CClinicalTrials.gg
Status unknownNCT03254537Updated Aug 18, 2017

Effect of Mediterranean Diets Based on Organic and Conventional Foods

An interventional study of Mediterranean Organic and Mediterranean conventional in Health Status, sponsored by Newcastle University. Status unknown at 2 sites in 2 countries. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-08-18.

Sponsored by Newcastle University · Not applicable, Interventional, and Basic science

The sponsor has not verified this record recently (last verified Aug 2017), so the status shown — last known as Enrolling by invitation — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
27
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

Results from a small number of human cohort studies are also available and indicate that there are positive associations between organic food consumption and reduced risk/incidence of certain acute diseases (e.g. pre-eclampsia, hypospadias) and obesity/overweight.

Results from animal dietary intervention studies suggest that (i) switching to organic food consumption results in significant changes in hormonal balances and an increase in immune system responsiveness and (ii) differences in pesticide residue, cadmium, protein and antioxidant concentrations between organic and conventional foods are major drivers for hormonal balances and immune system parameters in animals.

However, there is virtually no published data from (i) long-term cohort studies focusing on chronic diseases (e.g. cardiovascular disease, diabetes, cancer and neurodegenerative conditions) and (ii) controlled human dietary intervention studies comparing effects of organic and conventional diets. It is therefore currently not possible to assess whether and estimate to what extent organic food consumption may affect human health.

Read the detailed description

The most recent systematic literature reviews and meta-analyses have indicated significant and nutritionally-relevant composition differences between organic and conventional foods (crops, meat and dairy products). Specifically, these systematic reviews reported that:

organic crops have 17% higher antioxidant activity and between 18% and 69% higher concentrations of a range of individual antioxidants; increased intakes of polyphenolics and antioxidants has been linked to a reduced risk of certain chronic diseases such as cardiovascular and neurodegenerative diseases and certain cancers.

conventional crops have 48% higher levels of the toxic metal cadmium, and are 4-times more likely to contain detectable pesticide residues; there are general recommendations to minimise the intake of pesticides and cadmium to avoid potential negative health impacts.

conventional crops also have 15%, 10%, 30%, and 87% higher concentrations of protein, nitrogen, nitrate, nitrite, respectively; increased intakes of these compounds have been linked to both positive and negative health impacts.

organic meat, milk and dairy products have approximately 50% higher concentrations of nutritionally-desirable omega-3 fatty acids; intakes of very long chain omega-3 fatty acids in Western diets and there are EFSA recommendation to at least double their intake.

organic milk has 70% lower concentrations of iodine and slightly lower concentrations of Selenium, which is nutritionally undesirables especially in the UK where (a) the Se content of cereals has decreased (due to reduced import of cereals grown on Se-rich soil (b) Iodine fortified table salt is not widely available and used and the iodine supply relies more on mineral fortification of animal, and especially dairy feeds.

Results from a small number of human cohort studies are also available and indicate that there are positive associations between organic food consumption and reduced risk/incidence of certain acute diseases (e.g. pre-eclampsia, hypospadias) and obesity/overweight .

Results from animal dietary intervention studies suggest that (i) switching to organic food consumption results in significant changes in hormonal balances and an increase in immune system responsiveness and (ii) differences in pesticide residue, cadmium, protein and antioxidant concentrations between organic and conventional foods are major drivers for hormonal balances and immune system parameters in animals.

However, there is virtually no published data from (i) long-term cohort studies focusing on chronic diseases (e.g. cardiovascular disease, diabetes, cancer and neurodegenerative conditions) and (ii) controlled human dietary intervention studies comparing effects of organic and conventional diets. It is therefore currently not possible to assess whether and estimate to what extent organic food consumption may affect human health.

The overall aim of the study is to get a quantitative understanding of (a) the uptake (and therefore potential to affect health) of food composition components (pesticide residues, toxic metals such as cadmium, antioxidants) that differ between organic and conventional foods and (b) the effect of organic vs conventional food consumption on selected physiological parameters in plasma linked to health.

This information will be essential to (a) carry out accurate statistical power analyses (based on uptake [=estimated from blood and urine concentrations] rather than food composition data) and (b) optimise designs for longer-term dietary intervention studies, designed to identify impacts of organic food consumption on health related physiological markers in humans and mechanisms for potential health impacts.

The main objectives of the proposed study are to:

  1. Carry out a human dietary intervention study comparing the effects of switching to Mediterranean diets based on organic and conventional foods on concentrations of pesticides, toxic metals, mineral nutrients (e.g. Fe, Cu, Se, I) and antioxidants, and antioxidant activity and selected health-related markers in urine and blood.
  2. Quantify concentrations of pesticide residue, mineral, toxic metal and antioxidants in both organic and conventional food samples consumed during the intervention period
  3. Carry out both univariate and redundancy analyses to both quantify effects of different diets on urine and blood composition and to identify the most important food composition drivers for differences in urine/blood composition and health markers.
02

Conditions studied

  • Health Status
03

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

Healthy adults No medications No known illness

Exclusion criteria

Exclusion Criteria:

Any known illness Using prescribed medication Using over the counter vitamin or mineral supplements Allergy to any food

04

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
27 participants (estimated)

Study arms

  • Experimental
    Mediterranean Organic

    Dietary Supplement: Mediterranean Organic

  • Experimental
    Mediterranean conventional

    Dietary Supplement: Mediterranean conventional

Interventions

  • Dietary supplementMediterranean Organic

    Traditional Mediterranean diet comprised of organic ingredients

  • Dietary supplementMediterranean conventional

    Traditional Mediterranean diet comprised of conventional ingredients

05

What researchers measure

Primary outcomes

  1. IL-6 in Plasma measured using ELISA

    Time frame: Change from baseline 2 weeks post supplementation and 4 weeks post supplementation

  2. IL-6 in WBC measured using ELISA

    Time frame: Change from baseline 2 weeks post supplementation and 4 weeks post supplementation

  3. DNA damage in WBC measured using Western Blot

    Time frame: Change from baseline 2 weeks post supplementation and 4 weeks post supplementation

  4. Total antioxidant activity in plasma measured using PENTRA

    Time frame: Change from baseline 2 weeks post supplementation and 4 weeks post supplementation

  5. Phenols in plasma measured using GCMS

    Time frame: Change from baseline 2 weeks post supplementation and 4 weeks post supplementation

  6. Carotenoids in plasma measured using GCMS

    Time frame: Change from baseline 2 weeks post supplementation and 4 weeks post supplementation

  7. Pesticides in urine and plasma measured using ICPMS

    Time frame: Change from baseline 2 weeks post supplementation and 4 weeks post supplementation

  8. Isoprostanes in urine measured using ICPMS

    Time frame: Change from baseline 2 weeks post supplementation and 4 weeks post supplementation

  9. toxic metals in urine and plasma (Cd, Pb, Hg, Al) measured using ICPMS

    Time frame: Change from baseline 2 weeks post supplementation and 4 weeks post supplementation

  10. minerals in plasma (including Cu, Fe, Mn, Mg, Ca, I, Se) measured using ICPMS

    Time frame: Change from baseline 2 weeks post supplementation and 4 weeks post supplementation

06

Study locations

2 sites
  • Levidopa Field Station
    Sivas, Sivas Festos GR 70200, Greece
  • NU-Food Research Facility
    Newcastle upon Tyne, Tyne and Wear NE1 7RU, United Kingdom
07

References and documents

Publications

  • Rempelos L, Wang J, Baranski M, Watson A, Volakakis N, Hoppe HW, Kuhn-Velten WN, Hadall C, Hasanaliyeva G, Chatzidimitriou E, Magistrali A, Davis H, Vigar V, Srednicka-Tober D, Rushton S, Iversen PO, Seal CJ, Leifert C. Diet and food type affect urinary pesticide residue excretion profiles in healthy individuals: results of a randomized controlled dietary intervention trial. Am J Clin Nutr. 2022 Feb 9;115(2):364-377. doi: 10.1093/ajcn/nqab308. PubMed 34718382 ↗

Individual participant data

Plan to share: Undecided

08

Registry details

Key details

Study ID
NCT03254537
Lead sponsor
Newcastle University
Collaborators
The Sheepdrove Trust
Responsible party
Sponsor
First posted
Aug 18, 2017
Start date
May 1, 2017
Primary completion
Aug 1, 2017
Completion
Dec 31, 2017 (estimated)
Last update
Aug 18, 2017

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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