Ghrelin Regulation and Structure: Effect of Diet Composition on Ghrelin
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Purpose
The purpose of this study is to learn more about how diet affects the hormone ghrelin. Ghrelin is made in the stomach and causes appetite to increase. Learning about ghrelin will help the investigators understand more about obesity.
| Condition | Intervention |
|---|---|
|
Obesity |
Dietary Supplement: Low fat diet Dietary Supplement: High fat diet Dietary Supplement: MCT diet |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Pharmacokinetics/Dynamics Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Basic Science |
| Official Title: | Ghrelin Regulation and Structure: Effect of Diet Composition on Ghrelin |
- The primary outcomes for aim 1 are the suppression of total and acylated ghrelin from peak fasting (highest value) level to nadir (lowest level) during the 4 hours after each meal, comparing the obese to the lean subjects. [ Time Frame: every 8 weeks ] [ Designated as safety issue: No ]
- Area-under-the-curve measurements during the 12 ½ hours of testing for ghrelin and other nutrient and gut-peptides, including glucose, insulin, PYY3-36, and active GLP-1. [ Time Frame: Every 8 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 51 |
| Study Start Date: | February 2008 |
| Study Completion Date: | March 2011 |
| Primary Completion Date: | March 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: 1
low fat diet for two weeks.
|
Dietary Supplement: Low fat diet
20% fat diet
Other Name: low fat diet
|
|
Active Comparator: 2
High fat diet for two weeks followed by blood sampling.
|
Dietary Supplement: High fat diet
40% fat diet
Other Name: High fat diet
|
|
Active Comparator: 3
Medium Chain Triglyceride diet
|
Dietary Supplement: MCT diet
Medium chain triglyceride diet
Other Name: Medium chain triglyceride diet
|
Detailed Description:
Control subjects will be provided 3 different diets for 2 weeks each. At the end of each diet period participants will be admitted to OHSU Clinical Translation Research Center (CTRC) for blood sampling every 30 minutes for 13.5 hours, to measure levels of hormones. Participants will also have a DXA scan to measure body composition.
PWS subjects will have one admission after eating a standardized diet prepared by caregivers for 2 weeks.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Age 18 or older.
- Weight stable for at least 3 months.
- At lifetime maximal body weight.
Exclusion Criteria:
- Actively losing weight by diet or exercise.
- Smokers.
- Alcohol consumption > 2 drinks per day.
- Exercise > 30 minutes 3 times a week.
- Prescription drug use (except birth control pills, vitamins, or minerals).
- Type 2 diabetes.
- Heart disease, cancer, malabsorptive states, or chronic infections that would affect body weight.
- Weight > 300 lbs (exceeds the weight limit of the DEXA machine).
- Hemoglobin < 12.0 g/dL for women, < 13.5 g/dL for men
Contacts and Locations| United States, Oregon | |
| Oregon Health & Science University | |
| Portland, Oregon, United States, 97239 | |
| Principal Investigator: | Jonathan Q. Purnell, M.D. | Oregon Health and Science University |
More Information
No publications provided
| Responsible Party: | Jonathan Q. Purnell, OHSU - Center for the Study of Weight Regulation |
| ClinicalTrials.gov Identifier: | NCT00694512 History of Changes |
| Other Study ID Numbers: | eIRB 3224, OCTRI 1048, eIRB #3224 |
| Study First Received: | June 6, 2008 |
| Last Updated: | May 14, 2012 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on June 17, 2013