Acute and Chronic Effects of 100% Florida Orange Juice Consumption on Cognitive Performance in 7-10 Year Old Children

Study Overview
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Brief Summary
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This study is a 10-week intervention study to examine the acute and chronic effects of daily intake of a 100 % orange juice drink vs control drink on cognitive performance. The study aims to determine if there are any benefits of whole orange juice intake on cognitive performance acutely (i.e. an improvement in performance at week 1) and chronically (i.e. an improvement in performance at week 10).

Detailed Description
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This study will employ a randomised 10 week, parallel groups, double blind, placebo controlled design to investigate the effects of daily supplemental orange juice compared with an equicaloric placebo orange drink on cognitive performance in 7-10 year old school children. Following screening, participants will be randomly assigned to one of two conditions: (1) Active group: 100% orange juice, (2) Placebo group: control drink (containing equivalent dose of sucrose, glucose, fructose, vitamin C and citric acid for flavour). Both the active and control groups will receive a drink daily for 10 weeks delivered as a school-based morning intervention administered by researchers. Children will also be given drinks to consume over the weekends and school holidays monitored by a drink intake diary. Participants, parents and teachers will be blind to their assigned condition. Researchers will also be blinded until completion of the data analysis. Following a practise session at screening (week -1) to familiarise the participants with the cognitive tests and study drinks, participants will take part in 3 test sessions - at baseline (Week 0), on Day 1 of intervention (start of Week 1; acute effects) and immediately post intervention (end of Week 10; chronic effects). At week -1 (screening) children will be tested for colour blindness (Ishihara test) and complete the Wechsler abbreviated scale of intelligence (WASI) for screening purposes. Respiratory peak flow, height, and weight will also be measured to examine the relationship between cognitive performance and physical activity. This study design, including both the test day and morning juice supplementation, is intended to emulate the children's normal routine as far as possible. Each carton of juice will be provided mid-morning to act as a supplement to their usual diet. Measures: The cognitive tests included in the study are listed below: Immediate and delayed picture recognition Delayed spatial memory Tower of Hanoi (executive function - planning/strategy) Corsi block tapping test (executive function and working memory)

Official Title
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A Study of the Acute and Chronic Effects of 100% Florida Orange Juice Consumption on Cognitive Performance in 7-10 Year Old UK School Children

Conditions
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Healthy

Intervention / Treatment
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* Dietary Supplement: 100% Florida OJ
* Dietary Supplement: Placebo Equicaloric Orange Drink


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female, aged 7-10 years Willingness to consume test drinks during the study (determined by a score of 5 on the taste testing Likert scale for both orange juice drinks [attached]) Ability to follow verbal and simple written instructions in English Ability to give written consent Normal vision, with appropriate corrective lenses if required Ability to understand cognitive testing instructions and responding requirements Exclusion Criteria: Poor general health Colour blindness (to be assessed at screening using Tests for Colour Blindness (Isihara, 1951) Behavioural difficulties or attention disorders (e.g. Attention Deficit Hyperactivity Disorder) Learning disabilities which interfere with the ability to understand written or verbal communications Inability to understand the objective of the cognitive tests, or carry out the tests Any food allergies or intolerances to study drinks Acute illness, or feelings of unwell, within the week prior to testing Current administration of any psychotropic medication or supplementation in the month prior to testing, or during testing Hearing impairment that precludes the ability to follow verbal instructions

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 10 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 100% OJ<br>240ml 100% Florida Orange Juice consumed on a daily basis for 10 weeks. | Dietary Supplement: 100% Florida OJ<br> <br> |
| Placebo Comparator: Equicaloric Orange Drink<br>An equicaloric placebo orange drink (containing equivalent dose of sucrose, glucose, fructose, vitamin C and citric acid for flavour) consumed daily for 10 weeks. | Dietary Supplement: Placebo Equicaloric Orange Drink<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Immediate and delayed picture recognition | Primary dependent variable: number of pictures successfully recalled (from 20 presented) immediately following presentation and after a delay consisting of two cognitive tests (Corsi Tapping and Tower of Hanoi). | Acute = 3 hours post first consumption. Chronic = After 10 weeks daily consumption | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Delayed spatial memory | Primary dependent variable: number of spatial patterns successfully recognised from initial presentation (14 patterns presented twice). Recognition memory paradigm showing participants two patterns; one which was shown in the presentation phase and one which was not and requesting the participant select the presented pattern. Between presentation and recognition phases the participants engaged in a Corsi tapping test and a Tower of Hanoi test. | Acute = 3 hours post first consumption. Chronic = After 10 weeks daily consumption | 
| Tower of Hanoi (executive function) | Executive function - planning/strategy. Primary dependent variables: number of correctly solved puzzles and number of errors. Participants complete 2 trials at 8 levels of difficulty (difficulty indexed by number of moves required to complete the puzzle). | Acute = 3 hours post first consumption. Chronic = After 10 weeks daily consumption | 
| Corsi block tapping test (Executive function and working memory) | Executive function and working memory. Primary dependent variables: number of correctly recalled block presentations. An array of 9 white boxes are presented. Individual boxes are illuminated in sequences of increasing number of target presentations (2 - 8 boxes illuminated). After each pattern sequence is completed, participants are presented with the blank array of white boxes and are required to repeat the pattern in sequential order. | Acute = 3 hours post first consumption. Chronic = After 10 weeks daily consumption | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Orange Juice, Polyphenol, Cognition