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Evaluating the effects of high avenanthramide ancient oat (Royal Ancient Oats™) muffins versus conventional oat muffins in regard to glycemic control.
This study is a randomized, two-period crossover trial with a run-in control baseline and repeated measures, designed to evaluate the effects of high avenanthramide ancient oat (Royal Ancient Oats™) muffins versus conventional oat muffins on glycemic control and related metabolic parameters. A total of 38 non-diabetic adults (HbA1c < 5.7%), who are either overweight (BMI 25-29.9) or obese (BMI ≥ 30) will start with a repeated measures baseline using regular flour (white wheat) muffins for three consecutive days. Following this, participants will be divided into two groups: 19 in the conventional oat muffin group and 19 in the Royal Ancient Oats™ muffin group. This sample size provides 90% power to detect a difference in AUC of at least 20% between treatments, with a two-sided alpha of 0.05.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A: Order of receiving muffins differs | Experimental | A: Order of receiving muffins differs |
|
| B: Order of receiving muffins differs | Experimental | B: Order of receiving muffins differs |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Royal Ancient Oat Flour™ | Dietary Supplement | muffins made with Royal Ancient Oat Flour™ |
|
| Measure | Description | Time Frame |
|---|---|---|
| To compare the effect of consuming high avenanthramide Royal Ancient Oats™ muffins or conventional oat muffins versus white wheat flour muffins on postprandial glycemic response. | Area Under the Curve (AUC) for glucose levels over 24 hours, as measured by Continuous Glucose Monitoring (CGM). | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the effect of Royal Ancient Oats™ on incretin hormone secretion and satiety hormones. | Subjective measures of hunger and satiety using Visual Analog Scales (VAS). | 2 weeks |
| To evaluate the effect of Royal Ancient Oats™ on incretin hormone secretion and satiety hormones. |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate changes in weight, waist circumference, and body composition before and after dietary intervention. | Changes in body weight (kilograms, kg) measured using a calibrated digital scale (InBody) | 2 weeks |
| To evaluate changes in weight, waist circumference, and body composition before and after dietary intervention. |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Standard Process Nutrition Innovation Center | Recruiting | Kannapolis | North Carolina | 28081 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36790719 | Background | Shehzad A, Rabail R, Munir S, Jan H, Fernandez-Lazaro D, Aadil RM. Impact of Oats on Appetite Hormones and Body Weight Management: A Review. Curr Nutr Rep. 2023 Mar;12(1):66-82. doi: 10.1007/s13668-023-00454-3. Epub 2023 Feb 15. | |
| 35892210 | Background | Zhouyao H, Malunga LN, Chu YF, Eck P, Ames N, Thandapilly SJ. The inhibition of intestinal glucose absorption by oat-derived avenanthramides. J Food Biochem. 2022 Oct;46(10):e14324. doi: 10.1111/jfbc.14324. Epub 2022 Jul 27. |
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Changes in GLP-1 levels (pg/mL) |
| 2 weeks |
| To evaluate the effect of Royal Ancient Oats™ on incretin hormone secretion and satiety hormones. | Changes in leptin (pg/mL) | 2 weeks |
| To evaluate the effect of Royal Ancient Oats™ on incretin hormone secretion and satiety hormones. | Changes in adiponectin (ng/mL) | 2 weeks |
| To evaluate the effect of Royal Ancient Oats™ on incretin hormone secretion and satiety hormones. | Changes in peptide YY (pg/mL) | 2 weeks |
Changes in waist circumference (centimeters, cm) measured using a flexible, non-stretchable measuring tape at the midpoint between the lower margin of the last palpable rib and the top of the iliac crest. |
| 2 weeks |
| To evaluate changes in weight, waist circumference, and body composition before and after dietary intervention. | Changes in body fat percentage (%) as measured by bioelectrical impedance analysis (e.g., InBody). | 2 weeks |
| To evaluate changes in weight, waist circumference, and body composition before and after dietary intervention. | Changes in skeletal muscle mass (kg) as measured by bioelectrical impedance analysis (e.g., InBody). | 2 weeks |
| To evaluate changes in weight, waist circumference, and body composition before and after dietary intervention. | Changes in visceral fat level (arbitrary units) as measured by bioelectrical impedance analysis (e.g., InBody). | 2 weeks |
| 17513394 | Background | Chen CY, Milbury PE, Collins FW, Blumberg JB. Avenanthramides are bioavailable and have antioxidant activity in humans after acute consumption of an enriched mixture from oats. J Nutr. 2007 Jun;137(6):1375-82. doi: 10.1093/jn/137.6.1375. |
| Background | Chen V, Zurbau A, Ahmed A, Khan TA, Au-Yeung F, Chiavaroli L, Blanco Mejia S, Leiter LA, Jenkins DJA, Kendall CWC, Sievenpiper JL. Effect of oats and oat ß-glucan on glycemic control in diabetes: a systematic review and meta-analysis of randomized controlled trials. BMJ Open Diabetes Res Care. 2022 Sep 1;10(5):e002784. doi: 10.1136/bmjdrc-2022-002784. PMCID: PMC9438016. |
| 34977959 | Background | Llanaj E, Dejanovic GM, Valido E, Bano A, Gamba M, Kastrati L, Minder B, Stojic S, Voortman T, Marques-Vidal P, Stoyanov J, Metzger B, Glisic M, Kern H, Muka T. Effect of oat supplementation interventions on cardiovascular disease risk markers: a systematic review and meta-analysis of randomized controlled trials. Eur J Nutr. 2022 Jun;61(4):1749-1778. doi: 10.1007/s00394-021-02763-1. Epub 2022 Jan 3. |
| 32950005 | Background | Raguindin PF, Adam Itodo O, Stoyanov J, Dejanovic GM, Gamba M, Asllanaj E, Minder B, Bussler W, Metzger B, Muka T, Glisic M, Kern H. A systematic review of phytochemicals in oat and buckwheat. Food Chem. 2021 Feb 15;338:127982. doi: 10.1016/j.foodchem.2020.127982. Epub 2020 Sep 5. |
| 34444718 | Background | Wehrli F, Taneri PE, Bano A, Bally L, Blekkenhorst LC, Bussler W, Metzger B, Minder B, Glisic M, Muka T, Kern H. Oat Intake and Risk of Type 2 Diabetes, Cardiovascular Disease and All-Cause Mortality: A Systematic Review and Meta-Analysis. Nutrients. 2021 Jul 26;13(8):2560. doi: 10.3390/nu13082560. |
| Background | Loskutov, I. G., Gnutikov, A. A., Blinova, E. V. & Rodionov, A. V. The Origin and Resource Potential of Wild and Cultivated Species of the Genus of Oats (Avena L.). Russ J Genet 57, 642-661 (2021) |
| Background | Sood, V. K., Sanadya, S. K., Kumar, S., Chand, S. & Kapoor, R. Health benefits of oat (Avena sativa) and nutritional improvement through plant breeding interventions. Crop Pasture Sci 74, 993-1013 (2022). |
| 25267245 | Background | Stewart D, McDougall G. Oat agriculture, cultivation and breeding targets: implications for human nutrition and health. Br J Nutr. 2014 Oct;112 Suppl 2:S50-7. doi: 10.1017/S0007114514002736. |
| Background | Ociepa, T. The oat gene pools - Review about the use of wild species in improving cultivated oat. Journal of Central European Agriculture 20, 251-261 (2019). |
| 28067025 | Background | Sang S, Chu Y. Whole grain oats, more than just a fiber: Role of unique phytochemicals. Mol Nutr Food Res. 2017 Jul;61(7). doi: 10.1002/mnfr.201600715. Epub 2017 Feb 22. |
| Background | Pearson, R. W., Aldrich, D. G., H Allaway J E Dawson, J. W. & Gardner E G Heyne F L Patterson, C. O. Oats and Oat Improvement. vol. 4 https://acsess.onlinelibrary.wiley.com/doi/ (1952). |
| Background | Coffman, F. A. Oat History, Identification and Classification. (1977). |