluid intake (Control group).
- Six weeks after beginning the study subjects return to the Laboratory for the final measurements. Subjects to bring all beverage bottles.
6-WEEK LAB VISIT (1-2 hours):
- Participants come to the Lab in the morning in an overnight fasted state.
- Subject body weight, and percent body fat are measured.
- Subjects record symptoms on a questionnaire regarding how they have felt for the previous six weeks.
- A final blood sample (40 mL) taken by a trained phlebotomist.
BLOOD SAMPLE ANALYSES
- Blood borne cardiovascular disease markers: ADAM metallopeptidase with thrombospondin type 1 motif, 13 (ADAMTS13), soluble vascular cell adhesion molecule-1 (sVCAM-1), soluble P-selectin (sP-selectin), growth differentiation factor-15 (GDF-15), and soluble intercellular adhesion molecule-1 (sICAM-1) measured according to the manufacturer's specifications using the MAGPIX instrument and xPONENT analysis software (Luminex, Austin, TX).
- Fasting blood glucose, insulin, vitamin C, and high-sensitivity C-reactive (hs-CRP) protein were measured by LabCorp (Burlington, NC).
- Fasting plasma carotenoid concentrations measured commercially (Craft Technologies Inc., Wilson, NC).
- Fasting plasma amino acid concentration determined by high-performance liquid chromatography.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- randomized
| Arm | Type | Receives |
|---|---|---|
| Watermelon | Experimental | Dietary Supplement: WatermelonWatermelon puree 710 mL per day for six weeks |
| Control | No intervention | –No intervention |
Who may qualify
- Ages
- 50 to 75 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Female
- 50 to 75 years of age,
- have not menstruated for at least 1 year (menopause),
- have a BMI of ≥25 kg/m2,
- nonsmoker with
Key exclusion criteria (10 listed)
- Male,
- younger than 50 or older than 75 years of age,
- menstruated within the last year,
- have a BMI of <25 kg/m2, smoker,
- diagnosed history of chronic diseases including: coronary heart disease, stroke, cancer, type 1 or 2 diabetes mellitus, or rheumatoid arthritis;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| WatermelonPureed whole (100%) watermelon | Dietary supplement | Watermelon |
Primary outcome
Change in select plasma cardiovascular disease markers
Time frame: Pre-study and study completion (6 weeks)
Plasma concentrations of ADAMTS13, sVCAM-1, sP-selectin, GDF-15, hs-CRP, and sICAM-1
6 secondary outcomes
Blood glucose
Time frame: Pre-study and study completion (6 weeks)
Blood insulin
Time frame: Pre-study and study completion (6 weeks)
Blood carotenoids
Time frame: Pre-study and study completion (6 weeks)
Blood amino acids
Time frame: Pre-study and study completion (6 weeks)
Body mass
Time frame: Pre-study and study completion (6 weeks)
Body mass index
Time frame: Pre-study and study completion (6 weeks)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jul 2019.
- Background: PubMed 17352962Collins JK, Wu G, Perkins-Veazie P, Spears K, Claypool PL, Baker RA, Clevidence BA. Watermelon consumption increases plasma arginine concentrations in adults. Nutrition. 2007 Mar;23(3):261-6. doi: 10.1016/j.nut.2007.01.005.
- Background: PubMed 970770Kannel WB, Hjortland MC, McNamara PM, Gordon T. Menopause and risk of cardiovascular disease: the Framingham study. Ann Intern Med. 1976 Oct;85(4):447-52. doi: 10.7326/0003-4819-85-4-447.
- Background: PubMed 30870970Lum T, Connolly M, Marx A, Beidler J, Hooshmand S, Kern M, Liu C, Hong MY. Effects of Fresh Watermelon Consumption on the Acute Satiety Response and Cardiometabolic Risk Factors in Overweight and Obese Adults. Nutrients. 2019 Mar 12;11(3):595. doi: 10.3390/nu11030595.
- Background: PubMed 12672916Edwards AJ, Vinyard BT, Wiley ER, Brown ED, Collins JK, Perkins-Veazie P, Baker RA, Clevidence BA. Consumption of watermelon juice increases plasma concentrations of lycopene and beta-carotene in humans. J Nutr. 2003 Apr;133(4):1043-50. doi: 10.1093/jn/133.4.1043.
- Background: PubMed 21050132Cook-Mills JM, Marchese ME, Abdala-Valencia H. Vascular cell adhesion molecule-1 expression and signaling during disease: regulation by reactive oxygen species and antioxidants. Antioxid Redox Signal. 2011 Sep 15;15(6):1607-38. doi: 10.1089/ars.2010.3522. Epub 2011 May 11.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
R. Andrew Shanely, Ph.D. principal investigator
Appalachian State University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Watermelon in people with Postmenopausal and Overweight and Obesity, run by Appalachian State University at 1 site in United States.
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 11 inclusion and 10 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 11 Jul 2019. 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 United States. 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. 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 in select plasma cardiovascular disease markers (time frame: Pre-study and study completion (6 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 NCT04015544, which also lists 5 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 11 Jul 2019.