NCT01620567

Brief Summary

Cognitive impairment is also a major risk factor for development of dementia later in life. Findings from the investigators studies suggest that the carotenoids, lutein and zeaxanthin may be important in cognitive function in the elderly. Avocados are a source of these carotenoids. The investigators study evaluates long-term avocado intervention as a treatment strategy for age-related cognitive impairment which could possibly prevent the onset of dementia. The investigators have also shown that lutein supplementation significantly improved verbal fluency scores in healthy older women. Based on these findings, the next logical step will be to investigate the ability of lutein and zeaxanthin contained in avocados to influence cognitive function in older adults. The investigators hypothesize that there will be a significant increase in cognitive function measures in older adults provided with meals containing 1 avocado/day at the end of 6 months, while no significant improvements will be observed in older adults given daily meals containing chickpeas and/or potatoes. The proposed study is designed as a randomized, placebo controlled trial that tests the effects of 6 month supplementation with 1 avocado/day on cognitive function in older adults. Secondary analyses will determine whether baseline macular pigment (lutein in retina which canbe measured non invasivley) density predicts relative effectiveness of the intervention on cognitive function. Secondary outcomes include plasma biomarkers of oxidative stress and inflammation.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
48

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Aug 2012

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 13, 2012

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 15, 2012

Completed
2 months until next milestone

Study Start

First participant enrolled

August 1, 2012

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2014

Completed
5 years until next milestone

Results Posted

Study results publicly available

July 19, 2019

Completed
Last Updated

July 19, 2019

Status Verified

May 1, 2019

Enrollment Period

2 years

First QC Date

June 13, 2012

Results QC Date

October 26, 2017

Last Update Submit

May 8, 2019

Conditions

Keywords

luteinavocadoschickpeaspotatoeselderly

Outcome Measures

Primary Outcomes (1)

  • Cognition

    measures of sustained attention will be made using CANTAB, a sensitive computerized program. Signal detection measured on a scale from 0 to 1(bad to good).

    6 months

Secondary Outcomes (3)

  • Inflammation

    0 months

  • Inflammation

    3 month

  • Inflammation

    6 month

Study Arms (2)

chickpeas/potatoes

PLACEBO COMPARATOR

1 potato/day or 1 cup chickpeas

Other: potato or chickpea

avocados

ACTIVE COMPARATOR

1 avocados/day

Other: avocado

Interventions

avocadoOTHER

1 avocado/day for 6 months

avocados

1 cup potatoes or chickpeas/day for 6 months

chickpeas/potatoes

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • men and women age \> 50 years
  • BMI 19-30 kg/m2
  • lutein intake of \< 3 mg/d
  • Docosahexaenoic acid intake \< 250 mg/d (including supplements)
  • Mini mental state exam (MMSE) score \> 24
  • Macular pigment density \< 0.4 at 0.5 degrees
  • Beck Depression Inventory \< 20
  • free of known disease
  • BMI 19-29 kg/m2
  • must be able to give written informed consent
  • have normal hematologic parameters
  • normal values of plasma albumin
  • normal values for liver and kidney function (Appendix A)
  • no use of carotenoid, n3 fatty acid, multivitamin/mineral, (\> 2 months).

You may not qualify if:

  • history of active small bowel disease or resection
  • atrophic gastritis
  • hyperlipidemia (LDL \>120 mg/dL or triglycerides \>150 mg/dL)
  • hypertension (\>150/90 mm Hg)
  • diabetes, alcoholism (\>2 drinks/d or 14 drinks/week)
  • pancreatic disease
  • anemia, and bleeding disorders (as determined by screening interview)
  • avocado, potato or chickpea allergy
  • pregnancy or lactation
  • diseases that interfere with fat absorption, e.g. colitis, celiac disease, Crohn's disease, cystic fibroids (as determined by screening interview)
  • medications that interfere with fat absorption, e.g. bile sequestrants (as determined by screening interview)
  • use of antipsychotic, antimanic, anti-inflammatory, monoamine inhibitors, or dementia medications
  • smoking or use of nicotine patches or gum (within past 6 months)
  • use of drugs suspected of interfering with metabolism of blood clotting, e.g. warfarin (as determined by screening interview)
  • subjects having extremely high dietary intakes of carotenoids as indicated by screening plasma values \> NHANES 95th percentile for lutein/zeaxanthin, beta-carotene, cryptoxanthin, or lycopene
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University

Boston, Massachusetts, 02111, United States

Location

MeSH Terms

Conditions

Cognitive Dysfunction

Condition Hierarchy (Ancestors)

Cognition DisordersNeurocognitive DisordersMental Disorders

Results Point of Contact

Title
Elizabeth J. Johnson, PhD
Organization
Tufts University

Study Officials

  • Elizabeth J Johnson, Ph.D.

    Tufts University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 13, 2012

First Posted

June 15, 2012

Study Start

August 1, 2012

Primary Completion

August 1, 2014

Study Completion

August 1, 2014

Last Updated

July 19, 2019

Results First Posted

July 19, 2019

Record last verified: 2019-05

Data Sharing

IPD Sharing
Will not share

Locations