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The effects of small intestinal L-tryptophan infusions on gut motility, gut hormone release, blood glucose control and energy intake in humans.

Not Applicable
Completed
Conditions
Obesity
Healthy human physiology
Diet and Nutrition - Obesity
Oral and Gastrointestinal - Normal oral and gastrointestinal development and function
Registration Number
ACTRN12612000811808
Lead Sponsor
Christine Feinle-Bisset
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
20
Inclusion Criteria

Male and female (BMI 18-25 kg/m2) subjects, aged between 18 - 50 years, will be included in the study. All subjects will be required to be weight-stable (i.e. < 5 % fluctuation in their body weight) at study entry, as determined by their self-reported weight in the preceding 3 months, and will be required to maintain their normal physical activity over the course of the study.

Exclusion Criteria

Significant gastrointestinal symptoms, disease or surgery, use of prescribed or non-prescribed medications (including vitamins and herbal supplements) which may affect energy metabolism, gastrointestinal function, body weight or appetite (eg domperidone, orlistat, green tea extracts, Astragalus, St Johns Wort etc.), as well as SSRIs (selective serotonin reuptake inhibitors), lactose intolerance/other food allergy, diabetes mellitus, as defined by fasting glucose >6.9 mmol/l and/or glycated haemoglobin =6.2 %, epilepsy, cardiovascular or respiratory diseases, current intake of > 2 standard drinks on > 5 days per week, current smokers of cigarettes/cigars/marijuana, restrained eaters (score > 12 on the three factor eating questionnaire), vegetarians, in female subjects, pregnancy or lactation.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Antropyloroduodenal motility (number of antral, duodenal and isolated pyloric pressure waves, and basal pyloric pressure)[Using a manometri assembly and catheter, antropyloroduodenal pressures will be continously monitored from intubation until 90 minutes (end of infusion)];Plasma concentrations of gastrointestinal hormones (e.g. CCK, GLP-1, PYY, GIP and ghrelin), insulin and glucose.[Gut hormone release will be assessed by Enzyme-linked Immunosorbent Assay (ELISA) or Radio Immnunosorbent Assay (RIA) from blood samples taken at t= -10, 0, 15, 30, 45, 60, 75, 90 & 120 minutes.]
Secondary Outcome Measures
NameTimeMethod
Appetite sensations using a Visual Analogue Scale (VAS) (satiety, hunger, fullness, thirst, desire to eat and amount of food desired to eat) and macronutrient and total energy intake at the buffet meal[VAS questionnaires are taken at t= -10, 0, 15, 30, 45, 60, 75, 90 & 120 minutes. The buffet meal will be presented at 90 minutes when the infusion ends and the subject will be allowed to freely consume food until comfortably full for 30 minutes (until t=120 minutes).]
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