Calorie Restriction With Leucine Supplementation
Calorie Restriction With Leucine Supplementation in Postmenopausal Women
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Missouri
-
Saint Louis, Missouri, United States, 63110
- Washington University School of Medicine
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Obese with body mass index (BMI) between 30 and 40 kg/m2
- Postmenopausal
- Sedentary (i.e., less than 1.5 hours of exercise per week)
Exclusion Criteria:
- Individuals with diabetes and/or uncontrolled hypertension
- Individuals with hepatitis B and/or C
- Individuals who smoke
- Individuals with an allergy to whey protein
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Weight maintenance
Weight maintenance with normal protein and leucine intake
|
|
|
Active Comparator: Weight loss with normal protein intake
|
Goal of 8 to 10% weight loss while consuming the recommended daily allowance of protein (i.e, 0.8 grams of protein per kg body weight per day).
|
|
Experimental: Weight loss with leucine supplementation
|
Goal of 8 to 10% weight loss while consuming 150% of the recommended daily allowance of protein (i.e., 1.2 grams of protein per kg body weight per day) with the additional protein given in the form of whey protein, which has a high leucine content.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in muscle mass
Time Frame: Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
We will measure total appendicular skeletal muscle mass by using dual-energy X-ray absorptiometry (DXA) and thigh muscle volume by magnetic resonance imaging (MRI)
|
Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
|
Change in muscle strength
Time Frame: Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
We will evaluate muscle strength by administering maximum one repetition strength and isokinetic strength tests.
|
Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
|
Change in bone mineral density and bone mineral content
Time Frame: Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
We will evaluate total bone mass and total body and regional bone mineral density by using dual X-ray energy absorptiometry (DXA).
|
Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in skeletal muscle insulin sensitivity
Time Frame: Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
We will evaluate insulin sensitivity using the hyperinsulinemic-euglycemic clamp procedure in conjunction with stable isotope labeled tracer infusions
|
Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
|
Change in bacterial populations found in the stool
Time Frame: Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
|
|
Change in cell proliferation (growth) rates in the colon
Time Frame: Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
We will examine colon cell proliferation rates using stable isotope labelled tracer methods in conjunction with sigmoid colon biopsy samples
|
Baseline and at 10% weight loss in calorie restriction groups and ~6 to 7 months in the weight maintenance group
|
|
Determine the acute effect of leucine ingestion on skeletal muscle insulin sensitivity
Time Frame: Prior to starting the weight loss or maintenance intervention
|
We will evaluate insulin sensitivity using the hyperinsulinemic-euglycemic clamp procedure in conjunction with stable isotope labeled tracer infusions
|
Prior to starting the weight loss or maintenance intervention
|
|
Determine the acute effect of leucine ingestion on muscle protein metabolism
Time Frame: Prior to starting the weight loss or maintenance intervention
|
We will assess rates of muscle protein synthesis, breakdown and net protein balance using stable isotope labeled tracer methods during postabsorptive conditions and during insulin infusion with or without leucine ingestion.
|
Prior to starting the weight loss or maintenance intervention
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Smith GI, Yoshino J, Stromsdorfer KL, Klein SJ, Magkos F, Reeds DN, Klein S, Mittendorfer B. Protein Ingestion Induces Muscle Insulin Resistance Independent of Leucine-Mediated mTOR Activation. Diabetes. 2015 May;64(5):1555-63. doi: 10.2337/db14-1279. Epub 2014 Dec 4.
- Harris LLS, Smith GI, Patterson BW, Ramaswamy RS, Okunade AL, Kelly SC, Porter LC, Klein S, Yoshino J, Mittendorfer B. Alterations in 3-Hydroxyisobutyrate and FGF21 Metabolism Are Associated With Protein Ingestion-Induced Insulin Resistance. Diabetes. 2017 Jul;66(7):1871-1878. doi: 10.2337/db16-1475. Epub 2017 May 4.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CRL-201102153
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