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Completed

NCT Number: NCT03658681

Effect of Fat Quality on Glycemic Regulation and Gut Microbiota After a Short-time Intervention in Healthy Individuals

The overall aim is to investigate effects of saturated versus polyunsaturated fat on glycemic regulation and satiety in a postprandial study with healthy individuals. The potential effects will be related to changes in gut microbiota, the circulating levels of short chain fatty acids, inflammation and gene expression in peripheral mononuclear blood cells.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Oslo Metropolitan University

Oslo, 0130, Norway

About this study

The intervention study will have a randomized, double blinded, cross-over design with different test meals consisting of saturated or polyunsaturated fat. The amount of fat will be identical in the test meals, but the fat quality will vary. The test meals are in the form of muffin and spread.

All participants will consume two muffins and minimum 20 g of spread a day for three consecutive days, consisting of either a high proportion of saturated fat or a high proportion of polyunsaturated fat. At day one (visit 1 and 3) and day four (visit 2 and 4) of the intervention week, the participants will perform a postprandial glucose test (OGTT, 75 g glucose in 100 ml water) at Oslo Metropolitan University. Blood samples will be taken before and at different time points after the glucose test. One week prior to the intervention week and during "wash-out" (11 days), the participants will consume the control products which are high in saturated fat.

At the screening visit (visit 0) the participants will be asked to limit the intake of dietary fat and fiber from oat and barley one week prior to visit 1 and during the study. Otherwise, participants will be asked not to change their diet and exercise habits during the study period. Individuals fulfilling the inclusion criteria will also be invited to participate in a cross-sectional study for investigating the gut microbiota in a healthy population.

An OGTT will be performed at visit 1, 2, 3 and 4.

The participants will receive test meals after screening and before visit 1, 2, and 3.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • BMI between 18,5 and 27 kg/m2
  • Fasting plasma glucose ≤ 6.1 mmol/l

Exclusion criteria

  • Chronic metabolic diseases such as diabetes type 1 and 2, coronary heart disease and cancer the last 6 months.
  • Intestinal diseases such as chron's disease, ulcerative colitis and irritable bowel syndrome.
  • Food allergy and intolerances towards grain and dairy products.
  • Pregnant and lactating
  • Smokers
  • Fasting blood glucose ≥ 6.1 mmol/L
  • BMI <18,5 and >27 kg/m2
  • Planned weight reduction and or ± 5% weight change over the past three months.
  • Use of antibiotics last 3 months before study entry and during the study period
  • Use of probiotics the last month before study entry and during the study period
  • Blood donor last 2 months before study entry and or during the study period
  • Not willing to end the use of dietary supplements, including probiotic products, fish oil etc. four weeks prior to study entry and throughout the study period
  • Alcohol consumption > 40g / day
  • Hormone treatments (except contraceptives)

Treatment and study plan

Saturated fat 14.9 E%

Other

Dietary cross-over study with saturated fat

Polyunsaturated fat 13.6 E%

Other

Dietary cross-over study with polyunsaturated fat

Primary outcomes

  1. Blood glucose response measured in capillary blood

    Time frame: Change from baseline at day 4

    Blood glucose response after oral glucose tolerance test (OGTT) measured in Finger-prick capillary blood samples

  2. Serum Insulin response measured in venous blood samples

    Time frame: Change from baseline at day 4

    Serum Insulin response after OGTT measured in venous blood samples

Secondary outcomes

  1. Hydrogen breath response measured in expired air

    Time frame: Change from baseline at day 4

    Hydrogen breath response after OGTT measured in expired air by Gastroanalyzer

  2. Free fatty acids

    Time frame: Change from baseline at day 4

    Plasma free fatty acids are measured after intake of test meals

  3. Microbiota analyses in feces

    Time frame: Change from baseline at day 4

    Microbiota analyses in feces are measured before and after intake of test meals. Change in microbiota will be analysed

  4. Serum triglyceride response

    Time frame: Change from baseline at day 4

    Triglyceride response are measured are measured after OGTT

  5. Serum cholesterol

    Time frame: Change from baseline at day 4

    Serum cholesterol are measured fasting after intake of test meals

  6. Hunger and satiety hormones (e.g. GLP2, PYY)

    Time frame: Change from baseline at day 4

    The response in hunger and satiety hormones after OGTT

  7. Inflammatory markers (e.g. CRP)

    Time frame: Change from baseline at day 4

    Response in Inflammatory markers are measured after OGTT

  8. mRNA analyses in PBMC

    Time frame: Change from baseline at day 4

    PBMC are collected before and after OGTT. The change in mRNA level will be analyzed

  9. Quantitative assessment of metabolites in urine

    Time frame: Change from baseline at day 4

    Morning urine are collected before and after intake of test meals. Metabolites in urine will be quantified using UHPLC-qTOF-MS. Change in metabolites before and after test meals will be analyzed

  10. Quantitative assessment of metabolites in plasma

    Time frame: Change from baseline at day 4

    Plasma for metabolome analyses are collected after intake of test meals. Metabolites in plasma will be quantified using UHPLC-qTOF-MS

  11. Visual analogue scale (VAS)

    Time frame: Change from baseline at day 4

    Subjective hunger and satiety after OGTT and will be measured on a 100 mm horizontal line. Marks towards right end on line indicates strong sensation for hunger and satiety, whereas marks towards left end indicates opposite sensation. The distance from left border of line to the mark indicates subjective sensation.

Sponsors and collaborators

Lead sponsor

Oslo Metropolitan University

Other

Collaborators

  • Mills DA
  • Nofima
  • University of Oslo

Registry information

Official study title

Fat Quality and Blood Glucose

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Sep 5, 2018
Registry last updated
May 7, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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