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Effect of a Mixed Macronutritional Meal With Medium Chain Triglycerides on the Oxidation of Postprandial Macronutrients

Not Applicable
Conditions
Metabolic Syndrome
Interventions
Dietary Supplement: Mixed meal with medium chain triglycerides
Dietary Supplement: Mixed meal with the replacement of medium chain triglycerides with unsaturated tryglicerides
Registration Number
NCT04321018
Lead Sponsor
Universidad de Granada
Brief Summary

The main aim of this study is to determine the effect of the addition of medium chain triglycerides to a mixed macro nutritional meal on postprandial macronutrients oxidation (i.e. fat oxidation, carbohydrate oxidation, change in respiratory quotient, peak respiratory quotient, etc.).

Detailed Description

A mixed meal characterized by a high quantity of carbohydrates could develop an increment in the postprandial carbohydrate oxidation. Medium chain triglycerides could be absorbed and metabolized immediately. It is plausible that its addition to a mixed meal unchains the decrement in the carbohydrate oxidation and increment in fat oxidation. If this hypothesis it is correct, its lower postprandial carbohydrate oxidation could develop a higher postprandial exposure to hyperglycemia, being of clinical interest.

20 young adults will be randomized into two conditions (experimental and control conditions) with 7 days of separation between conditions. Each evaluation day will conform to the following tests:

1. Basal metabolic rate assessment through indirect calorimetry.

2. Intake of the corresponding mixed meal (experimental or control)

3. Postprandial nutrient oxidation and energy expenditure through indirect calorimetry

4. Blood samples assessment in 9 time points during the evaluation day.

5. Post-prandial sensations related to appetite in 11 time points during the evaluation day

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Healthy male or female
  • Ages 18-30 years
  • BMI: 18-27.5 kg/m2
  • Stable weight over the last 3 months (body weight changes<35kg)
  • Participant must be capable and willing to provide consent, understand exclusion criteria, instructions and protocols.
Exclusion Criteria
  • History of cardiovascular disease
  • Diabetes or hypertension
  • Pregnant, planning to become pregnant, or breastfeeding
  • Have been treated previously or during the study period with prescription drugs: antihypertensive, lipid lowering, acid uric lowering, glucose lowering, beta blockers or any drug that under the investigator's judged could influence the results.
  • Hematological pathology
  • Have had a blood transfusion or severe blood loss within the last 3 months
  • Allergy/intolerance to milk proteins, fish, soy, and/or any ingredient of the mixed meal
  • Any non-controlled medical condition which could influence results or could be worsened by the participation in the study
  • Claustrophobia
  • Needle phobia
  • Are deemed unsuitable by the investigator for any other reason, that prevent data collection.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Meal with medium chain triglycerdies firstMixed meal with medium chain triglyceridesArm 1: participants randomized to receive the mixed meal with medium chain triglycerides first.
Meal with medium chain triglycerdies secondMixed meal with the replacement of medium chain triglycerides with unsaturated trygliceridesArm 2: participants randomized to receive the mixed meal without medium chain triglycerides first.te
Meal with medium chain triglycerdies firstMixed meal with the replacement of medium chain triglycerides with unsaturated trygliceridesArm 1: participants randomized to receive the mixed meal with medium chain triglycerides first.
Meal with medium chain triglycerdies secondMixed meal with medium chain triglyceridesArm 2: participants randomized to receive the mixed meal without medium chain triglycerides first.te
Primary Outcome Measures
NameTimeMethod
Post-prandial nutrient oxidation4 hours

Fat or carbohydrate oxidation measured by indrect calorimetry

Secondary Outcome Measures
NameTimeMethod
Post-prandial blood non-esterified fatty acid concentrations4 hours

Measures of blood non-esterified fatty acid concentrations

Post-prandial blood tryglicerides concentrations4 hours

Measures of blood tryglicerides concentrations

Post-prandial blood glycerol concentrations4 hours

Measures of blood glycerol concentrations

Post-prandial energy expenditure4 hours

Measured by indrect calorimetry

Post-prandial sensations related to appetite4 hours

Measured by visual analogue scales (VAS). Score ranging from 0 to 100mm. Higher values mean the most positive rating, while lower values mean the most negative rating.

Post-prandial blood insulin concentrations4 hours

Measures of blood insulin concentrations

Post-prandial blood cholesterol concentrations4 hours

Measures of blood cholesterol concentrations

Post-prandial blood lactate concentrations4 hours

Measures of blood lactate concentrations

Post-prandial blood glucose concentrations4 hours

Measures of blood glucose concentrations

Trial Locations

Locations (1)

Jonatan Ruiz Ruiz

🇪🇸

Granada, Spain

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