Potential Benefits of Dietary Advices Alone or Associated to Nutraceutical Food Supplements Argan Oil, VSL#3 Probiotic Blend, 5203-L Fruit Extract Terpene

Study Overview
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Brief Summary
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Ageing of the population is a major event in the world. Gerontological/geriatric literature unanimously indicate that physical exercise and diet are at present the two available fundamental approaches to contrast/prevent most of the age associated alterations. In the elderly the inflammageing, the oxidative stress and the alteration of the intestinal microbiota can be influenced by nutritional status and possibly corrected by an appropriate dietetic intervention: Nowadays the nutraceutical food supplements become an opportunity for the consumer to improve the quality of individual diet for specific needs This study will focus on the development of a specific dietary approach through an E-Health dietary service, associated or not to nutraceutical food supplements intake, to modulate the oxidative stress, inflammageing and gut microflora in the elderly people.

Detailed Description
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Ageing of the population is a major event in the world. Gerontological/geriatric literature unanimously indicate that physical exercise and diet are at present the two available fundamental approaches to contrast/prevent most of the age associated alterations. In the elderly the inflammageing, the oxidative stress and the alteration of the intestinal microbiota can be influenced by nutritional status and possibly corrected by an appropriate dietetic intervention: Nowadays the nutraceutical food supplements become an opportunity for the consumer to improve the quality of individual diet for specific needs

Official Title
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Open Label, Randomized Study of the Impact of Diet on Gut Microbiota, Inflammageing and Oxidative Stress in Elderly People. Potential Benefits of Dietary Advices Alone or Associated to Nutraceutical Food Supplements Argan Oil, VSL#3 Probiotic Blend, 5203-L Fruit Extract Terpene. French Part of a Multicentric European Study

Conditions
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Healthy Elderly People

Intervention / Treatment
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* Dietary Supplement: VSL#3® probiotic blend
* Dietary Supplement: AISA-5203-L fruit extracted terpene
* Dietary Supplement: Argan oil
* Behavioral: Optimal Diet


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age: from 65 to 85 years Body Mass Index: 22-30 kg/m2 ECOG Performance status: WHO performance score 0 to 2 Absence of known diseases and/or abnormalities of haematological parameters (haematological, inflammatory, metabolic, hepatic and renal diseases) The subjects must be able to comply with management of nutraceutical products and with scheduled follow-up The subjects must be able to use the computer and to access to the web, by themselves or with the help of a caregiver Exclusion Criteria: History of significant neurologic or psychiatric disorders including dementia, seizures, bipolar disorder Geriatric anorexia [less than 2 full meals per day and /or less than one serving of dairy products (milk, cheese, yogurt) per day or two or more servings of legumes or eggs per week or one serving of meat, fish or poultry every day] Weight loss > 5% in the last month Previous antibiotic treatment within 4 months Active infection requiring per OS or IV antibiotics, including active tuberculosis, known and declared HIV, HCV Constipation and/or abdominal pain/discomfort that require dietary supplements or medical therapy Gastric disease that requires medical therapy (e.g. gastric secretion inhibitory drugs) Chronic inflammatory bowel disease (Crohn's disease or ulcerative colitis, diverticulosis, diverticulitis) Diabetes mellitus Dislipidemia and/or any metabolic disease that requires medical or dietetic treatment Myocardial infarction within 6 months prior to study entry, congestive heart disease, uncontrolled cardiac insufficiency, and any current grade 3 or 4 cardio-vascular disorder despite treatment Current history of neoplasm except for curatively treated non melanoma skin cancer or in situ carcinoma of the cervix and except for other cancer curatively treated and with no evidence of disease for at least 5 years Other sever underlying medical conditions, which could impair the ability of the patient to participate in the study Chronic anti-inflammatory therapy with FANS or previous therapy within 20 days from the beginning of the study. The occasional use of anti-inflammatory therapy is not an exclusion criteria, but the use is not allowed within 3 days before the analysis and for more than 8 days/2 months during the study Previous (within 15 days) or concomitant treatment that modifies intestinal absorption (e.g. metformine, acarbose in diabetic treatment…) Probiotics, prebiotics or simbiotics (yogurt or another functional foods) intake in the last 3 weeks Use of food supplements or functional foods such as probiotics, prebiotics, simbiotics, vitamins and minerals different than whose established in this study, is not allowed during the study period or previously within 1 week (except for vitamin D, calcium, vitamin B12) Total parenteral nutrition within 4 months History of allergy to one of the excipients present in the products under evaluation Concomitant or within 4 week period administration of any experimental drug, food supplements or nutraceuticals under investigation Subjects clearly intending to withdraw from the study if not randomised in a given arm, or subjects who cannot be regularly followed up for psychological, social, familial or geographic reasons Subjects with expected non-compliance to protocol guidelines

Ages Eligible for Study
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Minimum Age: 65 Years
Maximum Age: 85 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Diet advices<br>will receive the Optimal Diet for Elderly | Behavioral: Optimal Diet<br>* a dietician will train each subject (or the caregiver) to use the personalized diet on web platform.<br>|
| Experimental: Diet advices + VSL-3<br>will receive the Optimal Diet for Elderly + VSL#3® probiotic blend | Dietary Supplement: VSL#3® probiotic blend<br>* Product should be administrated orally, 2 capsules b.i.d. on an empty stomach (at least 30 min. before lunch and dinner) with a glass of water<br>|
| Experimental: Diet advices + 5203-L<br>will receive the Optimal Diet for Elderly + AISA-5203-L fruit extracted terpene | Dietary Supplement: AISA-5203-L fruit extracted terpene<br>* Product should be administrated orally, the dosage depending from the body weight of the subject enrolled in the study as already stated : 1-2 pills three times a day with a meal and a large glass of water<br>|
| Experimental: Diet advices + Argan oil<br>will receive the Optimal Diet for Elderly + Argan oil | Dietary Supplement: Argan oil<br>* Product should be administrated orally, 25 ml once daily or during the day with a meal (bread, salad …) and a large glass of water<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The primary beneficial effect parameter is hsPCR (high-sensitivity C-reactive protein) |  | 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Inflammageing status: WBC, hemoglobin, ERS, fibrinogen, total cholesterol, triglycerides, insulin, glucose, (and HOMA Index), interleukin-6, TNFα, IL-10, TGF1, IGF-1, adiponectin, lectin, Homocysteine, folic acid and vitamin B12, calprotectin |  | 2 months | 
| Oxidative stress: plasma total antioxidant capacity by TEAA (Trolox Equivalent Antioxidant Activity), glutathione level, the superoxide dismutase, the glutathione peroxidase, the glutathione reductase and the catalase activities |  | 2 months | 
| Gut microbiota: expression of 16S ribosomal RNA in bacterial groups from faeces. Ratio between lactobacilli and clostridia bacteria. Real time PCR and PCR DGGE |  | 2 months | 
| Quality of life: SF-36, GHQ, and daily VAS, ECOG performance status, IADL, Speilbeger Anxiety Scale, CES-D scale |  | 2 months | 
| Physical performance status (SPPB), muscle function (hand-grip dynamometry), and physical activity level (IPAQ) |  | 2 months | 
| Compliance to the web diet advices and to the nutraceutical supplement intake (daily VAS) |  | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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diet, probiotics, inflammaging, oxidative stress, gut microbiota, food complements