Use of Flaxseed(Alpha Linolenic Acid) Powder in Morbidly Obese Patients With Systemic Inflammation

NCT ID: NCT00502021

Last Updated: 2012-09-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2013-10-31

Brief Summary

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Preliminary studies have shown that flaxseed powder, rich in the omega-3 alpha-linolenic acid,is beneficial for the general inflammation present in morbidly obese subjects by decreasing elevated serum markers.As omega-3 fatty acids display additional properties including possible amelioration of atherosclerosis,a 3-month supplementation protocol was devised.Arterial stiffness and intima thickness will be measured in severely obese subjects, in order to document possible reduction of these variables as well.

Detailed Description

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Population:Morbidly obese non-smoking patients of the Department of Gastroenterology, candidates for possible bariatric treatment Criteria for inclusion: Males and females, 18- 65 years old, body mass index/BMI \> 40 kg/m2 (or \> 35 kg/m2 with comorbidities), non-hospitalized and receiving general oral diet, with elevated C-reactive protein/ CRP (\> 5mg/L), and signing informed consent; Criteria for exclusion: SIRS, shock, coma or organ failure, fever or infectious foci, cancer with or without chemo/radiotherapy, inflammatory illnesses (rhematic, gastrointestinal or other), transplantation or immunologic diseases, trauma, surgery or hospitalization in the last 30 days, use of steroidal or non-steroidal anti-inflammatory or immune-modulating agents or antibiotics, and refusal to participate in the study; Dietetic routine: Daily flaxseed powder (Farinha de linhaca dourada) 60 g/day (232 kcal , containing 10 g of alpha-linolenic acid/ALA) or placebo (commercial manioc flour 60 g/day, 120 kcal)) during 12 weeks. An additional 60 subjects (30 patients, 30 controls) will ve managed with 30 ml/day flaxseed oil (10 g of alpha-linolenic acid/ALA) or 30 ml/day placebo (safflower oil).

Methods: Clinical questionnaire,nutritional assessment(Weight, height, BMI) Biochemical tests: Hemoglobin (HB) , white blood cell count (WBC), total cholesterol (CHOL) and fractions (HDL, LDL, VLDL), triglycerides (TRIG), blood glucose (GLU), serum albumin (ALB),insulin (INS), leptin (LEP),C-reactive protein (CRP), serum amyloid A (SAA), complement fractions C3 and C4, coagulation profile Atherosclerosis markers: Arterial stiffness (aorta) and intima thickness (common carotid artery)

Conditions

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Morbid Obesity Atherosclerosis Systemic Inflammation

Keywords

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obesity alpha linolenic acid flaxseed C-reactive protein inflammation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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1

Supplement of flaxseed powder (60 g/day)during 12 weeks

Group Type EXPERIMENTAL

Alpha-linolenic acid/ALA

Intervention Type DIETARY_SUPPLEMENT

Flaxseed powder 60 g/day (10 g ALA)

2

Placebo powder supplement 60 g/day during 12 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Manioc powder (placebo) 60 g/day

3

Flaxseed oil 30 ml/day (10 g ALA)during 12 weeks

Group Type EXPERIMENTAL

Alpha linolenic acid/ALA

Intervention Type DIETARY_SUPPLEMENT

Flaxseed oil 30 ml/day (10 g ALA)

4

Safflower oil 30 ml/day (no ALA) during 12 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Safflower oil 30 ml/day

Interventions

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Placebo

Manioc powder (placebo) 60 g/day

Intervention Type DIETARY_SUPPLEMENT

Alpha-linolenic acid/ALA

Flaxseed powder 60 g/day (10 g ALA)

Intervention Type DIETARY_SUPPLEMENT

Alpha linolenic acid/ALA

Flaxseed oil 30 ml/day (10 g ALA)

Intervention Type DIETARY_SUPPLEMENT

Placebo

Safflower oil 30 ml/day

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Cassava powder Linseed powder, omega- 3 fatty acid Linseed oil, omega- 3 fatty acid Omega 6 fatty acids

Eligibility Criteria

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Inclusion Criteria

* Males and females
* 18- 65 years old
* Body mass index/BMI \> 40 kg/m2 (or \> 35 kg/m2 with comorbidities)
* Non-hospitalized and receiving general oral diet
* With elevated C-reactive protein/ CRP (\> 5mg/L); and
* Signing informed consent

Exclusion Criteria

* SIRS, shock, coma or organ failure,
* Fever or infectious foci
* Cancer with or without chemo/radiotherapy
* Inflammatory illnesses (rhematic, gastrointestinal or other), transplantation or immunologic diseases
* Trauma, surgery or hospitalization in the last 30 days
* Use of steroidal or non-steroidal anti-inflammatory or immune-modulating agents or antibiotics; and
* Refusal to participate in the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Joel Faintuch

Associate Professor, Department of Gastroenterology, Sao Paulo University Medical School

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joel Faintuch, MD,PhD

Role: STUDY_CHAIR

Sao Paulo University Medical School

Patricia C Marques, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital das Clinicas

Locations

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Hospital das Clinicas-ICHC-9th Floor- Av. Eneias C. Aguiar 255

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Joel Faintuch

Role: CONTACT

Phone: 5511- 330697561

Email: [email protected]

Patricia C Marques

Role: CONTACT

Phone: 5511-30697561

Email: [email protected]

Facility Contacts

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Patricia C Marques, MD

Role: primary

References

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Faintuch J, Horie LM, Barbeiro HV, Barbeiro DF, Soriano FG, Ishida RK, Cecconello I. Systemic inflammation in morbidly obese subjects: response to oral supplementation with alpha-linolenic acid. Obes Surg. 2007 Mar;17(3):341-7. doi: 10.1007/s11695-007-9062-x.

Reference Type BACKGROUND
PMID: 17546842 (View on PubMed)

Faintuch J, Horie LM, Schmidt VD, Barbeiro HV, Barbeiro DF, Soriano FG, Cecconello I. Obesity, inflammation, vascular reactivity, and cardiocirculatory events. Clinics (Sao Paulo). 2007 Jun;62(3):357-8. doi: 10.1590/s1807-59322007000300023. No abstract available.

Reference Type BACKGROUND
PMID: 17589679 (View on PubMed)

Other Identifiers

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Flaxseed01

Identifier Type: -

Identifier Source: org_study_id