Comparative Effects of Carnivore and Mediterranean-style Diets on LDL Aggregation and Cardiometabolic Health

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age30-60
SponsorLiverpool John Moores University

About this trial

The goal of this clinical trial is to learn whether following a Mediterranean-style diet or a Carnivore-style diet can improve heart and metabolic health in men and women aged 30-60 years with high LDL cholesterol.

The main questions it aims to answer are:

1. Does following a Mediterranean or Carnivore diet change how easily LDL cholesterol particles clump together (LDL aggregation susceptibility)? 2. Do these two diets have different effects on other measures of heart and metabolic health, such as blood fats, blood vessel function, and overall wellbeing?

Researchers will compare people who follow the Mediterranean-style diet with those who follow the Carnivore-style diet to see which diet produces more beneficial changes in cholesterol and heart health markers.

Participants will:

* Attend three visits at Liverpool John Moores University for screening and data collection. * Be randomly assigned to follow either the Mediterranean or Carnivore diet for 3 weeks, matched for calories and protein. * Provide fasting blood, urine, and stool samples before and after the diet period. * Complete non-invasive cardiovascular tests to measure blood vessel and heart function. * Take part in a short interview and complete questionnaires about their experience of following the diet.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Male or female

30-60 years of age

Elevated LDL cholesterol (LDL >3mmol/L and/or non-HDL cholesterol > 4mmol/L)

Not following any specific diet for health reasons.

Disqualifiers

Pregnancy or breastfeeding.

Known food allergies or intolerances.

Previous history of disordered eating.

Currently taking cholesterol-lowering medication or supplements.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Carnivore Diet

    Dietary supplement

    The intervention diet will consist of isocaloric consumption of exclusively of animal-based products, including red meat, poultry, and limited amounts of dairy products for 3 weeks. The diet will exclude plant-based foods, such as fruits, vegetables, grains, legumes, nuts, and seeds to reflect a traditional Carnivore-style dietary pattern.

  • Mediterranean Diet

    Dietary supplement

    The intervention diet will consist of isocaloric consumption of foods typical of a traditional Mediterranean dietary pattern, including fruits, vegetables, whole grains, legumes, nuts, olive oil, and fish, for a period of 3 weeks. The diet will include moderate amounts of poultry and dairy products and limited amounts of red and processed meat, refined carbohydrates, and added sugars.

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: Mediterranean-style dietActive comparator 1 intervention
Group B: Carnivore-style dietExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

LDL aggregation susceptibility

To measure changes in how easily LDL cholesterol particles 'clump' together in the blood vessels from baseline to post-intervention, assessed via plasma lipid and lipoprotein analysis.

Time frame
Baseline and 3 weeks.

Secondary outcomes

1

Plasma lipid and lipoprotein profile

Changes in plasma levels of total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides will be determined via enzymatic analysis and measured in mmol/L.

Time frame
Baseline and 3 weeks.
2

Lipoprotein particle size

Changes in lipoprotein particle size (diameter) will be measured via Nuclear Magnetic Resonance spectroscopy (NMR) and expressed in nanometers.

Time frame
Baseline and 3 weeks.

Other outcomes

1

Blood pressure

Change in resting systolic and diastolic blood pressure. Blood pressure reflects cardiovascular function and may be influenced by dietary fat type and nutrient composition.

Time frame
Baseline and 3 weeks.
2

Flow-mediated dilation (FMD)

Change in blood vessel function will be assessed using a non-invasive ultrasound test to measure how well the arteries widen (dilate) in response to increased blood flow.

Time frame
Baseline and 3 weeks.
3

Plasma glucose

Changes in fasting blood glucose will be assessed via biochemical plasma analysis of a venous blood sample and recorded in mmol/L.

Time frame
Baseline and 3 weeks.
4

Dietary adherence

Participants' self-reported adherence to the assigned diet will be collected through completion of a 3-day online food log/diary via a mobile phone application.

Time frame
Baseline and 3 days during the intervention.

Sponsors and contacts

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Liverpool John Moores University

Lead sponsor

Wihuri Research Institute

Collaborator

University of Helsinki

Collaborator

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