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The aging population is rapidly increasing, and it is important to identify dietary factors that can prevent disease and promote health in this group. Legumes, such as peanuts, are a plant-based food high in protein and unsaturated fat making this a healthy choice, but are not consumed frequently enough in older adults. Studies have shown that regular nut consumption is associated with lower adiposity and reduced weight gain and inflammation. Given these findings, this study will examine the postprandial effects of meals with 2 levels of saturated fatty acids (SFA) on metabolic endotoxemia, inflammation and satiety, using a randomized cross-over design. The low SFA meal includes peanuts that are high in monounsaturated fatty acids (MUFA) and this will be compared to a high SFA meal. The results of this study have the potential to provide valuable insights into the role of peanuts in promoting health and preventing disease in at-risk older adults.
The aging population is rapidly increasing, and it is important to identify dietary factors that can prevent disease and promote health in this group. Legumes, such as peanuts, are a plant-based food high in protein and unsaturated fat making this a healthy choice but are not consumed frequently enough in older adults. Studies have shown that regular nut consumption is associated with lower adiposity and reduced weight gain, and several dietary pattern studies indicate that nuts and legumes are associated with better bone health. Given these findings, this study will address the postprandial effects of meals with 2 levels of saturated fatty acids (SFA) on metabolic endotoxemia, inflammation and satiety, using a randomized cross-over design. The low SFA meal includes peanuts that are high in monounsaturated fatty acids (MUFA) and the serum endotoxin (lipopolysaccharide, LPS) postprandial response will be compared to a high SFA meal. Baseline measurements will include body composition and serum lipids and glucose. The objectives of the study are: 1. To determine the endotoxin and inflammatory response to a meal with two levels of saturated fat in older individuals with overweight or obesity using a randomized cross-over design; 2. To evaluate satiety and fullness in response to the two meals. It is hypothesized that postprandial circulating endotoxin and inflammation will be higher, and satiety will be similar after the SFA enriched compared to the lower SFA (peanut based) meal. A sample size analysis indicates that 16 participants are needed (α set at 0.05, and power set at 90%) to detect a significant difference in endotoxin between groups. Assuming a 10% dropout, up to 18 individuals will be enrolled. The results of this study have the potential to provide valuable insights into the role of peanuts in promoting health and preventing disease in at-risk older adults.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| saturated fatty acids (SFA) meal | Active Comparator | mixed meal test over 6 hours |
|
| monounsaturated fatty acids (MUFA) peanut meal | Experimental | mixed meal test over 6 hours |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| monounsaturated fatty acids (MUFA) peanut meal | Behavioral | mixed meal tolerance test and postprandial measurements |
|
| Measure | Description | Time Frame |
|---|---|---|
| Concentration of Endotoxin | serum | Change over 6 hour MMT |
| Measure | Description | Time Frame |
|---|---|---|
| Concentration of Glucose and Insulin | serum (mg/dL) | Change over 6 hour MMT |
| Concentration of Triglyceride | serum | Change over 6 hour MMT |
| Measure | Description | Time Frame |
|---|---|---|
| Concentration of zonulin | serum permeability marker | Baseline only |
| Lipid Profile | serum | Baseline only |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sue Shapses, PhD | Rutgers, the State University of NJ | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foran Hall | New Brunswick | New Jersey | 08901 | United States | ||
| Rutgers University - NJ Inst Food Nutrition & Health |
Individual participant data that underlie the results and after deidentification will be shared upon request for researchers who provide a methodologically sound proposal (and IRB approved).
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Sep 13, 2023 | Jul 11, 2024 | ICF_000.pdf |
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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| ID | Term |
|---|---|
| D005229 | Fatty Acids, Monounsaturated |
| D005227 | Fatty Acids |
| D062407 | Meals |
| ID | Term |
|---|---|
| D005231 | Fatty Acids, Unsaturated |
| D008055 | Lipids |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
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Higher SFA meal vs higher MUFA (nut) meal in individuals with overweight and obese
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No masking but participants are not told which foods in a given meal are higher in one fatty acid or another. 16 will be enrolled as per the sample size calculation for this study.
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|
| Appetite | visual analogue scale from 0 (not at all) to 14 (extremely) | Change over 6 hour MMT |
| Concentration of Inflammatory markers | Interleukin-6, tumor necrosis factor-alpha, plasminogen activator inhibitor-1, lipopolysaccharide binding protein, hs-C reactive protein (grams/volume) | Change over 6 hour MMT |
| Characterization of the Microbiome | alpha and beta diversity of bacteria in feces | Baseline only |
| Concentration of incretin hormones | serum GLP-1, gherlin, peptide YY (grams/volume) | Change over 6 hour MMT |
| Concentration of Bone regulating markers | Serum carboxyterminal crosslinking telopeptide of type I collagen (CTX), Procollagen type-I aminoterminal propeptide (PINP), Osteocalcin (grams/volume) | Fasting and change over 6 hour MMT |
| New Brunswick |
| New Jersey |
| 08901 |
| United States |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010829 |
| Physiological Phenomena |
| D019602 | Food and Beverages |