NCT02367287

Brief Summary

Although the diet of the US population meets or exceeds recommended intake levels of most essential nutrients, the quality of the diet consumed by many Americans is sub-optimal due to excessive intake of added sugars, solid fats, refined grains, and sodium. The foundations and outcomes of healthy vs. unhealthy eating habits and activity levels are complex and involve interactions between the environment and innate physiologic/genetic background. For instance, emerging research implicates chronic and acute stress responses and perturbations in the Hypothalamic-Pituitary-Adrenal axis in triggering obesity-promoting metabolic changes and poor food choices. In addition, the development of many chronic diseases, including cardiovascular disease, diabetes, cancer, asthma and autoimmune disease, results from an overactive immune response to host tissue or environmental antigens (e.g. inhaled allergens). A greater understanding is needed of the distribution of key environment-physiology interactions that drive overconsumption, create positive energy balance, and put health at risk. Researchers from the United States Department of Agriculture (USDA) Western Human Nutrition Research Center are conducting a cross-sectional "metabolic phenotyping" study of healthy people in the general population. Observational measurements include the interactions of habitual diet with the metabolic response to food intake, production of key hormones, the conversion of food into energy: the metabolism of fats, proteins, and carbohydrates, characteristics of the immune system, stress response, gut microbiota (bacteria in the intestinal tract), and cardiovascular health. Most outcomes will be measured in response to a mixed macronutrient/high fat challenge meal.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
393

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2015

Longer than P75 for all trials

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

First Submitted

Initial submission to the registry

February 12, 2015

Completed
8 days until next milestone

First Posted

Study publicly available on registry

February 20, 2015

Completed
2 months until next milestone

Study Start

First participant enrolled

May 1, 2015

Completed
4.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 24, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 24, 2019

Completed
Last Updated

March 25, 2026

Status Verified

March 1, 2026

Enrollment Period

4.2 years

First QC Date

February 12, 2015

Last Update Submit

March 20, 2026

Conditions

Keywords

DietPhenotypeImmunologyMicrobiotaMetabolomicsPhysical activityNeuroendocrine systemNutritional Physiological Phenomena

Outcome Measures

Primary Outcomes (2)

  • Baseline level and change in systemic immune activation following challenge meal

    Number and activation level of pro-inflammatory T-helper (Th) cells (Th1, Th2 and Th17), T-regulatory (Treg) cells, and B cells will be measured in fasting blood. Monocytes and neutrophils will be measured in fasting and postprandial blood.

    0, 0.5, 3, and 6 hours postprandial

  • Baseline level and change in plasma metabolome

    Plasma fatty acid profiles of non-esterified fatty acids, phospholipids, triacylglycerols, red blood cell fatty acids, endocannabinoids, bile acids, eicosanoids and related oxylipins, ceramides, sphingoid bases, acylcarnitines, amino acids and other metabolites measured in response to a challenge meal.

    0, 0.5, 3, and 6 hours postprandial

Secondary Outcomes (39)

  • Baseline level and change in glucose metabolism

    0, 0.5, 3, and 6 hours postprandial

  • Baseline level and change in appetitive hormones

    0, 0.5, 3, and 6 hours postprandial

  • Baseline level and change in mitogen activated protein (MAP) kinase activity

    0, 0.5, 3 and 6 hours postprandial

  • Baseline level and change in dietary-responsive, circulating microRNA

    0, 0.5, 3, and 6 hours postprandial

  • Baseline level and change in RNA transcriptome

    0, 3, and 6 hours postprandial

  • +34 more secondary outcomes

Study Arms (1)

Sampling strata

Stratified analyses of primary and secondary outcomes based on variables of interest (e.g. sex, age, or BMI) may occur prior to achieving the target for total study enrollment.

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Healthy people in the general population

You may qualify if:

  • Male or female
  • Body Mass Index 18.5-45.0 kg/m2 (Normal to obese)

You may not qualify if:

  • Pregnant or lactating women
  • Known allergy to egg-white protein
  • Systolic blood pressure greater than 140 mm Hg or diastolic blood pressure greater than 90 mm Hg measured on three separate occasions
  • Diagnosed active chronic diseases for which the individual is currently taking daily medication, including but not limited to:
  • Diabetes mellitus
  • Cardiovascular disease
  • Cancer
  • Gastrointestinal disorders
  • Kidney disease
  • Liver disease
  • Bleeding disorders
  • Asthma
  • Autoimmune disorders
  • Hypertension
  • Osteoporosis
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

USDA, Western Human Nutrition Research Center

Davis, California, 95616, United States

Location

Related Publications (30)

  • Wopereis S, Wolvers D, van Erk M, Gribnau M, Kremer B, van Dorsten FA, Boelsma E, Garczarek U, Cnubben N, Frenken L, van der Logt P, Hendriks HF, Albers R, van Duynhoven J, van Ommen B, Jacobs DM. Assessment of inflammatory resilience in healthy subjects using dietary lipid and glucose challenges. BMC Med Genomics. 2013 Oct 27;6:44. doi: 10.1186/1755-8794-6-44.

    PMID: 24160467BACKGROUND
  • Pellis L, van Erk MJ, van Ommen B, Bakker GC, Hendriks HF, Cnubben NH, Kleemann R, van Someren EP, Bobeldijk I, Rubingh CM, Wopereis S. Plasma metabolomics and proteomics profiling after a postprandial challenge reveal subtle diet effects on human metabolic status. Metabolomics. 2012 Apr;8(2):347-359. doi: 10.1007/s11306-011-0320-5. Epub 2011 May 28.

    PMID: 22448156BACKGROUND
  • Krug S, Kastenmuller G, Stuckler F, Rist MJ, Skurk T, Sailer M, Raffler J, Romisch-Margl W, Adamski J, Prehn C, Frank T, Engel KH, Hofmann T, Luy B, Zimmermann R, Moritz F, Schmitt-Kopplin P, Krumsiek J, Kremer W, Huber F, Oeh U, Theis FJ, Szymczak W, Hauner H, Suhre K, Daniel H. The dynamic range of the human metabolome revealed by challenges. FASEB J. 2012 Jun;26(6):2607-19. doi: 10.1096/fj.11-198093. Epub 2012 Mar 16.

    PMID: 22426117BACKGROUND
  • Robles Alonso V, Guarner F. Linking the gut microbiota to human health. Br J Nutr. 2013 Jan;109 Suppl 2:S21-6. doi: 10.1017/S0007114512005235.

    PMID: 23360877BACKGROUND
  • Baldiviez LM, Keim NL, Laugero KD, Hwang DH, Huang L, Woodhouse LR, Burnett DJ, Zerofsky MS, Bonnel EL, Allen LH, Newman JW, Stephensen CB. Design and implementation of a cross-sectional nutritional phenotyping study in healthy US adults. BMC Nutr. 2017 Oct 19;3:79. doi: 10.1186/s40795-017-0197-4. eCollection 2017.

    PMID: 32153856BACKGROUND
  • Oliver A, Alkan Z, Stephensen CB, Newman JW, Kable ME, Lemay DG. Diet, Microbiome, and Inflammation Predictors of Fecal and Plasma Short-Chain Fatty Acids in Humans. J Nutr. 2024 Nov;154(11):3298-3311. doi: 10.1016/j.tjnut.2024.08.012. Epub 2024 Aug 20.

  • James KL, Gertz ER, Kirschke CP, Allayee H, Huang L, Kable ME, Newman JW, Stephensen CB, Bennett BJ. Trimethylamine N-Oxide Response to a Mixed Macronutrient Tolerance Test in a Cohort of Healthy United States Adults. Int J Mol Sci. 2023 Jan 20;24(3):2074. doi: 10.3390/ijms24032074.

  • Riazati N, Kable ME, Newman JW, Adkins Y, Freytag T, Jiang X, Stephensen CB. Associations of microbial and indoleamine-2,3-dioxygenase-derived tryptophan metabolites with immune activation in healthy adults. Front Immunol. 2022 Sep 29;13:917966. doi: 10.3389/fimmu.2022.917966. eCollection 2022.

  • Chin EL, Huang L, Bouzid YY, Kirschke CP, Durbin-Johnson B, Baldiviez LM, Bonnel EL, Keim NL, Korf I, Stephensen CB, Lemay DG. Association of Lactase Persistence Genotypes (rs4988235) and Ethnicity with Dairy Intake in a Healthy U.S. Population. Nutrients. 2019 Aug 10;11(8):1860. doi: 10.3390/nu11081860.

  • Bouzid YY, Arsenault JE, Bonnel EL, Cervantes E, Kan A, Keim NL, Lemay DG, Stephensen CB. Effect of Manual Data Cleaning on Nutrient Intakes Using the Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24). Curr Dev Nutr. 2021 Feb 2;5(3):nzab005. doi: 10.1093/cdn/nzab005. eCollection 2021 Mar.

  • Lemay DG, Baldiviez LM, Chin EL, Spearman SS, Cervantes E, Woodhouse LR, Keim NL, Stephensen CB, Laugero KD. Technician-Scored Stool Consistency Spans the Full Range of the Bristol Scale in a Healthy US Population and Differs by Diet and Chronic Stress Load. J Nutr. 2021 Jun 1;151(6):1443-1452. doi: 10.1093/jn/nxab019.

  • Arrington CE, Tacad DKM, Allayee H, Sutton KJ, Dombroski C, Keim NL, Newman JW, Bennett BJ. Genetic determinants of BMI, diet, and fitness interact to partially explain anthropometric obesity traits but not the metabolic consequences of obesity in men and women. Int J Obes (Lond). 2026 Feb 20. doi: 10.1038/s41366-026-02027-0. Online ahead of print.

  • Blecksmith SE, Oliver A, Alkan Z, Lemay DG. Gut Microbiome Genes Involved in Plant and Mucin Breakdown Correlate with Diet and Gastrointestinal Inflammation in Healthy United States Adults. J Nutr. 2025 Nov;155(11):3757-3768. doi: 10.1016/j.tjnut.2025.08.027. Epub 2025 Sep 1.

  • Tang Y, Oliver A, Alkan Z, Korf I, Huang L, Kable ME, Lemay DG. Association of lactose intake and lactase persistence genotype with microbial taxa and function in healthy multi-ethnic U.S. adults. Food Funct. 2025 Sep 15;16(18):7393-7407. doi: 10.1039/d5fo01640a.

  • Tacad DKM, Borkowski K, Keim NL. Differential associations of eating behavior traits, food preference, motivations of food choice on diet intake and diet quality in adult females and males from the USDA nutritional phenotyping study. Appetite. 2025 Sep 1;213:108048. doi: 10.1016/j.appet.2025.108048. Epub 2025 May 7.

  • Stephensen CB, Jiang X, Gale B, Peerson JM. Association of Healthy Eating Index-2015 Total and Component Scores with Measures of Inflammation and Immune Activation in Healthy Adults. J Nutr. 2025 Mar;155(3):994-1004. doi: 10.1016/j.tjnut.2025.01.005. Epub 2025 Jan 7.

  • Riazati N, Engle-Stone R, Stephensen CB. Association of Vitamin D Status with Immune Markers in a Cohort of Healthy Adults. J Nutr. 2025 Feb;155(2):621-633. doi: 10.1016/j.tjnut.2024.12.010. Epub 2024 Dec 21.

  • Wilson SM, Oliver A, Larke JA, Naveja JJ, Alkan Z, Awika JM, Stephensen CB, Lemay DG. Fine-Scale Dietary Polyphenol Intake Is Associated with Systemic and Gastrointestinal Inflammation in Healthy Adults. J Nutr. 2024 Nov;154(11):3286-3297. doi: 10.1016/j.tjnut.2024.08.010. Epub 2024 Aug 18.

  • Bouzid YY, Wilson SM, Alkan Z, Stephensen CB, Lemay DG. Lower Diet Quality Associated with Subclinical Gastrointestinal Inflammation in Healthy United States Adults. J Nutr. 2024 Apr;154(4):1449-1460. doi: 10.1016/j.tjnut.2024.02.030. Epub 2024 Mar 1.

  • Kable ME, Chin EL, Huang L, Stephensen CB, Lemay DG. Association of Estimated Daily Lactose Consumption, Lactase Persistence Genotype (rs4988235), and Gut Microbiota in Healthy Adults in the United States. J Nutr. 2023 Aug;153(8):2163-2173. doi: 10.1016/j.tjnut.2023.06.025. Epub 2023 Jun 23.

  • Snodgrass RG, Jiang X, Stephensen CB, Laugero KD. Cumulative physiological stress is associated with age-related changes to peripheral T lymphocyte subsets in healthy humans. Immun Ageing. 2023 Jun 23;20(1):29. doi: 10.1186/s12979-023-00357-5.

  • Larke JA, Bacalzo N, Castillo JJ, Couture G, Chen Y, Xue Z, Alkan Z, Kable ME, Lebrilla CB, Stephensen CB, Lemay DG. Dietary Intake of Monosaccharides from Foods is Associated with Characteristics of the Gut Microbiota and Gastrointestinal Inflammation in Healthy US Adults. J Nutr. 2023 Jan;153(1):106-119. doi: 10.1016/j.tjnut.2022.12.008. Epub 2022 Dec 26.

  • Snodgrass RG, Jiang X, Stephensen CB. Monocyte subsets display age-dependent alterations at fasting and undergo non-age-dependent changes following consumption of a meal. Immun Ageing. 2022 Sep 14;19(1):41. doi: 10.1186/s12979-022-00297-6.

  • Wang YE, Kirschke CP, Woodhouse LR, Bonnel EL, Stephensen CB, Bennett BJ, Newman JW, Keim NL, Huang L. SNPs in apolipoproteins contribute to sex-dependent differences in blood lipids before and after a high-fat dietary challenge in healthy U.S. adults. BMC Nutr. 2022 Sep 1;8(1):95. doi: 10.1186/s40795-022-00592-x.

  • Newman JW, Krishnan S, Borkowski K, Adams SH, Stephensen CB, Keim NL. Assessing Insulin Sensitivity and Postprandial Triglyceridemic Response Phenotypes With a Mixed Macronutrient Tolerance Test. Front Nutr. 2022 May 11;9:877696. doi: 10.3389/fnut.2022.877696. eCollection 2022.

  • Oliver A, Xue Z, Villanueva YT, Durbin-Johnson B, Alkan Z, Taft DH, Liu J, Korf I, Laugero KD, Stephensen CB, Mills DA, Kable ME, Lemay DG. Association of Diet and Antimicrobial Resistance in Healthy U.S. Adults. mBio. 2022 Jun 28;13(3):e0010122. doi: 10.1128/mbio.00101-22. Epub 2022 May 10.

  • Kable ME, Chin EL, Storms D, Lemay DG, Stephensen CB. Tree-Based Analysis of Dietary Diversity Captures Associations Between Fiber Intake and Gut Microbiota Composition in a Healthy US Adult Cohort. J Nutr. 2022 Mar 3;152(3):779-788. doi: 10.1093/jn/nxab430.

  • Chin EL, Van Loan M, Spearman SS, Bonnel EL, Laugero KD, Stephensen CB, Lemay DG. Machine Learning Identifies Stool pH as a Predictor of Bone Mineral Density in Healthy Multiethnic US Adults. J Nutr. 2021 Nov 2;151(11):3379-3390. doi: 10.1093/jn/nxab266.

  • Artegoitia VM, Krishnan S, Bonnel EL, Stephensen CB, Keim NL, Newman JW. Healthy eating index patterns in adults by sex and age predict cardiometabolic risk factors in a cross-sectional study. BMC Nutr. 2021 Jun 22;7(1):30. doi: 10.1186/s40795-021-00432-4.

  • Mo Z, Huang S, Burnett DJ, Rutledge JC, Hwang DH. Endotoxin May Not Be the Major Cause of Postprandial Inflammation in Adults Who Consume a Single High-Fat or Moderately High-Fat Meal. J Nutr. 2020 May 1;150(5):1303-1312. doi: 10.1093/jn/nxaa003.

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

Whole blood, stool

MeSH Terms

Conditions

ObesityInflammationMotor Activity

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsPathologic ProcessesBehavior

Study Officials

  • Charles B Stephensen, Ph.D.

    USDA, Western Human Nutrition Research Center

    PRINCIPAL INVESTIGATOR
  • Brian J Bennett, Ph.D.

    USDA, Western Human Nutrition Research Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
CROSS SECTIONAL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 12, 2015

First Posted

February 20, 2015

Study Start

May 1, 2015

Primary Completion

July 24, 2019

Study Completion

July 24, 2019

Last Updated

March 25, 2026

Record last verified: 2026-03

Locations