The objectives of the study are to examine the health benefits of dietary canola oils on body composition, specifically on android fat, and weight management. COMIT II will also include analysis of FAEs to elucidate the mechanisms by which canola oil may be modifying body composition. Measurement of endothelial function, inflammatory, adiposity, and insulin sensitivity biomarkers will be done to determine the positive health impact of the changes in body composition achieved through canola oil consumption.
The proposed multi-center clinical trial would engage the same collaborative team that successfully operationalized COMIT I, namely, the Richardson Centre for Functional Foods and Nutraceuticals (RCFFN) at the University of Manitoba (Winnipeg, Manitoba, Canada), the L'Institut Des Nutraceutiques et des Aliments Fonctionnels (INAF) at Laval University (Quebec City, Quebec, Canada), the Department of Nutritional Sciences at The Pennsylvania State University (University Park, Pennsylvania, USA), the Risk Factor Modification Centre at St. Michael's Hospital (Toronto, Ontario, Canada). St. Boniface Hospital Research (Winnipeg, Manitoba, Canada) will be an additional clinical trial site. The proposed COMIT II research program will proceed as a double blind, randomized crossover study consisting of three treatment phases of six weeks, each separated by a 6-week washout period. Participants will consume a fixed composition of a precisely controlled basal, weight-maintaining diet (35% energy from fat, 50% carbohydrate and 15% protein) supplemented with the following treatment oils: (a) regular canola oil, (b) high stability/ high oleic canola oil and (c) a typical "Western diet" fat intake as a control treatment comprised largely of saturated fat with substantial levels of omega-6 linoleic acid, common to current North American intakes. Treatment oils will be isocalorically incorporated into fruit smoothies made with milk and consumed at breakfast and supper. The clinical segment of COMIT II is expected to be completed by the mid to end of the second year, with sample analyses to be completed by the end of year three.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
The Pennsylvania State University
University Park, Pennsylvania, United States
St Boniface Hospital Research
Winnipeg, Manitoba, Canada
Richardson Centre for Functional Foods and Nutraceuticals, University of Manitoba
Winnipeg, Manitoba, Canada
Institute of Nutrition and Functional Foods, Laval University
Québec, Quebec, Canada
Abdominal imaging of visceral and subcutaneous abdominal fat
Using a Dual Energy X-Ray Absorptiometry machine to analyze body composition, including measuring visceral adiposity. Units (fat mass) measured are cm3 and lbs.
Time frame: 6 weeks
Analysis of fatty acid ethanolamides and precursors
Analysis of FAEs in the blood after consumption of treatment oils. UPLC-MS/MS will be used for FAE measurement.
Time frame: 6 weeks
Total lipid profiles including total cholesterol, high-density lipoprotein-cholesterol, low-density lipoprotein-cholesterol, triglyceride, and free fatty acid levels
Analysis of blood levels after consumption of treatment oils. Abbott Spectrum CCX Analyzer utilizing enzymatic reagents will be used to analyzed these measurements.
Time frame: 6 weeks
Plasma insulin level
Assessment of the change in insulin levels after consumption of treatment oils. This measurement will be analyzed by commercially available ELISA kits
Time frame: 6 weeks
Plasma glucose level
Assessment of changes in fasting glucose levels after consumption of treatment oils. This measurement will be analyzed by Abbott Spectrum CCX Analyzer
Time frame: 6 weeks
Plasma C-reactive protein level
Analysis of inflammatory marker levels after consumption of treatment oils will be conducted by ELISA kits
Time frame: 6 weeks
Plasma cytokines level
Analysis of inflammatory marker levels after consumption of treatment oils will be conducted by ELISA kits
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TRIPLE
Enrollment
125
Time frame: 6 weeks
Plant sterols and precursors of cholesterol
Analysis of plasma levels after consumption of treatment oils as indicators of cholesterol absorption and synthesis. These analysis will be conducted by gas chromatography
Time frame: 6 weeks
Proprotein convertase subtilisin/kexin type 9 (PCSK9)
PCSK9 will be measured as a surrogate marker of bile acid synthesis via Ultra Performance Liquid Chromatography-MS/MS
Time frame: 6 weeks
Endothelial function
Assessment of arterial wall resistance and arterial elasticity after consumption of treatment oils It will be assessed using flow mediated dilation
Time frame: 6 weeks
Fatty acid synthesis rates i.e. monounsaturated fatty acids and long chain polyunsaturated fatty acids
Heavy water enrichment of each fatty acid methyl ester after consumption of treatment oils will be measured using a gas chromatography with combustion isotope-ratio mass spectrometry
Time frame: 6 weeks
Single nucleotide polymorphisms in candidate genes related to body composition and fatty acid and FAE metabolism
Assessment of the potential influence of each SNP in an individual's response to consumption of treatment oils will be conducted using 7500 Fast Real-Time PCR System
Time frame: 6 weeks
Gene expression of candidate genes related to body composition and fatty acid and FAE metabolism
Assessment of levels of gene expression after consumption of treatment oils will be measured using real-time quantitative PCR
Time frame: 6 weeks
Activity Monitoring
Assessment of 24 hour physical activity including steps taken, raw acceleration, activity counts, energy expenditures, physical activity intensity, body position, and sleep/wake measurements after consumption of treatment oils will be measured using ActiGraph GT3X+ activity monitor
Time frame: 6 weeks
Lipocalin-2
Fecal and serum lipocalin-2 will be analyzed for subgroup of participants using ELISA kit
Time frame: 6 weeks
Lipopolysaccharide (LPS)
Serum LPS will be analyzed for subgroup of participants using the LAL assay
Time frame: 6 weeks