Levels A Controlled Study Amanda Venuto, Lauren Smith, Danielle Graziano Background and Rationale ● Plant-based butter market is on the rise ● Nuts are known for containing heart-healthy fats (Pavlik,2017) ● A study conducted concluded that peanuts have been found to improve weight status in adolescents; however, no further research has been done to examine the exact effects on omega levels in the body. (Moreno, 2013) Background and Rationale ● The general public is beginning to have a better understanding of the benefits of healthy fats. (Pavlik, 2017) ● Even though consuming nut butters is an overall better alternative than butter, due to their high caloric density overconsumption can lead to unwanted weight gain if not properly monitored.(Burns,2016) Purpose ● The purpose of this study is to examine the effects that these different nut butters have on individual’s Omega 3, 6 and 9 levels along with cholesterol and also review overall weight change from before and after the study. Duration and Participants ● Number of subjects: 75 ● Duration of subject participation: 1 month ● Duration of study: 5 weeks ● 1 study center used Objectives ● The primary objective is to compare among diet groups (almond butter and peanut butter), plant-based free diet group versus the group of people that do not consume any nut or nut butters, the serum concentration of total cholesterol and omega-3, 6, and 9 fatty acids ● The secondary objectives are to compare the BMI before and after the trial of males and females who were selected to consume either peanut butter or almond butter Design ● Prospective ● Controlled ● Interventional ● Subjects are untrained University of Delaware students Methods ● 75 students, male and female will be divided at random into three groups of 25. ● Group one: will be assigned to eating 2 tablespoons per day of a specific peanut butter ● The second group: will be instructed to eat 2 tablespoons per day of almond butter ● The third group: will be instructed to not incorporate any nut butters or nuts into their diet ● Subjects will have a blood draw at the baseline visit and the conclusion of the study at week 4 Methods ● To assess the primary objective blood will be analyzed for total cholesterol, HDL, and omega-3, omega-6 fatty acid concentrations and the omega- phospholipid ratio. ● This ratio compares the concentration of omega fatty acids found in the lab work to the phospholipid concentration of the blood. Methods ● To evaluate the secondary objective, weight will be taken before and after the trial to determine trends of weight loss or gain amongst all three groups. ● Results will also be stratified by sex (male, female). ● Weight will be measured on a digital scale accurate to 0.1kg. ● Means and standard deviations of each group will be used to assess the similarities and differences by treatment group. References ● 1. Moreno JP, Johnston CA, El-Mubasher AA, et al. Peanut consumption in adolescents is associated with improved weight status. Nutrition research (New York, N.Y.). 2013;33(7):552-556. http://www.ncbi.nlm.nih.gov/pubmed/23827129. doi: 10.1016/j.nutres.2013.05.005. ● 2. Tricia Y Li, Aoife M Brennan, Nicole M Wedick, Christos Mantzoros, Nader Rifai, Frank B Hu. Regular consumption of nuts is associated with a lower risk of cardiovascular disease in women with type 2 Diabetes1,2. The Journal of Nutrition. 2009;139(7):1333. https://search.proquest.com/docview/197461227. ● 3. Navarro Silvera SA, Mayne ST, Risch H, et al. Food group intake and risk of subtypes of esophageal and gastric cancer. International Journal of Cancer. 2008;123(4):852-860. http://onlinelibrary.wiley.com/doi/10.1002/ijc.23544/abstract. doi: 10.1002/ijc.23544. ● 4. Burns AM, Zitt MA, Rowe CC, et al. Diet quality improves for parents and children when almonds are incorporated into their daily diet: A randomized, crossover study. Nutrition Research. 2016;36(1):80-89.