CHU clermont-ferrand
Clermont-Ferrand, France
NCT Number: NCT04923555
By 2050, the expanding world population will consume two-thirds more animal protein than it consumes today. The increase in chronic diseases associated with the generalization of these consumption patterns tend to understand the place of meat in our diets. All these elements participate to the reduction of animal proteins in favor of vegetable proteins in our food. The elderly are particularly affected by malnutrition, the prevalence of protein-energy malnutrition increasing with age and promoting the onset of morbidities. Without care, it leads to the worsening of physiological phenomena linked to aging such as loss of muscle functionality (sarcopenia) or reduction in bone density (osteoporosis) and increases the risk of falls - the main cause of dependence. However, in France, protein consumption declines significantly with age, even though requirements appear to be greater for the elderly. It is therefore a major challenge for our societies to ensure that the aging of the population and the increase in life expectancy are not synonymous with a reduction in the physical and mental capacities of individuals. Thus, it is essential to ensure that the recommendations for reducing the intake of animal proteins in favor of vegetable proteins can be applied without risk to aging populations, in particular on the human body cardiovascular risk of these populations.
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Notify Me65 year and older
All sexes
Interventional
Not applicable
Clermont-Ferrand, France
This human dietary intervention study is a double blind, randomized, placebo controlled, cross over trial with 3 arms, carried out on subjects with predisposition to cardiometabolic syndrome (based on weight circumference, blood triglyceride or blood cholesterol, glycemia and hypertension). This study aims to demonstrate transient improvement in vascular endothelial function (with Flow Mediated Dilatation (FMD) as main criteria) with consumption of vegetable proteins (rich in leucine, cysteine and arginine) by comparison with animal proteins and with a control without proteins.
The 33 recruited participants will receive the 3 yogurts in a random order. For each subject, the study is divided into 4 visits.
To summarize: Visit 1 (D-7) = inclusion, Visit 2 (D0: treatment period N°1), Visit 3 (D28 : treatment period N°2), Visit 4 (D56 : treatment period N°3). The wash-out periods between treatment period (duration: 4 weeks) may be extended until 5 weeks for the convenience of participants.
The protocol includes a total of 4 visits to PIC/CIC Inserm 1405 of the Clermont-Fd University Hospital.
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
33 volunteers will consume 400 ml of yogurt with vegetable proteins (VP) rich in leucine, cystein and arginine only once during the visit. At the beginning and the end of the intervention, exploration will be conducted at fasted state and at post-prandial state after the administration of vegetable proteins.
33 volunteers will consume 400 ml of yogurt with animal proteins (AP) rich in leucine, cystein and arginine only once during the visit. At the beginning and the end of the intervention, exploration will be conducted at fasted state and at post-prandial state after the administration of animal proteins.
33 volunteers will consume 400 ml of yogurt without any protein (T) rich in leucine, cystein and arginine only once during the visit. At the beginning and the end of the intervention, exploration will be conducted at fasted state and at post-prandial state after the administration of animal proteins.
Time frame: Day 0 (V1) at T-30min
The endothelial function will be assessed using the non-invasive ultrasound technique of flow mediated dilatation of the brachial artery. FMD measure is the percentage of dilation of brachial artery in response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery realized.
Time frame: Day 0 (V1) at T180min
The endothelial function will be assessed using the non-invasive ultrasound technique of flow mediated dilatation of the brachial artery. FMD measure is the percentage of dilation of brachial artery in response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery realized between T-30min to T300min.
Time frame: Day 0 (V1) at T300min
The endothelial function will be assessed using the non-invasive ultrasound technique of flow mediated dilatation of the brachial artery. FMD measure is the percentage of dilation of brachial artery in response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery realized between T-30min to T300min.
Time frame: Day 28 (V2) at T-30min
The endothelial function will be assessed using the non-invasive ultrasound technique of flow mediated dilatation of the brachial artery. FMD measure is the percentage of dilation of brachial artery in response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery realized between T-30min to T300min.
Time frame: Day 28 (V2) at T180min
The endothelial function will be assessed using the non-invasive ultrasound technique of flow mediated dilatation of the brachial artery. FMD measure is the percentage of dilation of brachial artery in response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery realized between T-30min to T300min.
Time frame: Day 28 (V2) at T300min
The endothelial function will be assessed using the non-invasive ultrasound technique of flow mediated dilatation of the brachial artery. FMD measure is the percentage of dilation of brachial artery in response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery realized between T-30min to T300min.
Time frame: Day 56 (V3) at T-30min
The endothelial function will be assessed using the non-invasive ultrasound technique of flow mediated dilatation of the brachial artery. FMD measure is the percentage of dilation of brachial artery in response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery realized between T-30min to T300min.
Time frame: Day 56 (V3) at T180min
The endothelial function will be assessed using the non-invasive ultrasound technique of flow mediated dilatation of the brachial artery. FMD measure is the percentage of dilation of brachial artery in response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery realized between T-30min to T300min.
Time frame: Day 56 (V3) at T300min
The endothelial function will be assessed using the non-invasive ultrasound technique of flow mediated dilatation of the brachial artery. FMD measure is the percentage of dilation of brachial artery in response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery realized between T-30min to T300min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Vascular endothelial function in the micro-vascular compartment will be assessed using the measurement of the rest flow using laser-Doppler system at the level of the skin of the hand realized between T-30min to T300min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Vascular endothelial function in the micro-vascular compartment will be assessed using the measurement of the occlusion area using laser-Doppler system at the level of the skin of the hand by following the response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery (same stimulus as for FMD measurement) realized between T-30min to T300min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Vascular endothelial function in the micro-vascular compartment will be assessed using the measurement of the hyperaemia area using laser-Doppler system at the level of the skin of the hand by following the response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery (same stimulus as for FMD measurement) realized between T-30min to T300min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Vascular endothelial function in the micro-vascular compartment will be assessed using the ratio hyperaemia area / occlusion area determined by FLD realized between T-30min to T300min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Vascular endothelial function in the micro-vascular compartment will be assessed using the measurement of the maximal flow using laser-Doppler system at the level of the skin of the hand by following the response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery (same stimulus as for FMD measurement) realized between T-30min to T300min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Vascular endothelial function in the micro-vascular compartment will be assessed using the measurement of the hyperaemia half time using laser-Doppler system at the level of the skin of the hand by following the response to a reactive hyperaemia induced by the release of a transient occlusion of the brachial artery (same stimulus as for FMD measurement) realized between T-30min to T300min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Reactive hyperemia index (RHI) assessed by reactive hyperemia-peripheral arterial tonometry (RH-PAT) expressed as a percentage measures pulsatile fluctuations in digital volume in response to a reactive hyperaemia induced by the release of a transient occlusion realized between T-30min to T300min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of nitrite plasma concentration (µmol/L) (a biomarker of endothelial activation) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of nitrite urine concentration (µmol/L) (a biomarker of endothelial activation) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of nitrate plasma concentration (µmol/L) (a biomarker of endothelial activation) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of nitrate urine concentration (µmol/L) (a biomarker of endothelial activation) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of creatinine plasma concentration (µmol/L) (a biomarker of chronic kidney disease) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of creatinine urine concentration (µmol/L) (a biomarker of chronic kidney disease) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of MDA plasma concentration (nmol/L) (a biomarker of oxidative stress) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of MDA urine concentration (nmol/L) (a biomarker of oxidative stress) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of ADMA plasma concentration (µmol/L) (a biomarker of cardiovascular disease) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of ADMA urine concentration (µmol/L) (a biomarker of cardiovascular disease) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of SDMA plasma concentration (µmol/L) (a biomarker of cardiovascular disease) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of SDMA urine concentration (µmol/L) (a biomarker of cardiovascular disease) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3)
Determination of acetyl-lysine plasma concentration (µmol/L) (a biomarker of vascular oxidative stress) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of acetyl-lysine urine concentration (µmol/L) (a biomarker of vascular oxidative stress) between T-60min to T250min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of CML plasma concentration (pg/mL) (a biomarker of oxidative stress) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of CML urine concentration (pg/mL) (a biomarker of oxidative stress) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of CEL plasma concentration (pg/mL) (a biomarker of oxidative stress) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of CEL urine concentration (pg/mL) (a biomarker of oxidative stress) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of alanine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of alanine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of arginine plasma concentration (µmol/L) between T-90min to T360min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of arginine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of asparagine plasma concentration (µmol/L) between T-90min to T360min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of asparagine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of aspartic acid plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of aspartic acid urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of cysteine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of cysteine urine concentration (µmol/L) between T-60min to T250min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of glutamic acid plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of glutamic acid urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of glutamine plasma concentration (µmol/L) between T-90min to T360min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of glutamine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of glycine plasma concentration (µmol/L) between T-90min to T360min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of glycine urine concentration (µmol/L) between T-60min to T250min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of histidine plasma concentration (µmol/L) between T-90min to T360min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of histidine urine concentration (µmol/L) between T-60min to T250min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of isoleucine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of isoleucine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of leucine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of leucine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of lysine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of lysine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of methionine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of methionine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of phenylalanine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of phenylalanine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of proline plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of proline urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of serine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of serine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of threonine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of threonine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of tryptophan plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of tryptophan urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of tyrosine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of tyrosine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of tyrosine plasma concentration (µmol/L) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of tyrosine urine concentration (µmol/L) between T-60min to T250min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of IL-6 plasma concentration (pg/ml) (a biomarker of inflammation and oxidative stress) between T-90min to T360min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of IL-1β plasma concentration (pg/ml) (a biomarker of inflammation and oxidative stress) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of MCP-1 plasma concentration (pg/ml) (a biomarker of inflammation and oxidative stress) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of TNFα plasma concentration (pg/ml) (a biomarker of inflammation and oxidative stress) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of ICAM-1 plasma concentration (ng/ml) (a biomarker of endothelial activation) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of E-Selectine plasma concentration (ng/ml) (a biomarker of endothelial activation) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Transcriptomic Analysis to quantify sets of genes involved in endothelial activation, oxidative stress, inflammation and cytokine expression between T-90 min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Untargeted Metabolomics to identify and quantify molecules involved in endothelial activation, oxidative stress, inflammation and cytokine expression between T-90 min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of glucose plasma concentration (mg/dl) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of triglycerides plasma concentration (mg/dl) between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of insulin plasma concentration (pmol/L) between T-90min to T360min
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Determination of PBMC count (/mm3) and phenotyping between T-90min to T360min.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Assessment of the ROS level (between T-90min to T360min) produced by isolated PBMC following oxidative stress induction.
Time frame: Day 0 (V1), Day 28 (V2), Day 56 (V3).
Acceptability was assessed by a 9-point time scale where "1" means a very poor acceptability and "9" means a very good acceptability.
University Hospital, Clermont-Ferrand
Other
Acronym: P-PROBS CM
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