AzTrials
AzTrials

Metabolic HealthNCT06628401

Comparing Approaches to Increasing Fruit and Vegetable Intake and Their Influence on Metabolic Health

A study testing Educational information (Increasing F&V intake) and Educational information (Increasing F&V intake + Juice) in people with Metabolic Health and Fruit and Vegetable Intake, run by Courtney Neal at 1 site in United Kingdom.

Completed

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

Official record
Search all trials

Trial summary

This experimental study aims to evaluate the effects of different strategies for increasing fruit and vegetable intake and to see how these interventions influence markers of health in people aged 18-65 who currently consume fewer than 2 portions of fruit and vegetables a day. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Metabolic Health, Fruit and Vegetable Intake
What is being tested?
Educational information (Increasing F&V intake) and Educational information (Increasing F&V intake + Juice)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
42 participants
Where
1 siteUnited Kingdom
Study dates
23 Oct 2024to 5 Sep 2025
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 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged 18 - 65 years
  • Currently consuming ≤2 portions of fruit and vegetables per day

Who cannot join

  • Using high-dose vitamins, minerals or dietary supplements that could interfere with biomarker assessment of fruit and vegetable consumption
  • Have a food sensitivity, allergy or other dietary restriction (e.g., following a weight loss diet) that would limit the ability to take part in the study
  • Have a medical condition (e.g., diabetes or gastrointestinal disorders) that would limit the ability to take part in the study
  • Currently pregnant or lactating

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Newcastle University

    Newcastle upon Tyne, Tyne and Wear, NE2 4HH

Other trials in United Kingdom

About this study

Official title: A Comparison Between Different Approaches to Increase Fruit and Vegetable Intake and Influence Markers of Metabolic Health in Humans

This experimental study aims to evaluate the effects of different strategies for increasing fruit and vegetable intake and to see how these interventions influence markers of health in people aged 18-65 who currently consume fewer than 2 portions of fruit and vegetables a day.

The main questions it aims to answer are:

Read more
  1. How does 5-a-day advice, with and without the inclusion of fruit juice, impact fruit and vegetable intake over a four-week period?
  2. What are the acceptability and perceived ease of increasing fruit and vegetable intake with and without the inclusion of fruit juice in 5-a-day recommendations?
  3. What are the effects of increasing fruit and vegetable intake with and without fruit juice on markers of metabolic health?

Researchers will answer these questions by comparing results from three groups of participants. All participants will provide a pre- and post-intervention blood sample, complete various questionnaires, and follow a four-week intervention that comprises educational material and a weekly £10 voucher. Over the course of the four weeks, they will report what they ate in a day on four different days.

The groups differ in the educational materials provided and where they can spend their voucher:

  • Group 1 (Control) - information on the importance of including an experimental control in research and a weekly voucher to spend at a retailer of their choice,
  • Group 2 (F\&V) - information on 5-a-day advice (excluding fruit juice) and a weekly voucher to spend in a supermarket on F\&V, and
  • Group 3 (F\&V + Juice) - information on 5-a-day advice (including fruit juice) and a weekly voucher to spend in a supermarket on F\&V.
Being tested
Educational information (Control), Educational information (Increasing F&V intake), Educational information (Increasing F&V intake + Juice)

What participants receive

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

  • Educational information (Control)Behavioural

    Information packs will be developed for participants outlining the importance of a control group in research studies to maximise compliance. Participants will receive a £10 gift voucher weekly that they can spend at selected retailers of their choosing.

  • Educational information (Increasing F&V intake)Behavioural

    Information packs will be developed to support participants in increasing their intake of whole fruits and vegetables, excluding fruit juice. The information packs will be developed using published guidance from the UK government, expert panels, and regulatory bodies. The packs will be co-developed with the public to ensure the guidance is appropriate for its target audience. Participants will also receive a £10 supermarket voucher weekly to purchase fruit and vegetables.

  • Educational information (Increasing F&V intake + Juice)Behavioural

    Information packs will be developed to support participants in increasing their intake of whole fruits and vegetables, including fruit juice. The information packs will be developed using published guidance from the UK government, expert panels, and regulatory bodies. The packs will be co-developed with the public to ensure the guidance is appropriate for its target audience. Participants will also receive a £10 supermarket voucher weekly to purchase fruit and vegetables.

Study groups in NCT06628401
Study groupRoleWhat they receive
Group 1 (Control)Placebo comparatorParticipants will be asked to maintain their habitual diet throughout the intervention. They will be provided with a brief document outlining the importance of a control group in research studies to maximise compliance. They will also receive £10/week vouchers during the intervention period and a further £60 on completion of the study to replicate voucher provision in the two intervention groups. Mimicking the voucher provision structure of the intervention groups will help to minimise participant drop out and will avoid any bias associated with differential financial remuneration between groups.
Receives: Behavioral: Educational information (Control)
Group 2 (Whole F&V)Active comparatorParticipants will be provided with educational material to increase their fruit and vegetable intake to meet 5-a-day guidelines via exclusive intake of whole fruits/vegetables . They will receive £10/week supermarket vouchers during the intervention period to support fruit/vegetable purchase. They will receive a further £60 on completion of the study.
Receives: Behavioral: Educational information (Increasing F&V intake)
Group 3 (Whole F&V + Juice)ExperimentalParticipants will be provided with educational material to increase fruit and vegetable intake to meet 5-a-day guidelines, with recommendations to consume one portion per day via fruit juice/smoothies. Participants will receive the same financial support as group 2.
Receives: Behavioral: Educational information (Increasing F&V intake + Juice)

What is being measured

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

  1. Number of daily fruit and vegetable portions (from dietary recalls)

    The number of daily portions of fruit and vegetables consumed (including fruit juice in group 3) will be determined by 4 x 24-hour dietary recalls using the validated dietary recall software Intake24 (Foster et al., 2019).

    Measured: 4 weeks

Secondary outcomes (17)
  1. Number of daily fruit and vegetable portions (from brief screening tool)

    The 6-item fruit and vegetable screener module from the BRFSS (Behavioral Risk Factor Surveillance System; CDC, 2020) will be used as a secondary measure to capture self-reported fruit and vegetable intake pre- and post-intervention. Data will be compared against the more granular dietary data from Intake24, to evaluate agreement and suitability of this tools for use as an outcome measure in future fruit and vegetable-based interventions.

    Measured: 4 weeks

  2. Concentration of plasma ascorbic acid

    Prior to and following the intervention, participants will provide a fasted blood sample for determining objective biomarkers of fruit and vegetable intake. Concentration of plasma ascorbic acid (μmol/L), or vitamin C, will be measured via high-performance liquid chromatography (HPLC) using methods well-validated in our laboratory. These markers will help verify any participant-reported changes in fruit (including juice) and vegetable intake.

    Measured: 4 weeks

  3. Concentration of serum carotenoids (lutein)

    Prior to and following the intervention, participants will provide a fasted blood sample for determining objective biomarkers of fruit and vegetable intake. Concentration of the serum carotenoid lutein (μmol/L) will be measured via high-performance liquid chromatography (HPLC) using methods well-validated in our laboratory. These markers will help verify any participant-reported changes in fruit (including juice) and vegetable intake.

    Measured: 4 weeks

  4. Concentration of serum carotenoids (zeaxanthin)

    Prior to and following the intervention, participants will provide a fasted blood sample for determining objective biomarkers of fruit and vegetable intake. Concentration of the serum carotenoid zeaxanthin (μmol/L) will be measured via high-performance liquid chromatography (HPLC) using methods well-validated in our laboratory. These markers will help verify any participant-reported changes in fruit (including juice) and vegetable intake.

    Measured: 4 weeks

  5. Concentration of serum carotenoids (beta-cryptoxanthin)

    Prior to and following the intervention, participants will provide a fasted blood sample for determining objective biomarkers of fruit and vegetable intake. Concentration of the serum carotenoid beta-cryptoxanthin (μmol/L) will be measured via high-performance liquid chromatography (HPLC) using methods well-validated in our laboratory. These markers will help verify any participant-reported changes in fruit (including juice) and vegetable intake.

    Measured: 4 weeks

  6. Concentration of serum carotenoids (lycopene)

    Prior to and following the intervention, participants will provide a fasted blood sample for determining objective biomarkers of fruit and vegetable intake. Concentration of the serum carotenoid lycopene (μmol/L) will be measured via high-performance liquid chromatography (HPLC) using methods well-validated in our laboratory. These markers will help verify any participant-reported changes in fruit (including juice) and vegetable intake.

    Measured: 4 weeks

  7. Concentration of serum carotenoids (alpha-carotene)

    Prior to and following the intervention, participants will provide a fasted blood sample for determining objective biomarkers of fruit and vegetable intake. Concentration of the serum carotenoid alpha-carotene (μmol/L) will be measured via high-performance liquid chromatography (HPLC) using methods well-validated in our laboratory. These markers will help verify any participant-reported changes in fruit (including juice) and vegetable intake.

    Measured: 4 weeks

  8. Concentration of serum carotenoids (beta-carotene)

    Prior to and following the intervention, participants will provide a fasted blood sample for determining objective biomarkers of fruit and vegetable intake. Concentration of the serum carotenoid beta-carotene (μmol/L) will be measured via high-performance liquid chromatography (HPLC) using methods well-validated in our laboratory. These markers will help verify any participant-reported changes in fruit (including juice) and vegetable intake.

    Measured: 4 weeks

  9. Concentration of metabolic health markers

    Prior to and following the intervention, participants will provide a fasted blood sample to determine markers of metabolic health. The Nightingale metabolomic biomarker panel, assessed pre- and post-intervention using Nuclear Magnetic Resonance (NMR) spectroscopy, will be used to evaluate the impact of the intervention on markers of metabolic health.

    Measured: 4 weeks

  10. Measure of depression symptom severity (PHQ-9)

    The impact of the study interventions on symptoms of depression will be evaluated by administering the PHQ-9 questionnaire (a validated tool to measure levels of depression) pre- and post-intervention. Participants will provide information on the frequency with which they have been affected by depression-related symptoms (from not at all to nearly every day). There are four options for participants to select and each is associated with a score (not at all (0), several days (+1), more than half the days (+2), nearly every day (+3)). The sum of these scores indicates the level of depression severity (0-4 none/minimal; 5-9 mild anxiety; 10-14 moderate; 15 -19 moderately severe; 20-27 severe).

    Measured: 4 weeks

  11. Measure of anxiety symptom severity (GAD-7)

    The impact of the study interventions on anxiety symptoms will be evaluated by administering the GAD-7 questionnaire (a validated tool to measure levels of anxiety) pre- and post-intervention. Participants will provide information on the frequency with which they have been affected by anxiety-related symptoms. There are four options for participants to select, and each option is associated with a score (not at all (0), several days (+1), more than half the days (+2), and nearly every day (+3)). The sum of these scores indicates the level of anxiety (0-4 minimal; 5-9 mild anxiety; 10-14 moderate anxiety; greater than 15 severe anxiety).

    Measured: 4 weeks

  12. Total number of gut symptoms (score)

    Participants will complete the gut symptoms questionnaire (Winham and Hutchins, 2011) pre- and post-intervention. This involves responding to 4 close-ended questions (yes/no) enquiring about changes in the frequency of flatulence, stool frequency, stool consistency, or bloating frequency in the past week. The total number of symptoms the participant reported as having increased in the last week is their gut symptom score.

    Measured: 4 weeks

  13. Change in flatulence symptoms

    Participants will complete the gut symptoms questionnaire (Winham and Hutchins, 2011) pre- and post-intervention. One of these items is a close-ended question (yes/no) enquiring about changes in the frequency of flatulence in the past week. If participants report a change, they will be asked to indicate the direction (increase/decrease) and magnitude of change (from 1 = least change to 5 = greatest change on a 5-point likert scale).

    Measured: 4 weeks

  14. Change in stool frequency

    Participants will complete the gut symptoms questionnaire (Winham and Hutchins, 2011) pre- and post-intervention. One of these items is a close-ended question (yes/no) enquiring about changes in stool frequency in the past week. If participants report a change, they will be asked to indicate the direction (increase/decrease) and magnitude of change (from 1 = least change to 5 = greatest change on a 5-point likert scale).

    Measured: 4 weeks

  15. Change in stool consistency

    Participants will complete the gut symptoms questionnaire (Winham and Hutchins, 2011) pre- and post-intervention. One of these items is a close-ended question (yes/no) enquiring about changes in stool consistency in the past week. If participants report a change, they will be asked to indicate the direction (increase/decrease) and magnitude of change (from 1 = least change to 5 = greatest change on a 5-point likert scale).

    Measured: 4 weeks

  16. Change in bloating frequency

    Participants will complete the gut symptoms questionnaire (Winham and Hutchins, 2011) pre- and post-intervention. One of these items is a close-ended question (yes/no) enquiring about changes in bloating frequency in the past week. If participants report a change, they will be asked to indicate the direction (increase/decrease) and magnitude of change (from 1 = least change to 5 = greatest change on a 5-point likert scale).

    Measured: 4 weeks

  17. Assessment of intervention acceptability

    Acceptability of the interventions will be assessed post-study via a custom questionnaire, using 5-point visual analogue scales and informed by the Theoretical Framework of Acceptability (Sekhon et al., 2017).

    Measured: 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 posted8 Oct 2024
  2. Study start23 Oct 2024
  3. Primary completion21 Mar 2025
  4. Study completion5 Sep 2025

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06628401
Sponsor's protocol ID
2792/48171
Other IDs
NU-019324
Status last verified
Sep 2025
First submitted
2 Sep 2024
Last updated
6 Oct 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Neal C, Lietz G, Brandt K, Watson AW, Shannon OM. Including fruit juice and smoothies within 5-a-day fruit and vegetable intake recommendations: a randomised controlled trial investigating impact on levels of intake, mood and markers of health. Br J Nutr. 2026 May 22:1-15. doi: 10.1017/S0007114526107569. Online ahead of print.

    PubMed 42169606

Questions about this trial

What is this clinical trial studying?

A study testing Educational information (Increasing F&V intake) and Educational information (Increasing F&V intake + Juice) in people with Metabolic Health and Fruit and Vegetable Intake, run by Courtney Neal at 1 site in United Kingdom.

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 4 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 6 Oct 2025. 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 Kingdom. 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?

Number of daily fruit and vegetable portions (from dietary recalls) (time frame: 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 NCT06628401, which also lists 1 linked publication.

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 6 Oct 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in