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CompletedNCT03611114Updated Jul 19, 2019

The Impact of Citrus Products on Cardiovascular Health

An interventional study of Blood orange juice and Control drink in Healthy and Overweight and Obesity, sponsored by University of Leeds. Completed at 1 site in United Kingdom. Open to participants aged 20 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-07-19.

Sponsored by University of Leeds · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 3 months after the study started (first participant enrolled Jan 2017, registered Apr 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
20 Years to 60 Years
Sex
All
01

Study summary

Epidemiological studies have indicated that the consumption of citrus fruit is inversely associated with the risk of cardiovascular disease. However, clinical data regarding the effects of blood orange juice upon endothelial function is scarce. This randomised, crossover study investigates whether blood orange juice compared to a control drink improves blood vessel function and other cardiovascular health indicators (such as blood pressure and blood lipids). All the subjects will be asked to consume blood orange juice and a control drink in a randomised order, each over a 2-week period, divided by a 1-week wash out period.

Read the detailed description

Endothelial function measured via flow mediated dilation (FMD), blood pressure, anthropometric measures, lipid profile, high-sensitivity C-reactive protein (hsCRP) and endothelin 1 (ET-1), cyclic guanosine monophosphate (cGMP) will be evaluated in healthy overweight/obese Caucasians prior to and following 2-week consumption of blood orange juice and a control drink. Evaluation of endothelial function as measured by FMD will be conducted on specific days of the menstrual cycle to minimise the fluctuation in oestrogen levels in premenopausal women, which will be monitored in serum samples.

02

Conditions studied

  • Healthy
  • Overweight and Obesity

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Keywords

  • endothelial function
  • flow mediated dilation
  • lipid profile
  • blood pressure
  • flavanones
  • Caucasian
03

In context

Overweight

3,670 studies on the registry are indexed under Overweight; 849 are open to participants now.

This study's enrollment of 16 is below the median of 73 across 3,175 interventional studies indexed under Overweight.

Browse Overweight studies →

Lead sponsor

University of Leeds is the lead sponsor of 200 studies on the registry; 25 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Generally healthy
  • Caucasians (of European origin)
  • BMI > 25 kg/m2

Exclusion criteria

Exclusion Criteria:

  • Presence of cardiovascular diseases
  • Smoking
  • Use of medications or dietary supplements (vitamins, antioxidants)
  • On a special diet and/or a training program to change weight
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    Blood orange juice

    Subjects will be asked to consume blood orange juice (400 ml/day) for 2 weeks.

    Dietary Supplement: Blood orange juice

  • Placebo comparator
    Control drink

    Subjects will be asked to consume a control drink (400 ml/day) for 2 weeks.

    Dietary Supplement: Control drink

Interventions

  • Dietary supplementBlood orange juice
  • Dietary supplementControl drink
06

What researchers measure

Primary outcomes

  1. Changes in flow mediated dilation between baseline and endpoint within the intervention group vs. control group

    FMD will be evaluated prior to and following 2-week consumption of either blood orange juice or a control drink.

    Time frame: Baseline and 2 weeks; after 1-week wash out, another baseline and 2 weeks.

Secondary outcomes

  1. Changes in blood pressure between baseline and endpoint within the intervention group vs. control group

    Blood pressure will be measured prior to and following 2-week consumption of either blood orange juice or a control drink.

    Time frame: Baseline and 2 weeks; after 1-week wash out, another baseline and 2 weeks.

  2. Changes in lipid profile between baseline and endpoint within the intervention group vs. control group

    Serum total cholesterol, HDL cholesterol, LDL cholesterol will be measured prior to and following 2-week consumption of either blood orange juice or a control drink.

    Time frame: Baseline and 2 weeks; after 1-week wash out, another baseline and 2 weeks.

  3. Changes in high sensitivity C-reactive protein between baseline and endpoint within the intervention group vs. control group

    Serum hsCRP will be measured prior to and following 2-week consumption of either blood orange juice or a control drink.

    Time frame: Baseline and 2 weeks; after 1-week wash out, another baseline and 2 weeks.

  4. Changes in endothelin-1 (ET-1) between baseline and endpoint within the intervention group vs. control group

    Serum ET-1 will be measured prior to and following 2-week consumption of either blood orange juice or a control drink.

    Time frame: Baseline and 2 weeks; after 1-week wash out, another baseline and 2 weeks.

  5. Changes in oestradiol between baseline and endpoint within the intervention group vs. control group

    Serum oestradiol will be measured prior to and following 2-week consumption of either blood orange juice or a control drink.

    Time frame: Baseline and 2 weeks; after 1-week wash out, another baseline and 2 weeks.

  6. Changes in flavanone metabolites between baseline and endpoint within the intervention group vs. control group

    Flavanone metabolites will be measured prior to and following 2-week consumption of either blood orange juice or a control drink.

    Time frame: Baseline and 2 weeks; after 1-week wash out, another baseline and 2 weeks.

  7. Changes in cyclic guanosine monophosphate (cGMP) between baseline and endpoint within the intervention group vs. control group

    Cyclic guanosine monophosphate (cGMP) will be measured prior to and following 2-week consumption of either blood orange juice or a control drink.

    Time frame: Baseline and 2 weeks; after 1-week wash out, another baseline and 2 weeks.

07

Study locations

1 site
  • University of Leeds
    Leeds, LS2 9JT, United Kingdom
08

References and documents

Publications

  • Muller-Delp JM, Lubahn DB, Nichol KE, Philips BJ, Price EM, Curran EM, Laughlin MH. Regulation of nitric oxide-dependent vasodilation in coronary arteries of estrogen receptor-alpha-deficient mice. Am J Physiol Heart Circ Physiol. 2003 Nov;285(5):H2150-7. doi: 10.1152/ajpheart.00966.2002. Epub 2003 Jul 24. PubMed 12881205 ↗
  • Perticone F, Ceravolo R, Candigliota M, Ventura G, Iacopino S, Sinopoli F, Mattioli PL. Obesity and body fat distribution induce endothelial dysfunction by oxidative stress: protective effect of vitamin C. Diabetes. 2001 Jan;50(1):159-65. doi: 10.2337/diabetes.50.1.159. PubMed 11147782 ↗
  • Thijssen DH, Black MA, Pyke KE, Padilla J, Atkinson G, Harris RA, Parker B, Widlansky ME, Tschakovsky ME, Green DJ. Assessment of flow-mediated dilation in humans: a methodological and physiological guideline. Am J Physiol Heart Circ Physiol. 2011 Jan;300(1):H2-12. doi: 10.1152/ajpheart.00471.2010. Epub 2010 Oct 15. PubMed 20952670 ↗
  • Li L, Lyall GK, Martinez-Blazquez JA, Vallejo F, A Tomas-Barberan F, Birch KM, Boesch C. Blood Orange Juice Consumption Increases Flow-Mediated Dilation in Adults with Overweight and Obesity: A Randomized Controlled Trial. J Nutr. 2020 Sep 1;150(9):2287-2294. doi: 10.1093/jn/nxaa158. PubMed 32510144 ↗

Study documents

  • Study protocol · Jan 10, 2017
  • Statistical analysis plan · Jan 10, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 19, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03611114
Lead sponsor
University of Leeds
Responsible party
Karen Birch (PhD, University of Leeds) — Principal investigator
First posted
Aug 2, 2018
Start date
Jan 10, 2017
Primary completion
Jun 21, 2017
Completion
Aug 30, 2018
Last update
Jul 19, 2019

Study contacts

Lu Li, PhD
principal investigator · University of Leeds
Karen M Birch, PhD
study director · University of Leeds
Christine Bosch, PhD
study chair · University of Leeds

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.

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