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 volunteersQualifiers
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
Crossover
Treatments tested in this trial
Peanut butter
Other interventionIntake of 43 g/day of peanut butter as part of breakfast (or the first meal of the day)
Usual diet
Other interventionContinue intake of usual diet.
Treatment groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
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.
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.
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.
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.
Other outcomes
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.
Sponsors and contacts
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