- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04623450
Macronutrients and Satiety in Older and Younger Adults (MACROSAT)
The Effect of Different Macronutrients on Appetite and Satiety in Older and Younger Adults
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
To assess if increasing protein intake in older adults will have a compensatory decrease in energy intake due to protein's satiating effects.
To compare the effect of meals high in protein, fat and carbohydrate but equal in energy and volume on energy intake and perceived appetite in younger (<40 years) and older adults (>65 years).
To compare the effect of meals high in protein, fat and carbohydrate but equal in energy and volume on gastric emptying in younger (<40 years) and older adults (>65 years).
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Reading, United Kingdom
- Recruiting
- University of Reading
-
Contact:
- Miriam Clegg, BSc, PhD
- Phone Number: +44 (0)118 378 8723
- Email: m.e.clegg@reading.ac.uk
-
Contact:
- Lisa Methven, BSc, PhD
- Phone Number: +44 (0)118 378 8714
- Email: l.methven@reading.ac.uk
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- either aged >65 years or <40 years
- healthy
Exclusion Criteria:
- having a disease and/or using a medication that can impact on appetite in the past three months;
- having an allergy to any of the test foods;
- disliking or cannot eat any of the test foods;
- being pregnant or breastfeeding;
- being obese (BMI > 30 kg/m2);
- being on a weight loss diet;
- smoking more than 10 cigarettes a day.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: High Carbohydrate Meal
A smoothie including maltodextrin and low-fat strawberry yoghurt - 289 kcal, 61g carbohydrate, 6.7g protein, 1.9g fat.
|
Preload smoothies that are matched for taste, smell, appearance, quantity and calorie but different caloric content.
|
|
Experimental: High Fat Meal
A smoothie including double cream and low-fat strawberry yoghurt - 312 kcal, 13.3g carbohydrate, 7g protein, 25.5g fat.
|
Preload smoothies that are matched for taste, smell, appearance, quantity and calorie but different caloric content.
|
|
Experimental: High Protein Meal
A smoothie including whey protein and low-fat strawberry yoghurt - 307 kcal, 13.6g carbohydrate, 57g protein, 2.7g fat.
|
Preload smoothies that are matched for taste, smell, appearance, quantity and calorie but different caloric content.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Ad-libitum meal consumption
Time Frame: 3 days in total
|
Consumption of the ad-libitum meal is measured (g).
Participants are instructed to eat until they feel comfortable full and are given 20 min to consume the meal.
|
3 days in total
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Ratings of appetite
Time Frame: 3 days in total
|
Appetite are assessed using a 100 mm Visual Analogue Scales (VAS, scale 0-100).
|
3 days in total
|
|
Gastric Emptying
Time Frame: 3 days in total
|
Gastric emptying is measured using of 13C octanoic acid breath test
|
3 days in total
|
|
Ratings of palatability
Time Frame: 3 days in total
|
Palatability ratings are assessed using a 100 mm Visual Analogue Scales (VAS, scale 0-100).
|
3 days in total
|
Collaborators and Investigators
Sponsor
Collaborators
Publications and helpful links
General Publications
- Deutz NE, Bauer JM, Barazzoni R, Biolo G, Boirie Y, Bosy-Westphal A, Cederholm T, Cruz-Jentoft A, Krznaric Z, Nair KS, Singer P, Teta D, Tipton K, Calder PC. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group. Clin Nutr. 2014 Dec;33(6):929-36. doi: 10.1016/j.clnu.2014.04.007. Epub 2014 Apr 24.
- Clarkston WK, Pantano MM, Morley JE, Horowitz M, Littlefield JM, Burton FR. Evidence for the anorexia of aging: gastrointestinal transit and hunger in healthy elderly vs. young adults. Am J Physiol. 1997 Jan;272(1 Pt 2):R243-8. doi: 10.1152/ajpregu.1997.272.1.R243.
- Giezenaar C, Trahair LG, Luscombe-Marsh ND, Hausken T, Standfield S, Jones KL, Lange K, Horowitz M, Chapman I, Soenen S. Effects of randomized whey-protein loads on energy intake, appetite, gastric emptying, and plasma gut-hormone concentrations in older men and women. Am J Clin Nutr. 2017 Sep;106(3):865-877. doi: 10.3945/ajcn.117.154377. Epub 2017 Jul 26.
- Clegg ME, Williams EA. Optimizing nutrition in older people. Maturitas. 2018 Jun;112:34-38. doi: 10.1016/j.maturitas.2018.04.001. Epub 2018 Apr 4.
- Blundell JE, Burley VJ, Cotton JR, Lawton CL. Dietary fat and the control of energy intake: evaluating the effects of fat on meal size and postmeal satiety. Am J Clin Nutr. 1993 May;57(5 Suppl):772S-777S; discussion 777S-778S. doi: 10.1093/ajcn/57.5.772S.
- Rolls BJ, Kim-Harris S, Fischman MW, Foltin RW, Moran TH, Stoner SA. Satiety after preloads with different amounts of fat and carbohydrate: implications for obesity. Am J Clin Nutr. 1994 Oct;60(4):476-87. doi: 10.1093/ajcn/60.4.476.
- Appleton KM. Limited compensation at the following meal for protein and energy intake at a lunch meal in healthy free-living older adults. Clin Nutr. 2018 Jun;37(3):970-977. doi: 10.1016/j.clnu.2017.03.032. Epub 2017 Apr 7.
- Beelen J, de Roos NM, de Groot LC. Protein Enrichment of Familiar Foods as an Innovative Strategy to Increase Protein Intake in Institutionalized Elderly. J Nutr Health Aging. 2017;21(2):173-179. doi: 10.1007/s12603-016-0733-y.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- UREC 19/25
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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