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Postprandial Effects of High-fat Meals With Different Dairy Products on Lipid Metabolism and Inflammation

Not Applicable
Completed
Conditions
Overweight
Healthy
Obesity
Interventions
Other: Butter
Other: Cheese
Other: Whipped cream
Other: Sour cream
Registration Number
NCT02836106
Lead Sponsor
University of Oslo
Brief Summary

The aim of this project is to elucidate how high-fat meals with different kinds of dairy products affect postprandial responses of lipid metabolism and inflammatory markers in healthy and obese subjects.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
59
Inclusion Criteria
  • The study will include both men and women aged 18-70 years with the aim of an even age and gender balance.
  • Participants in the healthy group will need to have a body mass index (BMI) between 18.5 - 24.9 kg/m2 and a waist circumference (WC) of <94 cm for men and<80 cm for women.
  • Participants in the obese group will need to have a BMI of ≥25 kg/m2 and a waist circumference of ≥94 cm for men and ≥80 cm for women.
  • All subjects must be willing to eat three slices of bread with a dairy product and jam as breakfast.
Exclusion Criteria
  • BMI <18.5 kg/m2 or >25 kg/m2 in the healthy group and <25 kg/m2 in the obese group
  • WC ≥94 for men and ≥80 cm for women in the healthy group, <94/80 cm for men/women in the obese group
  • Weight change of ± 5 % of body weight in the last three months
  • TG ≥1.3 mmol/L in the healthy group
  • CRP >10 mg/L
  • Total cholesterol >6.1 mmol/L for subjects 18-29 years, >6.9 mmol/L for subjects 30-49 years and >7.8 mmol/L for subjects ≥50 years old
  • Blood pressure >160/100 mm Hg
  • Comorbidities including diabetes type I and II (blood glucose ≥7 mmol/L fasting), coronary heart disease, haemophilia, anaemia (hemoglobin <120 gram/L), gastro intestinal disease and hyperthyroidism (TSH >4 mU/L)
  • Pregnant or lactating
  • Allergic or intolerant to gluten, milk protein and/or lactose
  • Use of medications affecting lipid metabolism or inflammation
  • Unwilling to seponate omega-3 rich supplements four weeks prior to screening and during the study period
  • Hormone treatment (stabile dose of contraception or thyroxin for the last three months excepted)
  • Blood donation two months prior to test day 1 or during the study period
  • Tobacco smoking
  • Excessive regular alcohol consumption (>40 grams per day) or prior to the test day

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
HealthyButterLean subjects (BMI\<25) with a waist circumference of \<94 cm for men and\<80 cm for women. Subjects will be randomly assigned to eat butter, cheese, whipped cream and sour cream in a cross-over design.
HealthySour creamLean subjects (BMI\<25) with a waist circumference of \<94 cm for men and\<80 cm for women. Subjects will be randomly assigned to eat butter, cheese, whipped cream and sour cream in a cross-over design.
ObeseWhipped creamOverweight and obese subjects (BMI≥25) with a waist circumference of ≥94 cm for men and ≥80 cm for women. Subjects will be randomly assigned to eat butter, cheese, whipped cream and sour cream in a cross-over design.
HealthyWhipped creamLean subjects (BMI\<25) with a waist circumference of \<94 cm for men and\<80 cm for women. Subjects will be randomly assigned to eat butter, cheese, whipped cream and sour cream in a cross-over design.
HealthyCheeseLean subjects (BMI\<25) with a waist circumference of \<94 cm for men and\<80 cm for women. Subjects will be randomly assigned to eat butter, cheese, whipped cream and sour cream in a cross-over design.
ObeseCheeseOverweight and obese subjects (BMI≥25) with a waist circumference of ≥94 cm for men and ≥80 cm for women. Subjects will be randomly assigned to eat butter, cheese, whipped cream and sour cream in a cross-over design.
ObeseSour creamOverweight and obese subjects (BMI≥25) with a waist circumference of ≥94 cm for men and ≥80 cm for women. Subjects will be randomly assigned to eat butter, cheese, whipped cream and sour cream in a cross-over design.
ObeseButterOverweight and obese subjects (BMI≥25) with a waist circumference of ≥94 cm for men and ≥80 cm for women. Subjects will be randomly assigned to eat butter, cheese, whipped cream and sour cream in a cross-over design.
Primary Outcome Measures
NameTimeMethod
Changes in levels of circulating triglyceridesMeasured at baseline and 2,4 and 6 hours after intake of test meal
Secondary Outcome Measures
NameTimeMethod
Changes in experiences of hunger and satiety by Visual Analogue Scales (VAS) questionnaireMeasured at baseline and 2,4 and 6 hours after intake of test meal
Changes of plasma and urine metabolomicsMeasured at baseline and 2,4 and 6 hours after intake of test meal

Changes in levels of metabolites, such as glucose and amino acids

Changes in levels of gut hormonesMeasured at baseline and 2,4 and 6 hours after intake of test meal

Changes in levels of gut hormones, such as peptide YY (PYY)

Changes in total cholesterol and lipoproteinsMeasured at baseline and 2,4 and 6 hours after intake of test meal

Changes in total cholesterol and lipoproteins, such as low-density lipoprotein and high-density lipoprotein

Changes in levels of apolipoproteinsMeasured at baseline and 2,4 and 6 hours after intake of test meal

Changes in levels of apolipoproteins, i.e. apo A1, apo B, apo B-48 and apo C-III

Changes in levels of free fatty acidsMeasured at baseline and 2,4 and 6 hours after intake of test meal
Changes in levels of circulating inflammatory markersMeasured at baseline and 2,4 and 6 hours after intake of test meal

Changes in levels of inflammatory markers, such as cytokines, acute phase proteins and soluble adhesion molecules

Changes in levels of circulating endotoxinsMeasured at baseline and 2,4 and 6 hours after intake of test meal
Changes in gene expressions (mRNA and microRNA) of genes related to lipid metabolism and inflammation in Peripheral Blood Mononuclear Cells (PBMC)Measured at baseline and 2,4 and 6 hours after intake of test meal
Changes in whole genome transcriptomics in PBMCMeasured at baseline and 2,4 and 6 hours after intake of test meal
Check DNA for Single Nucleotide Polymorphisms related to responses of a high-fat mealMeasured at baseline and 2,4 and 6 hours after intake of test meal
Examine epigenetics through DNA methylation and histone modificationMeasured at baseline and 6 hours after intake of test meal

Trial Locations

Locations (1)

University of Oslo

🇳🇴

Oslo, Norway

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