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临床试验/NCT05558488
NCT05558488已完成不适用

Effect of a Meatless,Ketogenic Restrictive Diet on Body Composition, Concentration of Trimethylamine N-Oxide (TMAO),Ketone Bodies and Glucose in Blood and Urine, Somatic Disorders, Strength Capacity, Oxidative Stress, Immune Response

Katarzyna Siedzik2 个研究点 分布在 1 个国家目标入组 14 人开始时间: 2019年10月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
14
试验地点
2
主要终点
Body composition

研究概览

简要总结

The subject of doctoral dissertation: Assessment of the effects of a meatless, ketogenic restrictive diet on body composition, strength capacity, oxidative stress and immune response

During planning of research and topic of the doctoral dissertation, it was considered how to modify a standard ketogenic diet rich in saturated fatty acids so that the use of this model of nutrition has the most anti-inflammatory effect. Therefore, it was decided to conduct a research to check whether a diet rich in omega-3 polyunsaturated fatty acids will show such an effect when following a high-fat diet.

Hypotheses:

  1. The ketogenic diet reduces systemic inflammation. 2.The ketogenic diet reduces oxidative stress. 3. The ketogenic diet reduces body fat. 4. A ketogenic diet does not worsen strength performance.

详细描述

a) main research assumption

Reports in the international literature regarding the importance of the ketogenic diet are ambiguous. Some researchers believe that its use reduces body fat and improves insulin sensitivity or lipid profile, while others question this view and question it. Many authors emphasized the need for further research in this area, and this outline of the research project responds to this postulate.

In the presented experiment, the duration of a single experiment was 14 days, because the individual adaptation period of each participant should be taken into account - the so-called "keto-adaptation".

In order to assess the effectiveness of the nutritional intervention in this experiment, the following were performed: blood sampling for the determination of basic parameters (lipid profile, fasting glucose, fasting insulin, diabetic panel, hormones), determination of glucose and ketone bodies (β ketones) in the blood using a strip test - Optium Xido Neo glucometer, determination of the concentration of ketone bodies (acetoacetic acid) and glucose in the urine using Keto-Diastix - a strip test, examination by means of tests - force (maximum isokinetic force test with the use of Biodex apparatus), determination of inflammatory markers (TNF alpha, pro-inflammatory, anti-inflammatory and pro-or anti-inflammatory interleukins depending on the conditions), determination of oxidative stress markers - related to free radical damage to proteins (carbonyl groups, sulfhydryl groups (SH groups)), body composition measurement using the DEXA method (Dual Energy X-ray Absorptiometry). Choosing this method instead of the very common bioimpedance, due to the fact that using densitometry, it obtained very precise results of adipose tissue.

The above-described procedures were used to check the molecular basis of the phenomenon under study, to determine the parameters in which significant changes are visible and to determine the extent to which they translate into the function of the muscle and the subjective feelings of the subject.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Basic Science
盲法
None

入排标准

年龄范围
32 Years 至 59 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • male or female
  • age 32 - 59
  • non-smoker
  • not abusing alcohol
  • not subjected to physical exercise for at least 48 hours before the examination

排除标准

  • cardiovascular,
  • thyroid disease,
  • gastrointestinal,
  • respiratory
  • or any other metabolic diseases adherence to special diets, use of nutritional supplements and use of medication to control blood lipids or glucose

结局指标

主要结局

Body composition

时间窗: 2 weeks

Whole body and regional body composition were measured in the morning after a 12 hours overnight fast by dual energy X-ray absorptiometry (DEXA) Body Composition: Body Fat Mass, Fat Free Mass, and Visceral Body Fat Body Fat Mass \[Kg\] max 40.143 Kg min 11.129 Kg (higher scores mean a worse outcome) Fat Free Mass \[Kg\] max 68.527 Kg min 37.72 Kg (higher scores mean a better outcome) Visceral Body Fat \[g\] max 2139 g min 90 g (higher scores mean a worse outcome)

Lipids level (TC, HDL, LDL, TG)

时间窗: 2 weeks

Level of lipids - (TC- Total Cholesterol, LDL- low-density lipoprotein, HDL- high-density lipoprotein, TG - triacylglycerol) TC \[mg/dl\] (higher scores mean a worse outcome) LDL \[mg/dl\] (higher scores mean a worse outcome) TG \[mg/dl\] (higher scores mean a worse outcome) HDL \[mg/dl\] (higher scores mean a better outcome)

glucose level (blood, urine)

时间窗: 2 weeks

glucose level (blood, urine) - measured by Ketodiastix and Optimum Xido Neo higher scores mean a worse outcome

ketone bodies (blood, urine)

时间窗: 2 weeks

ketone bodies (blood, urine) - measured by Ketodiastix and Optimum Xido Neo higher scores mean a better outcome

Body weight

时间窗: 2 weeks

Body weight was measured with an accuracy of 0.1 Kg using an electronic scale (Tanita BC-601, Japan) Body weight (higher scores mean a worse outcome) \[Kg\] max 95.7 Kg min 60.9 Kg

inflammatory markers

时间窗: 2 weeks

inflammatory markers (including IFN-y, IL-6, IL-8, IL-10, TNF-a, IL-2, IL-4) - Luminex method with the use of BioRad BioPlex 200 reader Pro and anti-inflammatory cytokines (Bio-Plex Pro ™ Human Cytokine 8-plex Assay M50000007A, BIO-RAD, USA) depends - higher scores mean a better or worse outcome

TMAO

时间窗: 2 weeks

Trimethylamine N-Oxide (measured by Institute of Biochemistry and Biophysics Polish Academy of Sciences, Warsaw Poland) TMAO \[ng/ml\] (higher scores mean a worse outcome)

somatic disorders

时间窗: 2 weeks

Somatic disorders measured by questionnaire based on Likert's scale Likert's scale: 1. - Strongly disagree 2. - Disagree 3. - Neither agree nor disagree 4. - Agree 5. - Strongly agree It depends on question - higher scores mean a better or worse outcome

markers of oxidative stress 1

时间窗: 2 weeks

markers of oxidative stress - concentration of protein carbonyl groups - Colorimetric method; Plate-based colorimetric measurement (360-385 nm) (concentration of protein carbonyl groups: Protein Carbonyl Colorimetric Assay Kit No. 100005020 (Cayman Chemical, Ann Arbor, MI, USA) higher scores mean a worse outcome

markers of oxidative stress 2

时间窗: 2 weeks

markers of oxidative stress - concentration of protein thiol group higher scores mean a worse outcome

metabolic panel - diabetes

时间窗: 2 weeks

metabolic panel - diabetes (including ghrelin, glucagon, insulin, leptin, resistin) - Luminex method with the use of BioRad BioPlex 200 readerm (Bio-Plex Pro ™ Human Diabetes 10-Plex Assay # M171A7001M, BIO-RAD, USA) depends - higher scores mean a better or worse outcome

次要结局

未报告次要终点

研究者

发起方
Katarzyna Siedzik
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Katarzyna Siedzik

Principal Investigator

Poznan University of Physical Education

研究点 (2)

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