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Study of Chokeberry to Reduce Cardiovascular Disease Risk in Former Smokers

The Effect of Chokeberry Polyphenols on Biomarkers of Cardiovascular Disease and Antioxidant Defenses in Former Smokers

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01541826
Enrollment
62
Registered
2012-03-01
Start date
2012-02-29
Completion date
2016-12-31
Last updated
2017-07-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cardiovascular Disease, Oxidative Stress

Keywords

aronia, LDL cholesterol, polyphenols, bioavailability, oxidative stress

Brief summary

The purpose of this project is to determine whether chokeberry polyphenols mitigate cardiovascular disease risk in former smokers.

Detailed description

More than 31% of Connecticut adults are former smokers, which may contribute to the high cardiovascular disease (CVD) risk in this state. Atherosclerosis, a hallmark of CVD, is a progressive life-long process. Chronic cigarette smoking increases atherosclerosis and CVD risk. While smoking cessation may lower CVD risk, former smokers still are at high CVD risk. The mechanisms by which smoking accelerates atherosclerosis formation are not fully understood. This knowledge gap prevents development of informed interventions to reduce CVD risk in former smokers. Previous work suggests smoking increases oxidative stress and leads to elevated CVD risk. Former smokers also have decreased antioxidants and markers of vascular function in the circulation, suggesting that despite cessation, smoking has a lingering adverse effect on CVD protective mechanisms. Chokeberry (Aronia melanocarpa) is a native Connecticut plant rich in polyphenol antioxidants and is a promising intervention for reducing CVD risk in former smokers. Chokeberries have diverse polyphenols such as anthocyanins, proanthocyanidins, resveratrol, quercetin, and chlorogenic acid. Chokeberry consumption improves dyslipidemia, inhibits inflammation, and reduces oxidative stress in humans and animals, all of which could contribute to the prevention of CVD in former smokers. Therefore, our central hypothesis is that dietary chokeberry polyphenols reduce CVD risk in former smokers by improving lipid profiles and inhibiting inflammation and oxidative stress. Our long-term goal is to define the mechanisms by which polyphenol antioxidants mitigate CVD risk. The overall goal of this project is to conduct a randomized placebo-controlled clinical trial to evaluate the cardio-protective effects of dietary chokeberry polyphenols in former smokers. Our objectives are to determine 1) the effect of chokeberry polyphenols on plasma cholesterol and triglyceride levels and on gene expression involved in cholesterol metabolism; 2) the extent to which chokeberry improves antioxidant and vascular function in former smokers; and 3) the association of bioavailability of chokeberry polyphenols to changes in biomarkers of CVD risk. Successful completion of this work will result in improved understanding of the role of dietary berry polyphenols to regulate lipid metabolism, inflammation and oxidative stress. Thus, this study will be an important step to developing dietary recommendations for individuals predisposed to CVD risk, particularly former smokers.

Interventions

DIETARY_SUPPLEMENTChokeberry Extract

Consumption of 2 x 250 mg chokeberry extract capsules daily for 12 weeks.

DIETARY_SUPPLEMENTPlacebo capsule

Color-matched rice powder pill, 2 x 250 mg/day for 12 weeks

DIETARY_SUPPLEMENTChokeberry extract capsule, acute

Chokeberry extract capsule, 2 x 250 mg, one-time dose.

Sponsors

University of Connecticut
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Former smoker (previously smoked ≥3 cigarettes/day for at least 1 year, cessation for at least 6 months * Healthy male or female between 18-65 y * Serum clinical ranges no more than mildly elevated (serum cholesterol \<240 mg/dL) and serum triglyceride (\<150 mg/dL) * Resting blood pressure \<140/90 mm Hg * Stable body weight (±5 lb) for last 2 months * BMI ranges within normal and overweight (18.5-39 kg/m2) * Willing to maintain normal exercise level (\<7 h/wk) * Willing to avoid exercise 24 h prior to blood sampling * Willing to ingest a dietary chokeberry supplement or placebo (500 mg/d) daily for 12 wks.

Exclusion criteria

* Previous diagnoses of CVD, diabetes, or arthritis (except for osteo-arthritis) * Currently being treated for cancer (i.e., chemotherapy, radiation therapy) * Women with prescribed estrogen replacement therapy * Practicing slimming diet * Practicing vegetarian diet * Currently taking vitamin or mineral supplements or plant pills * Alcohol consumption exceeding the definition of moderate drinking (2 drinks/day or a total of 12/week for men or 1 drink/day or a total of 7/week for women)

Design outcomes

Primary

MeasureTime frameDescription
LDL CholesterolBaseline, 6 weeks, 12 weeks of interventionChange in LDL cholesterol from baseline after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Secondary

MeasureTime frameDescription
HDL-cholesterol6 and 12 weeks after supplementationChange in fasting plasma cholesterol from baseline after chronic supplemenation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Triglycerides6 and 12 weeks after supplementationChange in fasting plasma triglycerides from baseline after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Resting Systolic Blood PressureBaseline, 6 weeks, and 12 weeks following interventionChange in resting systolic blood pressure after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Resting Diastolic Blood PressureBaseline, 6 weeks, and 12 weeks following interventionChange in resting diastolic blood pressure after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Urinary F2-isoprostanesBaseline and 12 weeks following interventionChange in resting urinary F2-isoprostanes after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
3-hydroxy-3-methyl-glutaryl Coenzyme A Reductase (HMGR)Baseline, 12 wkMonocyte messenger ribonucleic acid (mRNA) expression normalized to glyceraldehyde-3-phosphate dehydrogenase (GAPDH) after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
LDL Receptor (LDLR)Change from baseline at 12 weeksMonocyte LDL receptor mRNA normalized to glyceraldehyde-3-phosphate dehydrogenase after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
LDL Receptor (LDLR) ProteinBaseline, 12 weeksMonocyte LDL receptor protein by Western blot, normalized to β-actin after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Plasma Area Under the Curve of Chokeberry Polyphenols and Their Metabolites.0, 0.5, 1, 2, 4, 6, 9, 12, and 24 hours following dosePlasma area under the curve of chokeberry polyphenols and their metabolites. Measurement (time 0) began at study baseline. Not determined in chronic arms (Color-matched Rice Powder Pill or Chokeberry Extract Capsule).
Urinary Excretion of Polyphenols0 to 24 h after consumption of extractUrinary excretion of polyphenols, from 0 to 24 h after consumption of extract, area under the curve (AUC) in Chokeberry Extract Capsule (acute) arm only.
AdiponectinBaseline, 6 weeks, 12 weeksFasting plasma adiponectin after chronic consumption. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Interleukin-1 BetaBaseline, 6 weeks, 12 weeksFasting plasma interleukin-1 beta after chronic consumption. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Interleukin-6Baseline, 6 weeks, 12 weeksFasting plasma interleukin-6 after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Monocyte Chemoattractant Protein-1Baseline, 6 weeks, 12 weeksFasting plasma monocyte chemoattractant protein-1 after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Tumor Necrosis Factor-alphaBaseline, 6 weeks, 12 weeksFasting plasma Tumor necrosis factor-alpha after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Total Cholesterol6 and 12 weeks after supplementationChange in fasting total cholesterol from baseline after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Intercellular Adhesion Molecule 1Baseline, 6 weeks, 12 weeksFasting plasma intercellular adhesion molecule 1 after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Soluble Vascular Cell Adhesion Molecule 1Baseline, 6 weeks, 12 weeksFasting plasma soluble vascular cell adhesion molecule 1 after chronic consumption. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
P-selectinBaseline, 6 weeks, 12 weeksFasting plasma P-selectin after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Total Antioxidant CapacityBaseline, 6 weeks, 12 weeksFasting plasma total antioxidant capacity after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Catalase ActivityBaseline, 6 weeks, 12 weeksCatalase activity after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Glutathione Peroxidase ActivityBaseline, 6 weeks, 12 weeksFasting plasma glutathione peroxidase activity after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Superoxide Dismutase ActivityBaseline, 6 weeks, 12 weeksFasting plasma superoxide dismutase after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Urinary Polyphenol Excretion12 weeksOvernight urinary polyphenol excretion after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Energy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, FiberBaseline, 12 weeksEnergy-adjusted intake based on 3-day dietary recalls, determined by the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Energy IntakeBaseline, 12 weeksEnergy intake reported from 3-day dietary recalls at baseline and 12 weeks, determined by the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Energy-adjusted Micronutrient IntakeBaseline, 12 weeksEnergy-adjusted micronutrient intake from 3-day dietary recalls at baseline and 12 weeks. Values reported as the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Polyphenol IntakeBaseline, 12 weeksEnergy-adjusted polyphenol intake assessed by 3-day dietary recalls at baseline and 12 weeks, values determined by average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Intake of Dietary Antioxidant CapacityBaseline, 12 weeksEnergy-adjusted intake of dietary antioxidant capacity determined by 3-day dietary recalls at baseline and 12 weeks. Values reported as average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
Energy-adjusted Vitamin A IntakeBaseline, 12 weeksEnergy-adjusted vitamin A intake from 3-day dietary recalls at baseline and 12 weeks. Values reported as the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.
C-reactive ProteinBaseline, 6 weeks, 12 weeksFasting plasma C-reactive protein after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Countries

United States

Participant flow

Participants by arm

ArmCount
Color-matched Rice Powder Pill
Color-matched rice powder pill Placebo capsule: Color-matched rice powder pill, 2 x 250 mg/day for 12 weeks
24
Chokeberry Extract Capsule
Chokeberry extract capsule Chokeberry Extract: Consumption of 2 x 250 mg chokeberry extract capsules daily for 12 weeks.
25
Chokeberry Extract Capsule (Acute)
Chokeberry extract capsule, acute: Chokeberry extract capsule, 2 x 250 mg, one-time dose.
6
Total55

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyLost to Follow-up230
Overall StudyWithdrawal by Subject200

Baseline characteristics

CharacteristicChokeberry Extract Capsule (Acute)Chokeberry Extract CapsuleColor-matched Rice Powder PillTotal
Age, Continuous31.3 years
STANDARD_DEVIATION 12.8
32.6 years
STANDARD_DEVIATION 12.7
37.4 years
STANDARD_DEVIATION 14.8
34.9 years
STANDARD_DEVIATION 13.9
Average years of smoking4.8 years
STANDARD_DEVIATION 3
8.96 years
STANDARD_DEVIATION 6.68
14.9 years
STANDARD_DEVIATION 11.9
11.9 years
STANDARD_DEVIATION 10
BMI24.1 kg/m^2
STANDARD_DEVIATION 2.3
25.7 kg/m^2
STANDARD_DEVIATION 5
27.2 kg/m^2
STANDARD_DEVIATION 4.7
26.5 kg/m^2
STANDARD_DEVIATION 4.9
Degree of past smoking
11-15 cigarettes/day
2 Participants4 Participants4 Participants10 Participants
Degree of past smoking
16-20 cigarettes/day
0 Participants6 Participants11 Participants17 Participants
Degree of past smoking
>20 cigarettes/day
1 Participants4 Participants3 Participants8 Participants
Degree of past smoking
3-5 cigarettes/day
1 Participants4 Participants2 Participants7 Participants
Degree of past smoking
6-10 cigarettes/day
1 Participants7 Participants4 Participants12 Participants
Diastolic blood pressure73.3 mmHg
STANDARD_DEVIATION 4.7
75.3 mmHg
STANDARD_DEVIATION 12
76.0 mmHg
STANDARD_DEVIATION 10.4
75.6 mmHg
STANDARD_DEVIATION 11
HDL-cholesterol54.8 mg/dL
STANDARD_DEVIATION 15.7
26.8 mg/dL
STANDARD_DEVIATION 7.6
28.7 mg/dL
STANDARD_DEVIATION 6.1
27.6 mg/dL
STANDARD_DEVIATION 6.9
Height1.74 m
STANDARD_DEVIATION 0.97
1.71 m
STANDARD_DEVIATION 0.83
1.73 m
STANDARD_DEVIATION 0.92
1.72 m
STANDARD_DEVIATION 0.87
LDL-cholesterol99.2 mg/dL
STANDARD_DEVIATION 19.2
175 mg/dL
STANDARD_DEVIATION 54
158 mg/dL
STANDARD_DEVIATION 30
168 mg/dL
STANDARD_DEVIATION 44
Sex: Female, Male
Female
3 Participants12 Participants13 Participants28 Participants
Sex: Female, Male
Male
3 Participants13 Participants11 Participants27 Participants
Systolic blood pressure111.3 mmHg
STANDARD_DEVIATION 7.7
117 mmHg
STANDARD_DEVIATION 16
121 mmHg
STANDARD_DEVIATION 14
119 mmHg
STANDARD_DEVIATION 15
Total cholesterol160 mg/dL
STANDARD_DEVIATION 30
220 mg/dL
STANDARD_DEVIATION 63
203 mg/dL
STANDARD_DEVIATION 36
213 mg/dL
STANDARD_DEVIATION 51
Total cholesterol/HDL cholesterol3.2 dimensionless ratio
STANDARD_DEVIATION 0.7
8.5 dimensionless ratio
STANDARD_DEVIATION 2.7
7.3 dimensionless ratio
STANDARD_DEVIATION 1.5
8.0 dimensionless ratio
STANDARD_DEVIATION 2.3
Triglycerides69.2 mg/dL
STANDARD_DEVIATION 27.1
89.6 mg/dL
STANDARD_DEVIATION 45.4
82.1 mg/dL
STANDARD_DEVIATION 37.3
86.3 mg/dL
STANDARD_DEVIATION 41
Waist circumference79.4 cm
STANDARD_DEVIATION 8.4
90.9 cm
STANDARD_DEVIATION 35.1
86.0 cm
STANDARD_DEVIATION 17.1
88.5 cm
STANDARD_DEVIATION 27.6
Weight72.8 kg
STANDARD_DEVIATION 9.5
77.2 kg
STANDARD_DEVIATION 21.1
81.5 kg
STANDARD_DEVIATION 17.2
79.3 kg
STANDARD_DEVIATION 19.2

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 280 / 280 / 6
other
Total, other adverse events
0 / 280 / 280 / 6
serious
Total, serious adverse events
0 / 280 / 280 / 6

Outcome results

Primary

LDL Cholesterol

Change in LDL cholesterol from baseline after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks of intervention

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillLDL Cholesterol6 weeks0.9 mg/dLStandard Error 4.2
Color-matched Rice Powder PillLDL Cholesterol12 weeks-0.4 mg/dLStandard Error 5.9
Chokeberry Extract CapsuleLDL Cholesterol6 weeks-12.6 mg/dLStandard Error 5.3
Chokeberry Extract CapsuleLDL Cholesterol12 weeks-18.5 mg/dLStandard Error 7.8
Secondary

3-hydroxy-3-methyl-glutaryl Coenzyme A Reductase (HMGR)

Monocyte messenger ribonucleic acid (mRNA) expression normalized to glyceraldehyde-3-phosphate dehydrogenase (GAPDH) after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 12 wk

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder Pill3-hydroxy-3-methyl-glutaryl Coenzyme A Reductase (HMGR)Baseline0.90 relative expression (HMGR/GAPDH)Standard Error 0.06
Color-matched Rice Powder Pill3-hydroxy-3-methyl-glutaryl Coenzyme A Reductase (HMGR)12 weeks1.16 relative expression (HMGR/GAPDH)Standard Error 0.28
Chokeberry Extract Capsule3-hydroxy-3-methyl-glutaryl Coenzyme A Reductase (HMGR)Baseline0.91 relative expression (HMGR/GAPDH)Standard Error 0.06
Chokeberry Extract Capsule3-hydroxy-3-methyl-glutaryl Coenzyme A Reductase (HMGR)12 weeks0.79 relative expression (HMGR/GAPDH)Standard Error 0.12
Secondary

Adiponectin

Fasting plasma adiponectin after chronic consumption. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillAdiponectinBaseline13.2 micrograms/mLStandard Error 1.9
Color-matched Rice Powder PillAdiponectin6 weeks14.2 micrograms/mLStandard Error 2
Color-matched Rice Powder PillAdiponectin12 weeks12.5 micrograms/mLStandard Error 1.6
Chokeberry Extract CapsuleAdiponectinBaseline12.8 micrograms/mLStandard Error 1.5
Chokeberry Extract CapsuleAdiponectin6 weeks13.8 micrograms/mLStandard Error 1.7
Chokeberry Extract CapsuleAdiponectin12 weeks13.2 micrograms/mLStandard Error 1.5
Secondary

Catalase Activity

Catalase activity after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillCatalase ActivityBaseline41.7 nmol/min/mLStandard Error 1.4
Color-matched Rice Powder PillCatalase Activity6 weeks35.5 nmol/min/mLStandard Error 1.2
Color-matched Rice Powder PillCatalase Activity12 weeks41.7 nmol/min/mLStandard Error 2.3
Chokeberry Extract CapsuleCatalase ActivityBaseline41.1 nmol/min/mLStandard Error 2.1
Chokeberry Extract CapsuleCatalase Activity6 weeks38.7 nmol/min/mLStandard Error 1.5
Chokeberry Extract CapsuleCatalase Activity12 weeks41.2 nmol/min/mLStandard Error 1.8
Secondary

C-reactive Protein

Fasting plasma C-reactive protein after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillC-reactive ProteinBaseline2.54 pg/mLStandard Error 0.6
Color-matched Rice Powder PillC-reactive Protein6 weeks2.18 pg/mLStandard Error 0.42
Color-matched Rice Powder PillC-reactive Protein12 weeks2.24 pg/mLStandard Error 0.38
Chokeberry Extract CapsuleC-reactive ProteinBaseline2.01 pg/mLStandard Error 0.34
Chokeberry Extract CapsuleC-reactive Protein6 weeks2.32 pg/mLStandard Error 0.39
Chokeberry Extract CapsuleC-reactive Protein12 weeks2.29 pg/mLStandard Error 0.49
Secondary

Energy-adjusted Micronutrient Intake

Energy-adjusted micronutrient intake from 3-day dietary recalls at baseline and 12 weeks. Values reported as the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 12 weeks

Population: Survey data were not available for two participants in the Color-matched rice powder pill group. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillEnergy-adjusted Micronutrient IntakeVitamin D5.0 mg/dayStandard Error 0.9
Color-matched Rice Powder PillEnergy-adjusted Micronutrient IntakeVitamin E10.6 mg/dayStandard Error 1.1
Color-matched Rice Powder PillEnergy-adjusted Micronutrient IntakeSodium3490 mg/dayStandard Error 160
Color-matched Rice Powder PillEnergy-adjusted Micronutrient IntakeCalcium947 mg/dayStandard Error 58
Color-matched Rice Powder PillEnergy-adjusted Micronutrient IntakeIron16.9 mg/dayStandard Error 1.3
Color-matched Rice Powder PillEnergy-adjusted Micronutrient IntakeVitamin C80.9 mg/dayStandard Error 12.9
Chokeberry Extract CapsuleEnergy-adjusted Micronutrient IntakeIron16.9 mg/dayStandard Error 1.2
Chokeberry Extract CapsuleEnergy-adjusted Micronutrient IntakeVitamin D7.1 mg/dayStandard Error 0.8
Chokeberry Extract CapsuleEnergy-adjusted Micronutrient IntakeCalcium1070 mg/dayStandard Error 50
Chokeberry Extract CapsuleEnergy-adjusted Micronutrient IntakeVitamin E10.8 mg/dayStandard Error 1.1
Chokeberry Extract CapsuleEnergy-adjusted Micronutrient IntakeVitamin C90.9 mg/dayStandard Error 12.1
Chokeberry Extract CapsuleEnergy-adjusted Micronutrient IntakeSodium3480 mg/dayStandard Error 150
Secondary

Energy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, Fiber

Energy-adjusted intake based on 3-day dietary recalls, determined by the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 12 weeks

Population: Survey data were not available for two participants in the Color-matched rice powder pill group. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillEnergy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, FiberCarbohydrate238 g/dayStandard Error 9
Color-matched Rice Powder PillEnergy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, FiberProtein89.2 g/dayStandard Error 3.3
Color-matched Rice Powder PillEnergy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, FiberFat27.8 g/dayStandard Error 4
Color-matched Rice Powder PillEnergy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, FiberFiber23.5 g/dayStandard Error 1.6
Chokeberry Extract CapsuleEnergy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, FiberFiber21.0 g/dayStandard Error 1.5
Chokeberry Extract CapsuleEnergy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, FiberCarbohydrate241 g/dayStandard Error 9
Chokeberry Extract CapsuleEnergy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, FiberFat77.6 g/dayStandard Error 29.5
Chokeberry Extract CapsuleEnergy-adjusted Nutrient Intake: Carbohydrate, Protein, Fat, FiberProtein90.3 g/dayStandard Error 3.1
Secondary

Energy-adjusted Vitamin A Intake

Energy-adjusted vitamin A intake from 3-day dietary recalls at baseline and 12 weeks. Values reported as the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 12 weeks

Population: Survey data were not available for two participants in the Color-matched rice powder pill group. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureValue (MEAN)Dispersion
Color-matched Rice Powder PillEnergy-adjusted Vitamin A Intake3280 retinol equivalent mcg/dayStandard Error 740
Chokeberry Extract CapsuleEnergy-adjusted Vitamin A Intake2690 retinol equivalent mcg/dayStandard Error 690
Secondary

Energy Intake

Energy intake reported from 3-day dietary recalls at baseline and 12 weeks, determined by the average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 12 weeks

Population: Survey data were not available for two participants in the Color-matched rice powder pill group. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureValue (MEAN)Dispersion
Color-matched Rice Powder PillEnergy Intake2230 kcal/dStandard Error 735
Chokeberry Extract CapsuleEnergy Intake1950 kcal/dStandard Error 530
Secondary

Glutathione Peroxidase Activity

Fasting plasma glutathione peroxidase activity after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillGlutathione Peroxidase ActivityBaseline2550 nmol/min/mLStandard Error 140
Color-matched Rice Powder PillGlutathione Peroxidase Activity6 weeks2560 nmol/min/mLStandard Error 130
Color-matched Rice Powder PillGlutathione Peroxidase Activity12 weeks2470 nmol/min/mLStandard Error 110
Chokeberry Extract CapsuleGlutathione Peroxidase ActivityBaseline2550 nmol/min/mLStandard Error 140
Chokeberry Extract CapsuleGlutathione Peroxidase Activity6 weeks2500 nmol/min/mLStandard Error 160
Chokeberry Extract CapsuleGlutathione Peroxidase Activity12 weeks2650 nmol/min/mLStandard Error 190
Secondary

HDL-cholesterol

Change in fasting plasma cholesterol from baseline after chronic supplemenation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: 6 and 12 weeks after supplementation

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillHDL-cholesterolBaseline28.8 mg/dLStandard Error 1.3
Color-matched Rice Powder PillHDL-cholesterol6 weeks (change from baseline)-0.9 mg/dLStandard Error 1
Color-matched Rice Powder PillHDL-cholesterol12 weeks (change from baseline)-0.7 mg/dLStandard Error 1.4
Chokeberry Extract CapsuleHDL-cholesterolBaseline26.8 mg/dLStandard Error 1.5
Chokeberry Extract CapsuleHDL-cholesterol6 weeks (change from baseline)0.2 mg/dLStandard Error 0.8
Chokeberry Extract CapsuleHDL-cholesterol12 weeks (change from baseline)0.2 mg/dLStandard Error 0.8
Secondary

Intake of Dietary Antioxidant Capacity

Energy-adjusted intake of dietary antioxidant capacity determined by 3-day dietary recalls at baseline and 12 weeks. Values reported as average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 12 weeks

Population: Survey data were not available for two participants in the Color-matched rice powder pill group. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureValue (MEAN)Dispersion
Color-matched Rice Powder PillIntake of Dietary Antioxidant Capacity417 Vitamin C equivalentsStandard Error 95
Chokeberry Extract CapsuleIntake of Dietary Antioxidant Capacity292 Vitamin C equivalentsStandard Error 89
Secondary

Intercellular Adhesion Molecule 1

Fasting plasma intercellular adhesion molecule 1 after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillIntercellular Adhesion Molecule 1Baseline97.1 ng/mLStandard Error 7.2
Color-matched Rice Powder PillIntercellular Adhesion Molecule 16 weeks97.6 ng/mLStandard Error 7.2
Color-matched Rice Powder PillIntercellular Adhesion Molecule 112 weeks100 ng/mLStandard Error 8
Chokeberry Extract CapsuleIntercellular Adhesion Molecule 1Baseline96.6 ng/mLStandard Error 5.4
Chokeberry Extract CapsuleIntercellular Adhesion Molecule 16 weeks99.4 ng/mLStandard Error 5.7
Chokeberry Extract CapsuleIntercellular Adhesion Molecule 112 weeks97.5 ng/mLStandard Error 5.8
Secondary

Interleukin-1 Beta

Fasting plasma interleukin-1 beta after chronic consumption. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillInterleukin-1 BetaBaseline9.3 pg/mLStandard Error 2.4
Color-matched Rice Powder PillInterleukin-1 Beta6 weeks9.5 pg/mLStandard Error 2.7
Color-matched Rice Powder PillInterleukin-1 Beta12 weeks10.1 pg/mLStandard Error 3
Chokeberry Extract CapsuleInterleukin-1 BetaBaseline16.2 pg/mLStandard Error 8.6
Chokeberry Extract CapsuleInterleukin-1 Beta6 weeks17.0 pg/mLStandard Error 9.7
Chokeberry Extract CapsuleInterleukin-1 Beta12 weeks14.7 pg/mLStandard Error 7.4
Secondary

Interleukin-6

Fasting plasma interleukin-6 after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillInterleukin-6Baseline1.94 pg/mLStandard Error 0.34
Color-matched Rice Powder PillInterleukin-66 weeks1.87 pg/mLStandard Error 0.38
Color-matched Rice Powder PillInterleukin-612 weeks1.76 pg/mLStandard Error 0.29
Chokeberry Extract CapsuleInterleukin-6Baseline4.68 pg/mLStandard Error 1.34
Chokeberry Extract CapsuleInterleukin-66 weeks5.16 pg/mLStandard Error 1.54
Chokeberry Extract CapsuleInterleukin-612 weeks5.34 pg/mLStandard Error 1.52
Secondary

LDL Receptor (LDLR)

Monocyte LDL receptor mRNA normalized to glyceraldehyde-3-phosphate dehydrogenase after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Change from baseline at 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillLDL Receptor (LDLR)Baseline0.90 relative expression (LDLR/GAPDH)Standard Error 0.07
Color-matched Rice Powder PillLDL Receptor (LDLR)12 weeks0.93 relative expression (LDLR/GAPDH)Standard Error 0.22
Chokeberry Extract CapsuleLDL Receptor (LDLR)Baseline0.84 relative expression (LDLR/GAPDH)Standard Error 0.07
Chokeberry Extract CapsuleLDL Receptor (LDLR)12 weeks0.88 relative expression (LDLR/GAPDH)Standard Error 0.26
Secondary

LDL Receptor (LDLR) Protein

Monocyte LDL receptor protein by Western blot, normalized to β-actin after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillLDL Receptor (LDLR) ProteinBaseline1.71 relative expression (LDLR/β-actin)Standard Error 0.33
Color-matched Rice Powder PillLDL Receptor (LDLR) Protein12 weeks2.47 relative expression (LDLR/β-actin)Standard Error 0.8
Chokeberry Extract CapsuleLDL Receptor (LDLR) ProteinBaseline1.45 relative expression (LDLR/β-actin)Standard Error 0.06
Chokeberry Extract CapsuleLDL Receptor (LDLR) Protein12 weeks1.45 relative expression (LDLR/β-actin)Standard Error 0.64
Secondary

Monocyte Chemoattractant Protein-1

Fasting plasma monocyte chemoattractant protein-1 after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillMonocyte Chemoattractant Protein-112 weeks91 pg/mLStandard Error 5
Color-matched Rice Powder PillMonocyte Chemoattractant Protein-1Baseline97 pg/mLStandard Error 6
Color-matched Rice Powder PillMonocyte Chemoattractant Protein-16 weeks96 pg/mLStandard Error 5
Chokeberry Extract CapsuleMonocyte Chemoattractant Protein-1Baseline133 pg/mLStandard Error 31
Chokeberry Extract CapsuleMonocyte Chemoattractant Protein-16 weeks167 pg/mLStandard Error 43
Chokeberry Extract CapsuleMonocyte Chemoattractant Protein-112 weeks141 pg/mLStandard Error 27
Secondary

Plasma Area Under the Curve of Chokeberry Polyphenols and Their Metabolites.

Plasma area under the curve of chokeberry polyphenols and their metabolites. Measurement (time 0) began at study baseline. Not determined in chronic arms (Color-matched Rice Powder Pill or Chokeberry Extract Capsule).

Time frame: 0, 0.5, 1, 2, 4, 6, 9, 12, and 24 hours following dose

Population: Not determined in chronic arms (Color-matched Rice Powder Pill or Chokeberry Extract Capsule) as this analysis required additional collection time-points that were not utilized in the other arms.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillPlasma Area Under the Curve of Chokeberry Polyphenols and Their Metabolites.Protocatechuic acid0.054 micrograms x h/mLStandard Error 0.013
Color-matched Rice Powder PillPlasma Area Under the Curve of Chokeberry Polyphenols and Their Metabolites.Hippuric acid22.350 micrograms x h/mLStandard Error 4.441
Color-matched Rice Powder PillPlasma Area Under the Curve of Chokeberry Polyphenols and Their Metabolites.3-(4-Hydroxyphenyl)propionic acid2.725 micrograms x h/mLStandard Error 2.391
Color-matched Rice Powder PillPlasma Area Under the Curve of Chokeberry Polyphenols and Their Metabolites.Cyanidin-3-O-glucoside0.462 micrograms x h/mLStandard Error 0.17
Color-matched Rice Powder PillPlasma Area Under the Curve of Chokeberry Polyphenols and Their Metabolites.Peonidin-3-O-galactoside0.627 micrograms x h/mLStandard Error 0.198
Secondary

Polyphenol Intake

Energy-adjusted polyphenol intake assessed by 3-day dietary recalls at baseline and 12 weeks, values determined by average of baseline and 12 weeks. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 12 weeks

Population: Survey data were not available for two participants in the Color-matched rice powder pill group. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillPolyphenol IntakeAnthocyanins18.2 mg/dayStandard Error 5.2
Color-matched Rice Powder PillPolyphenol IntakeProanthocyanidins222 mg/dayStandard Error 162
Color-matched Rice Powder PillPolyphenol IntakeIsoflavones3.9 mg/dayStandard Error 2.7
Color-matched Rice Powder PillPolyphenol IntakeFlavanols73.9 mg/dayStandard Error 20
Color-matched Rice Powder PillPolyphenol IntakeFlavones54.1 mg/dayStandard Error 29.1
Color-matched Rice Powder PillPolyphenol IntakeFlavanones28.8 mg/dayStandard Error 11.4
Color-matched Rice Powder PillPolyphenol IntakeFlavan-3-ols20.6 mg/dayStandard Error 7.4
Chokeberry Extract CapsulePolyphenol IntakeFlavanols81.7 mg/dayStandard Error 18.7
Chokeberry Extract CapsulePolyphenol IntakeAnthocyanins26.6 mg/dayStandard Error 4.8
Chokeberry Extract CapsulePolyphenol IntakeFlavones50.3 mg/dayStandard Error 27.2
Chokeberry Extract CapsulePolyphenol IntakeProanthocyanidins418 mg/dayStandard Error 150
Chokeberry Extract CapsulePolyphenol IntakeFlavan-3-ols26.0 mg/dayStandard Error 6.9
Chokeberry Extract CapsulePolyphenol IntakeIsoflavones8.5 mg/dayStandard Error 2.6
Chokeberry Extract CapsulePolyphenol IntakeFlavanones22.4 mg/dayStandard Error 10.7
Secondary

P-selectin

Fasting plasma P-selectin after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillP-selectin12 weeks131 ng/mLStandard Error 11
Color-matched Rice Powder PillP-selectin6 weeks111 ng/mLStandard Error 11
Color-matched Rice Powder PillP-selectinBaseline130 ng/mLStandard Error 13
Chokeberry Extract CapsuleP-selectin6 weeks127 ng/mLStandard Error 12
Chokeberry Extract CapsuleP-selectinBaseline124 ng/mLStandard Error 12
Chokeberry Extract CapsuleP-selectin12 weeks145 ng/mLStandard Error 17
Secondary

Resting Diastolic Blood Pressure

Change in resting diastolic blood pressure after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, and 12 weeks following intervention

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillResting Diastolic Blood PressureBaseline76.0 mmHgStandard Error 2.1
Color-matched Rice Powder PillResting Diastolic Blood Pressure6 weeks (change from baseline)-1.2 mmHgStandard Error 2.4
Color-matched Rice Powder PillResting Diastolic Blood Pressure12 weeks (change from baseline)-1.1 mmHgStandard Error 1.7
Chokeberry Extract CapsuleResting Diastolic Blood PressureBaseline75.3 mmHgStandard Error 2.4
Chokeberry Extract CapsuleResting Diastolic Blood Pressure6 weeks (change from baseline)5.0 mmHgStandard Error 1.3
Chokeberry Extract CapsuleResting Diastolic Blood Pressure12 weeks (change from baseline)2.0 mmHgStandard Error 1.5
Secondary

Resting Systolic Blood Pressure

Change in resting systolic blood pressure after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, and 12 weeks following intervention

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillResting Systolic Blood PressureBaseline121 mmHgStandard Error 3
Color-matched Rice Powder PillResting Systolic Blood Pressure6 weeks (change from baseline)-0.8 mmHgStandard Error 1.5
Color-matched Rice Powder PillResting Systolic Blood Pressure12 weeks (change from baseline)0.2 mmHgStandard Error 2.9
Chokeberry Extract CapsuleResting Systolic Blood PressureBaseline117 mmHgStandard Error 3
Chokeberry Extract CapsuleResting Systolic Blood Pressure6 weeks (change from baseline)2.8 mmHgStandard Error 1.7
Chokeberry Extract CapsuleResting Systolic Blood Pressure12 weeks (change from baseline)1.2 mmHgStandard Error 2.4
Secondary

Soluble Vascular Cell Adhesion Molecule 1

Fasting plasma soluble vascular cell adhesion molecule 1 after chronic consumption. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillSoluble Vascular Cell Adhesion Molecule 1Baseline585 ng/mLStandard Deviation 23
Color-matched Rice Powder PillSoluble Vascular Cell Adhesion Molecule 16 weeks604 ng/mLStandard Deviation 23
Color-matched Rice Powder PillSoluble Vascular Cell Adhesion Molecule 112 weeks604 ng/mLStandard Deviation 26
Chokeberry Extract CapsuleSoluble Vascular Cell Adhesion Molecule 1Baseline601 ng/mLStandard Deviation 31
Chokeberry Extract CapsuleSoluble Vascular Cell Adhesion Molecule 16 weeks622 ng/mLStandard Deviation 31
Chokeberry Extract CapsuleSoluble Vascular Cell Adhesion Molecule 112 weeks599 ng/mLStandard Deviation 27
Secondary

Superoxide Dismutase Activity

Fasting plasma superoxide dismutase after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillSuperoxide Dismutase Activity6 weeks1190 units/mLStandard Error 50
Color-matched Rice Powder PillSuperoxide Dismutase Activity12 weeks1160 units/mLStandard Error 60
Color-matched Rice Powder PillSuperoxide Dismutase ActivityBaseline1190 units/mLStandard Error 50
Chokeberry Extract CapsuleSuperoxide Dismutase Activity6 weeks1160 units/mLStandard Error 40
Chokeberry Extract CapsuleSuperoxide Dismutase Activity12 weeks1160 units/mLStandard Error 40
Chokeberry Extract CapsuleSuperoxide Dismutase ActivityBaseline1180 units/mLStandard Error 40
Secondary

Total Antioxidant Capacity

Fasting plasma total antioxidant capacity after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillTotal Antioxidant CapacityBaseline210 micrograms vitamin C equivalents/mLStandard Error 4
Color-matched Rice Powder PillTotal Antioxidant Capacity6 weeks214 micrograms vitamin C equivalents/mLStandard Error 3
Color-matched Rice Powder PillTotal Antioxidant Capacity12 weeks209 micrograms vitamin C equivalents/mLStandard Error 4
Chokeberry Extract CapsuleTotal Antioxidant CapacityBaseline208 micrograms vitamin C equivalents/mLStandard Error 3
Chokeberry Extract CapsuleTotal Antioxidant Capacity6 weeks211 micrograms vitamin C equivalents/mLStandard Error 3
Chokeberry Extract CapsuleTotal Antioxidant Capacity12 weeks207 micrograms vitamin C equivalents/mLStandard Error 4
Secondary

Total Cholesterol

Change in fasting total cholesterol from baseline after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: 6 and 12 weeks after supplementation

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillTotal CholesterolBaseline203 mg/dLStandard Error 7
Color-matched Rice Powder PillTotal Cholesterol6 weeks (change from baseline)-0.1 mg/dLStandard Error 4.6
Color-matched Rice Powder PillTotal Cholesterol12 weeks (change from baseline)-1.3 mg/dLStandard Error 6.4
Chokeberry Extract CapsuleTotal CholesterolBaseline220 mg/dLStandard Error 13
Chokeberry Extract CapsuleTotal Cholesterol6 weeks (change from baseline)1.4 mg/dLStandard Error 2.5
Chokeberry Extract CapsuleTotal Cholesterol12 weeks (change from baseline)-17.9 mg/dLStandard Error 7.6
Secondary

Triglycerides

Change in fasting plasma triglycerides from baseline after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: 6 and 12 weeks after supplementation

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillTriglyceridesBaseline82.1 mg/dLStandard Error 7.6
Color-matched Rice Powder PillTriglycerides6 weeks (change from baseline)-0.6 mg/dLStandard Error 2.7
Color-matched Rice Powder PillTriglycerides12 weeks (change from baseline)-1.0 mg/dLStandard Error 5.9
Chokeberry Extract CapsuleTriglyceridesBaseline89.6 mg/dLStandard Error 9
Chokeberry Extract CapsuleTriglycerides6 weeks (change from baseline)1.0 mg/dLStandard Error 5.9
Chokeberry Extract CapsuleTriglycerides12 weeks (change from baseline)2.0 mg/dLStandard Error 8.5
Secondary

Tumor Necrosis Factor-alpha

Fasting plasma Tumor necrosis factor-alpha after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline, 6 weeks, 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillTumor Necrosis Factor-alpha6 weeks4.70 pg/mLStandard Error 1.89
Color-matched Rice Powder PillTumor Necrosis Factor-alpha12 weeks4.86 pg/mLStandard Error 1.85
Color-matched Rice Powder PillTumor Necrosis Factor-alphaBaseline4.36 pg/mLStandard Error 1.83
Chokeberry Extract CapsuleTumor Necrosis Factor-alpha12 weeks6.10 pg/mLStandard Error 1.72
Chokeberry Extract CapsuleTumor Necrosis Factor-alpha6 weeks6.44 pg/mLStandard Error 1.83
Chokeberry Extract CapsuleTumor Necrosis Factor-alphaBaseline5.90 pg/mLStandard Error 1.63
Secondary

Urinary Excretion of Polyphenols

Urinary excretion of polyphenols, from 0 to 24 h after consumption of extract, area under the curve (AUC) in Chokeberry Extract Capsule (acute) arm only.

Time frame: 0 to 24 h after consumption of extract

Population: Not determined in chronic arms (Color-matched Rice Powder Pill or Chokeberry Extract Capsule) as this analysis required additional collection time-points that were not utilized in the other arms.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillUrinary Excretion of PolyphenolsProtocatechuic acid3.682 mg x h/mg creatinineStandard Error 0.587
Color-matched Rice Powder PillUrinary Excretion of Polyphenols3,4-dihyrdoxyphenylacetic acid11.426 mg x h/mg creatinineStandard Error 0.881
Color-matched Rice Powder PillUrinary Excretion of PolyphenolsHippuric acid2429.852 mg x h/mg creatinineStandard Error 360.197
Color-matched Rice Powder PillUrinary Excretion of Polyphenols3-(4-hydroxyphenyl)propionic acid2.299 mg x h/mg creatinineStandard Error 0.715
Color-matched Rice Powder PillUrinary Excretion of PolyphenolsCyanidin-3-O-galactoside0.016 mg x h/mg creatinineStandard Error 0.005
Color-matched Rice Powder PillUrinary Excretion of PolyphenolsCyanidin-3-O-glucoside0.118 mg x h/mg creatinineStandard Error 0.07
Color-matched Rice Powder PillUrinary Excretion of PolyphenolsCyanidin-3-O-arabinoside0.088 mg x h/mg creatinineStandard Error 0.031
Color-matched Rice Powder PillUrinary Excretion of PolyphenolsPeonidin-3-O-galactoside0.053 mg x h/mg creatinineStandard Error 0.012
Secondary

Urinary F2-isoprostanes

Change in resting urinary F2-isoprostanes after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: Baseline and 12 weeks following intervention

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEAN)Dispersion
Color-matched Rice Powder PillUrinary F2-isoprostanesBaseline71.0 ng/mmol creatinineStandard Error 8.1
Color-matched Rice Powder PillUrinary F2-isoprostanes12 weeks81.6 ng/mmol creatinineStandard Error 7.8
Chokeberry Extract CapsuleUrinary F2-isoprostanesBaseline58.6 ng/mmol creatinineStandard Error 7
Chokeberry Extract CapsuleUrinary F2-isoprostanes12 weeks68.4 ng/mmol creatinineStandard Error 9
Secondary

Urinary Polyphenol Excretion

Overnight urinary polyphenol excretion after chronic supplementation. Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

Time frame: 12 weeks

Population: Not determined in Chokeberry Extract Capsule (Acute) arm as this arm was a one-time dose.

ArmMeasureGroupValue (MEDIAN)
Color-matched Rice Powder PillUrinary Polyphenol ExcretionProtocatechuic acid1.38 mg/mg creatinine
Color-matched Rice Powder PillUrinary Polyphenol Excretion3,4-dihydroxyphenylacetic acid5.04 mg/mg creatinine
Color-matched Rice Powder PillUrinary Polyphenol ExcretionHippuric acid133 mg/mg creatinine
Color-matched Rice Powder PillUrinary Polyphenol ExcretionFerulic acid0.68 mg/mg creatinine
Color-matched Rice Powder PillUrinary Polyphenol Excretion3-(4-hydroxyphenyl)propionic acid3.91 mg/mg creatinine
Color-matched Rice Powder PillUrinary Polyphenol ExcretionCyanidin-3-O-glucoside0 mg/mg creatinine
Color-matched Rice Powder PillUrinary Polyphenol ExcretionCyanidin-3-O-galactoside0 mg/mg creatinine
Color-matched Rice Powder PillUrinary Polyphenol ExcretionCyanidin-3-O-arabinoside0 mg/mg creatinine
Color-matched Rice Powder PillUrinary Polyphenol ExcretionPeonidin-3-O-galactoside0 mg/mg creatinine
Color-matched Rice Powder PillUrinary Polyphenol ExcretionSum anthocyanins0.014 mg/mg creatinine
Chokeberry Extract CapsuleUrinary Polyphenol ExcretionCyanidin-3-O-arabinoside0 mg/mg creatinine
Chokeberry Extract CapsuleUrinary Polyphenol ExcretionProtocatechuic acid1.20 mg/mg creatinine
Chokeberry Extract CapsuleUrinary Polyphenol ExcretionCyanidin-3-O-glucoside0.00907 mg/mg creatinine
Chokeberry Extract CapsuleUrinary Polyphenol Excretion3,4-dihydroxyphenylacetic acid4.56 mg/mg creatinine
Chokeberry Extract CapsuleUrinary Polyphenol ExcretionSum anthocyanins0.134 mg/mg creatinine
Chokeberry Extract CapsuleUrinary Polyphenol ExcretionHippuric acid138 mg/mg creatinine
Chokeberry Extract CapsuleUrinary Polyphenol ExcretionCyanidin-3-O-galactoside0.00466 mg/mg creatinine
Chokeberry Extract CapsuleUrinary Polyphenol ExcretionFerulic acid0.71 mg/mg creatinine
Chokeberry Extract CapsuleUrinary Polyphenol ExcretionPeonidin-3-O-galactoside0.008 mg/mg creatinine
Chokeberry Extract CapsuleUrinary Polyphenol Excretion3-(4-hydroxyphenyl)propionic acid3.36 mg/mg creatinine

Source: ClinicalTrials.gov · Data processed: Mar 11, 2026