Cardiometabolic & Cognitive Effects of Peanut Butter in Prediabetes

ConditionPrediabetes
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-65
SponsorPenn State University

About this trial

The purpose of this study is to look at the effect of consuming peanut butter at breakfast on blood sugar control, cognitive function, and heart disease risk factors in middle-aged adults with prediabetes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 40-65 years

BMI 25 to 40 kg/m2

HbA1c 5.7-6.4%

Low habitual intake of peanut butter (<0.5 Tablespoons/day on average)

Disqualifiers

Hemoglobin <13.2 g/dL for men or < 11.7 g/dL for women at screening

Fasting triglycerides >350 mg/dL at screening

LDL-cholesterol ≥190 mg/dL assessed by the Martin-Hopkins equation at screening

≥10% change in body weight within the 6 months prior to enrollment

Trial design

Design model

Crossover

Treatments tested in this trial

  • Peanut butter

    Other intervention

    Intake of 43 g/day of peanut butter as part of breakfast (or the first meal of the day)

  • Usual diet

    Other intervention

    Continue intake of usual diet.

Treatment groups

56 Participants
are divided into 2 treatment groups
Group A: Peanut Butter-Usual DietExperimental treatment 2 interventions
Group B: Usual Diet-Peanut ButterActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Change in HbA1c

HbA1c will be assessed at the beginning and end of each 12-week period and expressed as percentage. The change in HbA1c will be calculated as the post-condition value minus the pre-condition value and expressed as percentage point change.

Time frame
12 weeks

Secondary outcomes

1

Change in fasting glucose

Change in fasting plasma glucose expressed as mg/dL. Change in glucose will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.

Time frame
12 weeks
2

Change in fasting insulin

Change in fasting serum insulin expressed as micro IU/mL. Change in insulin will be calculated as the mean of the post-condition day 1 and day 2 testing values minus the mean of the pre-condition day 1 and day 2 testing values.

Time frame
12 weeks
3

Mean glucose

Mean glucose assessed by a continuous glucose monitor (CGM) expressed as mg/dL. The between-condition difference in mean glucose will be evaluated by comparing the mean glucose calculated from 7 days of CGM wear at the end of each study period.

Time frame
12 weeks
4

Mean glucose time in range

Mean glucose time in range (70-140 mg/dL) assessed by a continuous glucose monitor (CGM) expressed as minutes per day. The between-condition difference in mean glucose time in range will be evaluated by comparing the mean glucose time in range from 7 days of CGM wear at the end of each study period.

Time frame
12 weeks

Other outcomes

1

Difference in microbiota composition

Microbiota composition assessed by 16S rRNA sequencing. The between-condition difference in microbiota composition will be evaluated by alpha and beta diversity and taxa profile at the end of each study period.

Time frame
12 weeks

Sponsors and contacts

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