Green Vegetables and Women's Health

Study Overview
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Brief Summary
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The 2010 Dietary Guidelines for Americans recommend that individuals consume 4.5 to 5 cups fruits and vegetables daily. However, at current intake levels, fruit consumption will have to improve by more than 100% and vegetable intake by 50% to meet this recommendation. Importantly, intake of brightly colored fruits and vegetables is even lower when potatoes are not considered. It is possible that improved fruit and vegetable intake will have beneficial health effects. For example, higher intakes of fruits and vegetables, and particularly cruciferous vegetables (e.g., broccoli, Brussels sprouts, cauliflower, etc.), are associated with lower rates of many degenerative diseases, including some cancers, yet this group of vegetables may continue to be under-consumed due to their strong flavors. A supplement made from these vegetables (Cruciferous CompleteTM made by Standard Process Inc. Palmyra, WI) contains a group of phytochemicals called glucosinolates that can shift estrogen metabolism in a favorable way. One proposed biomarker of chemoprotection from breast cancer is the urinary estrogen metabolite ratio of 2- to 16α-hydroxyestrogens (2:16). In the main study, the effects of cruciferous vegetables (broccoli or Brussels sprouts), Cruciferous CompleteTM whole food supplements, or placebos on this ratio of urinary estrogen metabolites in healthy premenopausal women will be compared over an eight-week period. The investigators hypothesize that treatment with daily supplements will increase the 2:16 ratio as compared to daily consumption of a combination of Brussels sprouts and broccoli or a placebo, suggesting reduced breast cancer risk. In a sub-study, the relationships between serum α-carotene, β-carotene, β-cryptoxanthin, lutein and lycopene with dietary carotenoid intake as measured by a food frequency questionnaire and body composition will be evaluated in healthy premenopausal women. Carotenoids are a family of lipophilic compounds found primarily in colorful plant tissues and their concentration in human blood reflects dietary intake of carotenoid-rich foods. Carotenoid levels in the blood of healthy women do not appear to be influenced by menstrual status, but are inversely associated with body fatness. Thus, serum carotenoid concentrations may serve as a functional marker for chronic disease risk associated with excess body fat.

Official Title
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Effect of Cruciferous Vegetables or a Cruciferous Supplement on Urinary Estrogen Metabolites in Premenopausal Women

Conditions
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Dietary Modification

Intervention / Treatment
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* Other: Broccoli and Brussels Sprouts
* Dietary Supplement: Cruciferous Complete
* Other: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Premenopausal women between the ages of 40-50; premenopause is defined as regular menstrual cycles every 23-35 days Willing to be randomized and compliant to the 3 study groups (whole cruciferous vegetable intake, cruciferous supplement or placebo capsules) Able to give informed consent. Exclusion Criteria: Urinary 2:16 > or = 3. Current kidney or liver disease, adrenalectomy, or oophorectomy. Use of tobacco products within the preceding three months, illegal use of medications or use of illegal drugs or substances. Current use of antibiotics, cimetidine or black cohosh. Systemic administration of estrogen, or use of non-prescription hormones, tamoxifen, or diabetes medication within the last three months. Women under a physician-directed diet or those with a strong dislike of Brassica vegetables. Presence of cancer in the last 5 years, with the exception of fully resected basal or squamous cell tumors. Participation in an investigational drug study in the last 30 days.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Broccoli and Brussels Sprouts<br>Subjects will consume broccoli or Brussels sprouts (40g daily) for 8 weeks. | Other: Broccoli and Brussels Sprouts<br> <br> |
| Experimental: Cruciferous Complete<br>Subjects will take Cruciferous CompleteTM supplements (2 capsules, 3 times daily) for 8 weeks. | Dietary Supplement: Cruciferous Complete<br> <br> |
| Placebo Comparator: Placebo<br>Subjects will take placebo capsules (2 capsules, 3 times daily) for 8 weeks. | Other: Placebo<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinary 2:16 ratio | Urinary 2:16 ratios between treatment groups. | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinary 4OHE1 and 4OHE2 | Urinary concentrations of 4-hydroxyestrone (4OHE1) and 4-hydroxyestradiol (4OHE2) between treatment groups. | 8 weeks |