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Impact of Different Breakfast Meals on Food Choices, Eating Behaviors and Brain Activation

Not Applicable
Completed
Conditions
Eating Behavior
Cognition
Regulation, Appetite
Interventions
Other: Breakfast consumption
Other: Blood tests
Other: Food choices and energy intakes assessments
Other: Attention tests
Other: fRMI tests
Registration Number
NCT02516956
Lead Sponsor
University of Parma
Brief Summary

This project aims to demonstrate that the best breakfast meal is the one able to improve the best postprandial hunger, satiety and adiposity regulators profile as well as the best reward-related gratification, due to hedonistic parameters. To do this, 4 different breakfasts will be tested and blood tests, food choices, and attentional components will be analysed.

Detailed Description

Although breakfast seems to be positively associated with healthy eating patterns and food choices later in the day, eating behaviours are a complex interaction of several factors. Nutritional requirements are not only affected by the body homeostasis, but also by environmental signals, as cultural and social habits, lifestyle, etc. These parameters evoke reward-related and motivational signals influencing our daily eating behaviour choices. Most of the theories on food regulation propose two parallel systems interacting with food consumption homeostatic and reward-related systems. For all these reasons, there is an increasing interest on motivational and decisional aspects of food choices, eating behaviours and how they are influenced by food characteristics. This project aims to explore the association between compositional and perceived characteristics of a breakfast meal with nutritional/biochemical/physiological variables. The approach will be the evaluation of appetite, food intake as well as metabolic and compensatory responses to foods consumed during the day. Volunteers (n=15) will be fed with 4 different breakfast meals (one control and three iso-caloric with different glycemic indexes) and several different parameters will be evaluated, as biological parameters linked to satiety, food choices during a free lunch buffet, psycho-physiological and biological mechanisms underlying the compensatory effect and attentional components in the postprandial period. The participants will complete, in randomized order, the four breakfast meals, on four different weeks, separated by at least one week.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
15
Inclusion Criteria
  • both gender
  • age 19 - 29 y
  • BMI 20-24 kg ⁄m2
  • healthy
  • no metabolic, psychological, or neurological diseases/conditions
  • not currently/previously (in the past 6 months) on a weight loss/other special diet
  • omnivorous
  • chocolate eaters
  • right-handed (necessary for the fMRI analyses)
Exclusion Criteria
  • BMI < 20 or BMI > 24 kg ⁄m2
  • chronic health conditions
  • use of medications
  • significant change in body weight in the last 3 months
  • currently on a diet/food restriction
  • food allergy
  • celiac disease
  • lactose intolerance
  • left-handed
  • claustrophobic
  • do not meet the fMRI criteria established by the MU-BIC (regarding metal implants, etc.)
  • pregnant

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Breakfast meal 2Breakfast consumptionBreakfast meal 2 is isocaloric (330 kcal) and balanced for protein and fiber contents with regard to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 1 but a higher health-related cognitive perception than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 1Breakfast consumptionBreakfast meal 1 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 2 and health-related cognitive perception as Breakfast meal 3. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 1Blood testsBreakfast meal 1 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 2 and health-related cognitive perception as Breakfast meal 3. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 2Food choices and energy intakes assessmentsBreakfast meal 2 is isocaloric (330 kcal) and balanced for protein and fiber contents with regard to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 1 but a higher health-related cognitive perception than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 1Food choices and energy intakes assessmentsBreakfast meal 1 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 2 and health-related cognitive perception as Breakfast meal 3. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 1fRMI testsBreakfast meal 1 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 2 and health-related cognitive perception as Breakfast meal 3. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 1Attention testsBreakfast meal 1 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 2 and health-related cognitive perception as Breakfast meal 3. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 2Blood testsBreakfast meal 2 is isocaloric (330 kcal) and balanced for protein and fiber contents with regard to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 1 but a higher health-related cognitive perception than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 2Attention testsBreakfast meal 2 is isocaloric (330 kcal) and balanced for protein and fiber contents with regard to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 1 but a higher health-related cognitive perception than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 2fRMI testsBreakfast meal 2 is isocaloric (330 kcal) and balanced for protein and fiber contents with regard to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 1 but a higher health-related cognitive perception than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 4Food choices and energy intakes assessmentsBreakfast meal 4 is a non-caloric meal representing fasting condition (control arm). Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 3Breakfast consumptionBreakfast meal 3 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same health-related cognitive perception as Breakfast meal 1 but lower lipid and higher sugar amounts than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 3Food choices and energy intakes assessmentsBreakfast meal 3 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same health-related cognitive perception as Breakfast meal 1 but lower lipid and higher sugar amounts than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 3Attention testsBreakfast meal 3 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same health-related cognitive perception as Breakfast meal 1 but lower lipid and higher sugar amounts than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 3fRMI testsBreakfast meal 3 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same health-related cognitive perception as Breakfast meal 1 but lower lipid and higher sugar amounts than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 4Breakfast consumptionBreakfast meal 4 is a non-caloric meal representing fasting condition (control arm). Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 4Attention testsBreakfast meal 4 is a non-caloric meal representing fasting condition (control arm). Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 3Blood testsBreakfast meal 3 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same health-related cognitive perception as Breakfast meal 1 but lower lipid and higher sugar amounts than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 4Blood testsBreakfast meal 4 is a non-caloric meal representing fasting condition (control arm). Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Breakfast meal 4fRMI testsBreakfast meal 4 is a non-caloric meal representing fasting condition (control arm). Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.
Primary Outcome Measures
NameTimeMethod
Changes in biomarkers of appetite regulation in response to each breakfast:4 hours (0 -12h fasting-, 15, 30, 45, 60, 90, 120, 150, 180, 210, 240 minutes)

* Glucose

* Insulin

* Ghrelin

* Leptin

* Peptide YY

* Glucagon-like peptide-1

* Non Esterified Fatty Acids

Secondary Outcome Measures
NameTimeMethod
Hedonic rating of breakfast measured by 7-point Likert Scales2 times: 0-12h fasting- and 15 minutes after breakfast consumption

healthy, satiating, palatable, energizing and caloric perception

Food choices at subsequent meal measured by double weighing of food during an ad libitum lunch buffet4 hours after breakfast conusmption
Self-reported appetite and satiety ratings measured by Visual Analog rating Scales0-12h fasting- and every 30 minutes up to 4 hours after breakfast consumption
Daily Energy Intake measured by 7-day food dairy7 days

Energy intake during breakfast, morning snacks, lunch, afternoon snacks, dinner, and evening snacks

Post-prandial attention measured by Mackworth Clock Test and Stroop Test4 hours after breakfast conusmption

sustained and selective attention

Brain activation responses to images of food measured by fMRI brain scan4 hours after breakfast conusmption

Trial Locations

Locations (1)

University of Parma

🇮🇹

Parma, PR, Italy

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