- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07723196
Effect of a Low AGE Diet on Liver Function in Adults With Fatty Liver.
Effect of a Diet Low in Advanced Glycation End Products on Liver Function and the Degree of Steatosis in Adults With Metabolic Hepatic Steatosis.
Introduction. Advanced glycation end products, known as AGEs, are compounds that form when sugars bind uncontrollably to proteins, fats, or DNA. This occurs naturally in the body, but they also form in food, especially when cooked at high temperatures. Techniques such as grilling, frying, browning, or toasting increase AGE formation in food.
Processed foods or those dry-heated above 160 °C often contain many AGEs. When we consume them, about 10% of these AGEs can be absorbed by the body. Among the most studied types of AGEs are CML (N-6-carboxymethyl lysine) and pentosidine; these compounds have been found in the blood and liver of people and animals with metabolic hepatic steatosis (METS), a disease characterized by the accumulation of fat in the liver.
When the body doesn't respond well to insulin and there are problems processing fats and sugars, the formation of AGEs is favored, which in turn can damage the liver. AGEs act by binding to receptors called RAGE; this binding activates various signals within cells that promote inflammation. Both RAGE and its soluble form (sRAGE) are important in metabolic syndrome (MetS). The AGE-RAGE interaction can contribute to the accumulation of more fat in the liver and help the disease progress to more severe stages.
The aim of this study is to evaluate whether a low-AGE diet improves liver function and reduces the amount of fat in the liver in adults with fatty liver not related to alcohol consumption.
Our hypothesis is that implementing a low-AGE diet will improve liver function and decrease the degree of steatosis in adults with fatty liver not related to alcohol consumption.
A clinical trial will be conducted comparing two groups. Forty-eight people who consume high amounts of AGEs (more than 8,000 KU) and have fatty liver of any grade will participate. Participants will be randomly assigned to one of two groups: one will follow an AGE-restricted diet, and the other will maintain their usual diet, for 12 weeks.
Before and after the study, the following measurements will be recorded: weight, height, waist circumference, hip circumference, abdominal circumference, and blood pressure. Fasting blood samples will also be taken to measure glucose (blood sugar), insulin, triglycerides, total cholesterol, HDL, LDL, AGE levels, glycated hemoglobin (which measures the average blood sugar level), and tests to evaluate liver function.
Studieoversigt
Status
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Hilda Lissette López-Lemus, PhD
- Telefonnummer: +52461 598 59 22
- E-mail: h.lopez@ugto.mx
Undersøgelse Kontakt Backup
- Navn: Ma. Eugenia Garay-Sevilla, PhD
- Telefonnummer: 4641 +524777168354
- E-mail: megaray@ugto.mx
Studiesteder
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Guanajuato
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Celaya, Guanajuato, Mexico, 38140
- Universidad de Guanajuato
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Kontakt:
- María Mercedes Moreno González, PhD
- Telefonnummer: 1651 +524615985922
- E-mail: deo_celaya@ugto.mx
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Underforsker:
- Vicente Beltrán Campos, PhD
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Underforsker:
- Silvia del Carmen Delgado Sandoval, PhD
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Underforsker:
- Montserrat Josefina Olvera Juárez
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Underforsker:
- Reyna Rodríguez Mortera, PhD
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Men and women between 18 and 55 years old.
- High consumption of essential fatty acids (EFAs) > 8000 KU.
- With metabolic hepatic steatosis (MetHS) of any degree.
- Not currently undergoing nutritional treatment.
- Sedentary lifestyle.
- Denies alcoholism.
- Not taking any medications.
- No other health conditions.
Exclusion Criteria:
- Men and women undergoing treatment for metabolic diseases.
- Men and women with cardiovascular and/or coronary diseases.
- Pregnant women.
- Men and women undergoing hormone therapy.
- Men and women taking dietary supplements.
- Men and women who refuse to sign the informed consent form.
- In cases where space-occupying masses (tumors) are detected during the ultrasound.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Ingen indgriben: Usual diet group
Participants assigned to this group will follow their usual diet.
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Andet: Group with AGE-restricted diet
Participants assigned to this group will be given recommendations on how to prepare food.
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Participants assigned to this group will only be given recommendations on how to prepare food according to what was reported by Uribarri et al. and Luévano et al.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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DIET LOW IN ADVANCED GLYCATION END PRODUCTS
Tidsramme: 12 weeks
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To follow the AGE-restricted diet, only the method of food preparation will be specified, as reported by Uribarri et al. and Luévano et al.
Measurement of AGEs in KU.
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12 weeks
|
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LIVER FUNCTION
Tidsramme: 12 weeks
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Through liver function tests (ALT, AST, ALP, and GGT).
Each measured in mg/dL.
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12 weeks
|
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DEGREE OF STEATOSIS
Tidsramme: 12 weeks
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The degree of hepatic steatosis will be evaluated by abdominal ultrasound. It will be diagnosed as:
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12 weeks
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Glucose Metabolism: glucose
Tidsramme: 12 weeks
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Will be performed using enzymatic spectrophotometric assays.
Measured in mg/dL.
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12 weeks
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Lipid profile
Tidsramme: 12 weeks
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It will be measured using total cholesterol, HDL, LDL, and TG.
Each measured in mg/dL.
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12 weeks
|
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Insulin Resistance
Tidsramme: 12 weeks
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Insulin level will be measured by ELISA (ALPCO) method.
The Homeostatic Model Assessment Index (HOMA-IR) will be calculated to determine insulin resistance.
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12 weeks
|
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Glycated Hemoglobin
Tidsramme: 12 weeks
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Will be performed using enzymatic spectrophotometric assays.
Measured in mg/dL.
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12 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Ma. Eugenia Garay-Sevilla, PhD, Universidad de Guanajuato
- Ledende efterforsker: Hilda Lissette López-Lemus, PhD, Universidad de Guanajuato
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- CEPIUG-P13-2025
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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