Macronutrients and Postprandial Vascular Function

NCT ID: NCT03139890

Last Updated: 2018-09-13

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

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-01

Study Completion Date

2018-09-01

Brief Summary

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Vascular function decreases following the intake of a mixed meal in some, but not all studies. Differences in the relative amounts of dietary fat, carbohydrates and protein present in the mixed-meal challenges may have contributed to these apparently inconsistent results. Well-designed trials - comparing under rigorously standardized conditions - on the effects of macronutrients on postprandial vascular function are missing. The primary objective of the current study is thus to evaluate in overweight and slightly obese men the effects of the three macronutrients (fat, carbohydrates, and protein) on postprandial vascular function, as assessed by brachial artery flow-mediated vasodilation (FMD). Secondary objectives are to examine postprandial effects on other markers reflecting vascular function, plasma markers for low-grade systemic inflammation and endothelial dysfunction, blood pressure, and serum lipid and plasma glucose metabolism.

Detailed Description

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Conditions

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Dietary Fats Carbohydrates Proteins Macronutrients Vascular Function Postprandial Metabolism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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High-fat milkshake

Group Type EXPERIMENTAL

High-fat (HF-LC-LP) milkshake

Intervention Type OTHER

During this experimental day, men will receive a high-fat milkshake

High-carbohydrate milkshake

Group Type EXPERIMENTAL

High-carbohydrate (LF-HC-LP) milkshake

Intervention Type OTHER

During this experimental day, men will receive a high-carbohydrate milkshake

High-protein milkshake

Group Type EXPERIMENTAL

High-protein (LF-LC-HP) milkshake

Intervention Type OTHER

During this experimental day, men will receive a high-protein milkshake

Interventions

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High-fat (HF-LC-LP) milkshake

During this experimental day, men will receive a high-fat milkshake

Intervention Type OTHER

High-carbohydrate (LF-HC-LP) milkshake

During this experimental day, men will receive a high-carbohydrate milkshake

Intervention Type OTHER

High-protein (LF-LC-HP) milkshake

During this experimental day, men will receive a high-protein milkshake

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Aged between 18-70 years
* Men
* BMI between 25-35 kg/m2 (overweight and slightly obese)
* Fasting plasma glucose \< 7.0 mmol/L
* Fasting serum total cholesterol \< 8.0 mmol/L
* Fasting serum triacylglycerol \< 2.2 mmol/L
* Systolic blood pressure \< 160 mmHg and diastolic blood pressure \< 100 mmHg
* No current smoker
* No diabetic patients
* No familial hypercholesterolemia
* No abuse of drugs
* No more than 3 alcoholic consumptions per day
* Stable body weight (weight gain or loss \< 3 kg in the past three months)
* No use of dietary supplements known to interfere with the main study outcomes as judged by the principal investigator
* No use of medication to treat blood pressure, lipid or glucose metabolism
* No use of an investigational product within another biomedical intervention trial within the previous 1-month
* No severe medical conditions that might interfere with the study, such as epilepsy, asthma, kidney failure or renal insufficiency, chronic obstructive pulmonary disease, inflammatory bowel diseases, auto inflammatory diseases and rheumatoid arthritis
* No active cardiovascular disease like congestive heart failure or cardiovascular event, such as an acute myocardial infarction or cerebrovascular accident
* Willingness to give up being a blood donor from 8 weeks before the start of the study, during the study and for 4 weeks after completion of the study
* No difficult venipuncture as evidenced during the screening visit

Exclusion Criteria

* Women
* Fasting plasma glucose ≥ 7.0 mmol/L
* Fasting serum total cholesterol ≥ 8.0 mmol/L
* Fasting serum triacylglycerol ≥ 2.2 mmol/L
* Systolic blood pressure ≥ 160 mmHg and/or diastolic blood pressure ≥ 100 mmHg
* Current smoker, or smoking cessation \< 12 months
* Diabetic patients
* Familial hypercholesterolemia
* Abuse of drugs
* More than 3 alcoholic consumptions per day
* Unstable body weight (weight gain or loss \> 3 kg in the past three months)
* Use of dietary supplements known to interfere with the main study outcomes as judged by the principal investigator
* Use medication to treat blood pressure, lipid or glucose metabolism
* Use of an investigational product within another biomedical intervention trial within the previous 1-month
* Severe medical conditions that might interfere with the study, such as epilepsy, asthma, kidney failure or renal insufficiency, chronic obstructive pulmonary disease, inflammatory bowel diseases, auto inflammatory diseases and rheumatoid arthritis
* Active cardiovascular disease like congestive heart failure or cardiovascular event, such as an acute myocardial infarction or cerebrovascular accident
* Not willing to give up being a blood donor from 8 weeks before the start of the study, during the study or for 4 weeks after completion of the study
* Not or difficult to venipuncture as evidenced during the screening visit
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Maastricht University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter J Joris, PhD

Role: PRINCIPAL_INVESTIGATOR

Maastricht University Medical Center

Locations

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Maastricht University Medical Center

Maastricht, , Netherlands

Site Status

Countries

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Netherlands

References

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Gravesteijn E, Mensink RP, Smeets ETHC, Plat J. Dietary Macronutrients Do Not Differently Influence Postprandial Serum and Plasma Brain-Derived Neurotrophic Factor Concentrations: A Randomized, Double-Blind, Controlled Cross-Over Trial. Front Neurosci. 2021 Dec 21;15:774915. doi: 10.3389/fnins.2021.774915. eCollection 2021.

Reference Type DERIVED
PMID: 34992516 (View on PubMed)

Schroor MM, Plat J, Konings MCJM, Smeets ETHC, Mensink RP. Effect of dietary macronutrients on intestinal cholesterol absorption and endogenous cholesterol synthesis: a randomized crossover trial. Nutr Metab Cardiovasc Dis. 2021 May 6;31(5):1579-1585. doi: 10.1016/j.numecd.2021.01.010. Epub 2021 Jan 29.

Reference Type DERIVED
PMID: 33744041 (View on PubMed)

Smeets ETHC, Mensink RP, Joris PJ. Dietary macronutrients do not differently affect postprandial vascular endothelial function in apparently healthy overweight and slightly obese men. Eur J Nutr. 2021 Apr;60(3):1443-1451. doi: 10.1007/s00394-020-02340-y. Epub 2020 Jul 29.

Reference Type DERIVED
PMID: 32728881 (View on PubMed)

Other Identifiers

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METC 17-3-012

Identifier Type: -

Identifier Source: org_study_id

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