NCT04484974

Brief Summary

This is a within-subjects crossover study that examines subjective appetite, food intake, hormone and metabolic responses to consumption of mid morning snacks of pecan nuts as compared to an iso-caloric amount of tortilla chips. Pecans are high in fat and calories and low in carbohydrate by weight, while tortilla chips are mostly carbohydrate and essentially devoid of fat. These two very different nutrient profiles should elicit different metabolic and biomarker responses. The study aims to determine whether these treatments also elicit different subjective appetite and food intake responses. Participants will be healthy volunteers with overweight and obesity, a population that may be seeking healthy snacking options that are satisfying and satiating.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
21

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jun 2020

Typical duration for not_applicable

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

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 23, 2020

Completed
3 days until next milestone

First Submitted

Initial submission to the registry

June 26, 2020

Completed
28 days until next milestone

First Posted

Study publicly available on registry

July 24, 2020

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 19, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 19, 2023

Completed
Last Updated

July 5, 2024

Status Verified

July 1, 2024

Enrollment Period

3.2 years

First QC Date

June 26, 2020

Last Update Submit

July 2, 2024

Conditions

Keywords

Pecansappetitehormonesfood intake

Outcome Measures

Primary Outcomes (18)

  • Change from baseline (before snack consumption) to 120 minutes in subjective appetite response to pecan or pretzel snack using visual analog assessment

    Subjective appetite will be assessed using a visual analog scale. Subjective feelings will be rated on a 100 mm horizontal line preceded by the questions: "How hungry are you right now?" and anchored on the left by "not at all hungry" and by "extremely hungry" on the right; Fullness will be queried by "How full do you feel right now?" anchored by "not at all..." and "extremely..."; Desire to eat will be queried by, "How strong is your desire to eat right now?" anchored by anchored by "not at all..." and "extreme...; and prospective consumption will be queried by, "how much food do you think you can you eat right now" with anchors of "not (much) at all" to "extremely/an extreme amount".

    Baseline (prior to mid-morning snack consumption) to 120 minutes after snack consumption at 20, 30, 60, 90 and 120 minutes following consumption.

  • Change from baseline (prior to lunch) to 120 minutes in subjective appetite response to lunch meal using visual analog assessment

    Subjective appetite will be assessed using a visual analog scale. Subjective feelings will be rated on a 100 mm horizontal line preceded by the questions: "How hungry are you right now?" and anchored on the left by "not at all hungry" and by "extremely hungry" on the right; Fullness will be queried by "How full do you feel right now?" anchored by "not at all..." and "extremely..."; Desire to eat will be queried by, "How strong is your desire to eat right now?" anchored by anchored by "not at all..." and "extreme...; and prospective consumption will be queried by, "how much food do you think you can you eat right now" with anchors of "not (much) at all" to "extremely/an extreme amount".

    Prior to lunch consumption and at 20, 30, 60, 90 and 120 minutes following consumption.

  • Energy intake response to pecan or pretzel snack using weighed food intake measures

    Energy intake at ad libitum lunch meal consisting of a variety of different foods offering approximately 1400 of kilocalories of energy having an overall composition of approximately 15% protein, 55% carbohydrate and 30% fat. Twelve ounces of water will be provided as the beverage. Energy intake will be calculated from the weight of each food consumed and the published nutrient composition of the foods. Linear mixed effects model will be used to test the difference in energy intake between two experimental conditions.

    30 minutes allowed for completion of the lunch meal

  • Change from baseline (prior to snack consumption) to 120 minutes in serum glucose following pecan or pretzel snack consumption.

    Serum glucose by enzymatic method.

    Baseline (prior to snack) to 120 minutes at intervals of 20, 30, 60, 90 and 120 minutes.

  • Change from baseline (prior to lunch consumption) to 120 minutes in serum glucose following lunch consumption.

    Serum glucose by enzymatic method.

    Prior to lunch and at intervals of 20, 30, 60, 90 and 120 minutes after lunch consumption.

  • Change from baseline (prior to snack consumption) to 120 minutes in serum insulin following pecan or pretzel snack consumption.

    Serum insulin by radio-immunoassay.

    Prior to snack and at intervals of 20, 30, 60, 90 and 120 minutes after snack consumption.

  • Change from baseline (prior to lunch consumption) to 120 minutes in serum insulin following lunch consumption.

    Serum insulin by radio-immunoassay.

    Prior to lunch and at intervals of 20, 30, 60, 90 and 120 minutes after lunch consumption.

  • Change from baseline (prior to snack consumption) to 120 minutes in serum triglycerides following pecan or pretzel snack consumption.

    Serum triglycerides by enzymatic assay.

    Prior to snack and at intervals of 20, 30, 60, 90 and 120 minutes after snack consumption.

  • Change from baseline (prior to lunch consumption) to 120 minutes in serum triglycerides following lunch consumption.

    Serum triglycerides by enzymatic assay.

    Prior to lunch and at intervals of 20, 30, 60, 90 and 120 minutes after lunch consumption.

  • Change from baseline (prior to snack consumption) to 120 minutes in serum free fatty acids following snack consumption.

    Serum free fatty acids by enzymatic assay.

    Prior to mid-morning snack and at intervals of 20, 30, 60, 90 and 120 minutes after snack consumption.

  • Change from baseline (prior to lunch consumption) to 120 minutes in serum free fatty acids following lunch consumption.

    Serum free fatty acids by enzymatic assay.

    Prior to lunch and at intervals of 20, 30, 60, 90 and 120 minutes after lunch consumption.

  • Change from baseline (prior to snack consumption) to 120 minutes in serum ghrelin following snack consumption.

    Serum ghrelin by radio-immunoassay

    Prior to mid-morning snack and at intervals of 20, 30, 60, 90 and 120 minutes after snack consumption.

  • Change from baseline (prior to lunch consumption) to 120 minutes in serum ghrelin following lunch consumption.

    Serum ghrelin by radio-immunoassay

    Prior to lunch and at intervals of 20, 30, 60, 90 and 120 minutes after lunch consumption.

  • Change from baseline (prior to snack consumption) to 120 minutes in serum peptide YY following snack consumption.

    Serum peptide YY (PYY) by radio-immunoassay

    Prior to snack and at intervals of 20, 30, 60, 90 and 120 minutes after snack consumption.

  • Change from baseline (prior to lunch consumption) to 120 minutes in serum peptide YY following lunch consumption.

    Serum peptide YY (PYY) by radio-immunoassay

    Prior to lunch and at intervals of 20, 30, 60, 90 and 120 minutes after lunch consumption.

  • Change from baseline (prior to snack consumption) to 120 minutes in serum glucagon like peptide-1 following snack consumption.

    Serum glucagon like peptide-1 (GLP-1) by enzyme immunoassay

    Prior to snack and at intervals of 20, 30, 60, 90 and 120 minutes after snack consumption.

  • Change from baseline (prior to lunch consumption) to 120 minutes in serum glucagon like peptide-1 following lunch consumption.

    Serum glucagon like peptide-1 (GLP-1) by enzyme immunoassay

    Prior to lunch and at intervals of 20, 30, 60, 90 and 120 minutes after lunch consumption.

  • Change in serum leptin from baseline to 120 minutes following snack consumption

    Serum leptin by immunoassay.

    Baseline (prior to breakfast) and at 120 minutes following mid-morning snack consumption.

Secondary Outcomes (2)

  • Change from baseline in energy expenditure post snack

    Resting energy expenditure will be measured for 20 minutes after snack consumption.

  • Change from baseline in energy expenditure post lunch

    Resting energy expenditure will be measured for 20 minutes after lunch consumption.

Study Arms (2)

Pecan snack condition

EXPERIMENTAL

In this crossover condition, a mid morning snack consisting of 250 kcal of lightly salted roasted pecan nuts will be administered.

Other: Pecan snack

Tortilla chip snack condition

ACTIVE COMPARATOR

In this crossover condition, a mid morning snack consisting of 250 kcal of lightly salted pretzels will be administered.

Other: Tortilla chip snack

Interventions

Under this condition, each participant will consume a mid morning snack of pecans followed by an ad libitum lunch.

Pecan snack condition

Under this condition, each participant will consume a mid morning snack consisting of an iso-caloric (equal to the pecan snack) snack of tortilla chips followed by an ad libitum lunch.

Tortilla chip snack condition

Eligibility Criteria

Age20 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • adult men and women
  • all ethnic groups
  • ages 20-50,
  • BMI 27-35,
  • habitually eat breakfast,
  • willing to eat the test snacks and other foods offered,
  • weight stable for the last 6 months
  • willing to consent and adhere to the test procedures and schedule

You may not qualify if:

  • nut allergies,
  • uncontrolled thyroid disorders,
  • diabetes mellitus,
  • eating disorders,
  • pregnant, or planning to become pregnant during the study,
  • lactating,
  • uncontrolled hypertension,
  • active dieting
  • intensive physical activity training regimen (\>300 min/wk exercise),
  • medical history or current medication that may affect study outcomes per study PI discretion
  • consuming pecans on a regular basis
  • unable to lie still with a clear hood over their head for the measurement of energy expenditure

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Colorado Anschutz Health and Wellness Center

Aurora, Colorado, 80045, United States

Location

MeSH Terms

Conditions

OverweightObesity

Condition Hierarchy (Ancestors)

OvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • John C Peters, PhD

    University of Colorado, Denver

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
The two treatments are pecan nuts or tortilla chips as snacks, therefore masking of treatment conditions is not possible.
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Model Details: Randomized, two period crossover with two treatment conditions
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 26, 2020

First Posted

July 24, 2020

Study Start

June 23, 2020

Primary Completion

September 19, 2023

Study Completion

September 19, 2023

Last Updated

July 5, 2024

Record last verified: 2024-07

Data Sharing

IPD Sharing
Will not share

Locations