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The Acute Effects of Meals Rich in Saturated or Unsaturated Fatty Acids on Postprandial Lipaemia in Healthy Men

Not Applicable
Completed
Conditions
Cardiovascular Risk Factor
Interventions
Dietary Supplement: Vegetable oil
Dietary Supplement: Coconut oil
Dietary Supplement: Butter
Registration Number
NCT05264233
Lead Sponsor
University of Reading
Brief Summary

Current dietary recommendations suggest that lowering intake of saturated fats or replacing it with unsaturated fats will decrease the risk of developing cardiovascular disease. Coconut oil has gained popularity in recent years but it contains 90% saturated fat, which has higher percentage of saturated fat than butter. To date, only limited studies have determined the acute effects of meals containing coconut oil on blood lipids, but findings are inconsistent. Therefore, further studies are needed to address this knowledge gap and compare the postprandial effects of test meals rich in coconut oil with other sources of saturated fatty acids such as butter and unsaturated fatty acids (vegetable oils). A cross-over, double-blind, randomised acute postprandial study will be conducted in 15 healthy men. Participants will be assigned to consume the test meals rich in saturated or unsaturated fatty acids in random order on 3 separate occasions, with 3-4 weeks between each study visit. Participants will be provided with breakfast (toast with jam and milkshake, 50g fat) and lunch (toast with jam and milkshake, 30g fat). The anthropometric, blood pressure, arterial stiffness, and breath samples will be taken for each study visit. Blood samples will be collected for the measurement of fasting lipids, glucose, insulin, inflammatory markers, whole blood culture as well as blood clotting. Breath samples are collected for the measurement of gastric emptying as well as assessment of satiety using questionnaires (100 mm visual analogue scale) completed throughout the day. The findings from this study will contribute to the evidence base on how consuming meals rich in coconut oil influence the level of blood lipids as well as other biomarkers for cardiovascular disease.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
13
Inclusion Criteria
  • Healthy men
  • Aged between 30 to 70 years
  • Serum triacylglycerol < 2.3 mmol/l
  • Body mass index between 19-32 kg/m2
  • Total cholesterol < 7.5 mmol/l
Exclusion Criteria
  • Females
  • Smokers
  • Medical history of myocardial infarction or stroke in the past 12 months
  • Diabetes (defined as fasting glucose > 7.0 mmol/l) or other endocrine disorders
  • Kidney, liver, pancreas or gastrointestinal disorder
  • Hypertension (blood pressure > 140/90 mmHg), cancer, medication for hyperlipidaemia (e.g. statins), hypertension or, inflammation
  • Anaemia (<130 g/L haemoglobin)
  • Taking any dietary supplements known to influence lipids/gut microbiota (e.g. plant stanols, fish oil, phytochemicals, natural laxatives, probiotics and prebiotics)
  • Drinking in excess of 14 units of alcohol per week
  • Planning on a weight-reducing regime
  • Parallel participation in another dietary intervention study
  • Any other unusual medical history or diet and lifestyle habits or practices that would preclude volunteers from participating in a dietary intervention and metabolic study

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Meal rich in vegetable oilVegetable oilParticipants will be asked to consume a breakfast (0 minute) and lunch (330 minute) rich in vegetable oil
Meal rich in coconut oilCoconut oilParticipants will be asked to consume a breakfast (0 minute) and lunch (330 minute) rich in coconut oil
Meal rich in butterButterParticipants will be asked to consume a breakfast (0 minute) and lunch (330 minute) rich in butter
Primary Outcome Measures
NameTimeMethod
Change from baseline in postprandial triacylglycerolAcute study: taken at 0 (baseline), 30, 60, 90, 120, 180, 240, 300, 330, 360, 390, 420, 480 minutes

Triacylglycerol

Secondary Outcome Measures
NameTimeMethod
Fasting blood lipidsAcute study: taken at 0 (baseline)

Total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol

Change from baseline in postprandial non-esterified fatty acidsAcute study: taken at 0 (baseline), 30, 60, 90, 120, 180, 240, 300, 330, 360, 390, 420, 480 minutes

Non-esterified fatty acids

Change from baseline in postprandial insulinAcute study: taken at 0 (baseline), 30, 60, 90, 120, 180, 240, 300, 330, 360, 390, 420, 480 minutes

Insulin

Change from baseline in postprandial vascular stiffnessAcute study: taken at 0 (baseline), 150, 315, 465 minutes

Measured via pulse wave assessment using the Mobil-O-graph device

Change from baseline in postprandial blood pressureAcute study: taken at 0 (baseline), 180, 300, 480 minutes

Systolic and diastolic blood pressure

Change from baseline in postprandial thrombin generationAcute study: taken at 0 (baseline), 180, 330, 480 minutes

Thrombin generation

Change from baseline in postprandial gastric emptyingAcute study: taken at 15 minutes intervals between 0 min (baseline) and 480 minutes

Assessed using gas chromatography-mass spectrometry

Appetite ratingAcute study: taken at 30 minutes intervals after the test meals up to 8 hours

Assessed using 100 mm visual analogue questionnaire

Change from baseline in postprandial gut hormonesAcute study: taken at 0 (baseline), 30, 60, 120, 240, 330, 360, 390 & 480 minutes

Ghrelin, peptide YY, gastric inhibitory polypeptide, glucagon-like peptide-1

Change from baseline in postprandial endothelial activationAcute study: taken at 0 (baseline),180, 300 and 420 minutes

E-selectin, P-selectin, vascular cell adhesion molecule 1, intercellular adhesion molecule-1

Change from baseline in postprandial cytokineAcute study: taken at 0 (baseline),180, 300 and 420 minutes

Interleukin 6, interleukin 1 beta, interleukin 10, tumour necrosis factor alpha, C-C motif chemokine ligand 5, C-X-C motif chemokine ligand 5

WeightAcute study: taken at 0 (baseline)

Body mass index will be calculated (kg/ height in m\^2)

Body compositionAcute study: taken at 0 (baseline)

Fat mass, fat free mass, trunk fat, trunk fat mass, trunk fat free mass

Habitual diet assessmentPrior to the start of the study

4-day food diary

Trial Locations

Locations (1)

Department of Food and Nutritional Sciences, University of Reading

🇬🇧

Reading, Berkshire, United Kingdom

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