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Meal Patterning on Weight Loss With Changes to Body Comp, Muscle and Metabolic Health

Not Applicable
Completed
Conditions
Impaired Glucose Tolerance
Paresis
Body Composition, Beneficial
Interventions
Other: wt loss
Other: meal pattern
Dietary Supplement: even
Dietary Supplement: skew
Registration Number
NCT02066948
Lead Sponsor
Purdue University
Brief Summary

About two-thirds of adults in the United States are overweight or obese with likely adverse health consequences. A Moderate weight loss by dieting and exercise is recommended to improve health. We are interested to know whether eating dietary protein at different times of the day influences changes in body composition, muscle and indices of health. The purpose of this study is to examine the effects of within-day patterning of dietary protein intake (even vs. skewed) on energy-restriction and resistance training-induced changes in body composition, muscle size, appetite, and clinical health (including blood glucose and blood pressure).

Detailed Description

About two-thirds of adults in the United States are overweight or obese. Obesity is associated with an increased risk of chronic disease and metabolic syndrome and a reduced physical functioning capacity, all of which contribute to disproportionately high healthcare expenditures and premature mortality. A moderate dietary energy restriction with a higher protein diet has been recommended for weight loss to prevent or improve medical complications associated with obesity as well as improve body composition, including preserving lean body mass. Emerging research indicates that the consumption of multiple high protein meals daily may be superior than only consuming one high-protein meal (typically dinner) to stimulate muscle protein synthesis throughout the day. This concept is based on research showing that the patterning of energy and protein intake influences muscle protein synthesis and whole body composition and protein retention. Very limited research exists regarding the effects of protein intake on skeletal muscle size after weight loss, and currently, no longitudinal studies have evaluated the effectiveness of consuming an even vs. skewed distribution of protein intake across meals on phenotypic changes in skeletal muscle size over the longer-term. Recent studies have also suggested that evenly distributed protein patterning may promote satiety and improve blood glucose response in healthy adult men and women. However, there is a need for controlled, longer-duration trials to investigate the effects of daily protein distribution on appetite, glucose response and metabolic syndrome after weight loss in overweight or obese adults. The goal of the proposed research is to evaluate the effects of within-day patterning of dietary protein intake (even vs. skewed) on energy-restriction and resistance training-induced changes in body composition, skeletal muscle size, appetite, glucose response, and metabolic syndrome parameters.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
41
Inclusion Criteria
  • non-smoking;
  • weight stable (± 4.5 kg during previous 3 months)
  • constant habitual activity patterns within last 3 months
  • no acute illness
  • not diabetic or have chronic diseases
  • blood profile within 10% of clinical normalcy
  • subjects not classified as high risk for cardiovascular disease
  • no use of medications
  • females who are not pregnant or lactating
  • ability to travel to testing and exercise training facilities
  • not claustrophobic and able to complete the muscle size testing using the magnetic resonance imager
Exclusion Criteria
  • Smoker
  • weight changed within 3 months
  • a history of disease or high risk of cardiovascular disease
  • history of claustrophobic
  • pregnant or lactating female

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Skew meal pattern w/ wt loss&exercisewt lossSkew meal pattern w/ wt loss\&exercise e
even meal pattern w/ wt loss&exercisewt losseven meal pattern w/ wt loss\&exercise
even meal pattern w/ wt loss&exercisemeal patterneven meal pattern w/ wt loss\&exercise
Skew meal pattern w/ wt loss&exercisemeal patternSkew meal pattern w/ wt loss\&exercise e
Skew meal pattern w/ wt loss&exerciseevenSkew meal pattern w/ wt loss\&exercise e
even meal pattern w/ wt loss&exerciseskeweven meal pattern w/ wt loss\&exercise
Primary Outcome Measures
NameTimeMethod
Body composition20 weeks

Fasting-state body weight and waist and hip circumferences will be measured. Body composition (fat mass, lean body mass, and bone mass) will also be determined using Dual Energy X-ray Absorptiometry

Secondary Outcome Measures
NameTimeMethod
Whole body Imaging20 weeks

A total of 2 magnetic resonance imaging (MRI) images of muscle and 1 MRI of the abdomen will be obtained

Trial Locations

Locations (1)

Purdue University

🇺🇸

West Lafayette, Indiana, United States

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