Short-term Fat Overfeeding on the Effects of Liver Metabolism

Not Applicable

Recruiting

• Conditions: Lipid Disorder; Adiposity; Liver Fat; Cardiac Function
• Interventions: Behavioral: Diet

• Registration Number: NCT05962190
• Lead Sponsor: University of Oxford

Brief Summary

Despite work showing the overconsumption of saturated fatty acids (SFA) to be metabolically deleterious, debate continues about whether there is a link between SFA and cardiovascular disease risk. To explore this, we are undertaking a human in vivo parallel-design study, comparing two isocaloric high-fat diets; one enriched with SFA and the other enriched with unsaturated fatty acids (UFAs), to determine the impact of dietary fat composition on postprandial metabolism, liver fat, cardiac fat and cardiac function.

Detailed Description

The investigators will recruit men and women with no medical condition or relevant drug therapy that affects lipid, glucose or liver metabolism.

Purpose and design:

The investigators are asking the research question: "How does the amount and type of fat consumed, influence liver fat content, cardiac function and postprandial fatty acid and liver fat metabolism when someone is not gaining or losing body weight?"

To address this research question investigators want to undertake detail physiological studies, in a parallel dietary intervention, where individuals will have an MRI/S scans to assess liver fat, cardiac fat and cardiac function, along with a postprandial study day to assess how their metabolic response to a experimental test meal, before and then 28 days after consumption of a eucaloric, high fat intervention diet that will be either enriched in saturated or unsaturated fat.

Study Timeline

• Study Start: 2023-02-15
• Status Verified: 2023-03
• Study First Submitted: 2023-03-20
• Study First Submitted QC: 2023-07-18
• Last Update Submitted: 2023-07-18
• Study First Posted: 2023-07-27
• Last Update Posted: 2023-07-27
• Primary Completion: 2028-02
• Study Completion: 2028-02

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

• The participant is willing and able to give informed consent for participation in the study.
• Male or Female, aged ≥18 or ≤65 years.
• Body Mass Index ≥19 ≤35 kg/m2
• No medical condition or relevant drug therapy that is known to affect liver or adipose tissue metabolism.
• Weight stable for the previous 3 months

Exclusion Criteria

• The participant is unwilling or unable to give informed consent for participation in the study. - Aged ≤18 or ≥65 years
• Body Mass Index ≤19 or ≥35kg/m2
• Blood haemoglobin <135mg/dL for men and <120mg/dL for women
• Donated (or lost) ≥250 ml of blood in the previous two months.
• On a weight loss diet or have decreased their body weight by >5% in the previous 3 months.
• Have increased their body weight by >5% in the previous 3 months.
• Any metabolic condition or relevant drug therapy
• Current smoker
• History of alcoholism or a greater than recommended alcohol intake (>30 g of alcohol daily for men and >20 g of alcohol daily for women)
• Haemorrhagic disorders
• Anticoagulant treatment
• History of albumin allergy
• Pregnant or nursing mothers
• Women prescribed any contraceptive agent or device including oral contraceptives, hormone replacement therapy (HRT) or who have used these within the last 12 months History of severe claustrophobia
• Presence of metallic implants, pacemakers, or are unwilling to remove any piercings
• History of an eating disorder or any other psychological condition that may affect the participant's ability to adhere to study intervention/experimental diets.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
High fat, high UFA	Diet	\~60% of total energy is from fat, of which \~25% is from SFA, \~75% from UFA
High fat, high SFA	Diet	\~60% of total energy is from fat, of which \~45% is from SFA, \~55% is from PUFA

Primary Outcome Measures

Name	Time	Method
Liver fat	Pre- and after approx 28 days of consuming interventional diet	Changes in intrahepatic triglyceride, as measured by MRI

Secondary Outcome Measures

Name	Time	Method
Postprandial plasma biochemistry	Pre- and after approx 28 days of consuming interventional diet	Changes in postprandial plasma triglycerides, glucose, insulin over 6 hours following consumption of a standardized experimental test meal

Trial Locations

Locations (1)

Oxford Centre for Diabetes, Endocrinology and Metabolism; 🇬🇧 Oxford, United Kingdom