Eating Disinhibition and Vagal Tone and the Postprandial Response to Glycaemic Load

NCT ID: NCT02827318

Last Updated: 2016-07-11

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

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2015-12-31

Brief Summary

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Reducing the glycaemic load (GL) of the diet may benefit appetite control but its utility is complicated by psychological influences on eating. Disinhibited behaviour, a risk factor for overconsumption, is characterized by reduced prefrontal cortex activity, which in turn directly modulates vagal tone; a phenomenon inversely associated with blood glucose (BG) and insulin levels. This double blind randomised controlled trial explores the influence of disinhibited eating and vagal tone (heart rate variability) on the postprandial response to GL and hunger.

Detailed Description

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There is growing recognition that lowering the glycaemic load of the diet might reduce a range of cardiovascular risk factors such as raised plasma triglycerides, HbA1c and C reactive protein and aid in body weight regulation. A proposed mechanism includes higher satiety and prolonged satiation by virtue of improved postprandial metabolic control, although, whether lower GL meals result in greater weight loss or increased satiety is still a matter of debate. One matter complicating the issue is that the desire to consume food may be driven by psychological factors; food reward centres in the brain may override hormonal regulation of food intake. Amongst psychological factors disinhibition has the largest and most consistent body of empirical data that associates it with weight gain although the mechanisms involved are unknown. This study will investigate whether, irrespective of BMI or habitual diet, disinhibited eaters have greater glycaemic excursions following a high glycaemic load drink and whether this predicts subsequent satiation.

Conditions

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Hunger

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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75g glucose

75g of glucose dissolved in 500ml provided in a clear plastic tumbler.

Group Type ACTIVE_COMPARATOR

Glucose

Intervention Type DIETARY_SUPPLEMENT

75g Glucose (high glycaemic load intervention)

75g isomaltulose

75g of isomaltulose dissolved in 500ml provided in a clear plastic tumbler.

Group Type EXPERIMENTAL

Isomaltulose

Intervention Type DIETARY_SUPPLEMENT

75g Isomaltulose (low glycaemic load intervention)

Sweetened water

500ml water sweetened with sucralose provided in a clear plastic tumbler.

Group Type PLACEBO_COMPARATOR

Sweetened water

Intervention Type DIETARY_SUPPLEMENT

Sweetened water will be used as a control

Interventions

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Isomaltulose

75g Isomaltulose (low glycaemic load intervention)

Intervention Type DIETARY_SUPPLEMENT

Glucose

75g Glucose (high glycaemic load intervention)

Intervention Type DIETARY_SUPPLEMENT

Sweetened water

Sweetened water will be used as a control

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Young healthy adults who scored either high or low on the Three factor eating questionnaire disinhibition subscale

Exclusion Criteria

Participants were excluded if they

* had a cardiovascular or metabolic disorder
* gastrointestinal problems
* were pregnant
* had a current diagnosis of a mood or eating disorder
* and/or were taking medications or herbal supplements to manage body weight or control appetite
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Swansea University

OTHER

Sponsor Role lead

Responsible Party

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Dr Hayley Young

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Swansea University

Swansea, West Glamorgan, United Kingdom

Site Status

Countries

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United Kingdom

References

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Young HA, Watkins H. Eating disinhibition and vagal tone moderate the postprandial response to glycemic load: a randomised controlled trial. Sci Rep. 2016 Oct 20;6:35740. doi: 10.1038/srep35740.

Reference Type DERIVED
PMID: 27761024 (View on PubMed)

Other Identifiers

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DisGL

Identifier Type: -

Identifier Source: org_study_id

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