About this trial
The objective of this clinical trial is to know if supplementation with extra virgin olive oil (EVOO) during pregnancy, improves the maternal and neonatal lipoprotein profile, lipoprotein function, oxidative status and vascular dysfunction markers in pregnancies with maternal supraphysiological hypercholesterolemia (MSPH).
The main questions to be answered are:
1. Does 12 weeks of EVOO supplementation improve lipid and vascular outcomes in MSPH women at the end of pregnancy? 2. Does 12 weeks of EVOO supplementation improve lipid and vascular outcomes in MSPH neonates at the end of pregnancy? The investigators will compare regular diet supplemented with EVOO vs. intake of a non-supplemented regular diet to determine if EVOO reduces impaired vascular and lipid outcomes in the mother and her newborn.
Participants:
The recruited pregnant women will eat their normal diet (control group) or the same diet supplemented with 36 mL of EVOO daily (EVOO group). The protocol will be carried out from gestational week 28 to the end of pregnancy.
A nutritional specialist will evaluate every 4 weeks the EVOO consumption through surveys developed through a zoom interview.
The recruited pregnant women will have the regular obstetric control every 4 weeks.
At delivery, a maternal sample of blood as well as umbilical cord blood and the placenta will be obtained for experimental analysis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pregnant women at 26-28 weeks of gestation
Singleton pregnancies
Pregnancies without fetal malformations
Disqualifiers
Pregnant women with pre-gestational and/or gestational diabetes mellitus
Pregnant women with obesity before or during pregnancy
Pregnant women with pre-eclampsia,
Pregnant women with pregnancy hypertensive syndrome
Trial design
Parallel
Treatments tested in this trial
Extra Virgin Olive Oil (EVOO)
Dietary supplementThis is the first time that prengnt women with maternal supraphysiological hypercholesterolemia will be suplemented with EVOO during pregnancy. The intervention will be daily EVOO suplementation (36mL) form gestational week 28 until delivery
Treatment groups
Trial outcomes
Primary outcomes
Lipoprotein function
At the end of pregnancy lipoprotein function determined as conjugated dienes formation (concentration vs time) will be evaluated by ultraviolet absorbance in lipoproteins isolated from maternal and umbilical cord blood
Oxidative status
At the end of pregnancy oxidative status determined as concentration of oxidized LDL (mg/dL) will be evaluated by ELISA in maternal and umbilical cord blood
Lipid profile
At the end of pregnancy, lipoprotein profile determined as concentration of total cholesterol, LDL, HDL and triglycerides (mg/dL) will be evaluated in the clinical laboratory in maternal and umbilical cord blood
Secondary outcomes
Markers of endothelial dysfunction
At the end of pregnancy, markers of endothelial dysfunction determined as levels of soluble VCAM (ng/mL) will be assayed by ELISA in maternal and umbilical blood as well as in placental vessels
Determination of adherence to a mediterranean diet
Adherence to mediterranean diet, which includes EVOO consumption, will be assayed by the mediterranean diet adherence screener (MEDAS). The adherence will be considered Good, Regular, or Bad according to established and published criteria of MEDAS.
Determination of adherence to EVOO supplementation by food frequency questionnaire
Adherence to the EVOO supplementation will be evaluated by food frequency questionnaire (FFQ). The adherence will be considered Good, if questionaries indicated a daily EVOO consumption over 26 g/day, 5 to 7 times per week. As Regular, if daily EVOO consumption was over 26 g/day, but only 3 or 4 times per week, and Bad, if daily EVOO consumption was lower than 26 g/day or lower than 3 times per week.
Sponsors and contacts
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Universidad de los Andes, Chile
Lead sponsor
Universidad San Sebastián
Sponsor institution
Universidad San Sebastián
Collaborator
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