Effects of Fat and Carbohydrates in Obese Men (FATFUNC)
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Purpose
Obesity has become a global epidemic, and treating and preventing obesity appears to be one of the world's greatest challenges. The disorder is associated with a wide range of metabolic and hormonal changes, including the development of insulin resistance, changes in adipose tissue function, increased levels of blood lipids, cardiovascular disease and obesity induced fatty liver. Obesity is characterized by inflammation in adipose tissue, altered fat storage capacity and increased exchange of lipids between adipose tissue and blood, and increased secretion of cytokines from adipose tissue. Cytokines are believed to play a central role in the regulation of adipose tissue, the size of adipocytes and other metabolic conditions.
The hepatic synthesis of lipoproteins and interaction with adipose tissue is essential for the body's energy storages. The central role of the liver in energy supply, fat storage and normalization of blood values implies the importance of investigating the interaction between adipose tissue and liver to increase knowledge about the morbidity of obesity. Central obesity and insulin resistance are clear risk factors for the development of fatty liver, but the importance of diet is unclear. The common perception is that fatty liver condition can be improved by a reduction in dietary fat and cholesterols, but the relationship is unclear, and contradictory findings occur in epidemiological studies. It is therefore necessary to better understand the impact of the different macro-nutrients.
The purpose of this study is to determine whether two weight reducing diets with equal calorie levels that contain high or low fat differentially affects the adipose tissue function, distribution of body fat, as well as tissue, blood and urine levels of inflammatory markers, lipids, vitamins, hormones and other substances that may be related to metabolically health.
| Condition | Intervention |
|---|---|
|
Obesity Steatosis |
Dietary Supplement: High fat low carbohydrate diet Dietary Supplement: Low fat high carbohydrate diet |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | Comparison of Two Weight Reducing Diets in Obese Men |
- Changes in adipose tissue [ Time Frame: Baseline and 3 months ] [ Designated as safety issue: No ]CT, body composition, molecular analyses of adipose tissue
- Changes in metabolic parameters [ Time Frame: Baseline and 3 months ] [ Designated as safety issue: No ]Molecular and biochemical analyses of tissue, blood and urine
- Changes in inflammatory parameters [ Time Frame: Baseline and 3 months ] [ Designated as safety issue: No ]Molecular and biochemical analyses of tissue, blood and urine
- Changes in endocrine parameters [ Time Frame: Baseline and 3 months ] [ Designated as safety issue: No ]Molecular and biochemical analyses of tissue, blood and urine
- Changes in metabolic health [ Time Frame: Baseline and 3 months ] [ Designated as safety issue: No ]Clinical and biochemical data
- Changes in adipose tissue distribution [ Time Frame: Baseline and 3 months ] [ Designated as safety issue: No ]Evaluation of adipose tissue distribution by CT
- Changes in steatosis [ Time Frame: Baseline and 3 months ] [ Designated as safety issue: No ]Evaluation by CT
| Estimated Enrollment: | 40 |
| Study Start Date: | December 2012 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: High fat low carbohydrate diet |
Dietary Supplement: High fat low carbohydrate diet
70E% fat, 20E% protein, 10E% carbohydrates
|
| Experimental: Low fat high carbohydrate diet |
Dietary Supplement: Low fat high carbohydrate diet
20E% fat, 20E% protein, 60E% carbohydrates
|
Eligibility| Ages Eligible for Study: | 30 Years to 50 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria.
- Healthy men.
- BMI 30-40.
- Fasting blood glucose < 7 mM.
- Stable body weight last 2 months.
Exclusion Criteria.
- High intake of alcohol.
- Medication affecting glucose or lipid metabolism.
- Allergy towards important food items in the diet.
- Inflammatory bowel disease.
- Surgery or use of antibiotics last 2 months.
Contacts and Locations| Norway | |
| Haukeland University Hospital | |
| Bergen, Norway, 5021 | |
| Principal Investigator: | Gunnar Mellgren, MD PhD | Haukeland University Hospital |
More Information
No publications provided
| Responsible Party: | Haukeland University Hospital |
| ClinicalTrials.gov Identifier: | NCT01750021 History of Changes |
| Other Study ID Numbers: | 2011/2282 |
| Study First Received: | December 10, 2012 |
| Last Updated: | April 23, 2013 |
| Health Authority: | Norway: Regional Ethics Commitee |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013