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Effects of Emulsification and Lipid Droplet Size on Postprandial Metabolic Responses

Not Applicable
Completed
Conditions
Metabolic Diseases
Interventions
Other: Fine emulsion
Other: Coarse emulsion
Other: Control
Registration Number
NCT02789683
Lead Sponsor
Clinical Nutrition Research Centre, Singapore
Brief Summary

The aim of this study is to compare the effects of emulsification and lipid droplet size on gastric emptying rate, and to determine if the change in gastric emptying rate can in turn influence postprandial glycemic, insulinemic and lipidemic responses.

Detailed Description

This study will be conducted using a randomized, crossover design with three dietary phases: 1) fine emulsion beverage (small lipid droplet size), 2) coarse emulsion beverage (large lipid droplet size) and 3) non-emulsified oil and water. All treatments will be consumed together with bread. All participants will be randomly allocated to the three test meals. Fifteen to twenty participants aged between 21 and 50 years will be recruited from the general public in Singapore.

During the testing sessions, participants' glycemic, insulinemic, lipidemic responses and gastric emptying to the test meals will be measured. Gastric antral distention ultrasound measurement is an indirect measure of gastric emptying rate. Participants' metabolic satiety for the test meals will also be assessed at regular intervals throughout the testing session. Each testing session will take approximately four hours in duration and the testing sessions will take place at least five days apart.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
20
Inclusion Criteria
  • Healthy Chinese male subjects aged between 21 and 50 years
  • Body mass index between 20.0 to 24.9 kg/m2
  • Normal blood pressure (<140/90 mmHg)
  • Fasting blood glucose <6.0 mmol/L
Exclusion Criteria
  • People with major chronic disease such as heart disease, cancer or diabetes mellitus
  • People with family history of diabetes or familial cholesterolaemic
  • People with history of liver or renal problems
  • People who have intolerances or allergies to test products
  • Individuals who are taking insulin or drugs known to affect glucose metabolism and body fat distribution
  • People with a major medical or surgical event requiring hospitalization within the preceding three months
  • Individuals with the presence of disease or drugs which influence digestion and absorption of nutrients

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Fine emulsionFine emulsionEmulsion with small lipid droplet size served together with white bread
Coarse emulsionCoarse emulsionEmulsion with large lipid droplet size served together with white bread
ControlControlNon-emulsified oil and water served together with white bread
Primary Outcome Measures
NameTimeMethod
Glycemic response4 hours post-prandial (0, 15, 30, 45, 60, 90, 120, 150, 180, 210 and 240 min)

Blood glucose response to the test meal measured over 4 hours

Secondary Outcome Measures
NameTimeMethod
Gastric emptying2 hours post-prandial (0, 15, 45, 90 and 120 min)

Gastric antrum dimension measured over 2 hours

Insulinemic response4 hours post-prandial (0, 15, 30, 45, 60, 90, 120, 150, 180, 210 and 240 min)

Plasma insulin response to the test meal measured over 4 hours

Triglycerides response4 hours post-prandial (0, 15, 30, 45, 60, 90, 120, 150, 180, 210 and 240 min)

Plasma triglycerides response to the test meal measured over 4 hours

Non-esterified fatty acid (NEFA) response4 hours post-prandial (0, 15, 30, 45, 60, 90, 120, 150, 180, 210 and 240 min)

Plasma NEFA response to the test meal measured over 4 hours

Post-test-meal subjective appetite rating4 hours (0, 15, 30, 45, 60, 90, 120, 150, 180, 210 and 240 min)

Appetite ratings will be collected after test meal consumption using a previously validated visual analog scales

Trial Locations

Locations (1)

Clinical Nutrition Research Centre

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Singapore, Singapore

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