NCT03084003

Brief Summary

The purpose of the study is to examine the effects of almond snacking on metabolic, cardiovascular and microbiome profiles in college freshmen.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
74

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2016

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

Study Start

First participant enrolled

February 18, 2016

Completed
1 year until next milestone

First Submitted

Initial submission to the registry

February 21, 2017

Completed
27 days until next milestone

First Posted

Study publicly available on registry

March 20, 2017

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2017

Completed
1.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2019

Completed
Last Updated

May 7, 2021

Status Verified

May 1, 2021

Enrollment Period

1.2 years

First QC Date

February 21, 2017

Last Update Submit

May 5, 2021

Conditions

Outcome Measures

Primary Outcomes (4)

  • Change in fasting blood glucose

    Change from baseline at 8 weeks

  • 2-hour oral glucose tolerance test

    At the end of 8 week intervention

  • Change in fasting blood insulin

    Change from baseline at 8 weeks

  • Change in stool microbiome profiles

    Change from baseline at 8 weeks

Secondary Outcomes (14)

  • Weight

    Every 2 weeks over the 8 week intervention

  • Body composition

    Every 2 weeks over the 8 week intervention

  • Waist circumference

    Every 2 weeks over the 8 week intervention

  • Blood pressure

    Every 2 weeks over the 8 week intervention

  • 24-hour appetite ratings

    Baseline, 4 weeks into intervention and end of 8 week intervention

  • +9 more secondary outcomes

Study Arms (2)

Almond group

EXPERIMENTAL

2 oz. of almonds everyday for 8 weeks

Dietary Supplement: Almonds

Control group

ACTIVE COMPARATOR

Isoenergetic control group 5 graham cracker sheets everyday for 8 weeks

Dietary Supplement: Graham crackers

Interventions

AlmondsDIETARY_SUPPLEMENT
Almond group
Graham crackersDIETARY_SUPPLEMENT
Control group

Eligibility Criteria

Age18 Years - 22 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • years of age
  • Newly enrolled, 1st-year college students at University of California, Merced
  • Willing to eat almonds and study snacks
  • Willing to comply with the study protocol
  • Consistent diet and activity patterns
  • Non-smoker \>1 year or more

You may not qualify if:

  • Nut allergies
  • Illicit drug use
  • Medications that affect metabolism or appetite
  • Anti-inflammatory medications, analgesics and antibiotics
  • Diabetes or pre-diabetes, uncontrolled hypertension, cardiovascular disease or dyslipidemia requiring drug therapy
  • Gastrointestinal disease and/or bariatric surgery

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of California, Merced

Merced, California, 95343, United States

Location

Related Publications (29)

  • Abazarfard Z, Salehi M, Keshavarzi S. The effect of almonds on anthropometric measurements and lipid profile in overweight and obese females in a weight reduction program: A randomized controlled clinical trial. J Res Med Sci. 2014 May;19(5):457-64.

    PMID: 25097630BACKGROUND
  • Adams SH, Hoppel CL, Lok KH, Zhao L, Wong SW, Minkler PE, Hwang DH, Newman JW, Garvey WT. Plasma acylcarnitine profiles suggest incomplete long-chain fatty acid beta-oxidation and altered tricarboxylic acid cycle activity in type 2 diabetic African-American women. J Nutr. 2009 Jun;139(6):1073-81. doi: 10.3945/jn.108.103754. Epub 2009 Apr 15.

    PMID: 19369366BACKGROUND
  • Berkey CS, Rockett HR, Gillman MW, Field AE, Colditz GA. Longitudinal study of skipping breakfast and weight change in adolescents. Int J Obes Relat Metab Disord. 2003 Oct;27(10):1258-66. doi: 10.1038/sj.ijo.0802402.

    PMID: 14513075BACKGROUND
  • Brevard PB, Ricketts CD. Residence of college students affects dietary intake, physical activity, and serum lipid levels. J Am Diet Assoc. 1996 Jan;96(1):35-8. doi: 10.1016/S0002-8223(96)00011-9.

    PMID: 8537567BACKGROUND
  • Cani PD, Delzenne NM. Gut microflora as a target for energy and metabolic homeostasis. Curr Opin Clin Nutr Metab Care. 2007 Nov;10(6):729-34. doi: 10.1097/MCO.0b013e3282efdebb.

    PMID: 18089955BACKGROUND
  • Cohen AE, Johnston CS. Almond ingestion at mealtime reduces postprandial glycemia and chronic ingestion reduces hemoglobin A(1c) in individuals with well-controlled type 2 diabetes mellitus. Metabolism. 2011 Sep;60(9):1312-7. doi: 10.1016/j.metabol.2011.01.017. Epub 2011 Apr 12.

    PMID: 21489570BACKGROUND
  • Devitt AA, Kuevi A, Coelho SB, Lartey A, Lokko P, Costa N, Bressan J, Mattes RD. Appetitive and Dietary Effects of Consuming an Energy-Dense Food (Peanuts) with or between Meals by Snackers and Nonsnackers. J Nutr Metab. 2011;2011:928352. doi: 10.1155/2011/928352. Epub 2011 Jan 22.

    PMID: 21808728BACKGROUND
  • Diamant M, Blaak EE, de Vos WM. Do nutrient-gut-microbiota interactions play a role in human obesity, insulin resistance and type 2 diabetes? Obes Rev. 2011 Apr;12(4):272-81. doi: 10.1111/j.1467-789X.2010.00797.x. Epub 2010 Aug 26.

    PMID: 20804522BACKGROUND
  • Driskell JA, Kim YN, Goebel KJ. Few differences found in the typical eating and physical activity habits of lower-level and upper-level university students. J Am Diet Assoc. 2005 May;105(5):798-801. doi: 10.1016/j.jada.2005.02.004.

    PMID: 15883559BACKGROUND
  • Fiehn O, Garvey WT, Newman JW, Lok KH, Hoppel CL, Adams SH. Plasma metabolomic profiles reflective of glucose homeostasis in non-diabetic and type 2 diabetic obese African-American women. PLoS One. 2010 Dec 10;5(12):e15234. doi: 10.1371/journal.pone.0015234.

    PMID: 21170321BACKGROUND
  • Grapov D, Adams SH, Pedersen TL, Garvey WT, Newman JW. Type 2 diabetes associated changes in the plasma non-esterified fatty acids, oxylipins and endocannabinoids. PLoS One. 2012;7(11):e48852. doi: 10.1371/journal.pone.0048852. Epub 2012 Nov 8.

    PMID: 23144998BACKGROUND
  • Heatherton TF, Nichols P, Mahamedi F, Keel P. Body weight, dieting, and eating disorder symptoms among college students, 1982 to 1992. Am J Psychiatry. 1995 Nov;152(11):1623-9. doi: 10.1176/ajp.152.11.1623.

    PMID: 7485625BACKGROUND
  • Hoffman DJ, Policastro P, Quick V, Lee SK. Changes in body weight and fat mass of men and women in the first year of college: A study of the "freshman 15". J Am Coll Health. 2006 Jul-Aug;55(1):41-5. doi: 10.3200/JACH.55.1.41-46.

    PMID: 16889314BACKGROUND
  • Josse AR, Kendall CW, Augustin LS, Ellis PR, Jenkins DJ. Almonds and postprandial glycemia--a dose-response study. Metabolism. 2007 Mar;56(3):400-4. doi: 10.1016/j.metabol.2006.10.024.

    PMID: 17292730BACKGROUND
  • Li SC, Liu YH, Liu JF, Chang WH, Chen CM, Chen CY. Almond consumption improved glycemic control and lipid profiles in patients with type 2 diabetes mellitus. Metabolism. 2011 Apr;60(4):474-9. doi: 10.1016/j.metabol.2010.04.009. Epub 2010 May 23.

    PMID: 20580779BACKGROUND
  • Luo C, Zhang Y, Ding Y, Shan Z, Chen S, Yu M, Hu FB, Liu L. Nut consumption and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a systematic review and meta-analysis. Am J Clin Nutr. 2014 Jul;100(1):256-69. doi: 10.3945/ajcn.113.076109. Epub 2014 May 21.

    PMID: 24847854BACKGROUND
  • Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP. The spread of the obesity epidemic in the United States, 1991-1998. JAMA. 1999 Oct 27;282(16):1519-22. doi: 10.1001/jama.282.16.1519.

    PMID: 10546690BACKGROUND
  • Mori AM, Considine RV, Mattes RD. Acute and second-meal effects of almond form in impaired glucose tolerant adults: a randomized crossover trial. Nutr Metab (Lond). 2011 Jan 28;8(1):6. doi: 10.1186/1743-7075-8-6.

    PMID: 21276226BACKGROUND
  • Quehenberger O, Armando AM, Brown AH, Milne SB, Myers DS, Merrill AH, Bandyopadhyay S, Jones KN, Kelly S, Shaner RL, Sullards CM, Wang E, Murphy RC, Barkley RM, Leiker TJ, Raetz CR, Guan Z, Laird GM, Six DA, Russell DW, McDonald JG, Subramaniam S, Fahy E, Dennis EA. Lipidomics reveals a remarkable diversity of lipids in human plasma. J Lipid Res. 2010 Nov;51(11):3299-305. doi: 10.1194/jlr.M009449. Epub 2010 Jul 29.

    PMID: 20671299BACKGROUND
  • Rodriguez R, Mowrer J, Romo J, Aleman A, Weffer SE, Ortiz RM. Ethnic and gender disparities in adolescent obesity and elevated systolic blood pressure in a rural US population. Clin Pediatr (Phila). 2010 Sep;49(9):876-84. doi: 10.1177/0009922810368135. Epub 2010 Jun 3.

    PMID: 20522603BACKGROUND
  • Smith KJ, Gall SL, McNaughton SA, Blizzard L, Dwyer T, Venn AJ. Skipping breakfast: longitudinal associations with cardiometabolic risk factors in the Childhood Determinants of Adult Health Study. Am J Clin Nutr. 2010 Dec;92(6):1316-25. doi: 10.3945/ajcn.2010.30101. Epub 2010 Oct 6.

    PMID: 20926520BACKGROUND
  • Tan SY, Mattes RD. Appetitive, dietary and health effects of almonds consumed with meals or as snacks: a randomized, controlled trial. Eur J Clin Nutr. 2013 Nov;67(11):1205-14. doi: 10.1038/ejcn.2013.184. Epub 2013 Oct 2.

    PMID: 24084509BACKGROUND
  • Vella-Zarb RA, Elgar FJ. The 'freshman 5': a meta-analysis of weight gain in the freshman year of college. J Am Coll Health. 2009 Sep-Oct;58(2):161-6. doi: 10.1080/07448480903221392.

    PMID: 19892653BACKGROUND
  • Wien MA, Sabate JM, Ikle DN, Cole SE, Kandeel FR. Almonds vs complex carbohydrates in a weight reduction program. Int J Obes Relat Metab Disord. 2003 Nov;27(11):1365-72. doi: 10.1038/sj.ijo.0802411.

    PMID: 14574348BACKGROUND
  • Zivkovic AM, German JB. Metabolomics for assessment of nutritional status. Curr Opin Clin Nutr Metab Care. 2009 Sep;12(5):501-7. doi: 10.1097/MCO.0b013e32832f1916.

    PMID: 19584717BACKGROUND
  • Dhillon J, Pandey S, Newman JW, Fiehn O, Ortiz RM. Almond consumption for 8 weeks differentially modulates metabolomic responses to an acute glucose challenge compared to crackers in young adults. Nutr Res. 2025 Mar;135:67-81. doi: 10.1016/j.nutres.2025.01.003. Epub 2025 Jan 8.

  • Dhillon J, Pandey S, Newman JW, Fiehn O, Ortiz RM. Metabolic Responses to an Acute Glucose Challenge: The Differential Effects of Eight Weeks of Almond vs. Cracker Consumption in Young Adults. medRxiv [Preprint]. 2024 May 20:2024.05.19.24307571. doi: 10.1101/2024.05.19.24307571.

  • Dhillon J, Newman JW, Fiehn O, Ortiz RM. Almond Consumption for 8 Weeks Altered Host and Microbial Metabolism in Comparison to a Control Snack in Young Adults. J Am Nutr Assoc. 2023 Mar-Apr;42(3):242-254. doi: 10.1080/07315724.2021.2025168. Epub 2022 Feb 23.

  • Dhillon J, Li Z, Ortiz RM. Almond Snacking for 8 wk Increases Alpha-Diversity of the Gastrointestinal Microbiome and Decreases Bacteroides fragilis Abundance Compared with an Isocaloric Snack in College Freshmen. Curr Dev Nutr. 2019 Jul 3;3(8):nzz079. doi: 10.1093/cdn/nzz079. eCollection 2019 Aug.

Related Links

Study Officials

  • Rudy Ortiz, PhD

    UNIV OF CALIFORNIA MERCED

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

February 21, 2017

First Posted

March 20, 2017

Study Start

February 18, 2016

Primary Completion

May 1, 2017

Study Completion

February 1, 2019

Last Updated

May 7, 2021

Record last verified: 2021-05

Data Sharing

IPD Sharing
Will not share

Locations