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The researchers investigate the effect of long-term (12-weeks) consumption of diets rich in boiled potatoes versus those rich in rice or pasta on established cardiovascular risk parameters. These carbohydrate sources will be part of a recommended healthy dietary pattern to mimic as closely as possible current dietary guidelines, facilitating the implementation of the outcomes.
To breach the current controversies, there is an urgent need for well-designed controlled human intervention trials evaluating the true impact of boiled potato consumption as part of a healthy dietary pattern on cardiometabolic health. There are two important issues that need to be addressed when designing such an intervention study: First, the longer-term effects of boiled potato consumption on established fasting and postprandial cardiovascular risk markers should be addressed. Second, the effect of boiled potatoes should be studied using an iso-energetic exchange for other traditionally main carbohydrate sources. These carbohydrate-sources will be part of a recommended healthy dietary pattern to mimic as closely as possible current dietary guidelines, facilitating the implementation of the outcomes. Effects will be studied in both fasting and postprandial conditions. In fact, the evidence is accumulating that optimizing postprandial glucose and lipid responses are important targets for maintaining health. Since potatoes, white rice and white pasta are all products with a high glycemic index and concomitant relatively steep glucose excursions after intake, the question is how long-term intake of these products affects the metabolic capacity of our body to respond to postprandial challenges. Interestingly, potatoes are not only rich in complex carbohydrates but are also more nutrient-dense (a wide variety of minerals, vitamins, and micronutrients) as compared to white rice and white pasta. In addition, potatoes provide large amounts of fiber and are more satiating than other carbohydrate sources. This nutrient profile might beneficially impact the resilience of the metabolic machinery and as such improve postprandial cardiometabolic plasma profiles (glucose, insulin, and triacylglycerol). In other words, there might be a beneficial effect of longer-term potato consumption in comparison with longer-term white pasta and white rice consumption will not only be present in fasting conditions but particularly in the postprandial state when the cardiometabolic system is challenged.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Potato group | Experimental | The participants in this group consume every day 150g of boiled potatoes for 12 weeks, preferably during dinner. The participants are allowed to eat this portion during lunch as well |
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| Pasta/rice | Active Comparator | The participants in this group consume every day either rice or pasta for 12 weeks, preferably during dinner. The participants are allowed to eat this portion during lunch as well. The portion of rice and pasta must be as isocaloric as 150g of boiled potatoes. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Potato | Other | Controlled human intervention trial to evaluate the impact of boiled potato intake as part of a healthy dietary patterns on cardiometabolic health |
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| Measure | Description | Time Frame |
|---|---|---|
| Chronic glucose metabolism | Measured by change in average daily glucose concentrations over a 15 hours period between waking up and going to bed 7:00AM - 22:00PM for three days, which is calculated based on the total area under the curve (tAUC) using a continuos glucose monitor. | pre- intervention and post- intervention (12 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Lipid metabolism | Measured by fasting serum C-peptide, lipids and lipoproteins in all visits | 12 weeks intervention: Pre-intervention (visit 1 and 2), during the intervention (visit 3, 4, 5) and post intervention (visit 6, and 7) |
| Glucose metabolism |
| Measure | Description | Time Frame |
|---|---|---|
| Exploratory objective endothelial (dys)function markers | Measured by sE-selectin, sICAM, sVCAM, and MCP-1 in al visits To investigate if potato consumption by overweight and obese (BMI25-35 kg/m2) men and women changes:
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marco Antonio MA Chávez Alfaro, Msc | Contact | 0627437809 | m.chavezalfaro@maastrichtuniversity.nl | |
| Jogchum Plat, PhD | Contact | +31-43-3881309 | J.Plat@maastrichtuniversity.nl |
| Name | Affiliation | Role |
|---|---|---|
| Jogchum J Plat, PhD | Chair of Nutrition and Movement Science Department | Principal Investigator |
| Ronald P. Mensisnk, PhD | Chair of Nutrition and Movement Science Department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Metabolic Research Unit Maastricht | Recruiting | Maastricht | Limburg | NL-6200 | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30122560 | Background | Seidelmann SB, Claggett B, Cheng S, Henglin M, Shah A, Steffen LM, Folsom AR, Rimm EB, Willett WC, Solomon SD. Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis. Lancet Public Health. 2018 Sep;3(9):e419-e428. doi: 10.1016/S2468-2667(18)30135-X. Epub 2018 Aug 17. | |
| 31550032 | Background |
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Longer-term (12-weeks) well-controlled intervention trial with a parallel design including 56 overweight and obese (BMI25-35 kg/m2) men and women
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| Pasta/rice | Other | Since potatoes, white rice and white pasta are all products with a high glycemic index and concomitant relatively steep glucose excursions after intake, this intervention group helps to compare the effect of potato vs another high glucemic index food. |
|
Measured by fasting plasma glucose, insulin, and calculated HOMA- IR in all visits
| 12 weeks intervention: Pre-intervention (visit 1 and 2), during the intervention (visit 3, 4, 5) and post intervention (visit 6, and 7) |
| Low grade inflammation | Measured by inflammation plasma markers (hsCPR, IL6, IL8, TNFa) | 12 weeks intervention: Pre-intervention (visit 1 and 2), during the intervention (visit 3, 4, 5) and post intervention (visit 6, and 7) |
| Postprandial glucose metabolism | Following a high-fat, high-carb meal, measured by plasma glucose, insulin. | 12 weeks intervention: Pre-intervention (visit 2) and post intervention (visit 7) |
| Postprandial TAG metabolism | Following a high-fat, high-carb meal, measured by plasma TAG. | 12 weeks intervention: Pre-intervention (visit 2) and post intervention (visit 7) |
| 24h urine samples micronutrient profiles | Measured by 24 urine collection. | 12 weeks intervention: Pre-intervention (visit 2) and post intervention (visit 7) |
| Quality of life questionnaire | Assessed with a 32-item questionnaire (including social, spiritual, emotional, cognitive, physical, activities of daily living, and integrated quality of life) | 12 weeks intervention: Pre-intervention (visit 2), during the intervention (visit 4) and post intervention (visit 7) |
| Mood, degree of pleasantness and arousal | Assessed with the Affect grid | 12 weeks intervention: Pre-intervention (visit 2), during the intervention (visit 4) and post intervention (visit 7) |
| Fatigue | Assessed using the FSS, a 9-item questionnaire that is used to determine the severity of fatigue a subject experienced in the past week during daily activities | 12 weeks intervention: Pre-intervention (visit 2), during the intervention (visit 4) and post intervention (visit 7) |
| Cognitive performance | Assessed with a validated neuropsychological test battery (CANTAB) | 12 weeks intervention: Pre-intervention (visit 2), during the intervention (visit 4) and post intervention (visit 7) |
| Venular and arteriolar diameters | Assessed via fundus photography | 12 weeks intervention: Pre-intervention (visit 2), during the intervention (visit 4) and post intervention (visit 7) |
| Office blood pressure | Measured by office blood pressure monitor in all visits | 12 weeks intervention: Pre-intervention (visit 1 and 2), during the intervention (visit 3, 4, 5) and post intervention (visit 6, and 7) |
| 36h blood pressure profiles | Assessed via wearables blood pressure monitor | 12 weeks intervention: Pre- intervention (visit-1) and post- intervention (visit 6) |
| 12 weeks intervention: Pre-intervention (visit 1 and 2), during the intervention (visit 3, 4, 5) and post intervention (visit 6, and 7) |
| Exploratory objective liver enzymes | Measured by liver enzymes (ALAT, ASAT, gGT, bilirubin) | 12 weeks intervention: Pre-intervention (visit 1 and 2), during the intervention (visit 3, 4, 5) and post intervention (visit 6, and 7) |
| Exploratory objective calculated insulin secretory function | Measured by HOMA%B index | 12 weeks intervention: Pre-intervention (visit 1 and 2), during the intervention (visit 3, 4, 5) and post intervention (visit 6, and 7) |
| Exploratory objective micro-albumineria and kidney function | Measured by estimated GFR | 12 weeks intervention: Pre-intervention (visit 1 and 2), during the intervention (visit 3, 4, 5) and post intervention (visit 6, and 7) |
| Exploratory objective plasma incretins / satiety hormones in fasting and postprandial conditions | Following a high-fat, high-carb meal, measured by PYY, GLP, ghrelin. | 12 weeks intervention: Pre-intervention (visit 2) and post intervention (visit 7) |
| Shan Z, Rehm CD, Rogers G, Ruan M, Wang DD, Hu FB, Mozaffarian D, Zhang FF, Bhupathiraju SN. Trends in Dietary Carbohydrate, Protein, and Fat Intake and Diet Quality Among US Adults, 1999-2016. JAMA. 2019 Sep 24;322(12):1178-1187. doi: 10.1001/jama.2019.13771. |
| 29276791 | Background | Simpson SJ, Le Couteur DG, James DE, George J, Gunton JE, Solon-Biet SM, Raubenheimer D. The Geometric Framework for Nutrition as a tool in precision medicine. Nutr Healthy Aging. 2017 Dec 7;4(3):217-226. doi: 10.3233/NHA-170027. |
| 30441846 | Background | Robertson TM, Alzaabi AZ, Robertson MD, Fielding BA. Starchy Carbohydrates in a Healthy Diet: The Role of the Humble Potato. Nutrients. 2018 Nov 14;10(11):1764. doi: 10.3390/nu10111764. |
| 26980820 | Background | Jacome-Sosa M, Parks EJ, Bruno RS, Tasali E, Lewis GF, Schneeman BO, Rains TM. Postprandial Metabolism of Macronutrients and Cardiometabolic Risk: Recent Developments, Emerging Concepts, and Future Directions. Adv Nutr. 2016 Mar 15;7(2):364-74. doi: 10.3945/an.115.010397. Print 2016 Mar. |
| 23674809 | Background | King JC, Slavin JL. White potatoes, human health, and dietary guidance. Adv Nutr. 2013 May 1;4(3):393S-401S. doi: 10.3945/an.112.003525. |
| 19960391 | Background | Camire ME, Kubow S, Donnelly DJ. Potatoes and human health. Crit Rev Food Sci Nutr. 2009 Nov;49(10):823-40. doi: 10.1080/10408390903041996. |