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The Acute Effects of Interesterification of Commercially Used Fats on Postprandial Fat Metabolism

Not Applicable
Completed
Conditions
Healthy Adults
Postmenopausal Women
Interventions
Dietary Supplement: Un-interesterified blend of palm kernal and plam stearin
Dietary Supplement: Interesterified blend of palm kernal and plam stearin
Dietary Supplement: Rapeseed oil
Registration Number
NCT03191513
Lead Sponsor
King's College London
Brief Summary

The purpose of this study is to investigate whether there are differences in postprandial metabolic indices following interesterified fats used commercially versus the corresponding un-interesterified blend.

Detailed Description

Aim: The current study aims to investigate the acute effects of commercially relevant interesterified 'hardstock' versus the corresponding un-interesterified blend on 8 h postprandial fat metabolism.

Hypothesis: Interesterification of a palm kernel and palm stearin fat blend, to produce a fat with a higher proportion of palmitic acid in the middle position of the triglyceride (TAG; but the same fatty acid composition), will alter postprandial lipid metabolism.

Subjects: Participants will include 24 healthy male and female (postmenopausal) volunteers aged between the ages of 45 and 75 years (since during this age metabolic changes start to take place).

Power calculation: Based on previous studies carried out by our group at King's College London, a sample size of 10 males and 10 females is required to detect a (clinically relevant) difference (for males and females separately) between means of 0.3 mmol/L maximal difference in 8 h plasma TAG concentration (standard deviation 0.33 mmol/L, significance level (alpha) of 0.05 and 80% power). 12 males and 12 females will be recruited to allow for a 20% drop out rate.

Expected value:The study will provide novel information on the acute effects of commercially relevant processed fats on postprandial lipaemia.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • Males and females aged 45-75 years
  • Healthy (free of diagnosed diseases listed in exclusion criteria)
  • Able to understand the information sheet and willing to comply with study protocol
  • Able to give informed consent
Exclusion Criteria
  • Medical history of myocardial infarction, angina, thrombosis, stroke, cancer, liver or bowel disease or diabetes
  • Body mass index < 20 kg/m2 or > 35 kg/m2
  • Plasma cholesterol ≥7.5 mmol/L
  • Plasma triacylglycerol > 3 mmol/L
  • Plasma glucose > 7 mmol/L
  • Blood pressure ≥140/90 mmHg
  • Current use of antihypertensive or lipid lowering medications
  • Premenopausal (for women)
  • Alcohol intake exceeding a moderate intake (> 28 units per week)
  • Current cigarette smoker (or quit withint the last 6 months)
  • ≥ 20% 10-year risk of CVD as calculated using a risk calculator

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Un-interesterifiedUn-interesterified blend of palm kernal and plam stearinUn-interesterified blend of palm kernal and plam stearin. 50g fat.
InteresterifiedInteresterified blend of palm kernal and plam stearinInteresterified blend of palm kernal and plam stearin. 50g fat.
ControlRapeseed oilRapeseed oil. 50g fat.
Primary Outcome Measures
NameTimeMethod
Area under plasma TAG concentration/ time curveUp to 8 hours

Postprandial area under plasma TAG concentration/ time curve

Secondary Outcome Measures
NameTimeMethod
Positional composition retention (chylomicron)Up to 6 hours

Postprandial chylomicron TAG concentration and composition, TAG sn-2 fatty acid composition, total protein, apoB100 and apoB48

Postprandial lipaemic responseUp to 8 hours

Postprandial plamsa total fatty acid composition and non esterifed fatty acid

Trial Locations

Locations (1)

King's College London

🇬🇧

London, United Kingdom

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