ISRCTN ISRCTN10834747
DOI https://doi.org/10.1186/ISRCTN10834747
Secondary identifying numbers TDM_25_2015
Submission date
24/05/2017
Registration date
08/06/2017
Last edited
23/10/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims:
There is increasing concern that consumption of free sugars, particularly in the form of sugar-sweetened drinks, may lead to a reduced intake of nutritious foods and increased total calorie intake, leading to an unhealthy diet, weight gain and increased risk of disease. The WHO suggests that the amount of sugar in the diet should drop from 10% to 5% as energy, mainly derived from natural foods such as fruit juices and honey. Fruit juices have a high glycaemic index, meaning that they cause a spike in blood sugar levels. However a recent study showed that fruit juice consumption does not have a significant effect on the fasting sugar and insulin (the hormone which helps the body to process sugar) levels. In addition, the influence of ghrelin (the hormone which makes people feel hungry) on blood sugar control may also be related. There is a lack of studies investigating the effects of different fruit juices on blood sugar and insulin responses at the after meals. Therefore, the aim of the present study is to investigate the effects of fruits, particularly orange and various orange juices on blood sugar and insulin levels immediately after consumption in healthy young adults.

Who can participate?
Healthy adults aged 18-22 of normal weight and obese adults of the same age.

What does the study involve?
All participants attend a total of three study visits on three consecutive days. On the first visit participants consume a raw orange, on the second visit they consume 100% fresh orange juice, and on the third visit they consume nectar sweetened orange juice. Before consuming the drink and then 30, 60, 90 and 120 minutes after, participants have samples of blood collected to test their blood sugar and insulin levels

What are the possible benefits and risks of participating?
There are no direct benefits or risks involved with participating.

Where is the study run from?
The Doctors Medical Center (United Arab Emirates)

When is study starting and how long is it expected to run for?
July 2016 to July 2020

Who is funding the study?
Zayed University (United Arab Emirates)

Who is the main contact?
Professor Dimitrios Papandreou

Contact information

Prof Dimitrios Papandreou
Scientific

Zayed University
Khalifa B City
Abudhabi
144534
United Arab Emirates

ORCiD logoORCID ID 0000-0002-4923-484X

Study information

Study designInterventional non-randomised study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typePrevention
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEffects of raw orange, 100% fresh orange juice and nectar sweetened orange juice on plasma blood glucose, insulin and ghrelin levels among normal and obese adults
Study hypothesisThe nectar sweetened orange juice and the 100% fresh juice will not significantly increase blood glucose and insulin levels post-prandially.
Ethics approval(s)Ethical Committee of Zayed University and Doctors' Medical Center, 25/11/2016, ref: ZU_081-F and TDMC_25_2015
ConditionBlood glucose levels in healthy people after consumption of fruit or fruit juice
Intervention10 normal and 10 obese participants attend three study visits on consecutive days.

Visit 1: Participants consume the raw orange
Visit 2: Participants consume 100% fresh orange juice
Visit 3: Participants consume nectar sweetened orange juice

Blood glucose, insulin, and ghrelin will be evaluated at 0, 30, 60, 90 and 120 minutes post-prandially on each study visit.
Intervention typeOther
Primary outcome measure1.Plasma Glucose is measured by hexokinase enzymatic method (Cobas, Roche USA) at baseline and 30, 60, 90 and 120 minutes postprandial
2. Plasma Insulin is measured by ECLIA method (Cobas 6000, Roche, USA) at baseline and 30, 60, 90 and 120 minutes postprandial
Secondary outcome measuresGhrelin levels are measured by immunochemilunometric assay (IDS, SMBH, Germany) at baseline and 30, 60, 90 and 120 minutes postprandial.
Overall study start date10/05/2017
Overall study end date10/06/2017

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit22 Years
SexFemale
Target number of participants20
Total final enrolment20
Participant inclusion criteriaHealthy participants:
1. Aged 18-22 years
2. Female
3. Healthy
4. BMI < 25

Obese participants:
1. Aged 18-22 years
2. Female
3. Healthy
4. BMI > 27
Participant exclusion criteria1. Males
2. Aged under 18 and over 22 years
3. Taking medications, supplements
4. Being on a specific diet
Recruitment start date15/05/2017
Recruitment end date30/05/2017

Locations

Countries of recruitment

  • United Arab Emirates

Study participating centre

The Doctors Medical Center
Villa T6 Al Batten Street
Khalydia
AbuDhabi
144539
United Arab Emirates

Sponsor information

The Doctors Medical Center
Hospital/treatment centre

106 Batten Str Khalydia
Abu Dhabi
63086
United Arab Emirates

Funders

Funder type

University/education

Zayed University
Government organisation / Local government
Alternative name(s)
ZU
Location
United Arab Emirates

Results and Publications

Intention to publish date30/09/2018
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
Publication and dissemination planPlanned publication in a peer reviewed journal.
IPD sharing planThe datasets generated and/or analysed during the current study during this study will be included in the subsequent results publication.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 10/09/2019 23/10/2019 Yes No

Editorial Notes

23/10/2019: The following changes were made:
1. Publication reference added.
2. The final enrolment number was added from the reference.
29/08/2018: The intention to publish date was changed from 10/12/2017 to 30/09/2018.