Green Tea and Tai Chi for Bone Health

NCT ID: NCT00625391

Last Updated: 2014-08-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

171 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Study Completion Date

2009-08-31

Brief Summary

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Osteoporosis is a major health problem in postmenopausal women. Our long-term goal is to develop a new alternative treatment that include a dietary supplement (green tea extract) and a mind-body exercise (Tai Chi) for lessening bone loss in postmenopausal women with low bone mass. A combination of dietary supplement and moderate intensity exercise now becomes a new alternative treatment in reducing bone loss in postmenopausal women with low bone mass, due to the possible stronger effects of the combination than individual treatments. Objective: To test a CAM intervention including green tea polyphenol (GTP) and Tai Chi (TC) exercise for feasibility, and to quantitatively assess their individual and conjugate effects on postmenopausal women with osteopenia. Hypotheses: (1) 24 weeks of GTP supplement, TC exercise, and their combination will benefit bone remodeling as measured by bone biomarkers and muscle strength/physical function in postmenopausal women with osteopenia compared to those receiving placebo only, and (2) the changes in bone biomarkers associated with bone remodeling will be correlated with the changes in oxidative stress.

Detailed Description

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This is a 24-week, randomized, and placebo-controlled intervention trial to investigate the effects of green tea polyphenols (GTP) and Tai Chi (TC) on relevant primary and secondary endpoints in postmenopausal women with osteopenia. Women at least 2 years after menopause, with osteopenia, will be recruited primarily from local senior independent/assisted living facilities, municipal senior community centers, and obstetrics and gynecology clinics. After screening, qualified participants will be matched for age and will be randomly assigned to one of the four treatment groups: placebo, GTP, placebo+TC, and GTP+TC. During the 24-week intervention, all participants will be provided with calcium and vitamin D daily. The participants in the placebo group will receive medicinal starch for 24 weeks. The GTP participants will receive GTP for 24 weeks. The placebo+TC participants will receive both placebo and TC treatments for 24 weeks. The GTP+TC participants will receive both GTP and TC treatments for 24 weeks. Participants will receive the primary and secondary outcome measures at baseline, 4, 12, and 24 weeks. The primary outcome measures are concentrations of bone biomarkers. The secondary outcome measure is a biomarker of oxidative stress DNA damage. Additional secondary outcome is muscle strength/physical function. Investigators evaluating the endpoints will be blinded to intervention allocation.

Conditions

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Osteoporosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Placebo pill

24 weeks of placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

500 mg medicinal starch pills daily

Green Tea Polyphenols (GTP)

24 weeks of green tea polyphenols

Group Type ACTIVE_COMPARATOR

Green Tea Polyphenols (GTP)

Intervention Type DRUG

500 mg green tea polyphenols daily

Placebo+Tai Chi (TC)

24 weeks of placebo plus Tai Chi exercise.

Group Type ACTIVE_COMPARATOR

Placebo+Tai Chi (TC)

Intervention Type DRUG

500 mg medicinal starch daily and Tai Chi (3x/week) for 24 weeks

GTP+TC

24 weeks of green tea polyphenols plus Tai Chi exercise.

Group Type ACTIVE_COMPARATOR

GTP+TC

Intervention Type DRUG

500 mg GTP daily plus TC exercise (3x/week) for 24 weeks

Interventions

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Placebo

500 mg medicinal starch pills daily

Intervention Type DRUG

Green Tea Polyphenols (GTP)

500 mg green tea polyphenols daily

Intervention Type DRUG

Placebo+Tai Chi (TC)

500 mg medicinal starch daily and Tai Chi (3x/week) for 24 weeks

Intervention Type DRUG

GTP+TC

500 mg GTP daily plus TC exercise (3x/week) for 24 weeks

Intervention Type DRUG

Other Intervention Names

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Placebo control group Green tea polyphenols group Placebo plus tai chi exercise group Green tea polyphenols plus tai chi exercise group

Eligibility Criteria

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Inclusion Criteria

* Women at least 2 years after menopause (to ensure established postmenopausal status).
* Sedentary at baseline.
* Normal laboratory evaluation, thyroid function, hepatic function, renal function.
* Osteopenia.

Exclusion Criteria

* History of scoliosis, severe osteoarthritis, etc., or other spinal disease that may result in anatomy unsuitable for accurate bone densitometry.
* History of cancer with some exceptions.
* History of metabolic bone disease.
* Having used anabolic steroids, calcitonin, calcitriol, alfacalcidol, etc.
* Fluoride treatment at a dose greater than 1 mg/day any time.
* History of glucocorticoid treatment.
* Any previous treatment with bisphosphonates.
* Uncontrolled intercurrent illness such as symptomatic congestive heart failure, myocardial infarction or stroke, hypertension, or terminal illness.
* Physical conditions that preclude participation of exercise intervention.
* Cognitive impairment.
* Depression.
* History of malabsorption syndrome and uncontrolled diabetes mellitus.
Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Center for Complementary and Integrative Health (NCCIH)

NIH

Sponsor Role collaborator

Texas Tech University Health Sciences Center

OTHER

Sponsor Role lead

Responsible Party

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Leslie Shen

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chwan-Li (Leslie) Shen, PhD

Role: PRINCIPAL_INVESTIGATOR

Texas Tech University Health Sciences Center

Locations

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Texas Tech University Health Sciences Center

Lubbock, Texas, United States

Site Status

Countries

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United States

References

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Shen CL, Chyu MC, Yeh JK, Felton CK, Xu KT, Pence BC, Wang JS. Green tea polyphenols and Tai Chi for bone health: designing a placebo-controlled randomized trial. BMC Musculoskelet Disord. 2009 Sep 4;10:110. doi: 10.1186/1471-2474-10-110.

Reference Type BACKGROUND
PMID: 19732445 (View on PubMed)

Shen CL, Yeh JK, Cao JJ, Chyu MC, Wang JS. Green tea and bone health: Evidence from laboratory studies. Pharmacol Res. 2011 Aug;64(2):155-61. doi: 10.1016/j.phrs.2011.03.012. Epub 2011 Apr 5.

Reference Type BACKGROUND
PMID: 21473914 (View on PubMed)

Shen CL, Yeh JK, Cao JJ, Wang JS. Green tea and bone metabolism. Nutr Res. 2009 Jul;29(7):437-56. doi: 10.1016/j.nutres.2009.06.008.

Reference Type BACKGROUND
PMID: 19700031 (View on PubMed)

Shen CL, Chyu MC, Wang JS. Tea and bone health: steps forward in translational nutrition. Am J Clin Nutr. 2013 Dec;98(6 Suppl):1694S-1699S. doi: 10.3945/ajcn.113.058255. Epub 2013 Oct 30.

Reference Type BACKGROUND
PMID: 24172296 (View on PubMed)

Shen CL, Chyu MC, Yeh JK, Zhang Y, Pence BC, Felton CK, Brismee JM, Arjmandi BH, Doctolero S, Wang JS. Effect of green tea and Tai Chi on bone health in postmenopausal osteopenic women: a 6-month randomized placebo-controlled trial. Osteoporos Int. 2012 May;23(5):1541-52. doi: 10.1007/s00198-011-1731-x. Epub 2011 Jul 16.

Reference Type RESULT
PMID: 21766228 (View on PubMed)

Shen CL, Chyu MC, Pence BC, Yeh JK, Zhang Y, Felton CK, Doctolero S, Wang JS. Green tea polyphenols supplementation and Tai Chi exercise for postmenopausal osteopenic women: safety and quality of life report. BMC Complement Altern Med. 2010 Dec 9;10:76. doi: 10.1186/1472-6882-10-76.

Reference Type RESULT
PMID: 21143878 (View on PubMed)

Qian G, Xue K, Tang L, Wang F, Song X, Chyu MC, Pence BC, Shen CL, Wang JS. Mitigation of oxidative damage by green tea polyphenols and Tai Chi exercise in postmenopausal women with osteopenia. PLoS One. 2012;7(10):e48090. doi: 10.1371/journal.pone.0048090. Epub 2012 Oct 31.

Reference Type RESULT
PMID: 23118932 (View on PubMed)

Other Identifiers

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R21AT003735-01A1

Identifier Type: NIH

Identifier Source: secondary_id

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R21AT003735-01A1

Identifier Type: NIH

Identifier Source: org_study_id

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