Effect of the probiotic cheese on high-normal blood pressure

ISRCTN ISRCTN29105501
DOI https://doi.org/10.1186/ISRCTN29105501
Secondary identifying numbers 202M-25
Submission date
29/10/2012
Registration date
15/11/2012
Last edited
07/02/2022
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

Background and study aims
Having high blood pressure (hypertension) increases the risk of serious problems such as heart attacks and strokes. Reducing blood pressure reduces the risk of heart disease and stroke. Lifestyle and diet changes are helpful for people whose blood pressure is higher than normal but not high enough to require drug treatment. The aim of this study is to assess the effect of a probiotic Edam-type cheese on blood pressure reduction.

Who can participate?
Generally healthy people aged 18 and over with elevated blood pressure, who do not take medication

What does the study involve?
Participants are randomly allocated to eat 50 g per day of either probiotic cheese or normal cheese. The study duration is 4 weeks, and participants are asked to assess their well-being and gastrointestinal (digestive) effects, and also to provide blood, urine and fecal samples to test the effect of the probiotic.

What are the possible benefits and risks of participating?
Participants receive an assessment of their health status and if necessary, a free consultation
with a nutritionist and/or a specialist. The study causes minimal inconvenience to participants. As blood samples are taken by an experienced nurse, the procedure is safe. However, as with any blood test there may be bruising and discomfort at the site of the blood test. The amounts of blood we are taking are small enough that they should not make you feel fatigue or cause anemia.

Where is the study run from?
The Centre for Clinical and Physiological Research of the Bio-Competence Centre of Healthy Dairy Products LLC in Tartu, Estonia

When is the study starting and how long is it expected to run for?
March to December 2012

Who is funding the study?
EU Structural Funds

Who is the main contact?
Dr Pirje Hütt
pirje.hutt@ut.ee

Contact information

Dr Epp Songisepp
Scientific

Kreutzwaldi 1
Tartu
51014
Estonia

Email esongisepp@gmail.com

Study information

Study designRandomized double-blind controlled parallel-designed two-armed intervention trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEffect of the probiotic Südamejuust (cheese) comprising Lactobacillus plantarum TENSIA DSM 21380 on subjects with high-normal blood pressure: a randomized blinded controlled parallel designed two armed study
Study hypothesisThe consumption of probiotic cheese helps to maintain the normal blood pressure by reducing high-normal systolic and/or diastolic blood pressure.
Ethics approval(s)Human Research Ethics Review Committee, University of Tartu, 14/03/2011, ref: 202M-25
ConditionPrehypertension
InterventionParticipants randomised to active or control group will be required during 4+4 weeks:
1. Active intervention: probiotics cheese 50g per day (probiotic Lactobacillus plantarum TENSIA daily dose: 10^10 colony forming units [CFU])
2. Control: 50 g control cheese without probiotic additive
Intervention typeOther
Primary outcome measure(Systolic) blood pressure, measured pre intervention, after 4 weeks and at the end of the intervention
Secondary outcome measures1. Reduction in DBP
2. Differences between verum and placebo in DBP values
3. Difference between verum and placebo in blood pressure values for the period 5 -8 weeks of product intake (by comparison of levels after 8 weeks with the levels after 4 weeks)
4. Samples are collected at run-in, baseline, after 4 weeks and at the end

Measured pre intervention, after 4 weeks and at the end of the intervention
Overall study start date01/03/2012
Overall study end date31/12/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants150 (75 subjects in each arm)
Participant inclusion criteria1. Wish to participate
2. Male and female subjects aged between 18 - –65 years with a body weight between 50 and 100 kg and a body mass index between 18–29.9 kg/m2
3. High normal (130 - –139 / 85 - –89 mmHg) or hypertension grade 1 (140 -– 159/90 - –99 mmHg) baseline blood pressure (BP) levels, as defined by ESH/ESC guidelines
4. Normal or not clinically significant deviations in safety laboratory values (clinical chemistry, blood count), WBC <8.8x 109/L, hs-CRP <5 mg/L; fasting glucose <6.0mmol/L, serum creatinine females <80 μmol/L, serum creatinine males <106 μmol/L, HbA1c < 6.5%
5. No use of any concomitant treatment which could influence the evaluation of the efficacy and tolerability of the investigational study product within one month prior to study start, including:
5.1. Supplementation with e.g. omega-3 fatty acids, omega-6 fatty acids, potassium, garlic, gingko biloba, polyphenols (e.g. quercetin), calcium, niacin, soy protein, green tea extract, oat fibre, plant sterols, psyllium seed husk or probiotics/probiotics
5.2. Intake of high amounts of walnuts
6. Signed informed consent
Participant exclusion criteria1. History of any gastrointestinal disease
2. Use of any antimicrobial drug within last month
3. Use of any regular concomitant medication, including medical preparations including non-steroidal anti-inflammatory drugs and antioxidant vitamins
4. Food allergy
5. Diabetes and acute infection
6. Pregnancy or breastfeeding
7. SBP ≤ 129 mmHg and/or DBP ≤ 84 mmHg
7.1. Hypertension grade > 1 as defined by a SBP ≥160 mmHg and/or DBP ≥100 mmHg
7.2. History (e.g. stroke) or clinical signs of cardiovascular abnormalities, in particular cardiac arrhythmia and bradycardia (pulse rate <50 beats per minute)
Recruitment start date01/03/2012
Recruitment end date31/12/2012

Locations

Countries of recruitment

  • Estonia

Study participating centre

Kreutzwaldi 1
Tartu
51014
Estonia

Sponsor information

BioCC OÜ
Research organisation

Kreutzwaldi 1
Tartu
51014
Estonia

Email merlera@ut.ee
Website https://www.tptak.ee

Funders

Funder type

Government

European Union (EU) Structural Funds, ref: EU30002

No information available

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 planNot provided at time of registration

Editorial Notes

07/02/2022: The sponsor organisation has been changed from "Bio-Competence Centre of Healthy Dairy Products LLC (Estonia)" to "BioCC OÜ"
12/09/2016: Plain English summary added.