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Polyphenols and Overfeeding

Not Applicable
Completed
Conditions
Overfeeding
Interventions
Dietary Supplement: 2g of grape polyphenol extract
Registration Number
NCT02145780
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

Obesity is a complex and multifactorial disease representing a major public health challenge. Indeed, overweight and obese people carry a major risk of developing insulin resistance and type 2 diabetes mellitus. It has been demonstrated that polyphenols could be used to counteract some of the mechanisms involved in the generation of insulin resistance. The model of overfeeding represents a very good study model of the metabolic complications of obesity, since it has been shown to induce a transient state of insulin resistance in the human.

The purpose of this research is to study the effects of a overfeeding (+50% of daily caloric needs over 31 days) with or without polyphenols supplementation (2g/days over 31 days) on insulin sensitivity measured in the setting of a hyperinsulinemic euglycemic clamp and on post prandial partitioning of exogenous lipids after a test meal.

During 31 days, the volunteers will consume chocolate bars, chips, chocolate breads and cola in addition to their usual diet and will be supplemented with 2g of grape polyphenols extract or with placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
42
Inclusion Criteria
  • Male
  • Aged from 18 to 55 years
  • Body Mass Index of 23 to 27 kg/m²
  • Normal blood pressure
  • Fasting glycemia < 7 mmol/L
  • CRPus < 10mg/L
  • Triglycerides ≤ 3mmol/L
Exclusion Criteria
  • Medical or surgical history which may affect the results (renal -cardiovascular - hepatic- endocrine-inflammatory diseases)
  • Subjects under treatment which may interfere with the measured parameters
  • Eating disorder
  • Intensive sportive activity
  • Dairy products allergy or intolerance

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2g of grape polyphenol extract supplement2g of grape polyphenol extractMen will have to consume daily 2g of grape polyphenol extract during the 31 days of overfeeding.
Primary Outcome Measures
NameTimeMethod
Peripheral insulin sensitivityDuring 31 days

Volunteers will have peripheral and hepatic insulin sensitivity determined by using a two-stage hyperinsulinemic euglycemic clamp with stable isotopically labeled tracer infusion.

Secondary Outcome Measures
NameTimeMethod
Change in genes expression in adipose and muscle tissuesBefore and after the 31 days of overfeeding

RT-PCR

Modification in intestinal microbiotaBefore and after the 31 days of overfeeding

Feces analyses

Anthropometry, Fat quantification and Abdominal fat distributionDuring 31 days

Weight, height, waist and hip circumferences, fat mass using dual x-ray absorptiometry (DEXA) and abdominal fat distribution using resonance magnetic imaging (RMI).

Fasting and Postprandial partitioning of exogenous lipidFasting and during all the postprandial period (0-300 minutes)

13C enrichment will be measured in blood samples and breath test during a test meal performed before and after the 31 days of overfeeding.

Hepatic insulin sensitivitybefore and after the 31 days of overfeeding

Endogenous glucose production (EGP) will be determined during the last 30 minutes of the low-dose insulin infusion.

Energy expenditure and substrate oxidation with indirect calorimetryFasting and during all the postprandial period (0-300 minutes)

Energy metabolism will be measured before and after the 31 days of overfeeding.

Trial Locations

Locations (1)

Rhône Alpes Human Nutrition Center (CRNH Rhône-Alpes)

🇫🇷

Pierre-bénite, France

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