NCT02080325

Brief Summary

This study aims to investigate the mechanistic processes involved in protein-induced satiety/satiation during weight loss in humans. Thsi study will investigate:

  • How do high-protein weight loss (HPWL) diets rich in meat or soya based protein sources impact on profile of 'motivation to eat' both within a day and between days ?
  • Do biomarkers of satiety alter differentially on meat or soya HPWL diet, as measured by monitoring alteration in plasma amino acids and gut-related hormones ?
  • How does a vegetarian and meat-based weight loss diet impact on nitrosamine excretion in faecal samples, as an indicator of faecal toxicity? Previous work has indicated that high-protein (30% protein) weight loss diets are more satiating (produce less hunger) than normal protein WL diet (15% protein) or a diet supplemented with few amino acids. In previous work, a mixed source of protein has been used, mainly from meat (beef, chicken, fish). These types of diets have been criticised because of the potential negative side effects, including our own work on gut health. It might be that alternative vegetable sources of protein could fulfil the diet remit, to be satiating and yet still allow weight loss, and maintain a healthy gut. Design -within subject, randomised cross-over design after day 3. Each subject acts as their own control and will receive each treatment. 18-20 subjects to participate. Length of time - Conduct the two nutritional interventions over a period of 14 days, in order to reduce effects due to an acute change in nutritional intake. PROTOCOL Days 1- 3 - Normal Protein Maintenance diet (NP- MTD, 3 days)
  • st ARM Days 4-17 - randomised to High Protein-Weight loss-Meat (HP-Soya,14 days),
  • nd ARM Days 18-31 - randomised to High Protein-Weight loss-Soya (HP-meat,14 days),

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for not_applicable obesity

Timeline
Completed

Started Dec 2009

Shorter than P25 for not_applicable obesity

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2009

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2010

Completed
3.2 years until next milestone

First Submitted

Initial submission to the registry

February 28, 2014

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 6, 2014

Completed
Last Updated

March 6, 2014

Status Verified

March 1, 2014

Enrollment Period

1 year

First QC Date

February 28, 2014

Last Update Submit

March 4, 2014

Conditions

Keywords

weight losshigh protein dietplant proteinsatietysoy

Outcome Measures

Primary Outcomes (1)

  • appetite control

    * Motivation to eat (VAS) hourly during waking hours up to 6pm in the evening, collected on a hand-help computer * Food diary * End of day questionnaire on mood

    Every day of the study: From day 1 to 32 inclusive

Secondary Outcomes (1)

  • Satiety biomarkers- COMPOSITE MEASURE

    test day (day 1, 4, 18, 32 of the study)

Other Outcomes (1)

  • Weight loss

    Every day of the study from day 1 to 32 inclusive

Study Arms (2)

High Protein-Weight loss-Meat/High Protein-Weight loss Soy

OTHER

After 3 Days - Normal Protein Maintenance diet (NP- MTD, 3 days), there is the first arm of the study, Days 14 days- randomised to High Protein-Weight loss-Meat with High Protein-Weight loss-Soy

Other: High Protein-Weight loss-Soy dietOther: High Protein-Weight loss-Meat

High Protein-Weight loss-Soya/High Protein Weight loss-meat

OTHER

After 3 Days - Normal Protein Maintenance diet (NP- MTD, 3 days), there is the first arm of the study, Days 14 days- randomised to High Protein-Weight loss-Soy with High Protein-Weight loss-Meat

Other: High Protein-Weight loss-Soy dietOther: High Protein-Weight loss-Meat

Interventions

• The high protein (HP) weight loss diet will be fed to 100% resting metabolic rate (RMR) on a 5 day rotation menu, fed as three meals a day, 30% protein, 30% fat and 40% carbohydrate; the soya version based on soya protein or soya-tvp (textured vegetable protein).

Also known as: SOY HP WL diet
High Protein-Weight loss-Meat/High Protein-Weight loss SoyHigh Protein-Weight loss-Soya/High Protein Weight loss-meat

• The high protein (HP) weight loss diet will be fed to 100% resting metabolic rate (RMR) on a 5 day rotation menu, fed as three meals a day, 30% protein, 30% fat and 40% carbohydrate; the meat version will be based on chicken and beef meat.

Also known as: MEAT HP WL diet
High Protein-Weight loss-Meat/High Protein-Weight loss SoyHigh Protein-Weight loss-Soya/High Protein Weight loss-meat

Eligibility Criteria

Age18 Years - 65 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male
  • Overweight or obese (BMI 27+ )
  • With no existing medical conditions or medication that could influence appetite or mood.

You may not qualify if:

  • Diabetes
  • Severe gastrointestinal disorders
  • Kidney disease
  • Thromboembolic or coagulation disease
  • Hepatic disease
  • Alcohol or any other substance abuse
  • Gout
  • Eating disorders
  • Food allergy
  • Unregulated thyroid disease
  • Psychiatric disorders (including severe depression, lithium treatment, schizophrenia, severe behavioural disorders)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rowett Institute of Nutrition and Health, University of Aberdeen

Aberdeen, AB21 9SB, United Kingdom

Location

Related Publications (1)

  • Neacsu M, Fyfe C, Horgan G, Johnstone AM. Appetite control and biomarkers of satiety with vegetarian (soy) and meat-based high-protein diets for weight loss in obese men: a randomized crossover trial. Am J Clin Nutr. 2014 Aug;100(2):548-58. doi: 10.3945/ajcn.113.077503. Epub 2014 Jun 18.

MeSH Terms

Conditions

ObesityWeight Loss

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsBody Weight Changes

Study Officials

  • Alexandra M Johnstone, PhD

    Rowett Institute of Nutrition and Health, University of Aberdeen, Aberdeen, Scotland, UK,

    PRINCIPAL INVESTIGATOR
  • Wendy R Russell, PhD

    Rowett Institute of Nutrition and Health, University of Aberdeen, Aberdeen, Scotland, UK,

    PRINCIPAL INVESTIGATOR
  • Silvia Gratz, PhD

    Rowett Institute of Nutrition and Health, University of Aberdeen, Aberdeen, Scotland, UK,

    PRINCIPAL INVESTIGATOR
  • Graham Horgan, PhD

    Biomathematics and Statistics Scotland, Aberdeen, Scotland, UK

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 28, 2014

First Posted

March 6, 2014

Study Start

December 1, 2009

Primary Completion

December 1, 2010

Study Completion

December 1, 2010

Last Updated

March 6, 2014

Record last verified: 2014-03

Locations