Nutritional Supplements and Nitric Oxide Bioactivity

NCT03625596 — Not applicable, Completed, 20 participants, Maastricht University Medical Center

ClinicalTrials Daily  ·  Areas  ·  Conditions  ·  Drugs  ·  Sponsors  ·  

The Effects of Nutritional Supplements on Postprandial Nitric Oxide Bioactivity in Abdominally Obese Men

RegistryNCT03625596
StatusCompleted
PhaseNot applicable
Study typeInterventional; randomized, crossover, masking: triple, prevention
Enrollment20 (Actual)
SponsorMaastricht University Medical Center (Other); collaborators: Nutricia Research
ConditionsNitric Oxide, Vascular Function, L-Arginine, Nitrate / Nitrite, Postprandial Metabolism
InterventionsL-Arginine, Nitrate / Nitrite, Placebo (Dietary supplement)
Datesstart 2018-12-01, primary completion 2019-12-31, completion 2019-12-31, first posted 2018-08-10, last updated 2020-02-20
Locations1 site in Netherlands

Related Papers Related Patents Related Grants Related Experts
All trials for Nitric Oxide All trials for Vascular Function All trials of L-Arginine All trials of Nitrate / Nitrite

-Summary

Obese people have a disturbed postprandial metabolism and thereby a decreased postprandial vascular function. Nitric oxide plays an important role in the postprandial vascular function. Multiple studies already focused on various nutritional compounds to improve the postprandial vascular function by increasing the nitric oxide bioactivity. However, the vast majority of the trials has been performed with relatively high doses of the individual components, which are problematic to convert into daily food measures, thereby preventing translation of these findings. Well-designed trails studying the effect of feasible amounts of nutritional supplements on the bioactivity of nitric oxide and vascular function are missing.

Expand all sections  ·  Collapse all

+Arms and interventions

ArmTypeInterventionsDescription
High L-arginineActive comparatorDietary Supplement: L-ArginineDuring this experimental day, men will receive a high-fat shake with a high dose of L-arginine.
Medium L-arginine + Nitrate / NitriteExperimentalDietary Supplement: L-Arginine; Dietary Supplement: Nitrate / NitriteDuring this experimental day, men will receive a high-fat shake with a medium dose of L-arginine enriched with nitrate and nitrite.
Low L-arginine + Nitrate / NitriteExperimentalDietary Supplement: L-Arginine; Dietary Supplement: Nitrate / NitriteDuring this experimental day, men will receive a high-fat shake with a low dose of L-arginine enriched with nitrate and nitrite.
Nitrate / NitriteExperimentalDietary Supplement: Nitrate / NitriteDuring this experimental day, men will receive a high-fat shake with nitrate and nitrite.
PlaceboPlacebo comparatorDietary Supplement: PlaceboDuring this experimental day, men will receive a high-fat shake without supplement.
  • L-Arginine (Dietary supplement): Acute intervention (3 hours)
  • Nitrate / Nitrite (Dietary supplement): Acute intervention (3 hours)
  • Placebo (Dietary supplement): Acute intervention (3 hours)

+Outcome measures

Primary outcomes

  • Nitric oxide bioavailability [Change from baseline at 2 hours after supplement intake]: Flow-mediated vasodilation (FMD) of the brachial artery

Secondary outcomes

  • Nitric oxide bioavailability [During 3 hours following supplement intake]: Plasma cyclic guanosine monophosphate (cGMP)
  • Vascular function markers [Change from baseline at 2 hours after supplement intake]: Retinal microvascular calibers
  • Cardiometabolic risk markers (1) [Change from baseline at 2 hours after supplement intake]: Plasma markers for low-grade systemic inflammation (CRP)
  • Cardiometabolic risk markers (2) [Change from baseline at 2 hours after supplement intake]: Plasma markers for endothelial dysfunction (NOx)
  • Cardiometabolic risk markers (3) [Change from baseline at 2 hours after supplement intake]: Office blood pressure
  • Postprandial metabolism (1) [During 3 hours following supplement intake]: Serum lipid metabolism
  • Postprandial metabolism (2) [During 3 hours following supplement intake]: Plasma glucose metabolism

+Eligibility

Sex: Male, ages: 40 Years to 70 Years, accepts healthy volunteers

Inclusion Criteria:

* Men
* Aged between 40-70 years
* Waist circumference ≥ 102
* Fasting plasma glucose < 7.0 mmol/L
* Fasting serum total cholesterol < 8.0 mmol/L
* Stable body weight (weight gain or loss < 3 kg in the past three months)
* Willingness to give up being a blood donor from 8 weeks before the start of the study, during the study and for 4 weeks after completion of the study
* No difficult venipuncture as evidenced during the screening visit
* No current smoker
* No diabetic patients
* No familial hypercholesterolemia
* No abuse of drugs
* No more than 3 alcoholic consumptions per day
* No use of medication known to treat blood pressure, lipid or glucose metabolism
* No use of an investigational product within another biomedical intervention trial within the previous 1-month
* No severe medical conditions that might interfere with the study, such as epilepsy, asthma, kidney failure or renal insufficiency, chronic obstructive pulmonary disease, inflammatory bowel diseases, auto inflammatory diseases and rheumatoid arthritis
* No active cardiovascular disease like congestive heart failure or cardiovascular event, such as an acute myocardial infarction or cerebrovascular accident
* Willingness to give up the use of antibacterial mouth wash or antibacterial toothpaste, chewing-gum and tongue- scraping on the morning of each experimental test day

Exclusion Criteria:

* Women
* Fasting plasma glucose ≥ 7.0 mmol/L
* Fasting serum total cholesterol ≥ 8.0 mmol/L
* Current smoker, or smoking cessation <12 months
* Diabetic patients
* Familial hypercholesterolemia
* Abuse of drugs
* More than 3 alcoholic consumptions per day
* Unstable body weight (weight gain or loss > 3 kg in the past three months)
* Use medication known to treat blood pressure, lipid or glucose metabolism
* Use of an investigational product within another biomedical intervention trial within the previous 1-month
* Severe medical conditions that might interfere with the study, such as epilepsy, asthma, kidney failure or renal insufficiency, chronic obstructive pulmonary disease, inflammatory bowel diseases, auto inflammatory diseases and rheumatoid arthritis
* Active cardiovascular disease like congestive heart failure or cardiovascular event, such as an acute myocardial infarction or cerebrovascular accident
* Not willing to give up being a blood donor from 8 weeks before the start of the study, during the study or for 4 weeks after completion of the study
* Not or difficult to venipuncture as evidenced during the screening visit

+Locations (1)

FacilityCityCountryStatus
Maastricht University Medical CenterMaastricht, LimburgNetherlands

+Investigators