SOY-LDL: A Human Trial to Assess the Low Density Lipoprotein Cholesterol (LDL-C) Lowering Effect of Soy
Study Details
Study Description
Brief Summary
This study is being conducted to test the hypothesis that daily consumption of a baked food product containing whole soy for 6 weeks will significantly reduce plasma Low Density Lipoprotein Cholesterol (LDL-C) in individuals with hypercholesterolemia. As such the overall goals of this study are to determine whether daily consumption of muffins made from whole soy flour for 6 weeks can lower plasma LDL-Cholesterol, and if so, establish whether the effect is dose-dependent. To do this, study collaborators will: (1) conduct a detailed chemical and physical characterization of certified defatted whole soy flour that will be incorporated into a muffin; (2) formulate and produce a palatable whole soy flour muffin along with a control muffin containing wheat flour; (3) conduct a parallel controlled trial in which soy muffins will be fed randomly to persons with elevated LDL-cholesterol in a human clinical trial. All participants will be randomized into one of three groups and asked to eat two muffins daily for 6 weeks in the following combination: high dose soy; control group or low dose soy. Before, after, and mid-way during the feeding period, blood samples will be obtained for measurements of lipids, glucose, insulin, inflammation, and soy phytochemicals. The effect of soy consumption on waist circumference, body mass index (BMI) and blood pressure will also be examined.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Placebo Comparator: Control - Isocaloric control muffins |
Other: Standardized soy containing muffin
Standardized muffin containing two levels of soy
Other Names:
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Experimental: Low Dose Soy - Isocaloric muffins containing low dose of soy |
Other: Standardized soy containing muffin
Standardized muffin containing two levels of soy
Other Names:
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Experimental: High Dose Soy - Isocaloric muffins containing high dose soy |
Other: Standardized soy containing muffin
Standardized muffin containing two levels of soy
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Low Density Lipoprotein Cholesterol (LDL-Cholesterol) [6 weeks]
Secondary Outcome Measures
- high sensitivity c-reactive protein (hsCRP) [6 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Males and females (not pregnant or lactating) aged 30-70 year
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Body mass index (BMI) ≤40kg/m² and ≥18.5kg/m²
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Fasting plasma total cholesterol ≥5.0
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Fasting plasma LDL cholesterol ≥3.0 and <5.0 mmol/L.
Exclusion Criteria:
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Fasting plasma triglycerides ≥4.0 mmol/L
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Abnormal liver and kidney function
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Unstable body weight(>3kg change in 3 months) or intention to lose or gain weight;
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Diabetes mellitus (fasting plasma glucose ≥7.0 mmol/L or use of insulin or any hypoglycemic or anti-hyperglycemic medication);
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Use of any prescription or non-prescription drug, prebiotics or probiotics, herbal or nutritional supplement known to affect blood lipids, except for stable doses (no change in 3 months) of thyroxine, oral contraceptive agents, hormone replacement therapy, and medications for controlling blood pressure);
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Major surgical or medical events within the past 3 months;
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Presence of a gastrointestinal disorder or medication that alters the digestion and absorption of nutrients; including antibiotic use within the past 6 weeks.
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Consumption of a diet containing ≥15% of energy from saturated fat;
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Any food allergy or aversion or unwillingness to eat wheat, soy or milk;
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Consumption of ≥5 servings per week of soy based food products;
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Consumption of an average of >2 alcoholic beverages per day;
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Regular smokers (smoking ≥1 cigarette per day) of cigarettes or cigars
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Canadian Centre for Agri-food Research in Health and Medicine | Winnipeg | Manitoba | Canada | R2H 2A6 |
2 | Human Nutraceutical Research Unit. University of Guelph | Guelph | Ontario | Canada | N1G 2W1 |
3 | Glycemic Index Laboratories, Inc | Toronto | Ontario | Canada | M5C 2N8 |
Sponsors and Collaborators
- Guelph Food Research Centre
- University of Guelph
- Glycemic Index Laboratories, Inc
- Canadian Centre for Agri-Food Research in Health and Medicine
Investigators
- Principal Investigator: Alison Duncan, PhD, RD, University of Guelph
- Principal Investigator: Thomas Wolever, MD, PhD, Glycemic Index Laboratories, Inc
- Principal Investigator: Heather Blewett, PhD, Canadian Centre for Agri-Food Research in Health and Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
- Anderson JW, Bush HM. Soy protein effects on serum lipoproteins: a quality assessment and meta-analysis of randomized, controlled studies. J Am Coll Nutr. 2011 Apr;30(2):79-91. Review.
- Anderson JW, Johnstone BM, Cook-Newell ME. Meta-analysis of the effects of soy protein intake on serum lipids. N Engl J Med. 1995 Aug 3;333(5):276-82.
- Dewell A, Hollenbeck PL, Hollenbeck CB. Clinical review: a critical evaluation of the role of soy protein and isoflavone supplementation in the control of plasma cholesterol concentrations. J Clin Endocrinol Metab. 2006 Mar;91(3):772-80. Epub 2005 Dec 29. Review.
- Klein MA, Nahin RL, Messina MJ, Rader JI, Thompson LU, Badger TM, Dwyer JT, Kim YS, Pontzer CH, Starke-Reed PE, Weaver CM. Guidance from an NIH workshop on designing, implementing, and reporting clinical studies of soy interventions. J Nutr. 2010 Jun;140(6):1192S-1204S. doi: 10.3945/jn.110.121830. Epub 2010 Apr 14.
- Kokubo Y, Iso H, Ishihara J, Okada K, Inoue M, Tsugane S; JPHC Study Group. Association of dietary intake of soy, beans, and isoflavones with risk of cerebral and myocardial infarctions in Japanese populations: the Japan Public Health Center-based (JPHC) study cohort I. Circulation. 2007 Nov 27;116(22):2553-62. Epub 2007 Nov 19.
- Nanri A, Mizoue T, Takahashi Y, Kirii K, Inoue M, Noda M, Tsugane S. Soy product and isoflavone intakes are associated with a lower risk of type 2 diabetes in overweight Japanese women. J Nutr. 2010 Mar;140(3):580-6. doi: 10.3945/jn.109.116020. Epub 2010 Jan 6.
- Reinwald S, Akabas SR, Weaver CM. Whole versus the piecemeal approach to evaluating soy. J Nutr. 2010 Dec;140(12):2335S-2343S. doi: 10.3945/jn.110.124925. Epub 2010 Oct 27. Review.
- Sacks FM, Lichtenstein A, Van Horn L, Harris W, Kris-Etherton P, Winston M; American Heart Association Nutrition Committee. Soy protein, isoflavones, and cardiovascular health: an American Heart Association Science Advisory for professionals from the Nutrition Committee. Circulation. 2006 Feb 21;113(7):1034-44. Epub 2006 Jan 17.
- Sirtori CR, Eberini I, Arnoldi A. Hypocholesterolaemic effects of soya proteins: results of recent studies are predictable from the anderson meta-analysis data. Br J Nutr. 2007 May;97(5):816-22. Review.
- Yang B, Chen Y, Xu T, Yu Y, Huang T, Hu X, Li D. Systematic review and meta-analysis of soy products consumption in patients with type 2 diabetes mellitus. Asia Pac J Clin Nutr. 2011;20(4):593-602.
- Zhan S, Ho SC. Meta-analysis of the effects of soy protein containing isoflavones on the lipid profile. Am J Clin Nutr. 2005 Feb;81(2):397-408.
- Zhang X, Shu XO, Gao YT, Yang G, Li Q, Li H, Jin F, Zheng W. Soy food consumption is associated with lower risk of coronary heart disease in Chinese women. J Nutr. 2003 Sep;133(9):2874-8.
- SOY-CVD-2012
- RBPI#1746