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Rationale: The investigators hypothesize that a change in dietary fat quality (an increase in unsaturated fatty acids) may modulate fuel partitioning within the type 2 diabetic muscle towards less accumulation of lipid metabolites and an improved insulin sensitivity.
Objective:
Study design: single-blind randomized cross-over trial
Study population: obese males (35-70 years) with or without insulin resistance
Intervention:
Main study parameters/endpoints:
More insight whether dietary fat quality may modulate circulating lipids and skeletal muscle fatty acids handling, and may affect oxidative capacity and lipid storage in parallel to an increased insulin sensitivity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Saturated fatty acid test meal | Experimental |
| |
| Monounsaturated fatty acid meal | Experimental |
| |
| Polyunsaturated fatty acid meal | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| test meals with various fatty acid compositions | Dietary Supplement | Three different milkshakes with a U13C palmitate tracer added |
|
| Measure | Description | Time Frame |
|---|---|---|
| Acute effect of meals with various fatty acid composition on postprandial insulin sensitivity | The acute effect of meals with various fatty acid composition ((high saturated (SFA) vs polyunsaturated (PUFA) vs monounsaturated (MUFA)) on postprandial insulin sensitivity will be measured during the stable isotope test. | the individual participants will be measured within 8-10 weeks. |
| Acute effect of meals with various fatty acid composition on forearm muscle fatty acid handling | Using the stable isotope technique, we can differentiate between the metabolic fate of dietary versus endogenous fatty acids | the individual participants will be measured within 8-10 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Acute effect of meals with various fatty acid composition on intramuscular fatty acid handling | the individual participants will be measured within 8-10 weeks. | |
| Acute effect of meals with various fatty acid composition on transcriptional regulation of the fatty acid metabolism in skeletal muscle biopsies |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ellen E Blaak, PhD, Prof | Maastricht University Medical Centre + | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University Medical Centre + | Maastricht | Limburg | 6229ER | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22338035 | Derived | Jans A, Konings E, Goossens GH, Bouwman FG, Moors CC, Boekschoten MV, Afman LA, Muller M, Mariman EC, Blaak EE. PUFAs acutely affect triacylglycerol-derived skeletal muscle fatty acid uptake and increase postprandial insulin sensitivity. Am J Clin Nutr. 2012 Apr;95(4):825-36. doi: 10.3945/ajcn.111.028787. Epub 2012 Feb 15. |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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Transcriptional regulation will be measured by means of microarray.
| the individual participants will be measured within 8-10 weeks. |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |