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AgingNCT04385537

The Ability of Pecan Consumption to Improve Vascular Function and Reduce Chronic Disease Risk in Aging Adults

A study testing PECAN in people with Aging, run by University of Georgia at 1 site in United States.

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

Background: To date, there are no published studies on the effects of pecans on vascular function following a high-fat meal. Purpose: To examine the impact of daily pecan consumption for a 4-week period on vascular health and other markers of cardiovascular disease risk in aging adults. Read more about this study

Who is it for?
Ages 50 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Aging
What is being tested?
PECAN
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteUnited States
Study dates
17 Sep 2020to 16 Apr 2022
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
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Men and postmenopausal women (without menses for 1 yr and follicle stimulating hormone > 30 IU/mL) between the ages of 50-75y
  • Body mass indexes (BMI) between 18-34.9kg/m2

Who cannot join

  • Nut consumption >2 servings/week or tree nut butter consumption >3 servings/week
  • Pre-menopausal and menopausal women, hormone replacement therapy if less than 2 years
  • Regularly exercise more than 3 h/week
  • Weight gain or loss more than 5% of their body weight in the past 3 months
  • Plans to begin a weight loss/exercise regimen during the trial
  • Gastrointestinal surgeries, conditions or disorders
Show all 24Show fewer
  • History of medical or surgical events that could affect swallowing
  • Chronic or metabolic diseases
  • Previous MI, stroke, or cancer
  • Fasting blood glucose levels greater than 126 mg/dL
  • Blood pressure greater than 180/120 mmHg
  • Medication use affecting digestion and absorption, metabolism
  • Lipid-lowering medications
  • Medications for diabetes, depression, or ADD/ADHD
  • Regular use of medications known to affect endothelial function or blood vessel tone
  • Blood pressure medication and steroid/hormone therapies
  • Individuals on a medically prescribed or special diet
  • Individuals with food allergies to foods specifically in the study
  • Excessively use alcohol (greater than 3 drinks/d for men; greater than 2 drinks/d for women)
  • Tobacco or nicotine use
  • Individuals taking fish oil and omega-3 fatty acid supplements
  • Significant head trauma or brain surgery
  • A score >26 on the Beck's Depression Inventory II (BDI-II)
  • A score <24 on the Mini-Mental State Examination (MMSE) will be excluded.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Georgia- Department of Foods and Nutrition

    Athens, Georgia, 30605

Other trials in United States

About this study

Background: To date, there are no published studies on the effects of pecans on vascular function following a high-fat meal.

Purpose: To examine the impact of daily pecan consumption for a 4-week period on vascular health and other markers of cardiovascular disease risk in aging adults.

Read the detailed description

This will be a randomized, controlled trial in men and postmenopausal women (50-75y). Subjects will be randomized into one of the two study groups: a control group (CON) following their usual diet, or intervention group (PECAN) following their usual diet but also consuming 68g/day of pecans as a snack.

There will be 3 visits: A Screening visit and a baseline and post-diet intervention visit (4-weeks). Anthropometrics, questionnaires, a fasting blood sample, and fasting vascular measures will be collected at each visit. Subjects will participate in a saturated fatty acid meal challenge in which additional blood, vascular measurements will be collected.

Hypothesis: Daily pecan consumption will result in improved fasting blood lipids, vascular measures, antioxidant status, and appetite compared to the control group. Additionally, also the PECAN group will result in improved postprandial blood lipids and vascular measures compared to the control group.

Conditions
Aging
Being tested
PECAN

What participants receive

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

  • PECANDietary supplement

    Raw pecan halves without other changes to their habitual diet.

Study groups in NCT04385537
Study groupRoleWhat they receive
ControlNo interventionParticipants in this group avoid all nuts for 4-weeks
PECANExperimentalParticipants in this group consume 68 g of pecans/d with no other changes to their habitual diet and avoid all other nuts.
Receives: Dietary Supplement: PECAN

What is being measured

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

  1. Change in fasting and postprandial Flow-Mediated Dilation from baseline to 4 weeks

    Flow-Mediated Dilation %

    Measured: Baseline and 4 weeks

  2. Change in fasting and postprandial vessel diameter from baseline to 4 weeks

    baseline diameter (mm) and peak dilation (mm)

    Measured: Baseline and 4 weeks

  3. Change in fasting and postprandial reactive hyperemia velocity from baseline to 4 weeks

    Baseline velocity (cm/s) and reactive hyperemia velocity (cm/s)

    Measured: Baseline and 4 weeks

  4. Change in fasting and postprandial shear rate from baseline to 4 weeks

    baseline shear rate (sec.-1) and reactive hyperemia shear rate (sec.-1)

    Measured: Baseline and 4 weeks

  5. Change in fasting and postprandial Continuous-Wave Near-Infrared Spectrometry from baseline to 4 weeks

    O2 desaturation rate (%.sec-1), and O2 resaturation rate (%.sec-1)

    Measured: Baseline and 4 weeks

Secondary outcomes (13)
  1. Change in fasting blood lipids from baseline to 4 weeks

    Total cholesterol (mg/dL), high-density lipoprotein (HDL) cholesterol (mg/dL), triglycerides (mg/dL), low-density lipoprotein (LDL) cholesterol (mg/dL), apolipoprotein B (mg/dL)

    Measured: Baseline and 4 weeks

  2. Change in baseline weight at 4 weeks

    weight (kg)

    Measured: Baseline and 4 weeks

  3. Change in baseline waist and hip circumference

    waist and hip circumference (cm)

    Measured: Baseline and 4 weeks

  4. Change in blood pressure from baseline to 4 weeks

    Systolic and Diastolic Blood Pressure (mm Hg)

    Measured: Baseline and 4 weeks

  5. Change in baseline total body fat percentage at 4 weeks

    total body fat percentage (%)

    Measured: Baseline and 4 weeks

  6. Change in fasting and postprandial insulin from baseline to 4 weeks

    Insulin (uU/mL)

    Measured: Baseline and 4 weeks

  7. Change in fasting and postprandial antioxidants from baseline to 4 weeks

    Total antioxidant capacity (uM trolox equivalents) measured via Oxygen Radical Absorbance Capacity (ORAC)

    Measured: Baseline and 4 weeks

  8. Change in fasting and postprandial lipid peroxidation from baseline to 4 weeks

    Malondialdehyde (MDA) (uM) measured via Thiobarbituric acid reactive substances (TBARS) assay.

    Measured: Baseline and 4 weeks

  9. Change in fasting inflammation from baseline to 4 weeks

    Interleukin-6 (pg/mL), C-reactive Protein (pg/mL), Tumor Necrosis Factor-α (pg/mL), Plasminogen Activator-1 (pg/mL)

    Measured: Baseline and 4 weeks

  10. Change in fasting and postprandial glucose and triglycerides from baseline to 4 weeks

    Glucose (mg/dL) and triglycerides (mg/dL)

    Measured: Baseline and 4 weeks

  11. Change in fasting and postprandial peptide YY, cholecystokinin (CCK), and ghrelin from baseline to 4 weeks

    Peptide YY (pg/mL), CCK (pg/mL), ghrelin (pg/mL)

    Measured: Baseline and 4 weeks

  12. Change in fasting and postprandial non-esterified free fatty acids (NEFA) from baseline to 4 weeks

    NEFA (mEq/L)

    Measured: Baseline and 4 weeks

  13. Change in fasting and postprandial hunger and satiety from baseline to 4 weeks

    Hunger, fullness, prospective consumption, and desire to eat measured via a Visual Analog Scale (VAS) (mm). The range of scores on the continuous VAS is between 0mm (no hunger, fullness, prospective consumption and desire to eat) and 100mm (the greatest feeling of hunger, fullness, prospective consumption and desire to eat)

    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 posted13 May 2020
  2. Study start17 Sep 2020
  3. Primary completion16 Apr 2022
  4. Study completion16 Apr 2022

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04385537
Sponsor's protocol ID
PROJECT00001978
Status last verified
May 2022
First submitted
30 Apr 2020
Last updated
24 May 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The plan is to share group averages through publication.

Publications

  • Cogan B, Pearson RC, Jenkins NT, Paton CM, Cooper JA. A 4-Week Pecan-Enriched Diet Improves Postprandial Lipid Peroxidation in Aging Adults. J Med Food. 2023 Sep;26(9):654-662. doi: 10.1089/jmf.2023.0036. Epub 2023 Aug 28.

    PubMed 37638838
  • Cogan B, Pearson RC, Jenkins NT, Paton CM, Cooper JA. A pecan-enriched diet reduced postprandial appetite intensity and enhanced peptide YY secretion: A randomized control trial. Clin Nutr ESPEN. 2023 Aug;56:25-35. doi: 10.1016/j.clnesp.2023.05.002. Epub 2023 May 8.

    PubMed 37344080
  • Cogan B, Pearson RC, Paton CM, Jenkins NT, Cooper JA. Pecan-enriched diet improves cholesterol profiles and enhances postprandial microvascular reactivity in older adults. Nutr Res. 2023 Mar;111:44-58. doi: 10.1016/j.nutres.2023.01.001. Epub 2023 Jan 31.

    PubMed 36822079

Questions about this trial

What is this clinical trial studying?

A study testing PECAN in people with Aging, run by University of Georgia 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 2 inclusion and 24 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 24 May 2022. 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 fasting and postprandial Flow-Mediated Dilation from baseline to 4 weeks (time frame: Baseline and 4 weeks). The study lists 5 primary outcomes in all. 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 NCT04385537, which also lists 3 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 24 May 2022.

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