The purpose of this study is to demonstrate that Spirulina maxima intake and a dosed physical activity program will decrease, both independently and synergistically, cardiovascular risks (Dyslipidemias and oxidative stress) in overweight and obese subjects.
Cardiovascular diseases are the leading cause of death globally, being dyslipidemias, oxidative stress, sedentary lifestyle and obesity primary risk factors. As a way to reduce cardiovascular diseases risk factors, the intake of antioxidants that come from a fruit and vegetable-rich diet or nutritional supplements, have been proposed; in this sense, the cyanobacterium Spirulina maxima is an important source of antioxidants, which is currently associated with cardiovascular protection properties. Furthermore, physical exercise at moderated intensity has protective effect exerted against cardiovascular diseases risks, mainly due to physiological adaptations, including expression of antioxidant enzymes, which stop formation and propagation of radicals, improving redox status of the organism. There is evidence that Spirulina maxima, in addition to exercise, decreases cardiovascular diseases risks, this was mainly observed in animal models. However, no studies in humans under Spirulina maxima and exercise experimental designs proving these benefits are reported. Therefore this study will analyze the independent and synergistic effect of the intake of Spirulina maxima with a program of physical exercise at moderated intensity on general fitness, plasma lipid profile and antioxidant capacity in overweight and obese subjects. Methods/design: Through a randomized, double blind, placebo controlled, counterbalanced crossover study design, 80 healthy overweight and obese subjects will be assessed during a 12 week isoenergetic diet, accompanied by 4.5 g/day Spirulina maxima intake and/or a systematic physical exercise program at moderate intensity. Body composition, VO2 consumption, heart rate, blood lactate, plasma concentrations of triacylglycerols, total, low and high-density lipoprotein cholesterol, antioxidant status, lipid oxidation, protein carbonyls, superoxide dismutase, catalase, glutathione, glutathione peroxidase, glutathione reductase, and paraoxonase will be assessed. Discussion: Spirulina maxima and exercise are good alternatives to improve general fitness, to prevent or lessen dyslipidemia and oxidative stress in subjects with risk factor of chronic or noncommunicable diseases. However the independent and synergistic effect of Spirulina maxima with exercise against dyslipidemias and stress in overweight and obesity is not yet known.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
52
Supplementation with Spirulina maxima (4.5 g/d) in capsules during 6 weeks.
2 weeks washout period to each study subject to avoid any possible carryover effect.
Supplementation with placebo (4.5 g/d) in capsules during 6 weeks.
Universidad Autonoma de Ciudad Juarez
Juárez, Chihuahua, Mexico
Change in lipid profile
Change in plasma triacylglycerols, total cholesterol, high density lipoproteins cholesterol, and low density lipoproteins cholesterol after each treatment by using standardized enzymatic methods
Time frame: 14 weeks
General fitness assessed by change in maximum oxygen consumption
Change in maximum oxygen consumption by using a gas analyzer (Cortex Metalizer 3B)
Time frame: 14 weeks
General fitness assessed by change in heart rate
Change in heart rate by using a pulsometer (Polar HT7)
Time frame: 14 weeks
General fitness assessed by change in lactate
Change in lactate concentration by using an automatized method (YSI lactate analyzer-1600)
Time frame: 14 weeks
General fitness assessed by change in body mass
Change in body fat mass and body lean mass by using pletysmography (BOD-POD)
Time frame: 14 weeks
General fitness assessed by change in blood pressure
Change in blood pressure by using an aneroid sphygmomanometer (Edimetric, Medical Technologies)
Time frame: 14 weeks
Redox status assessed by change in malondialdehyde
Change in malondialdehyde concentration by using standardized specific methods
Time frame: 14 weeks
Redox status assessed by change in protein carbonyls
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All participants will have a personal isoenergetic diet according to their height, weight, body composition and daily physical activity during 14 weeks
Participants are going to exercise five days a week with the following protocol: Between 5 and 10 min of heating exercise, Between 20-30 min anaerobic exercise and 20-30 min of aerobic exercise (cardiovascular exercise): walking, jogging, running and/or cycling, Three days a week aerobic intensities will be between 60% and 80% and two days between 70% and 90% of the maximum heart rate reserve, and five final minutes of stretching.
Change in protein carbonyls concentration by using standardized specific methods
Time frame: 14 weeks
Redox status assessed by change in paraoxonase
Change in paraoxonase concentration by using standardized specific methods
Time frame: 14 weeks
Redox status assessed by change in superoxide dismutase
Change in superoxide dismutase concentration by using standardized specific methods
Time frame: 14 weeks
Redox status assessed by change in catalase
Change in catalase concentration by using standardized specific methods
Time frame: 14 weeks
Redox status assessed by change in glutathione
Change in glutathione concentration by using standardized specific methods
Time frame: 14 weeks
Redox status assessed by change in glutathione reductase
Change in glutathione reductase concentration by using standardized specific methods
Time frame: 14 weeks
Redox status assessed by change in glutathione peroxidase
Change in glutathione peroxidase concentration by using standardized specific methods
Time frame: 14 weeks