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Background: Vitamin D3 (VD) is an oil soluble vitamin formed in the skin during exposure to UV light. It is essential for bone and calcium metabolism, insulin reactivity, immune system etc. The dietary sources of VD are scarce, and insufficient. Epidemiological studies link proper VD status with lower risks of bone fracture, hypertension, diabetes, cancer and more. VD deficiency is widespread, mainly due to avoidance of sun exposure due to fear of melanoma. Therefore there is an urgent need to enrich staple foods & beverages with VD, to prevent deficiency.
A novel technology was developed , for nanoencapsulating VD within casein micelles (CM) (natural milk protein nanoparticles). Previously we have found that the bioavailability of VD in CM in 1% fat milk was similar to that in an aqueous dietary supplement based on a synthetic emulsifier- Tween 80- which is sometimes used by the industry to add VD into milk.
The main research question studied in the current project is: how will the bioavailability of VD be affected by its delivery in CM compared to its delivery using Tween 80 in a fat free milk product, like nonfat yogurt.
Hypothesis: The open molecular structure of caseins, which evolved to be easily digestible, may facilitate the bioavailability of VD nanoencapsulated in CM, so that it will not be less than that in Tween 80, which is considered to be good. CM are particularly useful for oil-soluble micronutrient delivery in non-fat products. The most widely consumed nonfat milk product is 0% fat yoghurt, chosen it for this study.
Methods: Yoghurts will be made from 3 milk formulations:
Expected findings: The bioavailability of VD in CM will not be lower than that in Tween 80, in 0% fat yoghurt.
Significance of the study: With the widespread VD deficiency, decreased fat consumption and rising demand for using only natural ingredients there is great importance in delivery of VD and other fat-soluble micronutrients in protein-based delivery systems, like CM, instead of using synthetic emulsifiers, and it is imperative to assure the bioavailability is not compromised by this dramatic change.
CM solubilize VD and help uniformly distribute it in aqueous products and protect it against heat, oxidation and UV.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Skimmilk VD will be emulsified using Tween 80 | Active Comparator | Skimmilk enriched with VD wherein the VD will be emulsified using Tween 80; |
|
| Placebo: un-enriched skimmilk. | Placebo Comparator | Placebo: un-enriched skimmilk. |
|
| enriched skimmilk with VD | Active Comparator | enriched skimmilk with VD |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| enriched skimmilk with VD | Dietary Supplement | enriched skimmilk with VD |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Serum 25(OH)D level | 0, 1 day, 7 days, 14 days |
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Inclusion Criteria:
Healthy volunteers . adults aged 18 - 65
Exclusion Criteria:
Intestinal malabsorption, lactose intolerance, medical illness (e.g. liver disease, kidney disease, or diabetes), hypercalcemia, excessive alcohol use, pregnancy, use of medications known to interfere with vitamin D metabolism e.g. anticonvulsants, barbiturates, or steroids), granulomatous disease, use of vitamin D supplements, potential for significant sun exposure (e.g., travel to a sunny vacation site or use of tanning beds) within the month prior to, or during, the study. -
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| SOFIA ISH-SHALOM, MD | Contact | 972-4-8543033 | s_ish_shalom@rambam.health.gov.il | |
| YOAV LIVNEY, MD | Contact | 972-0778874225 | LIVNEY@TECHNION.AC.IL |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rambam-Health Care Campus | Recruiting | Haifa | 31096 | Israel |
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| Skimmilk enriched with VD wherein the VD will be emulsified using Tween 80 |
| Dietary Supplement |
Skimmilk enriched with VD wherein the VD will be emulsified using Tween 80 |
|
| Placebo: un-enriched skimmilk. | Dietary Supplement | Placebo: un-enriched skimmilk |
|
| ID | Term |
|---|---|
| D014808 | Vitamin D Deficiency |
| ID | Term |
|---|---|
| D001361 | Avitaminosis |
| D003677 | Deficiency Diseases |
| D044342 | Malnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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