Vitamins D and K Effects on Vascular Function in Obese Adults.

NCT ID: NCT05689632

Last Updated: 2023-01-19

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

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-15

Study Completion Date

2023-11-15

Brief Summary

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A prospective, randomized, placebo-controlled, double-blind study that aims to evaluate the effects of combined vitamin D3 and K2-MK7 supplementation on vascular function, sympathetic tone, metabolic biomarkers and inflammatory factors in a population of overweight or obese adults and deficient or insufficient serum levels of vitamin D.

Detailed Description

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Overweight and obesity are public health issues of epidemic proportions nowadays. They constitute risk factors for several chronic diseases with vascular, metabolic, and inflammatory changes. Adequate serum levels of vitamin D are correlated with good cardiovascular and metabolic health, since its deficiency and insufficiency (highly prevalent in obesity) have an inverse correlation. Likewise, vitamin K, especially K2, is related to the reduction of arterial stiffness, suppression of the inflammation in the vascular wall, favorable action on the lipid profile, whereas insufficiency is related to increased cardiovascular risk. The combined use of vitamin D and K aiming to reduce cardiovascular risk has been studied, however, the results of randomized clinical trials are still controversial. This prospective, randomized, placebo-controlled, double-blind trial aims to evaluate the effect of supplementation of vitamins D3 and K2-MK7 on vascular function, sympathetic tone, metabolic biomarkers and inflammatory factors in a population of overweight or obese adults and serum levels of deficient or insufficient vitamin D. Individuals of both sexes, aged between 40 and 70 years, body mass index (BMI) ≥ 25 and \< 40 kg/m² and vitamin 25OHD3 \<30 ng/ml will be randomized into 3 groups (A/B/C) to receive supplementation (Placebo/VitD3 7000 IU/VitD3 7000IU+K2-MK7-180mcg) daily for 16 weeks. Individuals will be rated at 4 visits namely:

* V0 screening according to inclusion and exclusion criteria; clinical, anthropometry and electrical bioimpedance, laboratory and vascular evaluation before supplementation;
* V1 supplementation begins;
* V2 after 8 weeks;
* V3 at the end of the intervention. The laboratory evaluation consists of blood count, biochemistry, electrolytes, glucose, lipid, liver and thyroid profiles, vitamin D3 and parathyroid hormone, in addition to the urinary excretion of calcium and creatinine. Sympathetic tone is assessed by a frequency meter (Polar® Verity Sense), arterial stiffness by measuring the pulse wave velocity by oscillometry (Mobil-O-Graph®) and endothelium function by measuring post-occlusion microvascular reactivity using laser speckle contrast image-LSCI.

Conditions

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Obesity Vitamin D3 Deficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective, randomized, placebo-controlled, double-blind study
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The participants and the investigator do not know which supplements are taken.

Study Groups

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Placebo

Placebo - Medium-chain triglyceride

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

MCT

Vitamin D3

Vitamin D3 - 7000 IU daily

Group Type ACTIVE_COMPARATOR

Vitamin D3

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 - 7000 IU

Vitamin D3 + K2-MK7

Vitamin D3 - 7000 IU + Vitamin K2-MK7 180mcg combined, daily

Group Type EXPERIMENTAL

Vitamin D3 + K2-MK7

Intervention Type DIETARY_SUPPLEMENT

Combined supplementation

Interventions

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Vitamin D3 + K2-MK7

Combined supplementation

Intervention Type DIETARY_SUPPLEMENT

Placebo

MCT

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3

Vitamin D3 - 7000 IU

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Vitamin D deficiency;
* Vitamin D insufficiency;
* Obesity;
* Overweight;

Exclusion Criteria

* Diabetes mellitus;
* Arterial coronary disease;
* Beta blocker use;
* cancer;
* ESRD;
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Rio de Janeiro State Research Supporting Foundation (FAPERJ)

OTHER_GOV

Sponsor Role collaborator

Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

Hospital Universitario Pedro Ernesto

OTHER

Sponsor Role lead

Responsible Party

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Mario Fritsch Neves

FULL PROFESSOR

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Adriana C Faria, MD

Role: PRINCIPAL_INVESTIGATOR

State University of Rio de Janeiro

Mario F Neves, MD, PhD

Role: STUDY_DIRECTOR

State University of Rio de Janeiro

Locations

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Rio de Janeiro State University

Rio de Janeiro, , Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Adriana C Faria, MD

Role: CONTACT

5521999834054

Mario F Neves, MD, PhD

Role: CONTACT

Facility Contacts

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Adriana C Faria, MD

Role: primary

5521999834054

Other Identifiers

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CVH-D3K2

Identifier Type: -

Identifier Source: org_study_id

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