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Novel Approach to Assess Metabolic Flexibility in a Respiratory Chamber (METFLEX)

21 augusti 2021 uppdaterad av: David McDougal, Pennington Biomedical Research Center
The overarching aim of this study: To determine the effect of different meal compositions (high- vs. low-fat) on metabolic flexibility as it relates to meal-stimulated change in respiratory quotient (ΔRQ1) and sleep (ΔRQ2) metabolic flexibility, as well as the time course changes in respiratory quotient, RQ (i.e., peak RQ, time to peak RQ, nadir RQ, time to nadir, slope).

Studieöversikt

Status

Avslutad

Studietyp

Interventionell

Inskrivning (Faktisk)

10

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • Louisiana
      • Baton Rouge, Louisiana, Förenta staterna, 70808-4124
        • Pennington Biomedical Research Center

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 40 år (Vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • Eligibility criteria include:

    • Healthy male or female
    • Ages 18-40 y
    • BMI between 20 kg/m2 and 30 kg/m2 (±0.5 kg/m2 will be accepted)
    • Are willing to consume pre-prepared meals
    • Are willing to maintain current physical activity, sleep schedule, and dietary habits during the study.
    • Medically cleared for participation in the study by Medical Investigator

Exclusion Criteria:

  • Participants are ineligible to participate (or will be excluded from participating in this study) if they meet any of the following criteria:

    • Unstable weight in the last 3 months [gain or loss >7 lb (or 3.2 kg)]
    • Currently working shift work
    • Smoking or use of tobacco products within the last 3 months
    • Amenorrhea (or absence of regular monthly cycles)
    • History of clinically diagnosed diabetes or a fasting blood glucose >126 mg/dL
    • Average screening blood pressure >140/90 mmHg
    • Previous bariatric surgery (or other surgeries) for obesity or weight loss
    • Use of medications affecting metabolism or sleep
    • History of neurological disease
    • History of cardiovascular disease (or other chronic diseases)
    • Pregnant, planning to become pregnant, or breastfeeding
    • Adherence to special restrained diets (e.g., low-carbohydrate, low-fat, or vegetarian/vegan diets) over the last 3 months.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Grundläggande vetenskap
  • Tilldelning: Randomiserad
  • Interventionsmodell: Crossover tilldelning
  • Maskning: Dubbel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: High Fat Meal First
Arm 1 participants randomized to receive high fat meal first, and low fat meal second
60% fat meal
20% fat meal
Experimentell: High Fat Meal Second
Arm 2 participants randomized to receive low fat meal first, and high fat meal second
60% fat meal
20% fat meal

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Overnight Respiratory Exchange Ratio
Tidsram: 12 hours

12-h mean of respiratory exchange ratio following each meal type.

measurement interval = 12h following start of meal (7pm)

The respiratory exchange ratio refers to the proportion of macronutrients being oxidized. A respiratory exchange ratio value of 1.0 indicates only carbohydrates are being oxidized, while a ratio value of 0.7 indicates only fats are being oxidized. Intermediate values, such as 0.85, indicates that both carbohydrate and fats are being oxidized.

12 hours

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Sleep Respiratory Exchange Ratio
Tidsram: 3 h

mean of respiratory exchange ratio following each meal type during sleep period, 2am-5am., 2am-5am.

measurement interval = 3h (2am-5am)

The respiratory exchange ratio refers to the proportion of macronutrients being oxidized. A respiratory exchange ratio value of 1.0 indicates only carbohydrates are being oxidized, while a ratio value of 0.7 indicates only fats are being oxidized. Intermediate values, such as 0.85, indicates that both carbohydrate and fats are being oxidized.

3 h
Peak Increase in Respiratory Exchange Ratio
Tidsram: 4 h

mean of peak increase in respiratory exchange ratio (Peak values - baseline values) following each meal type

Peak values were defined as the peak respiratory exchange ratio value measured during the post-meal period, 6pm-10pm.

Baseline values were measured 1h prior to meal (5:00-5:45pm)

measurement interval of peak values= 4h (6pm-10pm)

A larger value in this measurement indicates that more carbohydrate than fats were being oxidized as fuel during the measurement period.

4 h
Peak Decrease in Respiratory Exchange Ratio
Tidsram: 12 h

mean of peak decrease in respiratory exchange ratio (baseline values -nadir values) following each meal type

Peak values were defined as the peak respiratory exchange ratio value measured during the post-meal period, 6pm-10pm.

Baseline values were measured 1h prior to meal (5:00-5:45pm)

measurement interval of nadir values= 12h (6pm-6am)

A larger value in this measurement indicates that more fats than carbohydrate were being oxidized as fuel during the measurement period.

12 h
Time to Peak Respiratory Exchange Ratio
Tidsram: 12 h

Average time from meal to peak respiratory exchange ratio value

This measurement indicates how long on average it took form the onset of the meal, 6pm, for the participants to achieve their highest/peak respiratory exchange ratio value.

12 h
Time to Nadir Respiratory Exchange Ratio
Tidsram: 12 h

Average time from meal to nadir respiratory exchange ratio value

This measurement indicates how long on average it took form the onset of the meal, 6pm, for the participants to achieve their lowest/nadir respiratory exchange ratio value.

12 h
Slope of Respiratory Exchange Ratio
Tidsram: 12 h

This value indicates the speed and magnitude of the participants change in respiratory exchange ratio between the peak and nadir values.

A more negative value in this measurement indicates either a short time interval between the highest and lowest respiratory exchange ratio values measured and/or a large difference between the highest and lowest values of respiratory exchange ratio values measured.

12 h

Samarbetspartners och utredare

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

14 januari 2019

Primärt slutförande (Faktisk)

31 december 2019

Avslutad studie (Faktisk)

31 december 2020

Studieregistreringsdatum

Först inskickad

11 februari 2019

Först inskickad som uppfyllde QC-kriterierna

11 februari 2019

Första postat (Faktisk)

15 februari 2019

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

17 september 2021

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

21 augusti 2021

Senast verifierad

1 augusti 2021

Mer information

Termer relaterade till denna studie

Läkemedels- och apparatinformation, studiedokument

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