CHOKO: Cholesterol Effects of Kori-tofu Proteins

Sponsor
Wageningen University and Research (Other)
Overall Status
Completed
CT.gov ID
NCT04896619
Collaborator
Asahimatsu Foods (Other)
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Study Details

Study Description

Brief Summary

The study is a randomized, cross-over, double-blind, controlled trial in which participants with mildly elevated levels of cholesterol will receive two 4-week interventions (e.g. kori-tofu or control), with a wash-out period of 4 weeks in between. During the intervention periods, subjects will eat 3 slices of bread per day, representing a Kori-tofu dose of 34.5 grams or a matched reference. Fasting total and LDL cholesterol will be determined at the start and end of each of the two intervention periods.

Condition or Disease Intervention/Treatment Phase
  • Other: Kori tofu bread
  • Other: Whey protein bread
N/A

Detailed Description

There are several types of tofu, an example of a specific type of tofu is called Kori-tofu. Kori-tofu literally means frozen tofu. The production process of Kori-tofu leads to the formation of a higher high molecular weight fraction (HMF) content of the soy proteins. Several studies describe the effects of Kofi-tofu on health. In this study the aim is to investigate the effect of repetitive consumption of Kori-tofu on blood cholesterol levels and other lipid metabolism related measures, in research subjects with mildly elevated levels of cholesterol.

The primary objective is to assess the effect of repetitive consumption of Kori-tofu on blood total and LDL cholesterol levels. The secondary objective is to assess the effect of repetitive consumption of Kori-tofu on other markers of lipid metabolism, glucose metabolism and blood pressure.

The study is a randomized, cross-over, double-blind, controlled trial in which participants will receive two 4-week interventions (e.g. kori-tofu or control), with a wash-out period of 4 weeks in between. During the intervention periods, subjects will eat 3 slices of bread per day, representing a Kori-tofu dose of 34.5 grams or a matched reference (whey protein, soy oil and maltodextrin/cellulose). Research subjects will visit our research unit before and after each intervention period for a test day. During these test days fasting blood samples will be collected and blood pressure measurements will be performed.

Study Design

Study Type:
Interventional
Actual Enrollment :
48 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
Cholesterol Effects of Kori-tofu Proteins
Actual Study Start Date :
Sep 7, 2021
Actual Primary Completion Date :
Dec 7, 2021
Actual Study Completion Date :
Dec 7, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: Daily dose of Kori-tofu mixed in 3 slices of bread

Kori tofu as part of bread

Other: Kori tofu bread
34.5 grams of Kori-tofu, mixed in 3 slices of wheat bread.

Active Comparator: Daily dose of whey protein, soy oil and maltodextrin mixed in 3 slices of bread

Whey protein, soy oil and maltodextrin as part of bread

Other: Whey protein bread
Matched whey protein, soy oil and maltodextrin/cellulose, mixed in 3 slices of wheat bread

Outcome Measures

Primary Outcome Measures

  1. Change in total cholesterol levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

  2. Change in LDL cholesterol levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

Secondary Outcome Measures

  1. Change in HDL cholesterol levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

  2. Change in triglycerides levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

  3. Change in leptin levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

  4. Change in adiponectin levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

  5. Change in plasma insulin levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

  6. Change in HbA1c levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

  7. Change in fructosamine levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

  8. Change in glucose levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

  9. Change in systolic blood pressure levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

  10. Change in diastolic blood plessure levels [0 weeks, 4 weeks, 8 weeks and 12 weeks]

    under fasting conditions

Eligibility Criteria

Criteria

Ages Eligible for Study:
40 Years to 70 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Age between 40-70 years;

  • BMI between 18.5-35 kg/m2;

  • Total cholesterol levels >5 mmol/L or LDL >3 mmol/L

Exclusion Criteria:
  • Use of medication/supplements/food items that may influence the study results, such as cholesterol lowering medication, Becel ProActiv (judged by our research physician);

  • Total cholesterol levels >7 mmol/L;

  • LDL cholesterol levels >5 mmol/L;

  • Reported slimming, medically prescribed or other extreme diets;

  • Reported weight loss or weight gain of >5 kg in the month prior to pre-study screening;

  • Not willing to give up blood donation during the study;

  • Current smokers;

  • Alcohol intake ≥4 glasses of alcoholic beverages per day;

  • Pregnant, lactating or wishing to become pregnant in the period of the study (self-reported);

  • Abuse of soft and/or hard drugs;

  • Food allergies or intolerances for products that we use in the study;

  • Participation in another clinical trial at the same time; NL75320.081.20 CHOKO Version number: 4, April 2021 15 of 34

  • Being an employee of the Food, Health & Consumer Research group of Wageningen Food & Biobased Research.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Wageningen University & Research Wageningen Gelderland Netherlands 6708 WG

Sponsors and Collaborators

  • Wageningen University and Research
  • Asahimatsu Foods

Investigators

  • Principal Investigator: Diederik Esser, PhD, Wageningen University & Research

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Diederik Esser, Project leader clinical trials, Wageningen University and Research
ClinicalTrials.gov Identifier:
NCT04896619
Other Study ID Numbers:
  • NL75320.081.20
First Posted:
May 21, 2021
Last Update Posted:
Dec 9, 2021
Last Verified:
Dec 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Diederik Esser, Project leader clinical trials, Wageningen University and Research
Additional relevant MeSH terms:

Study Results

No Results Posted as of Dec 9, 2021