The effect of the natural mineral supplement Aquamin™ together with the short chain fructooligosaccaride Nutraflora® on bone health in post-menopausal women

ISRCTN ISRCTN63118444
DOI https://doi.org/10.1186/ISRCTN63118444
Protocol serial number N/A
Sponsor Marigot Ltd (Ireland)
Funder Marigot Ltd (Ireland)
Submission date
12/08/2009
Registration date
02/10/2009
Last edited
01/08/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Emeir Duffy
Scientific

University of Ulster
Coleraine Campus
Coleraine
BT52 1SA
United Kingdom

Phone +44 (0)28 7032 3543
Email em.duffy@ulster.ac.uk

Study information

Primary study designInterventional
Study designDouble-blind randomised placebo-controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleThe effect of the mineral supplement Aquamin™ together with the short chain fructooligosaccaride Nutraflora® on bone mineral density and bone turnover markers in post-menopausal women: a double-blind, randomised, placebo-controlled trial
Study objectivesOsteoporosis and low bone mass is becoming a major public health problem with post-menopausal women being at the highest risk. Osteoporosis is a disease characterised by low bone mineral density (BMD), where the structure of bone deteriorates, making it more susceptible to fractures, especially in the spine, hip and wrist. A recent animal study has shown the mineral supplement Aquamin™ to enhance bone mineral density. Furthermore, there is also evidence that short-chain fructooligosaccharide (Nutraflora®) supplementation enhances bone mineral density in rats. This study sets out to investigate the effect of supplementation of Aquamin™ together with the short chain fructooligosaccaride Nutraflora® on bone health using bone mineral density and bone turnover markers as indicators of bone health in post-menopausal women.
Ethics approval(s)Research Ethics Committee of the University of Ulster approved on the 21st July 2008 (ref: REC/08/0083)
Health condition(s) or problem(s) studiedOsteoporosis
InterventionEach treatment is incorporated into chocolate chews and will be supplemented with 2 x chocolate flavoured chews. Individuals are supplemented per day for 2 years.
Treatment 1: Placebo (maltrodextrin)
Treatment 2: Aquamin™ (1800 mg/d) alone
Treatment 3: Aquamin™ (1800 mg/d) with Nutraflora® (3.6 g/d)
Intervention typeDrug
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Aquamin™, Nutraflora®
Primary outcome measure(s)

Bone mineral density: dual energy X-ray absorptiometry

Key secondary outcome measure(s)

1. Bone resorption and formation markers:
1.1. Serum CTx: ELISA
1.2. Urinary deoxypryridinoline cross-links: ELISA
1.3. Urinary CTx: ELISA
2. Serum intact osteocalcin: ELISA
3. Serum N-terminal midfragment OC: ELISA
4. Vitamin D: ELISA
5. Free calcium: ELISA
6. Parathyroid hormone: ELISA
7. Salivary Cortisol: ELISACalcium: Automated instrument (Instrumentation Laboratories UK Ltd, Warrington, UK)
8. Phosphate: Automated instrument (Instrumentation Laboratories UK Ltd, Warrington, UK)
9. Full Blood Profile: Sysmex full blood analyser
10. Electrolytes: Automated instrument (Instrumentation Laboratories UK Ltd, Warrington, UK)
11. Liver function:
11.1. Albumin: Automated instrument (Instrumentation Laboratories UK Ltd, Warrington, United)
11.2. Alanine transaminase: Automated instrument (Instrumentation Laboratories UK Ltd, Warrington, UK)
11.3. Gamma-glutamyltransferase: Automated instrument (Instrumentation Laboratories UK Ltd, Warrington, United)
11.4. Total bilirubin: Automated instrument (Instrumentation Laboratories UK Ltd, Warrington, United)
11.5. Alkaline Phosphatase: Automated instrument (Instrumentation Laboratories UK Ltd, Warrington, UK)
12. Total protein: Automated instrument (Instrumentation Laboratories UK Ltd, Warrington, UK)
13. Anthropometric measurements: height, weight, waist circumference, measured using standardised procedures
14. Blood pressure
15. Mean daily dietary intake (4-day diet diary)
16. Habitual dietary intake: Food Frequency Questionnaire
17. Exercise: Physical Activtiy Questionnaire
18. Sun Exposure: Questionnaire

Completion date31/07/2011

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target sample size at registration300
Total final enrolment300
Key inclusion criteria1. Apparently healthy post-menopausal female volunteers (defined as having no menstrual period, bleeding or spotting during 1 year prior to enrolment)
2. Aged 48 - 75 years old
3. Weight less than 136 kg (DEXA [dual energy x-ray absorptiometry] limit 136 kg)
4. Community dwelling and fully mobile, with hormone implants (if used) removed at least one year prior to randomisation
Key exclusion criteria1. Osteoporotic bone density (T-score less than -2.5)
2. Corticosteroid medications during the previous 6 months
3. History/presence of chronic renal, hepatic, gastrointestinal disease or traumatic lumbar compression fracture
4. Evidence of collapsed or focal vertebral sclerosis
5. Menopause before the age of 40 years
6. Bone diseases or other condition known to affect bone status
7. Treatment with specific therapy for osteoporosis
8. Uncontrolled hypertension or heart failure, renal calculi
9. Volunteers should not have used any prescribed medication known to affect bone status
10. Use of dietary supplements containing calcium and vitamin D three months prior to the study
Date of first enrolment01/01/2009
Date of final enrolment31/07/2011

Locations

Countries of recruitment

  • United Kingdom
  • Northern Ireland
  • Ireland

Study participating centre

University of Ulster
Coleraine
BT52 1SA
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/03/2014 Yes No
Other publications Associations of long chain polyunsaturated fatty acids with bone mineral density and bone turnover 30/07/2022 01/08/2022 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

01/08/2022: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the main results reference.