The Effect of Beverages Varying in Protein Quantity on Appetite and Energy Intake
The Acute Effect of Beverages Varying in Macro-nutrient Content on Subjective Appetite Ratings and ad Libitum Energy Intake in Healthy Subjects
1 other identifier
interventional
36
1 country
1
Brief Summary
Over the last decades, changes in the diet and lifestyle have led to overall energy imbalance becoming commonplace and the emergence of an obesity epidemic with more than 1.6 billion adults being overweight. Consumption of foods that can affect appetite by increasing satiety could regulate the total energy intake and thus body weight. There is data suggesting that the macronutrient composition of the foods and especially protein content may have a potent role on satiety. However, it is difficult to pinpoint the optimum quantity needed to observe significant effects of protein on satiety. The research project is dedicated to identify which food components \[proteins, carbohydrates (CHO), fats\] and the optimized protein quantity needed to accelerate satiation, suppress appetite and extend satiety until hunger appears again. It is hypothesized that the consumption of protein-enriched meals will induce a reduction in hunger through the impact on gut hormones and peptides that are closely related to the short-term regulation of food intake.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable obesity
Started Mar 2013
Shorter than P25 for not_applicable obesity
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2013
CompletedFirst Submitted
Initial submission to the registry
April 30, 2013
CompletedFirst Posted
Study publicly available on registry
May 8, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2013
CompletedMarch 8, 2016
March 1, 2016
5 months
April 30, 2013
March 6, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Changes from baseline in perceived appetite and satiety
The appetite profile is assessed using validated Visual Analogue Scales (VAS) ratings (i.e hunger, fullness, desire to eat, prospective food consumption). The Questionnaires are performed electronically in personal laptops using the Adaptive Visual Analogue Scales (AVAS) software.
Assessed every 30 min for 270 min after each of the seven beverages which are served at least one week apart (7 weeks)
Secondary Outcomes (4)
Ad libitum energy intake
Energy intake is assessed 210 min after the 7 test beverages, which are served one week apart.
Changes from baseline in the postprandial concentration of satiety hormones
Assessed at 6 points in time over the morning of each of the 7 test days, which are separated by 1 week (7 weeks)
Hedonic ratings and palatability of the test beverages and meals
Assessed immediately after consumption of the 7 test beverages and pasta meal (7 weeks)
Changes from baseline in the postprandial concentration of glucose
Assessed at 7 points in time over the morning of each of the 7 test days, which are separated by 1 week (7 weeks)
Study Arms (7)
High protein/ High fat beverage
EXPERIMENTALBeverage based on milk protein: 1.8 MJ, 40 E% Protein, 42 E% fat Acute effect of beverages varying in macronutrient content on appetite and energy intake
High protein/ Normal CHO beverage
EXPERIMENTALBeverage based on milk protein: 1.8 MJ, 40 E% Protein, 47 E% CHO Acute effect of beverages varying in macronutrient content on appetite and energy intake
Low protein/ High fat beverage
EXPERIMENTALBeverage based on milk protein: 1.8 MJ, 9 E% Protein, 63 E% fat Acute effect of beverages varying in macronutrient content on appetite and energy intake
Low protein/ High CHO beverage
EXPERIMENTALBeverage based on milk protein: 1.8 MJ, 9 E% Protein, 71 E% CHO Acute effect of beverages varying in macronutrient content on appetite and energy intake
Normal protein/ Normal CHO beverage 1
EXPERIMENTALBeverage based on milk protein: 1.8 MJ, 24 E% Protein, 50 E% CHO Acute effect of beverages varying in macronutrient content on appetite and energy intake
Normal protein/Normal CHO beverage 2
EXPERIMENTALBeverage based on milk protein: 1.8 MJ, 24 E% Protein, 50 E% CHO Acute effect of beverages varying in macronutrient content on appetite and energy intake
Normal protein/Normal CHO beverage 3
EXPERIMENTALBeverage based on milk protein: 1.8 MJ, 24 E% Protein, 50 E% CHO Acute effect of beverages varying in macronutrient content on appetite and energy intake
Interventions
In this randomized, within-subject study, subjects are asked to consume 7 iso-energetic and iso-volumetric beverages as breakfast (20% of estimated energy requirements) with varying distribution of macronutrients. The objective is to identify the optimal protein quantity or macronutrient distribution on suppressing appetite.
Eligibility Criteria
You may qualify if:
- Healthy males and females
- Age range 18-50 years
- Normal weight and overweight people as classified by BMI:22-27.9 kg/m2 (inclusive).
- Understanding English well and feeling comfortable speaking it
You may not qualify if:
- Dietary protein consumption \>25% energy from protein
- Had surgery in the previous 12 months
- Have suffered a myocardial infarction or stroke at any time
- Suffer from any blood-clotting disorder or prescription of any medication affecting blood clotting
- Suffer from any metabolic disorders (e.g. diabetes, metabolic syndrome or hypertension)
- Any requirement to take long-term medication, especially those active on the gastro-intestinal tract or for cardio-vascular disease
- Any dietary restrictions or recently/currently on a weight reducing diet
- Irregular eating patterns or not regularly consuming breakfast
- Food allergies (e.g. milk protein allergies) or intolerances (e.g. lactose)
- Use of medication which affects food intake or behaviour (e.g. anti-depressants)
- Use of medication likely to affect taste, smell or appetite
- Eating restraint based on the three Factor Eating Questionnaire
- Use of any protein supplements
- A history of alcohol or drug misuse (the average daily number of units of alcohol considered as acceptable is 2-3 units women; 3-4 units men
- Smoking
- +10 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Lund Universitylead
Study Sites (1)
Department of Applied Nutrition and Food Chemistry
Lund, Skåne County, 221 00, Sweden
Related Publications (1)
Dougkas A, Ostman E. Protein-Enriched Liquid Preloads Varying in Macronutrient Content Modulate Appetite and Appetite-Regulating Hormones in Healthy Adults. J Nutr. 2016 Mar;146(3):637-45. doi: 10.3945/jn.115.217224. Epub 2016 Jan 20.
PMID: 26791555DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Anestis Dougkas, PhD
Lund University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Postdoctoral Research Fellow
Study Record Dates
First Submitted
April 30, 2013
First Posted
May 8, 2013
Study Start
March 1, 2013
Primary Completion
August 1, 2013
Study Completion
August 1, 2013
Last Updated
March 8, 2016
Record last verified: 2016-03