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| Name | Class |
|---|---|
| Foundation for Food and Agriculture Research | UNKNOWN |
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This study will evaluate the availability of phytonutrients in two blueberry varieties, chosen for their phytonutrient levels. This will be compared to phytonutrient-matched processed protein bar and a macronutrient-matched control meal, in healthy human volunteers. Blueberry phytonutrients will be analyzed in blood and urine over a four-day period, 48h prior to consumption and 48h after. The participants will consume each of the four meals over a 3-month period (4-way crossover design, 4 blocks of 4-day periods). The main objective of this study is to compare the proportions of blueberry phytonutrients recovered in the blood and urine after ingestion of the four treatments. We hypothesize that phytonutrient content will be predictive of human bioavailability and that a berry-enriched processed product will have similar phytonutrient bioavailability to unprocessed berries.
The results of this study may establish if the nutritional value of a berry can be predicted or enhanced to provide elevated nutritional quality, with the ultimate goal of maximizing the health benefits of fruit consumption. As it is challenging for many to increase their fruit and vegetable intake to government recommended levels (5+ servings per day), the present proof-of-concept study explores a reasonable approach to help consumers achieve optimal health associated with high fruit and vegetable intakes, within the context of current consumption patterns, through enhancement of the nutritional density and bioavailability of common fruits and consumer products.
This study will evaluate the availability of phytonutrients in two blueberry varieties, chosen for their phytonutrient levels. This will be compared to phytonutrient-matched processed protein bar and a macronutrient-matched control meal, in healthy human volunteers. Blueberry phytonutrients will be analyzed in blood and urine over a four-day period, 48h prior to consumption and 48h after. The participants will consume each of the four meals over a 3-month period (4-way crossover design, 4 blocks of 4-day periods).
The main objective of this study is to compare the proportions of blueberry phytonutrients recovered in the blood and urine after ingestion of the four treatments.
After eligibility is confirmed, subjects will be randomly assigned to the four berry related interventions. The consumption of each intervention corresponds to one study period, which are separated by one-week washout. Blood will be collected at baseline and across 48h (1h, 3h, 6h, 9h, 24h, 48h) after intervention consumption while urine will be collected for 48h before and after intervention (-48h, -24h, 0-9h, 9-24h, 24-48h).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| a phytochemical-rich blueberry variety | Experimental | Single-time consumption of 150 g phytochemical-rich blueberry per participant. |
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| a phytochemical-poor blueberry variety | Experimental | Single-time consumption of 150 g phytochemical-poor blueberry per participant. |
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| a "minimally processed" blueberry-rich protein bar | Experimental | Single-time consumption of blueberry-rich protein bar matched for 150 g blueberry phytochemicals. |
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| a blueberry control beverage of matched-nutritive content | Placebo Comparator | Single-time consumption of control beverage matched for the macronutrient content of the blueberry-rich protein bar. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| a non-traditional (i.e., not typically available in the supermarket) blueberry cultivar bred using natural plant breeding techniques and established as having enhanced nutritive value | Other | 150 g of a non-traditional (i.e., not typically available in the supermarket) blueberry cultivar bred using natural plant breeding techniques and established as having enhanced nutritive value. Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days. |
| Measure | Description | Time Frame |
|---|---|---|
| Total Urinary Recovery of (Poly)Phenolic Metabolites Across Treatments | Concentration of 185 (poly)phenolic metabolites in urine was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). Recovery of each metabolite was calculated by multiplying the concentration of the metabolite (ng/mL) by the volume of urine (mL) in each collection then converted to milligrams. The total urinary recovery of each (poly)phenolic metabolite was assessed as a measurement of their bioavailability, and it was established as the sum of the recovery from each urine collection (0 h to 48 h postintervention) minus the mean of the 48 h and 24 h baseline collections per participant and treatment. Then, it was averaged across participants per treatment and per metabolite, and further summed across metabolites. Therefore, data reported for each treatment represents the sum of the means of total urinary recovery across (poly)phenolic metabolites. | 4 days of urine collection per intervention; -48, -24, 0-9, 9-24 and 24-48 hours collections of urine. |
| Serum Area Under the Curve (AUC) of (Poly)Phenolic Metabolites Across Treatments | Concentration of 185 (poly)phenolic metabolites in blood was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The area under the curve (AUC) of each (poly)phenolic metabolite in serum was assessed as a measurement of the bioavailability of these metabolites per participant and treatment. It was calculated using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, AUC was averaged across participants per treatment and per metabolite, and the mean AUCs were further summed across metabolites. Therefore, data reported for each treatment represents the sum of the means of AUC across (poly)phenolic metabolites. | 3 days of blood collection per intervention; 1 baseline collection, followed by 1, 3, 6, 9, 24 and 48 hours post-treatment collections of blood. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Serum Concentration [Cmax] of (Poly)Phenolic Metabolites Between the Treatments | Concentration of 185 (poly)phenolic metabolites in serum was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The maximum serum concentration [Cmax] of each (poly)phenolic metabolite in serum was calculated per participant and treatment using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, it was averaged across participants per treatment and per metabolite, and further averaged across metabolites. Therefore, data reported for each treatment represents the mean of the means of Cmax across (poly)phenolic metabolites. |
| Measure | Description | Time Frame |
|---|---|---|
| Time at Maximum Concentration [Tmax] of (Poly)Phenolic Metabolites in Serum Between the Treatments | Concentration of 185 (poly)phenolic metabolites in serum was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The time at maximum serum concentration [Tmax] of each (poly)phenolic metabolite in serum was calculated per participant and treatment using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, it was averaged across participants per treatment and per metabolite, and further averaged across metabolites. Data reported for each treatment represents the mean of the means of Tmax across (poly)phenolic metabolites. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Colin D Kay, PhD | North Carolina State University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Plants for Human Health Institute, North Carolina State University | Kannapolis | North Carolina | 28081 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39894303 | Result | Santana MC, Rathore AS, Chandra P, Everhart JL, Schulz H, Granillo CD, Ferruzzi MG, Iorizzo M, Lila MA, Diaz JT, Kay CD. Bioavailability and pharmacokinetics of (poly)phenols following consumption of selected blueberries and a blueberry-rich protein bar by adult males and females: a randomized, crossover, controlled trial. Am J Clin Nutr. 2025 Apr;121(4):779-794. doi: 10.1016/j.ajcnut.2025.01.028. Epub 2025 Jan 31. |
| Label | URL |
|---|---|
| Publication of Clinical Study Results | View source |
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29 out of 75 screened participants were enrolled into the study and randomized to interventions. Of those not enrolled, 20 participants did not meet inclusion criteria, 17 declined to participate and 9 did not follow up.
75 participants were recruited and screened from the local community surrounding the North Carolina Research Campus, Kannapolis, North Carolina, between December 2019 and July 2021. Clinical screening and interventions were conducted at the Human Research Core at the Nutrition Research Institute (University of North Carolina-Chapel Hill). The trial was completed in October 2021.
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| ID | Title | Description |
|---|---|---|
| FG000 | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage | All enrolled study participants were assigned to 13 distinct randomized intervention sequences where they consumed the following interventions, one at a time, and separated by 30.0±40.6 d of compliance break then 1-week of washout period: 150 g of a Phytochemical-rich Blueberry Variety (Elliott Blueberry Variety), 150 g of a Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety), a "Minimally Processed" Blueberry-rich Protein Bar matched to the phytonutrient content of the 150 g of Phytochemical-rich Blueberry Variety, and a Blueberry Control Beverage of Matched-nutritive Content in a randomized order. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Nov 19, 2020 | Aug 7, 2025 |
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| a standard commercially available blueberry variety (i.e., cultivar) | Other | 150 g of a standard commercially available blueberry variety (i.e., cultivar). Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days. |
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| a "minimally processed" blueberry-rich protein bar | Other | A "minimally processed" blueberry-rich protein bar matched to the phytonutrient content of the 150 g of the non-traditional blueberry. Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days. |
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| a control beverage of matched-nutritive content | Other | The matched nutritive content of the blueberry-rich protein bar will be dissolved in whey protein Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days. |
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| 3 days of blood collection per intervention; 1 baseline collection, followed by 1, 3, 6, 9, 24 and 48 hours post-treatment collections of blood. |
| 3 days of blood collection per intervention; 1 baseline collection, followed by 1, 3, 6, 9, 24 and 48 hours post-treatment collections of blood. |
| Phytochemical-rich Blueberry Variety |
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| Phytochemical-poor Blueberry Variety |
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| "Minimally Processed" Blueberry-rich Protein Bar |
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| Blueberry Control Beverage of Matched-nutritive Content |
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| COMPLETED |
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| NOT COMPLETED |
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Baseline data shown from baseline visits of participants who completed participation in the study across all four arms/groups (i.e., 18 participants).
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| ID | Title | Description |
|---|---|---|
| BG000 | Phytochemical-rich and -Poor Blueberry Varieties, Blueberry-rich Protein Bar and a Control Beverage | All enrolled study participants were assigned to 13 distinct randomized intervention sequences where they consumed the following interventions, one at a time, and separated by 30.0±40.6 d of compliance break then 1-week of washout period: 150 g of a Phytochemical-rich Blueberry Variety (Elliott Blueberry Variety), 150 g of a Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety), a "Minimally Processed" Blueberry-rich Protein Bar matched to the phytonutrient content of the 150 g of Phytochemical-rich Blueberry Variety, and a Blueberry Control Beverage of Matched-nutritive Content in a randomized order. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Systolic Blood pressure, mmHg | Mean | Standard Deviation | mmHg |
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| Diastolic Blood pressure, mmHg | Mean | Standard Deviation | mmHg |
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| BMI, kg/m2 | Mean | Standard Deviation | kg/m2 |
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| Weight (kg) | Mean | Standard Deviation | kg |
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| Height (m) | Mean | Standard Deviation | meter |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Total Urinary Recovery of (Poly)Phenolic Metabolites Across Treatments | Concentration of 185 (poly)phenolic metabolites in urine was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). Recovery of each metabolite was calculated by multiplying the concentration of the metabolite (ng/mL) by the volume of urine (mL) in each collection then converted to milligrams. The total urinary recovery of each (poly)phenolic metabolite was assessed as a measurement of their bioavailability, and it was established as the sum of the recovery from each urine collection (0 h to 48 h postintervention) minus the mean of the 48 h and 24 h baseline collections per participant and treatment. Then, it was averaged across participants per treatment and per metabolite, and further summed across metabolites. Therefore, data reported for each treatment represents the sum of the means of total urinary recovery across (poly)phenolic metabolites. | All participants who completed all study visits. This analysis was pre-specified to only report data for (poly)phenolic metabolites that displayed treatment effects (p < 0.05) in cumulative urinary excretion (i.e., 22 (poly)phenolic metabolites). Sum of the means of total urinary recovery across metabolites is reported per treatment. | Posted | Number | mg | 4 days of urine collection per intervention; -48, -24, 0-9, 9-24 and 24-48 hours collections of urine. |
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| Primary | Serum Area Under the Curve (AUC) of (Poly)Phenolic Metabolites Across Treatments | Concentration of 185 (poly)phenolic metabolites in blood was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The area under the curve (AUC) of each (poly)phenolic metabolite in serum was assessed as a measurement of the bioavailability of these metabolites per participant and treatment. It was calculated using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, AUC was averaged across participants per treatment and per metabolite, and the mean AUCs were further summed across metabolites. Therefore, data reported for each treatment represents the sum of the means of AUC across (poly)phenolic metabolites. | All participants who completed all study visits. This analysis was pre-specified to only report data for (poly)phenolic metabolites that displayed treatment-by-time, treatment, and time effects (p < 0.05) in serum concentration (i.e., 20 (poly)phenolic metabolites). Sum of the means of AUC across metabolites is reported per treatment. | Posted | Number | ng*h/mL | 3 days of blood collection per intervention; 1 baseline collection, followed by 1, 3, 6, 9, 24 and 48 hours post-treatment collections of blood. |
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| Secondary | Maximum Serum Concentration [Cmax] of (Poly)Phenolic Metabolites Between the Treatments | Concentration of 185 (poly)phenolic metabolites in serum was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The maximum serum concentration [Cmax] of each (poly)phenolic metabolite in serum was calculated per participant and treatment using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, it was averaged across participants per treatment and per metabolite, and further averaged across metabolites. Therefore, data reported for each treatment represents the mean of the means of Cmax across (poly)phenolic metabolites. | All participants who completed all study visits. This analysis was pre-specified to only report data for (poly)phenolic metabolites that displayed treatment-by-time, treatment, and time effects (p < 0.05) in serum concentration (i.e., 20 (poly)phenolic metabolites). Mean of the means of Cmax across metabolites is reported per treatment. | Posted | Mean | Full Range | ng/mL | 3 days of blood collection per intervention; 1 baseline collection, followed by 1, 3, 6, 9, 24 and 48 hours post-treatment collections of blood. |
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| Other Pre-specified | Time at Maximum Concentration [Tmax] of (Poly)Phenolic Metabolites in Serum Between the Treatments | Concentration of 185 (poly)phenolic metabolites in serum was measured after consumption of the treatments using broad spectrum metabolomic analysis via UPLC-MS/MS (ultra-performance liquid chromatography coupled with tandem mass spectrometry). The time at maximum serum concentration [Tmax] of each (poly)phenolic metabolite in serum was calculated per participant and treatment using concentration and time data in the software Phoenix WinNonlin (version 8.3, Certara). Then, it was averaged across participants per treatment and per metabolite, and further averaged across metabolites. Data reported for each treatment represents the mean of the means of Tmax across (poly)phenolic metabolites. | All participants who completed all study visits. This analysis was pre-specified to only report data for (poly)phenolic metabolites that displayed treatment-by-time, treatment, and time effects (p < 0.05) in serum concentration (i.e., 20 (poly)phenolic metabolites). Mean of the means of Tmax across metabolites is reported per treatment. | Posted | Mean | Full Range | hour | 3 days of blood collection per intervention; 1 baseline collection, followed by 1, 3, 6, 9, 24 and 48 hours post-treatment collections of blood. |
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From participant enrollment to study completion (3.9 ± 1.7-mo period).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | a Phytochemical-rich Blueberry Variety (Elliott Blueberry Variety) | Single-time consumption of 150 g phytochemical-rich blueberry per participant. a non-traditional (i.e., not typically available in the supermarket) blueberry cultivar bred using natural plant breeding techniques and established as having enhanced nutritive value: 150 g of a non-traditional (i.e., not typically available in the supermarket) blueberry cultivar bred using natural plant breeding techniques and established as having enhanced nutritive value. Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days. | 0 | 18 | 0 | 18 | 0 | 18 |
| EG001 | a Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) | Single-time consumption of 150 g phytochemical-poor blueberry per participant. a standard commercially available blueberry variety (i.e., cultivar): 150 g of a standard commercially available blueberry variety (i.e., cultivar). Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days. | 0 | 18 | 0 | 18 | 0 | 18 |
| EG002 | a "Minimally Processed" Blueberry-rich Protein Bar | Single-time consumption of blueberry-rich protein bar matched for 150 g blueberry phytochemicals. a "minimally processed" blueberry-rich protein bar: A "minimally processed" blueberry-rich protein bar matched to the phytonutrient content of the 150 g of the non-traditional blueberry. Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days. | 0 | 18 | 0 | 18 | 0 | 18 |
| EG003 | a Blueberry Control Beverage of Matched-nutritive Content | Single-time consumption of control beverage matched for the macronutrient content of the blueberry-rich protein bar. a control beverage of matched-nutritive content: The matched nutritive content of the blueberry-rich protein bar will be dissolved in whey protein Dietary restrictions will be observed (i.e. avoidance of food or supplements containing berry phytonutrients) for 7 days before each arm visit and throughout the study days. | 0 | 18 | 0 | 18 | 0 | 18 |
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Some limitations in this study include the lack of a software to evaluate background diet, and lack of measurement of composition of the protein bars. Further, compliance to a diet low in (poly)phenols (but not polyphenol-free) was evaluated through food intake logs and a strictly controlled and (poly)phenol-free diet is only feasible in a metabolic ward/domicile study design, which is relatively rare for (poly)phenol interventions. Also, we cannot account for nonreported noncompliance events.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Colin Kay | University of Arkansas for Medical Sciences at Arkansas Children's Research Institute | (501) 364-3147 | CKay@uams.edu |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 25, 2020 | Aug 7, 2025 | SAP_001.pdf |
| ICF | No | No | Yes | Informed Consent Form: Informed Consent Form | Jun 1, 2020 | Aug 7, 2025 | ICF_002.pdf |
| ICF | No | No | Yes | Informed Consent Form: Informed Consent Addendum | Aug 4, 2020 | Aug 7, 2025 | ICF_003.pdf |
| OG001 | Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) | Single-time consumption of 150 g of a Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) in a randomized order, and separated by 30.0±40.6 d of compliance break then 1-week of washout period from other interventions. |
| OG002 | "Minimally Processed" Blueberry-rich Protein Bar | Single-time consumption of a "Minimally Processed" Blueberry-rich Protein Bar matched to the phytonutrient content of the 150 g of Phytochemical-rich Blueberry Variety in a randomized order and separated by 30.0±40.6 d of compliance break then 1-week of washout period from other interventions. |
| OG003 | Control Beverage of Matched-nutritive Content | Single-time consumption of a control beverage matched for the macronutrient content of the blueberry-rich protein bar in a randomized order and separated by 30.0±40.6 d of compliance break then 1-week of washout period from other interventions. |
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| OG001 |
| Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) |
Single-time consumption of 150 g of a Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) in a randomized order, and separated by 30.0±40.6 d of compliance break then 1-week of washout period from other interventions. |
| OG002 | "Minimally Processed" Blueberry-rich Protein Bar | Single-time consumption of a "Minimally Processed" Blueberry-rich Protein Bar matched to the phytonutrient content of the 150 g of Phytochemical-rich Blueberry Variety in a randomized order and separated by 30.0±40.6 d of compliance break then 1-week of washout period from other interventions. |
| OG003 | Control Beverage of Matched-nutritive Content | Single-time consumption of a control beverage matched for the macronutrient content of the blueberry-rich protein bar in a randomized order and separated by 30.0±40.6 d of compliance break then 1-week of washout period from other interventions. |
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| OG001 |
| Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) |
Single-time consumption of 150 g of a Phytochemical-poor Blueberry Variety (Olympia Blueberry Variety) in a randomized order, and separated by 30.0±40.6 d of compliance break then 1-week of washout period from other interventions. |
| OG002 | "Minimally Processed" Blueberry-rich Protein Bar | Single-time consumption of a "Minimally Processed" Blueberry-rich Protein Bar matched to the phytonutrient content of the 150 g of Phytochemical-rich Blueberry Variety in a randomized order and separated by 30.0±40.6 d of compliance break then 1-week of washout period from other interventions. |
| OG003 | Control Beverage of Matched-nutritive Content | Single-time consumption of a control beverage matched for the macronutrient content of the blueberry-rich protein bar in a randomized order and separated by 30.0±40.6 d of compliance break then 1-week of washout period from other interventions. |
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