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Effect of Fat Quality on Glycemic Regulation and Gut Microbiota After a Short-time Intervention in Healthy Individuals

Not Applicable
Completed
Conditions
Postprandial Blood Glucose
Gut Microbiota
Satiety
Interventions
Other: Saturated fat 14.9 E%
Other: Polyunsaturated fat 13.6 E%
Registration Number
NCT03658681
Lead Sponsor
Oslo Metropolitan University
Brief Summary

The overall aim is to investigate effects of saturated versus polyunsaturated fat on glycemic regulation and satiety in a postprandial study with healthy individuals. The potential effects will be related to changes in gut microbiota, the circulating levels of short chain fatty acids, inflammation and gene expression in peripheral mononuclear blood cells.

Detailed Description

The intervention study will have a randomized, double blinded, cross-over design with different test meals consisting of saturated or polyunsaturated fat. The amount of fat will be identical in the test meals, but the fat quality will vary. The test meals are in the form of muffin and spread.

All participants will consume two muffins and minimum 20 g of spread a day for three consecutive days, consisting of either a high proportion of saturated fat or a high proportion of polyunsaturated fat. At day one (visit 1 and 3) and day four (visit 2 and 4) of the intervention week, the participants will perform a postprandial glucose test (OGTT, 75 g glucose in 100 ml water) at Oslo Metropolitan University. Blood samples will be taken before and at different time points after the glucose test. One week prior to the intervention week and during "wash-out" (11 days), the participants will consume the control products which are high in saturated fat.

At the screening visit (visit 0) the participants will be asked to limit the intake of dietary fat and fiber from oat and barley one week prior to visit 1 and during the study. Otherwise, participants will be asked not to change their diet and exercise habits during the study period. Individuals fulfilling the inclusion criteria will also be invited to participate in a cross-sectional study for investigating the gut microbiota in a healthy population.

An OGTT will be performed at visit 1, 2, 3 and 4.

The participants will receive test meals after screening and before visit 1, 2, and 3.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • BMI between 18,5 and 27 kg/m2
  • Fasting plasma glucose ≤ 6.1 mmol/l
Exclusion Criteria
  • Chronic metabolic diseases such as diabetes type 1 and 2, coronary heart disease and cancer the last 6 months.
  • Intestinal diseases such as chron's disease, ulcerative colitis and irritable bowel syndrome.
  • Food allergy and intolerances towards grain and dairy products.
  • Pregnant and lactating
  • Smokers
  • Fasting blood glucose ≥ 6.1 mmol/L
  • BMI <18,5 and >27 kg/m2
  • Planned weight reduction and or ± 5% weight change over the past three months.
  • Use of antibiotics last 3 months before study entry and during the study period
  • Use of probiotics the last month before study entry and during the study period
  • Blood donor last 2 months before study entry and or during the study period
  • Not willing to end the use of dietary supplements, including probiotic products, fish oil etc. four weeks prior to study entry and throughout the study period
  • Alcohol consumption > 40g / day
  • Hormone treatments (except contraceptives)

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Test meal 1: Saturated fat 14.9 E%Saturated fat 14.9 E%Test meal with saturated fat 14.9 E%
Test meal 2: Polyunsaturated fat 13.6 E%Polyunsaturated fat 13.6 E%Test meal with polyunsaturated fat 13,6 E%
Primary Outcome Measures
NameTimeMethod
Blood glucose response measured in capillary bloodChange from baseline at day 4

Blood glucose response after oral glucose tolerance test (OGTT) measured in Finger-prick capillary blood samples

Serum Insulin response measured in venous blood samplesChange from baseline at day 4

Serum Insulin response after OGTT measured in venous blood samples

Secondary Outcome Measures
NameTimeMethod
Hydrogen breath response measured in expired airChange from baseline at day 4

Hydrogen breath response after OGTT measured in expired air by Gastroanalyzer

Free fatty acidsChange from baseline at day 4

Plasma free fatty acids are measured after intake of test meals

Microbiota analyses in fecesChange from baseline at day 4

Microbiota analyses in feces are measured before and after intake of test meals. Change in microbiota will be analysed

Quantitative assessment of metabolites in plasmaChange from baseline at day 4

Plasma for metabolome analyses are collected after intake of test meals. Metabolites in plasma will be quantified using UHPLC-qTOF-MS

Visual analogue scale (VAS)Change from baseline at day 4

Subjective hunger and satiety after OGTT and will be measured on a 100 mm horizontal line. Marks towards right end on line indicates strong sensation for hunger and satiety, whereas marks towards left end indicates opposite sensation. The distance from left border of line to the mark indicates subjective sensation.

Serum triglyceride responseChange from baseline at day 4

Triglyceride response are measured are measured after OGTT

Serum cholesterolChange from baseline at day 4

Serum cholesterol are measured fasting after intake of test meals

Hunger and satiety hormones (e.g. GLP2, PYY)Change from baseline at day 4

The response in hunger and satiety hormones after OGTT

Inflammatory markers (e.g. CRP)Change from baseline at day 4

Response in Inflammatory markers are measured after OGTT

mRNA analyses in PBMCChange from baseline at day 4

PBMC are collected before and after OGTT. The change in mRNA level will be analyzed

Quantitative assessment of metabolites in urineChange from baseline at day 4

Morning urine are collected before and after intake of test meals. Metabolites in urine will be quantified using UHPLC-qTOF-MS. Change in metabolites before and after test meals will be analyzed

Trial Locations

Locations (1)

Oslo Metropolitan University

🇳🇴

Oslo, Norway

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