The primary objective of this study is to ascertain the effects of chronic consumption of a hydroxytyrosol-rich extract from olive in a population at high risk of developing age-related pathologies such as type 2 diabetes and cardiovascular diseases. The markers measured will be associated with oxidative stress, inflammation, and homeostasis glucose and lipid profiles. Improvements in these parameters could potentially prevent the onset of pathologies associated with aging.
Fifty subjects 40-75 years old overweight (BMI between 24-29,9 kg/m2) and prediabetes (fasting blood sugar between 100-126 mg/dl and/or glycated hemoglobin between 5,7-6,4%) will be recruited. Detailed inclusion and exclusion criteria are provided below. Participants will be randomly divided into two groups, one to consume the Hytolive® capsule and the other a placebo. The intervention study has been designed for daily consumption before breakfast of one capsule for 16 weeks. The study includes a two-week washout period during which subjects will not be allowed to consume olives or virgin olive oil. At the beginning and end of the study, upon arrival at the ICTAN-CSIC Human Nutrition Unit, volunteers will provide a urine sample corresponding to the first morning void, and a nurse will draw a fasting blood sample (20 mL distributed in tubes with various anticoagulants for measurements). Additionally, their blood pressure will be measured, and a complete anthropometric and body composition study will be conducted. Furthermore, volunteers will provide a stool sample from the preceding days (these samples will not be used in this study but will be stored at -80°C for potential future determination of the intestinal microbiota metagenomic profile). Subsequently, dietary controls will be conducted, physical activity and emotional well-being tests will be administered, and fatigue will be evaluated. Additionally, there will be an interim visit aimed at verifying adherence to supplementation. For this purpose, volunteers will provide a urine sample corresponding to the first morning void on an empty stomach, in which levels of hydroxytyrosol and its derivatives will be determined. Likewise, dietary and physical activity controls will be conducted to confirm that volunteers are not altering their habits.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
TRIPLE
Enrollment
49
Following a two-week washout period, the subjects will receive a bottle containing capsules (Group 1). Blood, urine, and fecal samples will be collected from each participant during their stay at the Human Nutrition Unit at the beginning and end of the study. Subjects will be instructed to refrain from consuming products rich in hydroxytyrosol (such as virgin olive oil and olives) and to maintain their usual dietary habits throughout the study. Additionally, olive oil (1L/week) will be provided to each volunteer that will consume during intervention study as the sole source of dietary fat, used for cooking, salad dressing, toasts, etc. in order to control the extra consumption of hydroxytyrosol apart from that provided by the capsule.
Following a two-week washout period, the subjects will receive a bottle containing capsules (Placebo) (Group 2). Blood, urine, and fecal samples will be collected from each participant during their stay at the Human Nutrition Unit at the beginning and end of the study. Subjects will be instructed to refrain from consuming products rich in hydroxytyrosol (such as virgin olive oil and olives) and to maintain their usual dietary habits throughout the study. Additionally, olive oil (1L/week) will be provided to each volunteer that will consume during intervention study as the sole source of dietary fat, used for cooking, salad dressing, toasts, etc. in order to control the extra consumption of hydroxytyrosol.
Institute of Food Science, Technology and Nutrition, National Research Council (ICTAN-CSIC)
Madrid, Madrid, Spain
LDL-ox as marker of oxidative status
Differences between subjects supplemented with hydroxytyrosol and non-supplemented subjects
Time frame: Up to six months
Mental well-being determined by Warwick-Edinburgh Mental Well-being Scale
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to two months
Sleep quality determined by Pittsburgh Sleep Quality Index
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to two months
Fatigue test determined by Borg Rating Of Perceived Exertion
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to two months
Fasting glucose
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Fasting insulin
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Glycated hemoglobin (HbA1c)
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Glucagon-like peptide-1 (GLP-1)
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Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Total cholesterol
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
High density lipoproteins (HDL)
Differences between subjects supplemented with hydrpxytyrosol and no-supplemented subjects
Time frame: Up to six months
Low density lipoproteins (LDL)
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Triglycerides
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Apoliporpotein A1
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Apoliporpotein B
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Total antioxidant status (TAS)
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Total oxidative status (TOS)
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Oxides of nitrogen (NOx)
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Thiobarbituric acid reactive substances (TBARS)
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
C reactive protein
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Interleukine 6 (IL-6)
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Tumor necrosis factor alpha (TNF-α)
Differences between subjects supplemented with hydroxytyrosoland no-supplemented subjects
Time frame: Up to six months
Alanine aminotransfesare (transaminases ALT)
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months
Aspartate aminotransferase (transaminase AST)
Differences between subjects supplemented with hydroxytyrosol and no-supplemented subjects
Time frame: Up to six months