Replacement of Saturated Fat in Dairy on Total Cholesterol

NCT ID: NCT02089035

Last Updated: 2017-07-24

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

COMPLETED

Clinical Phase

NA

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2016-04-30

Brief Summary

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The consumption of milk and dairy products is recognised as an essential part of a healthy diet as it represents an important source of key micro- and macronutrients. Nevertheless, there is still a widespread conviction that the overall high energy density and concentration of long-chain saturated fatty acids (SFA) present in dairy have detrimental health effects, contributing to the progression of cardiovascular disease, obesity and diabetes.

Supplementation of the bovine diet with a source of MUFA, such as rapesee oil, has become an achievable strategy in order to reduce the amount of SFA present in dairy products.

The aim of this project is to observe the effects of three types of dairy products (UHT milk, cheese and butter) produced from milk derived from cows fed withhigh-oleic sunflower oil, on CVD risk biomarkers and plasma total cholesterol levels in adults with an increased risk of developing CVD. The aim is to determine whether an isoenergetic exchange of dairy products will affect vascular function and CVD biomarkers.

Detailed Description

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Conditions

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Hypercholesterolemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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MUFA-rich dairy products

Subjects are asked to exchange habitual dairy products for modified MUFA-rich experimental dairy products for a 12 week period.

Participants will provided with standardised quantities of pasteurised UHT milk, cheese and butter that they will be asked to consume on a daily basis.

Group Type EXPERIMENTAL

MUFA-rich dairy products (UHT milk, cheese and butter)

Intervention Type DIETARY_SUPPLEMENT

Conventional dairy products

Subjects are asked to consume habitual non-modified dairy products for a period of 12 weeks.

Participants will provided with standardised quantities of pasteurised UHT milk, cheese and butter that they will be asked to consume on a daily basis.

Group Type EXPERIMENTAL

Conventional dairy products (UHT milk, cheese, butter)

Intervention Type DIETARY_SUPPLEMENT

Interventions

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MUFA-rich dairy products (UHT milk, cheese and butter)

Intervention Type DIETARY_SUPPLEMENT

Conventional dairy products (UHT milk, cheese, butter)

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Mildly hypercholesterolemic: TC \<5.2 and \<8mmol/L
* Age: 25-70
* BMI: 19-32 kg/m2
* Haemoglobin: \>125g/L for women and 135g/L for men
* Normal liver and kidney function

Exclusion Criteria

* Milk, cheese, butter, lactose allergy
* Drug treatment for hyperlipidaemia, hypertension, inflammation and hypercoagulation
* Suffered myocardial infarction/stroke in the past 12months
* Diabetic (diagnosed or fasting glucose \> 7 mmol/l) or suffer from other endocrine disorders
* Surgery in the previous 6 months
* Excessive alcohol consumption (\>28 unit/wk man; \>21 unit/wk women)
* Taking vitamin, mineral or fatty acid supplements (e.g. fish oil, calcium)
* Pregnant, lactating, planning a pregnancy or not using effective contraceptive precautions
* Smokers
* Vegans
* Anaemic
* Planning or on a weight reduction scheme
* Parallel participation in another intervention study
* Participating in intensive aerobic activity for \> 20 minutes 3 times per week
* Use of anti-inflammatory medication
Minimum Eligible Age

25 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Medical Research Council

OTHER_GOV

Sponsor Role collaborator

University of Reading

OTHER

Sponsor Role lead

Responsible Party

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Julie Lovegrove

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Julie A. Lovegrove, BSc, PhD, RNutr

Role: PRINCIPAL_INVESTIGATOR

University of Reading

Locations

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Department of Food and Nutritional Sciences, University of Reading

Reading, Berks, United Kingdom

Site Status

Countries

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United Kingdom

References

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Livingstone KM, Lovegrove JA, Givens DI. The impact of substituting SFA in dairy products with MUFA or PUFA on CVD risk: evidence from human intervention studies. Nutr Res Rev. 2012 Dec;25(2):193-206. doi: 10.1017/S095442241200011X. Epub 2012 Aug 6.

Reference Type BACKGROUND
PMID: 22863409 (View on PubMed)

Elwood PC, Pickering JE, Givens DI, Gallacher JE. The consumption of milk and dairy foods and the incidence of vascular disease and diabetes: an overview of the evidence. Lipids. 2010 Oct;45(10):925-39. doi: 10.1007/s11745-010-3412-5. Epub 2010 Apr 16.

Reference Type BACKGROUND
PMID: 20397059 (View on PubMed)

Markey O, Vasilopoulou D, Kliem KE, Fagan CC, Grandison AS, Sutton R, Humphries DJ, Todd S, Jackson KG, Givens DI, Lovegrove JA. Postprandial Fatty Acid Profile, but Not Cardiometabolic Risk Markers, Is Modulated by Dairy Fat Manipulation in Adults with Moderate Cardiovascular Disease Risk: The Randomized Controlled REplacement of SaturatEd fat in dairy on Total cholesterol (RESET) Study. J Nutr. 2021 Jul 1;151(7):1755-1768. doi: 10.1093/jn/nxab050.

Reference Type DERIVED
PMID: 33758921 (View on PubMed)

Vasilopoulou D, Markey O, Kliem KE, Fagan CC, Grandison AS, Humphries DJ, Todd S, Jackson KG, Givens DI, Lovegrove JA. Reformulation initiative for partial replacement of saturated with unsaturated fats in dairy foods attenuates the increase in LDL cholesterol and improves flow-mediated dilatation compared with conventional dairy: the randomized, controlled REplacement of SaturatEd fat in dairy on Total cholesterol (RESET) study. Am J Clin Nutr. 2020 Apr 1;111(4):739-748. doi: 10.1093/ajcn/nqz344.

Reference Type DERIVED
PMID: 32020168 (View on PubMed)

Markey O, Vasilopoulou D, Kliem KE, Koulman A, Fagan CC, Summerhill K, Wang LY, Grandison AS, Humphries DJ, Todd S, Jackson KG, Givens DI, Lovegrove JA. Plasma phospholipid fatty acid profile confirms compliance to a novel saturated fat-reduced, monounsaturated fat-enriched dairy product intervention in adults at moderate cardiovascular risk: a randomized controlled trial. Nutr J. 2017 May 23;16(1):33. doi: 10.1186/s12937-017-0249-2.

Reference Type DERIVED
PMID: 28535777 (View on PubMed)

Other Identifiers

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University of Reading

Identifier Type: OTHER

Identifier Source: secondary_id

13/43

Identifier Type: -

Identifier Source: org_study_id

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