Trial Outcomes & Findings for Mars Flavanol Exercise and Cognitive Function Study (NCT NCT01180127)

NCT ID: NCT01180127

Last Updated: 2018-12-05

Results Overview

In steady state conditions, CBV is an indirect measure of basal metabolism in the brain. CBV-fMRI is a technique that generates maps of basal metabolism across different brain regions

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

41 participants

Primary outcome timeframe

Up to 12 weeks after exercise/dietary intervention exposure

Results posted on

2018-12-05

Participant Flow

Participant milestones

Participant milestones
Measure
Exercise, Dietary Intervention
aerobic training and flavanol containing food product Flavanol containing food product: 12 weeks, 2X/day, 20g serving Aerobic training: 4X/week, 1 hour/session at 75% maximum HR
no Exercise, Dietary Intervention
wait list control plus flavanol containing food product for 12 weeks Flavanol containing food product: 12 weeks, 2X/day, 20g serving Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Exercise, Food Additive Lacking Flavanol
aerobic training plus food additive without flavanol Aerobic training: 4X/week, 1 hour/session at 75% maximum HR Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol
Wait List Control Food Additive Without Flavanol
12 weeks of wait list control status plus food additive without the flavanol containing food product Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Overall Study
STARTED
10
11
10
10
Overall Study
COMPLETED
8
11
9
9
Overall Study
NOT COMPLETED
2
0
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Mars Flavanol Exercise and Cognitive Function Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exercise, Dietary Intervention
n=10 Participants
aerobic training and flavanol containing food product Flavanol containing food product: 12 weeks, 2X/day, 20g serving Aerobic training: 4X/week, 1 hour/session at 75% maximum HR
no Exercise, Dietary Intervention
n=11 Participants
wait list control plus flavanol containing food product for 12 weeks Flavanol containing food product: 12 weeks, 2X/day, 20g serving Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Exercise, Food Additive Lacking Flavonol
n=10 Participants
aerobic training plus food additive without flavanol Aerobic training: 4X/week, 1 hour/session at 75% maximum HR Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol
Wait List Control Food Additive Without Flavonol
n=10 Participants
12 weeks of wait list control status plus food additive without the flavanol containing food product Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Total
n=41 Participants
Total of all reporting groups
Age, Continuous
58.4 years
STANDARD_DEVIATION 4.9 • n=5 Participants
57.5 years
STANDARD_DEVIATION 5.34 • n=7 Participants
56.6 years
STANDARD_DEVIATION 5.56 • n=5 Participants
56.6 years
STANDARD_DEVIATION 3.7 • n=4 Participants
57.5 years
STANDARD_DEVIATION 4.89 • n=21 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
7 Participants
n=7 Participants
7 Participants
n=5 Participants
7 Participants
n=4 Participants
29 Participants
n=21 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
12 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
4 Participants
n=4 Participants
10 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
9 Participants
n=7 Participants
7 Participants
n=5 Participants
6 Participants
n=4 Participants
31 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
7 Participants
n=21 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
4 Participants
n=4 Participants
23 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
9 Participants
n=21 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
11 participants
n=7 Participants
10 participants
n=5 Participants
10 participants
n=4 Participants
41 participants
n=21 Participants

PRIMARY outcome

Timeframe: Up to 12 weeks after exercise/dietary intervention exposure

Population: One subject in the exercise, food additive lacking flavanol arm, and one subject in the wait list control food additive without flavanol arm had non useable data for this outcome which is why there are only 8 subjects analyzed in those two arms rather than 9.

In steady state conditions, CBV is an indirect measure of basal metabolism in the brain. CBV-fMRI is a technique that generates maps of basal metabolism across different brain regions

Outcome measures

Outcome measures
Measure
no Exercise, Dietary Intervention
n=11 Participants
wait list control plus flavanol containing food product for 12 weeks Flavanol containing food product: 12 weeks, 2X/day, 20g serving Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Exercise, Food Additive Lacking Flavanol
n=8 Participants
aerobic training plus food additive without flavanol Aerobic training: 4X/week, 1 hour/session at 75% maximum HR Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol
Wait List Control Food Additive Without Flavanol
n=8 Participants
12 weeks of wait list control status plus food additive without the flavanol containing food product Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Exercise, Dietary Intervention
n=8 Participants
aerobic training and flavonol containing food product Flavonol containing food product: 12 weeks, 2X/day, 20g serving Aerobic training: 4X/week, 1 hour/session at 75% maximum HR
CBV-fMRI (Cerebral Blood Volume-functional Magnetic Resonance Imaging)
12 weeks
4.48 percent CBV in a brain region
Standard Deviation 1.31
2.91 percent CBV in a brain region
Standard Deviation 0.81
2.60 percent CBV in a brain region
Standard Deviation 0.59
4.58 percent CBV in a brain region
Standard Deviation 1.66
CBV-fMRI (Cerebral Blood Volume-functional Magnetic Resonance Imaging)
Baseline
2.55 percent CBV in a brain region
Standard Deviation 0.45
2.89 percent CBV in a brain region
Standard Deviation 0.70
3.38 percent CBV in a brain region
Standard Deviation 0.52
3.43 percent CBV in a brain region
Standard Deviation 1.43

PRIMARY outcome

Timeframe: Up to 12 weeks after exercise/dietary intervention exposure

Population: One subject in the exercise, dietary intervention and one subject in the no exercise, dietary intervention group had outlying (larger than 3 standard deviation from mean) ModBent values that were deleted and hence those groups have 7 and 10 subjects analyzed rather than 8 and 11 respectively.

This is an object recognition task. Participants view a complex stimulus, then are asked to select which one of two objects was identical to the studied stimulus. After a series of these matching trials, during the subsequent recognition trials participants are shown serially individual complex objects and asked to indicate whether the object was identical to any of the target stimuli viewed during the matching trials. Their reaction time for correct responses, measured in milliseconds, is the unit of measurement.

Outcome measures

Outcome measures
Measure
no Exercise, Dietary Intervention
n=10 Participants
wait list control plus flavanol containing food product for 12 weeks Flavanol containing food product: 12 weeks, 2X/day, 20g serving Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Exercise, Food Additive Lacking Flavanol
n=9 Participants
aerobic training plus food additive without flavanol Aerobic training: 4X/week, 1 hour/session at 75% maximum HR Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol
Wait List Control Food Additive Without Flavanol
n=9 Participants
12 weeks of wait list control status plus food additive without the flavanol containing food product Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Exercise, Dietary Intervention
n=7 Participants
aerobic training and flavonol containing food product Flavonol containing food product: 12 weeks, 2X/day, 20g serving Aerobic training: 4X/week, 1 hour/session at 75% maximum HR
ModBent (Modified Benton Visual Retention Test)
Baseline
2296 milliseconds
Standard Deviation 1056
2291 milliseconds
Standard Deviation 515
2347 milliseconds
Standard Deviation 919
1945 milliseconds
Standard Deviation 584
ModBent (Modified Benton Visual Retention Test)
12 weeks
2009 milliseconds
Standard Deviation 815
2560 milliseconds
Standard Deviation 1086
2794 milliseconds
Standard Deviation 1298
1867 milliseconds
Standard Deviation 478

SECONDARY outcome

Timeframe: Up to 12 weeks after exercise/dietary intervention exposure

Population: There were 4 subjects (1 in exercise, dietary intervention; 2 in no exercise, dietary intervention, and 1 in exercise, food additive lacking flavanol) who did not have useable data and are thus not included in analyses.

Participants are read a list of words over three learning trials and the subject is asked to free recall as many words as possible after each trial. These 3 trials are followed by 1 learning trial of a distracter list and then a short delayed free recall trial of the initial list. After approximately 60-minutes, subjects are asked to freely recall words from the initial list, then to recall words form the distracter list, and then complete a forced-choice recognition trial. A source memory trial is administered in which subjects are read each presented word and then asked to identify whether they were initially presented during the 3 learning trials or during the distracter trial. Measured as a retention score (ratio) for which the number of words recalled after the short delay is divided by the number of words recalled on the third learning trial.

Outcome measures

Outcome measures
Measure
no Exercise, Dietary Intervention
n=9 Participants
wait list control plus flavanol containing food product for 12 weeks Flavanol containing food product: 12 weeks, 2X/day, 20g serving Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Exercise, Food Additive Lacking Flavanol
n=8 Participants
aerobic training plus food additive without flavanol Aerobic training: 4X/week, 1 hour/session at 75% maximum HR Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol
Wait List Control Food Additive Without Flavanol
n=9 Participants
12 weeks of wait list control status plus food additive without the flavanol containing food product Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Exercise, Dietary Intervention
n=7 Participants
aerobic training and flavonol containing food product Flavonol containing food product: 12 weeks, 2X/day, 20g serving Aerobic training: 4X/week, 1 hour/session at 75% maximum HR
Modified Rey Auditory Verbal Learning Test
Baseline
0.69 ratio
Standard Deviation 0.19
0.80 ratio
Standard Deviation 0.19
0.89 ratio
Standard Deviation 0.11
0.76 ratio
Standard Deviation 0.21
Modified Rey Auditory Verbal Learning Test
12 weeks
0.65 ratio
Standard Deviation 0.25
0.76 ratio
Standard Deviation 0.23
0.87 ratio
Standard Deviation 0.21
0.83 ratio
Standard Deviation 0.08

SECONDARY outcome

Timeframe: Up to 12 weeks after exercise/dietary intervention exposure

Population: One subject in the exercise, dietary intervention and one subject in the exercise, food additive lacking flavanol group had unusable data for this outcome and thus are not included in these analyses.

measured at randomization, i.e., before exposure to the intervention, and then again after completion of the 12-week intervention

Outcome measures

Outcome measures
Measure
no Exercise, Dietary Intervention
n=11 Participants
wait list control plus flavanol containing food product for 12 weeks Flavanol containing food product: 12 weeks, 2X/day, 20g serving Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Exercise, Food Additive Lacking Flavanol
n=8 Participants
aerobic training plus food additive without flavanol Aerobic training: 4X/week, 1 hour/session at 75% maximum HR Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol
Wait List Control Food Additive Without Flavanol
n=9 Participants
12 weeks of wait list control status plus food additive without the flavanol containing food product Placebo food additive: 20 g serving, 2X/day, food additive lacking flavanol Wait list control: 12 week wait list control condition during which participant abstain from aerobic exercise
Exercise, Dietary Intervention
n=7 Participants
aerobic training and flavonol containing food product Flavonol containing food product: 12 weeks, 2X/day, 20g serving Aerobic training: 4X/week, 1 hour/session at 75% maximum HR
VO2max
Baseline
26.26 mL/(kg·min)
Standard Deviation 4.62
25.1 mL/(kg·min)
Standard Deviation 4.36
23.94 mL/(kg·min)
Standard Deviation 3.81
25.6 mL/(kg·min)
Standard Deviation 3.77
VO2max
12 weeks
25.36 mL/(kg·min)
Standard Deviation 3.66
25.98 mL/(kg·min)
Standard Deviation 6.57
25.44 mL/(kg·min)
Standard Deviation 5.51
27.8 mL/(kg·min)
Standard Deviation 4.33

Adverse Events

Exercise, Dietary Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

no Exercise, Dietary Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Exercise, Food Additive Lacking Flavonol

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Wait List Control Food Additive Without Flavonol

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Richard Sloan

Columbia University Medical Center, Division of Behavioral Medicine in Psychiatry

Phone: 646-774-8940

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place