- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05290064
Effect of Ultra-processed Versus Unprocessed Diets on Energy Metabolism
Protocol Number: 22DK0002
Title: Effects of Ultra-processed versus Unprocessed Diets on Energy Metabolism
Background:
Many diets worldwide include both processed and unprocessed foods. Researchers want to study the effects these foods have on a person s health.
Objective:
To study how different diets affect a person s health and metabolism.
Eligibility:
Adults aged 18 60 without diabetes who have stable weight and can exercise.
Design:
Participants will be screened with:
Medical history
Physical exam
Heart tests
Resting energy expenditure (to determine calorie needs)
Blood and urine tests
20-minute stationary bicycle session
Food, diet, and mental health questionnaires
Participants will stay at NIH for 4 weeks. They will receive 3 meals a day and may eat as little or as much as they want. The diet will change each week. Their weight will be recorded daily. They will ride a stationary bicycle daily. Each week, they will do the following:
Spend 1 day in a special room that assesses their metabolism
Have 24-hour urine collections
Give skin and fecal samples
Repeat some screening tests
Have scans to measure body fat
Complete computerized behavior tasks
Wear an activity monitor to track physical activity
Wear a glucose monitor. A sensor will be inserted under the skin with a small needle. It will be replaced weekly.
Take taste tests. They will swish water and flavored liquids around in their mouth and pick which ones had a non-neutral taste. They will also compare liquids for which ones taste better.
Participation will last for 4 weeks.
Sponsoring Institution: National Institute of Diabetes and Digestive and Kidney Diseases
...
Study Overview
Status
Conditions
Detailed Description
This is a randomized crossover study of adult volunteers to determine the health effects of four different diets varying in non-beverage energy density, hyperpalatable foods, as well as the degree, extent, and purpose of processing according to the NOVA classification system.
Objectives/Endpoints:
Primary Aim:
To determine differences in health effects during four 1-week test diets.
Secondary Aims:
To determine differences in mean eating rate (grams per minute) and palatability of meals between the four 1-week test diets.
Exploratory Aims:
Several exploratory measurements are planned to help comprehensively phenotype the effects of the test diets and are intended to be hypothesis-generating.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Nan Zhai, C.R.N.P.
- Phone Number: (301) 827-3324
- Email: nan.zhai@nih.gov
Study Contact Backup
- Name: Kevin Hall, Ph.D.
- Phone Number: (301) 402-8248
- Email: kevinh@niddk.nih.gov
Study Locations
-
-
Maryland
-
Bethesda, Maryland, United States, 20892
- Recruiting
- National Institutes of Health Clinical Center
-
Contact:
- For more information at the NIH Clinical Center contact Office of Patient Recruitment (OPR)
- Phone Number: TTY dial 711 800-411-1222
- Email: ccopr@nih.gov
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
- INCLUSION CRITERIA:
In order to be eligible to participate in this study, an individual must meet all of the following criteria:
- Provision of signed and dated informed consent form
- Adults age 18-60 years, male and female
- Weight stable (< +/- 5 % body weight change over past 6 months) as determined by volunteer report
- Body mass index (BMI) > =20 kg/m2
- Body weight > = 53 kg
- Able to complete daily bouts of stationary cycling at a moderate rate and intensity with a HR equal to or greater than 0.3(SqrRoot) (220-age-HRrest)+HRrest but not exceeding 0.4(SqrRoot) (220-age-HRrest)+HRrest and no signs of arrhythmia
- Willingness to comply with all study procedures and Lifestyle Considerations for the duration of the study per the discretion of the PI.
EXCLUSION CRITERIA:
An individual who meets any of the following criteria will be excluded from participation in this study:
- Evidence of diseases or conditions that may influence appetite (e.g., cancer, diabetes, alterations of smell or taste post COVID-19), or other conditions at the discretion of the PI and/or study team).
- Taking prescription medications or other drugs that may influence appetite (including, but not limited to, diet/weight-loss medication or other medications at the discretion of the PI and/or study team)
- Positive pregnancy test or lactation as determined by volunteer report (women only)
- Participating in a regular exercise program (> 2h/week of vigorous activity) as determined by volunteer report
- Hematocrit < 37% (women only)
- Hematocrit < 40% (men only)
- Caffeine consumption > 300 mg/day as determined by volunteer report
- Alcohol consumption > 3 drinks per day for men or > 2 drinks per day for women as determined by volunteer report
- Regular use of tobacco (smoking or chewing), amphetamines, cocaine, heroin, or marijuana over past 6 months as determined by volunteer report. Subjects may also be excluded based on a urine drug test.
- Psychological conditions as determined by volunteer report such as (but not limited to) eating disorders, depression, bipolar disorders, that would be incompatible with safe and successful participation in this study, as determined by investigators
- Volunteers with strict dietary concerns (e.g. vegetarian or kosher diet, food allergies) or a reported dislike of a significant fraction of the study foods
- Volunteers unwilling or unable to give informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 1/UPF HH, UPF HL, UNF LL, UPF LL
Four diets in the order specified
|
Ultra-processed diet that is high in non-beverage energy density and low in hyperpalatable foods
Ultra-processed diet that is low in both non-beverage energy density and hyperpalatable foods
Ultra-processed diet that is high in both non-beverage energy density and hyperpalatable foods
Unprocessed diet that is low in both non-beverage energy density and hyperpalatable foods
|
Experimental: 2/ UPF HL, UPF LL, UPF HH, UNF LL
Four diets in the order specified
|
Ultra-processed diet that is high in non-beverage energy density and low in hyperpalatable foods
Ultra-processed diet that is low in both non-beverage energy density and hyperpalatable foods
Ultra-processed diet that is high in both non-beverage energy density and hyperpalatable foods
Unprocessed diet that is low in both non-beverage energy density and hyperpalatable foods
|
Experimental: 3/ UPF LL, UNF LL, UPF HL, UPF HH
Four diets in the order specified
|
Ultra-processed diet that is high in non-beverage energy density and low in hyperpalatable foods
Ultra-processed diet that is low in both non-beverage energy density and hyperpalatable foods
Ultra-processed diet that is high in both non-beverage energy density and hyperpalatable foods
Unprocessed diet that is low in both non-beverage energy density and hyperpalatable foods
|
Experimental: 4/ UNF LL, UPF HH, UPF LL, UPF HL
Four diets in the order specified
|
Ultra-processed diet that is high in non-beverage energy density and low in hyperpalatable foods
Ultra-processed diet that is low in both non-beverage energy density and hyperpalatable foods
Ultra-processed diet that is high in both non-beverage energy density and hyperpalatable foods
Unprocessed diet that is low in both non-beverage energy density and hyperpalatable foods
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Energy Metabolism (kcal per day)
Time Frame: Four 1-week diets
|
Energy Metabolism averaged over 7 days for each diet, measured in kilocalories (kcal) per day.
Primary comparisons will be between UPF HH & UPF HL, UPF HL & UPF LL, UPF LL & UNF LL, UPF HH & UNF LL.
|
Four 1-week diets
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Meal eating rate (grams per minute)
Time Frame: Four 1-week diets
|
This will be determined by the measured duration of the meals along with the measured mass of food consumed.
|
Four 1-week diets
|
Meal palatability
Time Frame: Four 1-week diets
|
This will be measured via questionnaires using visual analogue scales.
|
Four 1-week diets
|
Collaborators and Investigators
Investigators
- Principal Investigator: Kevin Hall, Ph.D., National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Keywords
Other Study ID Numbers
- 220002
- 22-DK-0002
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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