Effects of Functional Ingredients in an Acute Metabolic Challenge Context

NCT ID: NCT02623608

Last Updated: 2019-08-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2016-07-31

Brief Summary

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After an energy-rich meal the blood levels of glucose and lipids undergo a marked temporary increase, triggering a wave of oxidative stress due to the appearance of excess free radicals in adipose and muscle tissues. Elevated postprandial hypertriglyceridemia has been associated with increased risk of cardiovascular disease and type 2 diabetes. Hence, postprandial changes in different circulating biomarkers are potential predictors of cardiometabolic risk. In addition to the possibility of evaluating acute variations in metabolic risk markers in response to different types of fat, the metabolic challenge approach may serve as a challenge-meal background in order to reveal possible beneficial effects of specific food ingredients. In this study, circulating cardiometabolic disease-related biomarkers, including endotoxemia, will be assessed postprandially in search for beneficial actions of particular functional food ingredients consumed in combination with a high-fat meal.

Detailed Description

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The study will be carried out in a group of healthy mature subjects with overweight and normal fasting blood glucose values.

A randomized crossover design will be followed, in which the postprandial metabolic responses to a high fat breakfast (HF) will be compared with those registered after an identical breakfast containing a functional ("active") ingredient. Each meal will be tested in an independent experimental session. Experimental sessions will take place with1 week interval. The study will be carried out at the Food for Health Laboratory, Food for Health Science Centre - Lund University (Medicon Village, Lund).

The volunteers will consume the challenge HF alone and with 4 active ingredients, i.e. each volunteer will undergo five experimental sessions. Additionally, the plan contemplates an initial information visit that includes the screening of fasting blood glucose. In total, each volunteer completing the study will pay six visits to the Food for Health Laboratory.

Based on the results from the above-described phase, a second step of the study will focus on the impact of the order of consumption -i.e. "active ingredient" before HF and vice versa on cardiometabolic risk outcomes, as a way to optimize putative protective actions.

Conditions

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Metabolic Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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High fat meal

Subjects eat a high fat breakfast (reference breakfast) at 7:30 am. The meal contains 50 g fat and 900 kcal. Blood samples are taken before the breakfast and every 30 min postprandial for 4 h.

Group Type EXPERIMENTAL

Reference breakfast

Intervention Type OTHER

A high fat, high calorie breakfast

High fat meal + Active Ingredient 1

Subjects eat the same high fat breakfast with the "active ingredient 1" at 7:30 am. The meal contains 50 g fat and 900 kcal. Blood samples are taken before the breakfast and every 30 min postprandial for 4 h.

Group Type EXPERIMENTAL

Active Ingredient 1

Intervention Type OTHER

A high fat, high calorie breakfast including the Active Ingredient 1

High fat meal + Active Ingredient 2

Subjects eat the same high fat breakfast with the "active ingredient 2" at 7:30 am. The meal contains 50 g fat and 900 kcal. Blood samples are taken before the breakfast and every 30 min postprandial for 4 h.

Group Type EXPERIMENTAL

Active Ingredient 2

Intervention Type OTHER

A high fat, high calorie breakfast including the Active Ingredient 2

High fat meal + Active Ingredient 3

Subjects eat the same high fat breakfast with the "active ingredient 3" at 7:30 am. The meal contains 50 g fat and 900 kcal. Blood samples are taken before the breakfast and every 30 min postprandial for 4 h.

Group Type EXPERIMENTAL

Active Ingredient 3

Intervention Type OTHER

A high fat, high calorie breakfast including the Active Ingredient 3

High fat meal + Active Ingredient 4

Subjects eat the same high fat breakfast with the "active ingredient 4" at 7:30 am. The meal contains 50 g fat and 900 kcal. Blood samples are taken before the breakfast and every 30 min postprandial for 4 h.

Group Type EXPERIMENTAL

Active Ingredient 4

Intervention Type OTHER

A high fat, high calorie breakfast including the Active Ingredient 4

Interventions

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Reference breakfast

A high fat, high calorie breakfast

Intervention Type OTHER

Active Ingredient 1

A high fat, high calorie breakfast including the Active Ingredient 1

Intervention Type OTHER

Active Ingredient 2

A high fat, high calorie breakfast including the Active Ingredient 2

Intervention Type OTHER

Active Ingredient 3

A high fat, high calorie breakfast including the Active Ingredient 3

Intervention Type OTHER

Active Ingredient 4

A high fat, high calorie breakfast including the Active Ingredient 4

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* overweight (BMI between 25 and 30)
* fasting blood glucose value ≤ 6.1 mmol/l.

Exclusion Criteria

* treatment for dyslipidemia
* treatment for hypertension
Minimum Eligible Age

50 Years

Maximum Eligible Age

73 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Vinnova

OTHER_GOV

Sponsor Role collaborator

Antidiabetic Food Centre AFC

UNKNOWN

Sponsor Role collaborator

Lund University

OTHER

Sponsor Role lead

Responsible Party

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Juscelino Tovar

Project Leader

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Juscelino Tovar, PhD

Role: STUDY_DIRECTOR

Lund University

Locations

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Food for Health Science Centre. Lund University Medicon Village

Lund, , Sweden

Site Status

Countries

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Sweden

References

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O'Keefe JH, Bell DS. Postprandial hyperglycemia/hyperlipidemia (postprandial dysmetabolism) is a cardiovascular risk factor. Am J Cardiol. 2007 Sep 1;100(5):899-904. doi: 10.1016/j.amjcard.2007.03.107. Epub 2007 Jun 26.

Reference Type BACKGROUND
PMID: 17719342 (View on PubMed)

Johnston KL, Clifford MN, Morgan LM. Coffee acutely modifies gastrointestinal hormone secretion and glucose tolerance in humans: glycemic effects of chlorogenic acid and caffeine. Am J Clin Nutr. 2003 Oct;78(4):728-33. doi: 10.1093/ajcn/78.4.728.

Reference Type BACKGROUND
PMID: 14522730 (View on PubMed)

Strassburg K, Esser D, Vreeken RJ, Hankemeier T, Muller M, van Duynhoven J, van Golde J, van Dijk SJ, Afman LA, Jacobs DM. Postprandial fatty acid specific changes in circulating oxylipins in lean and obese men after high-fat challenge tests. Mol Nutr Food Res. 2014 Mar;58(3):591-600. doi: 10.1002/mnfr.201300321. Epub 2013 Oct 14.

Reference Type BACKGROUND
PMID: 24127338 (View on PubMed)

Herieka M, Erridge C. High-fat meal induced postprandial inflammation. Mol Nutr Food Res. 2014 Jan;58(1):136-46. doi: 10.1002/mnfr.201300104. Epub 2013 Jul 12.

Reference Type BACKGROUND
PMID: 23847095 (View on PubMed)

Related Links

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Other Identifiers

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AFC-JT-Ac.Ch

Identifier Type: -

Identifier Source: org_study_id

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