Healthy, Prehypertension
Conditions
Brief summary
The investigators will be studying the effect of melatonin on blood pressure, insulin resistance, and platelets, along with possible reasons for how melatonin cases these effects.
Detailed description
The investigators will be studying the effect of melatonin on blood pressure and insulin resistance, and possible reasons for how melatonin works on blood pressure and IR. Along with blood testing to measure adipokines, insulin resistance (IR), and platelet function (how well your blood clots), 24-hour ambulatory blood pressure monitoring (ABPM) will be used to measure blood pressure, since ABPM is the gold standard (best method) for accurate assessment of blood pressure status and associated cardiovascular risk. Vascular (blood vessel) function, IR, adipokine levels and sleep quality will also be measured. All study endpoints will be measured at baseline and following 6 weeks of daily melatonin 9 mg dosing.
Interventions
controlled release, 9 mg taken 30 minutes before bedtime x 6 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Normotensive (SBP \<120) or prehypertensive (SBP = 120-139 mm Hg) * Age: Young/middle-aged (ages 18-45) and (2) 10 elderly subjects ages 65 and older
Exclusion criteria
* Patients with a diagnosis of * clinical hypertension and/or diabetes mellitus * pregnancy * coronary or cerebrovascular disease * collagen vascular disease, * organ failure (heart, kidney, liver). * Patients taking anti-inflammatory medications: NSAIDs, corticosteroids, thiazolidinediones, and statins, * Patients who have taken melatonin previously in the past year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ambulatory Systolic Blood pressure change | Baseline to 6 weeks | Change in 24 hour average Systolic blood pressure at 6 weeks |
| Office Systolic Blood pressure change | Baseline to 6 weeks | Change in Systolic blood pressure measured in the office at 6 weeks |
| Office Diastolic Blood pressure change | Baseline to 6 weeks | Change in Diastolic blood pressure measured in the office at 6 weeks |
| QUICKI: Quantitative insulin sensitivity check index change | Baseline to 6 weeks | Insulin sensitivity measure change at 6 weeks |
| Ambulatory Diastolic Blood pressure change | Baseline to 6 weeks | Change in 24 hour average Diastolic blood pressure at 6 weeks |
| HOMA: Homeostasis Model Assessment change | Baseline to 6 weeks | Insulin sensitivity measure change at 6 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Arachidonic acid stimulated aggregation change | Baseline to 6 weeks | Platelet activity measure change at 6 weeks |
Countries
United States