Effects of increased consumption of leaf and stalk vegetables and beetroot on cardiovascular function: VegBP project

ISRCTN ISRCTN03012467
DOI https://doi.org/10.1186/ISRCTN03012467
Secondary identifying numbers 8420
Submission date
27/10/2010
Registration date
27/10/2010
Last edited
04/10/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Sumanto Haldar
Scientific

School of Agriculture Food and Rural Department
Claremont Road
Newcastle Upon Tyne
NE1 7RU
United Kingdom

Email sumanto.haldar@ncl.ac.uk

Study information

Study designSingle-centre randomised interventional prevention trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typePrevention
Scientific titleEffects of increased consumption of leaf and stalk vegetables and beetroot on cardiovascular function: VegBP project
Study acronymVegBP
Study objectivesCardiovascular diseases (CVD) are the principal cause of death and morbidity in the UK and the risk of CVD is directly related to increases in blood pressure. Therefore, it is essential to maintain blood pressure within an optimal range in order to reduce CVD risk. Previous epidemiological studies suggested that increased fruits and vegetables intake may reduce blood pressure, although the specific type(s) of fruits and/or vegetables which are responsible for this effect is not known. In particular, green leafy or other salad vegetables (such as beetroot) high in nitrates may be responsible, since nitric oxide formed naturally in the body from these nitrates play an important role in maintaining the function of blood vessels.

Therefore, in the present study we will investigate effects of increased consumption of green-leafy or other salad vegetables on blood pressure in comparison with other vegetables such as carrots, broccoli (low in nitrates). Volunteers recruited will be instructed to avoid all vegetables that are high in nitrates from a list provided for the first eight weeks of the study. After this 'washout' period, volunteers will be randomly assigned to three different groups. Each group will be asked to have 100 g/day of specific vegetables in addition to their normal diet for a further 16 weeks. Group 1 will have green-leafy or other salad vegetables, Group 2 will have other vegetables (low in nitrates) and Group 3 will have half of each type of vegetables as consumed by Groups 1 and 2.

Using non-invasive devices, resting blood pressure, 24 hour blood pressure and flow in blood vessels (using ultrasound) in the arm will be measured at the start of the study and after every 8 weeks throughout the study. Blood and saliva samples will also be collected during these occasions to monitor biochemical changes related to specific vegetable intake and monitor compliance to the study protocol.
Ethics approval(s)MREC approved on 22/06/2010, ref: 10/H0908/27
Health condition(s) or problem(s) studiedTopic: Primary Care Research Network for England, Cardiovascular, Generic Health Relevance and Cross Cutting Themes; Subtopic: Not Assigned, Cardiovascular (all Subtopics), Generic Health Relevance (all Subtopics); Disease: Cardiovascular, All Diseases, Public Health Research
InterventionVegetable Group 1: Additional consumption of 100 g per day of vegetables from mixed leaf lettuce, beetroot and spinach for a 16-week intervention period
Vegetable Group 2: Additional consumption of 100 g per day of vegetables from yellow tomatoes, peas and sweetcorn for a 16-week intervention period
Vegetable Group 3: Additional consumption of 50 g per day of vegetables from mixed leaf lettuce, beetroot and spinach and 50 g per day of vegetables from peas, sweetcorn and yellow tomatoes for a 16-week intervention period

Follow up length: 6 months
Study entry: single randomisation only
Intervention typeOther
Primary outcome measureSeated Blood Pressure, measured twice within 1 week every 8 weeks over a 24 week period (8 times in total).
Secondary outcome measures1. 24-hour ambulatory blood pressure, measured once every 8 weeks over a 24-week period (4 measurements in total)
2. C-reactive protein (CRP) and biochemical markers of endothelial function, measured twice within 1 week every 8 weeks over a 24-week period (8 times in total)
3. Fasting blood glucose, measured once every 8 weeks over a 24-week period (4 measurements in total)
4. Fasting blood lipid profile, measured twice within 1 week every 8 weeks over a 24-week period (8 measurements in total)
5. Flow mediated dilation, measured once every 8 weeks over a 24-week period (4 measurements in total)
6. Plasma carotenoids and polyphenols, measured twice within 1 week every 8 weeks over a 24-week period (8 times in total)
7. Weight and body composition, measured once every 8 weeks over a 24-week period (4 times in total)
Overall study start date15/07/2010
Completion date17/12/2012

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participantsPlanned sample size: 225; UK sample size: 225
Key inclusion criteria1. Male or female subjects aged 40 - 75 years
2. Systolic blood pressure in the range 130 - 150 mmHg
Key exclusion criteria1. Body mass index (BMI) greater than 30 kg/m2
2. Habitual consumption of green leafy vegetables higher than the population mean (= exclusion of the highest quartile, since the distribution of intake is highly skewed)
3. Recent or current serious disease (cancer, cardiovascular disease [CVD], etc.)
4. History of persistent gastric reflux or H. pylori infection
5. Allergies or intolerances to intervention foods
6. Planning to change dietary habits, increase physical activity, change body weight or move away from the study locality during the time of the study
7. Smokers
8. Taking antihypertensives for elevated blood pressure
9. Taking prescribed nitrates for angina or heart failure
10. Taking statins
11. History of substance abuse or alcoholism
Date of first enrolment15/07/2010
Date of final enrolment17/12/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Newcastle University
Newcastle Upon Tyne
NE1 7RU
United Kingdom

Sponsor information

Newcastle upon Tyne Hospitals NHS Foundation Trust (UK)
Hospital/treatment centre

Midwifery Research Department
Leazes Wing
Queen Victoria Road
Newcastle upon Tyne
NE1 4LP
England
United Kingdom

Website http://www.newcastle-hospitals.org.uk/
ROR logo "ROR" https://ror.org/05p40t847

Funders

Funder type

Government

Food Standards Agency (FSA) (UK) (ref: N02046)
Private sector organisation / Other non-profit organizations
Alternative name(s)
The Food Standards Agency, FSA
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

04/10/2017: No publications found in PubMed, verifying study status with principal investigator.