Determinants of Vitamin K Metabolism

Study Overview
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Brief Summary
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The purpose of this study is to learn how the body responds to different amounts of vitamin K in the diet in order to understand the roles that vitamin K may have in the body. We also need to determine if older adults need more or less vitamin K in their diet compared to younger adults in order to maintain normal body stores of vitamin K.

Detailed Description
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Vitamin K has a role in bone health, but little is known about vitamin K metabolism in aging and in maintenance of bone mass. The limited understanding of vitamin K metabolism impedes the establishment of dietary recommendations for vitamin K, and the interpretation of results from clinical trials on vitamin K supplementation and bone health of women in a narrow age group. This study is the first to assess the role of dietary and other factors that influence the response to vitamin K status and bone turnover to vitamin K depletion and repletion in adults. This study also compares the absorption efficiency and body retention of vitamin K relative to current vitamin K status. Men and women [21 younger (18-40y) and 21 older (55+y)] will participate in a 62-d metabolic study, with a 5d run-in period, followed by a 28d dietary vitamin K restriction period (10 ug/d), and ending with a 28d dietary vitamin K supplementation period (500 ug/d). Coagulation times will be monitored during the dietary restriction period. Serial measurements of vitamin K status markers and of bone turnover markers will show the response of vitamin K to dietary manipulation for both age groups under identically controlled dietary conditions. Deuterium-labeled vitamin K in collards will be used to compare the absorption of vitamin K during a vitamin K-deplete state to that of a vitamin K-replete state. Vitamin K is transported in triglyceride-rich lipoproteins, which may vary among individuals due to differences in adiposity and lipid homeostasis. Therefore, measurement of body composition by Dual Energy X-Ray Absorptiometry (DXA) and plasma lipids will provide insight into the role of lipids in absorption and transport of vitamin K. The findings of this study are critical for the interpretation of the epidemiologic and clinical data used to determine the protective role vitamin K may have in chronic disease prevention.

Official Title
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Dietary and Non-dietary Components of Vitamin K Metabolism

Conditions
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Aging, Osteoporosis

Intervention / Treatment
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* Drug: Vitamin K


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Exclusion Criteria: kidney, GI, or liver disease requiring treatment prescribed osteoporosis medications in the previous 3 months use of acid reducers more than twice per week blood clotting disorder and/or abnormal clotting time warfarin or anticoagulant use in the previous 12 months diabetes smoking hormone therapy in the previous 3 months oral contraceptive use in the previous 3 months; pregnancy strict vegetarian diet

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

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: Basic Science
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Diet Intervention<br>28 day diet low vitamin K, 28 day diet high vitamin K | Drug: Vitamin K<br>* phylloquinone (vitamin K1) 500 mcg daily in third month<br>* Other names: phylloquinone;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Plasma Phylloquinone | Plasma phylloquinone in response to phylloquinone depletion and repletion | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Vitamin K metabolism, Bone health, Metabolism