Food Intake, Endocrine Factors and Brown Fat

NCT ID: NCT06285461

Last Updated: 2024-04-10

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-20
• Study Completion Date: 2026-06-30

Brief Summary

This study will investigate how the acute intake of foods with high and low hedonic reward differentially affects brown adipose tissue and the interplay between gut peptides, brown fat, and the brain (gut-BAT-brain axis).

Detailed Description

Background: The prevalence of obesity is alarmingly high and contributes to the dysfunction of other metabolic organs and tissues, increasing the risk of cardiometabolic diseases. Food products rich in sugar, sodium, and saturated fatty acids, i.e., with high hedonic reward, are shown to disrupt energy homeostasis by overriding the homeostatic control of food intake, promoting body weight gain. Contrary to white adipose tissue, brown adipose tissue uses glucose and triglycerides as fuel to dissipate energy as heat and has been considered an essential target for combating obesity. Recently, it has been shown that meal-induced thermogenesis (MIT) is associated with BAT function and that the postprandial secretion of secretin plays a role in BAT activation and satiety. Therefore, we hypothesize that foods with different degrees of hedonic reward (i.e high-palatable foods) affect the gut-BAT-brain axis, modulating energy homeostasis. Moreover, it differentially affects lean and obese individuals. Methods: This crossover clinical trial consists of two acute postprandial tests (low versus high-hedonic reward meals) with two weeks of washout. Thirty participants (15 lean and 15 with overweight/obesity) will undergo PET/CT scans with short-living radiotracers ([15O]-O2, [15O]-H2O PET/CT) before and after consumption of the two test meals to analyze BAT function. After food intake, one [11C]-carfentanil PET/CT will be carried out to understand the role of the brain in the gut-brain-BAT axis. Before and after the test meal, energy expenditure (indirect calorimetry) and circulating gut peptides will be analyzed to investigate the interplay between gut and BAT. The effect of organoleptic cues on the gut peptides and BAT will also be examined. Participants will answer dietary, behavioral, and physical activity questionnaires at the start of their participation.

Conditions

Obesity

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Non-palatable meal

Acute intake of a non-palatable meal, i.e., with low-hedonic reward, followed by PET/CT scans with three different radiotracers (\[15O\]H2O, \[15O\] oxygen, and \[11C\]-carfentanil.

Group Type: EXPERIMENTAL

Non-palatable meal

Intervention Type: BEHAVIORAL

Participants will consume a meal that corresponds to 40% of their daily resting metabolic rate and balanced diet but with low hedonic reward.

Palatable

Acute intake of a palatable meal, i.e., with high-hedonic reward, followed by PET/CT scans with three different radiotracers (\[15O\]H2O, \[15O\] oxygen, and \[11C\]-carfentanil.

Group Type: EXPERIMENTAL

Palatable meal

Intervention Type: BEHAVIORAL

Participants will consume a meal that corresponds to 40% of their daily resting metabolic rate and balanced diet but with high-hedonic reward.

Interventions

Non-palatable meal

Participants will consume a meal that corresponds to 40% of their daily resting metabolic rate and balanced diet but with low hedonic reward.

Intervention Type: BEHAVIORAL

Palatable meal

Participants will consume a meal that corresponds to 40% of their daily resting metabolic rate and balanced diet but with high-hedonic reward.

Intervention Type: BEHAVIORAL

Other Intervention Names

low-hedonic reward; high-hedonic reward

Eligibility Criteria

Inclusion Criteria

• • Males and females

• Between 18 and 45 years old.
• For the lean group: BMI<25.0 kg/m2
• For the group with overweight/obesity: BMI>27.5 kg/m2 and a waist circumference of over 94 cm (men) or 80 cm (women).

Exclusion Criteria

• • Inability to have PET/CT (claustrophobia, weight > 150 kg);

• Pregnancy and pregnancy-related conditions (postpartum/lactation during the last 12 months, or planning to become pregnant soon);
• Major alterations in the menstrual cycle (e.g., amenorrhea);
• Use of nicotine-based products;
• Hypo- or hyper- thyroidism (medical history, TSH, T3 or T4 levels out of the normal range);
• Diabetes mellitus (fasting Hb1Ac >6.5% or fasting glycaemia>125 mg/dL) or abnormal oral glucose tolerance test (2h OGTT > 7.8 mmol/L);
• Hypertension (blood pressure > 160/100 mmHg) or abnormal cardiovascular status (arrhythmia and/or long QTc in ECG, abnormal cardiac murmur, previous history of cardiovascular disease);
• Abnormal coagulopathy (e.g., clotting abnormality);
• Malignancies, immunological, autoimmune and primary/secondary immunodeficiency disorders (including or not any active treatment).
• Virus or bacterial infection (both asymptomatic and symptomatic picture) within the 30 days prior to the study start;
• Episode of fever or major surgery, burns and traumas within the month prior to the study start
• Chronic infections requiring chronic antibiotic or anti-viral treatment
• Whole blood donation in the last 3 months (>400 mL of blood) or plans for blood donation during the entire protocol period
• Weight change (intentional or not) over the last 6-months > than 5% of body weight, or plan to lose weight during the study,
• Use of any medication that, in the opinion of local clinician/researcher, would negatively affect or mitigate full participation and completion, or could influence the study results. This especially applies to the use of β or α adrenergic receptors agonists/antagonists (e.g., β-blockers). In addition, participants in use of medication for glucose control or weight loss such as GLP-1 analogs will not be included.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Turku

OTHER

Sponsor Role: collaborator

Turku University Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

Kirsi Virtanen

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Milena Monfort-Pires, PhD

Role: STUDY_DIRECTOR

University of Turku

Kirsi A Virtanen, Professor

Role: PRINCIPAL_INVESTIGATOR

University of Turku

Locations

Turku PET Centre

Turku, , Finland

Site Status: RECRUITING

Countries

Finland

Central Contacts

Kirsi A Virtanen, Professor

Role: CONTACT

kianvi@utu.fi

407626564 ext. +358

Milena Monfort-Pires, PhD

Role: CONTACT

mmopir@utu.fi

Facility Contacts

Kirsi A Virtanen

Role: primary

kianvi@utu.fi

+358407626564

Other Identifiers

T2566/2023

Identifier Type: -

Identifier Source: org_study_id