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Trial registered on ANZCTR
Registration number
ACTRN12609000167268
Ethics application status
Approved
Date submitted
3/02/2009
Date registered
3/04/2009
Date last updated
13/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Omega-3 fatty acids and mild cognitive impairment in older adults
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Scientific title
Effects of omega-3 fatty acids high in eicosapentaenoic acid (EPA) or docosahexaenoic acid (DHA) vs placebo on cognition and mood in older adults with mild cognitive impairment
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Secondary ID [1]
287889
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Mild cognitive impairment in older adults
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Depression
296773
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Condition category
Condition code
Mental Health
4490
4490
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0
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Studies of normal psychology, cognitive function and behaviour
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Diet and Nutrition
4491
4491
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Six capsules containing omega-3 fatty acids plus Vitamin E, supplying a total of 360mg EPA + 1500mg DHA or 1500mg EPA + 180mg DHA per day for six months (26 weeks)
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Intervention code [1]
3991
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Treatment: Other
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Comparator / control treatment
Six capsules safflower oil (placebo) capsules with Vitamin E, supplying a total of 3000mg safflower oil per day for six months (26 weeks)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Mean score on the Rey Auditory Verbal Learning Test (RAVLT) assessing recall and delayed recall memory
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Assessment method [1]
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Timepoint [1]
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Baseline and 6-months
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Primary outcome [2]
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Mean Geriatric Depression Scale score
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Assessment method [2]
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Timepoint [2]
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Baseline and 6 months
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Secondary outcome [1]
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Mean score on Initial and Excluded Letter Fluency
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Assessment method [1]
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Timepoint [1]
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Baseline and 6 months
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Secondary outcome [2]
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Mean score on the Trail Making Task
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Assessment method [2]
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Timepoint [2]
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Baseline and 6 months
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Secondary outcome [3]
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Mean score on Digit Span Forward and Backward
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Assessment method [3]
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Timepoint [3]
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Baseline and 6 months
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Secondary outcome [4]
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Mean score on Letter-number Sequencing
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Assessment method [4]
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Timepoint [4]
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Baseline and 6 months
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Secondary outcome [5]
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Cerebral blood vessel reactivity - transcranial Doppler sonography (tcD)
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Assessment method [5]
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Timepoint [5]
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Baseline and 6 months
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Secondary outcome [6]
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Total L-homocysteine, B12 and folate, measured from blood plasma using a Chemiluminescent Microparticle Immunoassay
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Assessment method [6]
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Timepoint [6]
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Baseline and 6 months
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Secondary outcome [7]
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Telomere length, measured by quantitative real-time polymerase chain reaction (PCR) using deoxyribonucleic acid (DNA) isolated from peripheral blood
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Assessment method [7]
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Timepoint [7]
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Baseline and 6 months
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Secondary outcome [8]
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Phospholipase A2 (PLA2) activity, assessed using high performance thin layer chromatography and quantitative imaging of resulting fluorescent spots
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Assessment method [8]
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Timepoint [8]
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Baseline and 6 months
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Secondary outcome [9]
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Mean Memory Functioning Questionnaire score
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Assessment method [9]
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Timepoint [9]
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Baseline and 6 months
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Secondary outcome [10]
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Mean score on the Stroop colour-word test
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Assessment method [10]
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Timepoint [10]
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Baseline and 6 months
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Secondary outcome [11]
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SF-36 Health Survey
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Assessment method [11]
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Timepoint [11]
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Baseline and 6 months
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Eligibility
Key inclusion criteria
Mild cognitive impairment (subjective memory loss over past 6 months; Standardised Mini-Mental State Examination (SMMSE) score > 24; Paired Associate Learning (PAL) score < 1.5 standard deviations from population mean and/or Demtect score between 9-12)
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Minimum age
65
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Dementia and other neurological conditions, consumption of omega-3 fatty supplements within previous 3 months
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Interested volunteers will undergo a telephone screening, and if they fit the criteria will be mailed an information sheet, consent form, and Diet & Lifestyle Questionnaire and booked in for a screening test using the Standardised Mini-Mental State Examination (MMSE), Demtect and PAL, and asked to fill in the Geriatric Depression Scale (GDS) short form. If eligible they will be allocated to DHA, EPA or placebo, randomised on age, gender and GDS scores by an independent researcher who has the coding sequence for preallocated supplement numbers. Allocations are concealed from investigators and participants by numbered containers, for which the treatment codes are held by an independent researcher.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants will be randomly allocated to conditions using permuted block randomisation stratified for age, gender and Geriatric Depression Scale (GDS) scores.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
A healthy control group (i.e. with no cognitive impairment) will be recruited at baseline to run correlational analyses on cognition, cerebral blood flow and other biomarkers as outlined under outcome measures. Physical activity and social networks will also be assessed via questionnaires investigating their relationship with cognitive impairment and biological markers.
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Phase
Phase 1
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2009
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Actual
18/02/2009
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Date of last participant enrolment
Anticipated
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Actual
14/08/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
50
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Australian Research Council (ARC) Linkage Grant
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Address [1]
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1st Floor, 8 Brindabella Circuit
Brindabella Business Park
CANBERRA AIRPORT ACT 2609
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Country [1]
4446
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Australia
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Funding source category [2]
4447
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Commercial sector/Industry
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Name [2]
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Novasel Australia
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Address [2]
4447
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29 Raffles Court
Mudgeeraba Qld 4213
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Country [2]
4447
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Australia
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Primary sponsor type
University
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Name
Nutritional Physiology Research Centre
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Address
University of South Australia
GPO Box 2471
Adelaide SA 5001
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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Australian Technology Network (ATN) Centre for Metabolic Fitness
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Address [1]
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C/- Nutritional Physiology Research Centre
University of South Australia
GPO Box 2471
Adelaide SA 5001
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Country [1]
4007
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Australia
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Other collaborator category [1]
551
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University
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Name [1]
551
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Queensland University of Technology
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Address [1]
551
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Institute for Health and Biomedical Innovation
60 Musk Avenue
Kelvin Grove Qld 4059
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Country [1]
551
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
6500
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University of South Australia Human Research Ethics Committee
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Ethics committee address [1]
6500
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GPO Box 2471 Adelaide SA 5001
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Ethics committee country [1]
6500
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Australia
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Date submitted for ethics approval [1]
6500
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Approval date [1]
6500
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09/01/2009
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Ethics approval number [1]
6500
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P141/08
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Ethics committee name [2]
6501
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Queensland University of Technology Human Research Ethics Committee
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Ethics committee address [2]
6501
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GPO Box 2434 Brisbane Qld 4001
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Ethics committee country [2]
6501
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Australia
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Date submitted for ethics approval [2]
6501
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Approval date [2]
6501
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21/01/2009
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Ethics approval number [2]
6501
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0800000582
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Summary
Brief summary
This study aims to investigate effects of omega-3 fatty acids EPA vs DHA (1500mg per day of each, supplying total omega-3 fatty acids 1860mg and 1680mg per day, respectively) versus safflower oil placebo on cognition and mood in 120 older adults with mild cognitive impairment over 6 months at two sites, in South Australia and Queensland. We will be measuring erythrocyte fatty acid levels, cerebral blood flow and blood vessel reactivity via transcranial Doppler sonography (tcD) and carbogen (5% carbon dioxide, 95% oxgen) inhalation, telomere length as an indicator of chromosomal damage, apoE-4, homocysteine, B12 and folate (the latter in collaboration with the Oxford Project to Investigate Memory and Ageing (OPTIMA) Centre for dementia research and the Commonwealth Scientific and Industrial Research Organisation (CSIRO) Human Nutrition). At baseline we will be doing comparisons on these outcome measures with a group of 30 healthy controls in South Australia. We are also assessing relationships between social networks, physical activity and above biomarkers, and cognitive impairment.
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Trial website
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Trial related presentations / publications
Publications to date: O’Callaghan N, Parletta N, Milte CM, Benassi B, Fenech M, Petkov J, Howe PRC (2013). Telomere shortening in elderly people with mild cognitive impairment may be attenuated with omega-3 fatty acid supplementation: A randomised controlled pilot study. Nutrition, 30(4): 489-491. Sinn N*, Milte C, Street SJ, Buckley JD, Coates AM, Petkov J, Howe PRC (2012). Effects of omega-3 fatty acids EPA versus DHA on memory and cognitive decline, depressive symptoms and quality of life in older adults with mild cognitive impairment: A 6-month randomised controlled trial. British Journal of Nutrition, 107:1284-1290 Milte C, Sinn N*, Street S, Buckley JD, Coates AM, Howe PRC (2011). Erythrocyte polyunsaturated fatty acid status, memory and cognition in older adults with mild cognitive impairment and healthy controls. Prostaglandins, Leukotrienes & Essential Fatty Acids, 84:153-161. Presentations: Milte CM, Parletta N, Street SJ, Coates AM, Buckley JD, Howe PRC (2012). Long chain omega-3 fatty acid supplementation improves cognition and mood in older Australians with memory problems. Oral presentation, International Society for the Study of Fatty Acids and Lipids (ISSFAL), Vancouver, Canada 26-30 May. Sinn N, Milte CM, Street SJ, Coates AM, Buckley JD, Howe PRC (2010). Effects of omega-3 fatty acids EPA versus DHA on depressive symptoms in elderly people with mild cognitive impairment. Peer-reviewed oral presentation, Nutrition Society Australia conference, Perth, Australia, 29 Nov-3 Dec. Sinn N, Milte CM, Street SJ, Coates AM, Buckley JD, Howe PRC (2010). Effects of omega-3 fatty acids EPA versus DHA on depressive symptoms in elderly people with mild cognitive impairment. Peer-reviewed, extended oral presentation, International Seafood and Health Conference, Melbourne 7-10 November. Sinn N, Milte CM, Coates AM, Buckley JD, Howe PRC (2010). Erythrocyte polyunsaturated fatty acid status, memory, mood and cognition in older adults with mild cognitive impairment and healthy controls. Peer reviewed poster presentation, International Society for the Study of Fatty Acids & Lipids, 29 May-2 June, Maastricht, Belgium. Milte C, Sinn N, Coates AM, Buckley JD, Young R, Howe PRC (2009). Erythrocyte polyunsaturated fatty acid status, memory and cognition in older adults with mild cognitive impairment and healthy controls. Peer-reviewed oral presentation, Nutrition Society Conference, Newcastle Australia, 8-11 December. Published in Conference Abstracts Nutrition Society of Australia and Nutrition Society of New Zealand 2009: III. AMJ 2010, 1, 1, 97-112 (p.103). Street S, Sullivan K, Hills A, Sinn N, Milte C, Buckley J, Howe P (2009). Interaction of n-3 polyunsaturated fatty acids and exercise predict reduced risk of mild cognitive impairment: preliminary results. Oral presentation for the Institute of Health and Biomedical Innovation (IHI) Inspires Conference, 17-18 November, Brisbane.
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Public notes
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Contacts
Principal investigator
Name
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Dr Natalie Parletta
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Address
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School of Population Health
University of South Australia
GPO Box 2471
Adelaide SA 5001
Australia
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Country
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Australia
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Phone
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+61 8 8302 1757
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Natalie (Sinn) Parletta
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Address
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University of South Australia
GPO Box 2471
Adelaide SA 5001
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Country
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Australia
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Phone
12492
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+61 8 8302 1757
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Fax
12492
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+61 8 8302 2178
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Natalie (Sinn) Parletta
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Address
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University of South Australia
GPO Box 2471
Adelaide SA 5001
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Country
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Australia
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Phone
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+61 8 8302 1757
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Fax
3420
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+61 8 8302 2178
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Telomere shortening in elderly individuals with mild cognitive impairment may be attenuated with ?-3 fatty acid supplementation: A randomized controlled pilot study
2013
https://doi.org/10.1016/j.nut.2013.09.013
N.B. These documents automatically identified may not have been verified by the study sponsor.
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