Acute Effects of Grape Seed Extract on Insulin Sensitivity and Oxidative Stress and Inflammation Markers.

This study is a single-center, double blind, placebo-controlled, randomized, 2-arm,
2-sequence, crossover study

A planned sample size of 15 will be recruited into the study. This study will require one
initial screening, one pre-study visit, two 6-hour study visits. The study will take 2-5
weeks per subject to complete.

The initial screening visit will provide subjects an Institutional Review Board approved
consent document and determine subject eligibility through BMI calculated from height and
weight measurements, vital signs, fasting blood glucose test (finger prick), lipid profiles
(3 ml blood sampling via a butterfly needle device) and completion of a questionnaire related
to general eating, health, and exercise habits.

If subjects are willing and eligible to participate, a 3-day food record (2 weekdays and 1
weekend day) will be instructed at the initial screening visit and collected at the pre-study
visit to assess subjects' usual dietary intake pattern. After reviewing food records,
subjects will be instructed to avoid any grapes, grape products, berries, berry products
throughout the study and strictly follow a limited polyphenolic diet for 3 days prior to each
6-hr study visit, while maintaining their usual diet pattern and physical activity. Prior to
each study visit, subject will be advised to have the same or similar dinner meal to control
the second meal effect from food and beverage intake of the night before each study visit.

Subjects will arrive at the center after ~10 hours overnight fasting, well hydrated and
rested. Each study visit will require blood draws throughout the visit. After pre-study
procedures (height, weight, waist circumferences, vital sign, and fasting blood glucose
test), a registered nurse will place a catheter in subject's arm for the purpose of multiple
blood sample collections and collect fasting blood sample. During each study visit, subject
will take one of the two capsules right after fasting blood draw), based on randomization
sequences (either 1 grape seed extract capsule or 1 placebo capsule). One hour after
administration of the assigned capsule, blood samples will be collected. And a standard high
carbohydrate and high fat breakfast meal will be served and subject will have blood draws at
designated time up to 5 hours.

Inclusion Criteria:

- Aged between 20 to 65 years old

- Body Mass Index (BMI) range from 18.5 to 24.9 kg/m2; exception BMI 18.5 to 23 kg/m2
for Asian population

- Fasting blood glucose concentration < 110 mg/dL

- Fasting LDL-cholesterol <180 mg/dL

- Fasting Total cholesterol and Fasting Triglycerides < 250 mg/dL

- Weight stable: not gained or lost weight +/- 5 lbs in previous 3 months

- Non-smokers

- No clinical evidence of cardiovascular, metabolic, respiratory, renal,
gastrointestinal or hepatic disease

- Not taking any medications or dietary supplements that would interfere with outcomes
of the study, i.e. lipid lowering medications, anti-inflammatory drugs, fish oil,
probiotics, grape seed supplement, etc…If anti-inflammation and/or antibiotic
medications/supplements are taken, subjects may qualify if go off these
medications/supplements 30 days wash-out before entering the study.

- Able to provide informed consent

- Able to comply and perform the procedures requested by the protocol

Exclusion Criteria:

- Past smokers: abstinence for less than 2 years

- Men and women who smoke

- Men and women with known or suspected food intolerance, allergies or hypersensitivity
to the study materials or closely related compound or any their stated ingredients.

- Men and women known to have/diagnosed with diabetes mellitus

- Men and women who have fasting blood glucose concentrations ≥110 mg/dL

- Men and women who have uncontrolled blood pressure >140 mmHg/90 mmHg

- Men and women with documented vascular disease, e.g., heart failure, myocardial
infarction, stroke, angina, related surgeries.

- Men and women with cancer other than non-melanoma skin cancer in previous 5 years.

- Men and women who are taking medication or dietary supplements that may interfere with
the outcomes of the study; e.g., antioxidant supplements, anti-inflammation, lipid
lowering medication. Subjects may choose to go off dietary supplements (requires 30
days washout).

- Men and women who are taking blood pressure lowering medication that may interfere the
outcomes of the study; e.g. diuretics.

- Men and women who have donated blood within 3 months of the screening visit and blood
donors/participants for whom participation in this study will result in having donated
more than 1500 milliliters of blood in the previous 12 months.

- Men and women who are vegetarians or vegans

- Substance (alcohol or drug) abuse within the last 2 years.

- Excessive coffee and tea consumers (> 4 cups/day)

- Men and women who do excessive exercise regularly or athlete

- Unstable weight: gained or lost weight +/- 5 lbs in previous 3 months

- Women who are known to be pregnant or who are intending to become pregnant over the
course of the study

- Women who are lactating