In this double-blind parallel placebo controlled intervention study the effects of 3 times daily 500 mg gamma-aminobutyric acid (GABA) supplementation on glucose tolerance and cardiovascular health will be assessed in prediabetics.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
52
Wageningen University, Division of Human Nutrition
Wageningen, Netherlands
Postprandial glycaemic response during a 2 hour oral glucose tolerance test (OGTT)
A 2 hour oral glucose tolerance test with 75gr glucose
Time frame: blood will be drawn at baseline and after 30, 60 and 120 minutes, before and after the 12 weeks intervention
Postprandial insulin and glucagon response during a 2 hour OGTT,
A 2 hour oral glucose tolerance test with 75gr glucose
Time frame: blood will be drawn at baseline and after 30, 60 and 120 minutes, before and after the 12 weeks intervention
Plasma free fatty acids
Time frame: before and after the 12 weeks intervention
HbA1c
Time frame: before and after the 12 weeks intervention
Glucose variability
The participants wear a flash glucose monitoring sensor with which their interstitial glucose is measured every 15 minutes.
Time frame: 5 days during which they eat their habitual diet, before and after the 12 weeks intervention
Blood pressure
Single measurement and a dynamic measurement: * Mean day systolic and diastolic blood pressure * Mean night systolic and diastolic blood pressure * Time below or above 120/80 mmHg
Time frame: Dynamic measurement: 24 hours, before and after the 12 weeks intervention
Heart rate
Time frame: before and after the 12 weeks intervention
Concentrion of markers of inflammation in blood
C-reactive protein and cytokines like IL-6 and TNF-alpha
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Time frame: before and after the 12 weeks intervention
Concentration of triglycerides in blood
Time frame: before and after the 12 weeks intervention
Concentration of LDL and HDL cholesterol in blood
Time frame: before and after the 12 weeks intervention
Concentration of ALAT and ASAT in blood
Time frame: before and after the 12 weeks intervention
Acute effects of GABA on postprandial glucose
Assessed with an OGTT during which interstitial glucose is measured with flash glucose monitoring
Time frame: 2 hours, after a single administration of 500 mg GABA
Acute effects of GABA on blood pressure
Assessed with an ambulatory blood pressure monitor
Time frame: for 24 hours during which GABA is taken 3 times, each time before the main meal
Sleep quality
Pittsburgh Sleep Quality Index (PSQI) questionnaire, the outcome is a global PSQI score (range: 0-21), with higher scores indicating poorer sleep quality.
Time frame: before and after the 12 weeks intervention
Feelings of depression
Patient Health Questionnaire (PHQ-9), the higher the score the more depressed a person is.
Time frame: before and after the 12 weeks intervention
Feelings of anxiety
General Anxiety Disorder (GAD-7) questionnaire, the higher the score, the more anxious a person is.
Time frame: before and after the 12 weeks intervention
Plasma GABA concentration
Time frame: before and after the 12 weeks intervention
Plasma glutamate concentration
Time frame: before and after the 12 weeks intervention