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The purpose of this study is to investigate the acute and chronic effects of consumption fructose containing sugars and glucose in a real word setting when consumed in a manner and amount typical in the American diet.
Fructose is known to be metabolized differently than the other common monosaccharides. In addition to the well know lipogenic effects, more recent evidence has shown that the acute changes in hormones and metabolic parameters that control appetite and energy regulation when with fructose consumption may promote caloric overconsumption and, in the long-term, weight gain. However, fructose is rarely consumed in isolation, but instead is consumed in combination with other sugars (with glucose in the case of the two most common sources of fructose: high fructose corn syrup (HFCS) and sucrose, or as part of a mixed macronutrient meal. As such, the practical significance of these short-term findings of isolated monosaccharide consumption is limited.
AIM 1: investigate the response to ten weeks of daily consumption of different fructose containing sugars and glucose at typical intake levels on various metabolic parameters and on fat content of the liver and skeletal muscle.
AIM 2: To investigate whether ten weeks of daily consumption changes the acute metabolic response when these sugars are consumed as part as mixed nutrient meals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fructose 9% | Active Comparator | Sugar sweetened milk consumed in an amount that added sugar provides 9% of calories required for weight maintenance |
|
| Glucose 9% | Active Comparator | Sugar sweetened milk consumed in an amount that added sugar provides 9% of calories required for weight maintenance |
|
| High fructose corn syrup 18% | Active Comparator | Sugar sweetened milk consumed in an amount that added sugar provides 9% of calories required for weight maintenance |
|
| Sucrose 18% | Active Comparator | Sugar sweetened milk consumed in an amount that added sugar provides 9% of calories required for weight maintenance |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dietary Compliance | Behavioral | Incorporation of sugar sweetened milk into the usual diet. Instruction on how to account for additional calories provided by sugar sweetened milk Weekly compliance checks |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in the acute metabolic and hormonal response (glucose, insulin, leptin, active ghrelin, triglycerides, uric acid) | Baseline and 10 weeks | |
| Changes in fat content of skeletal muscle and liver | Baseline and 10 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in body mass and body composition | Baseline and 10 weeks | |
| Change in fasting levels of biomarkers associated with obesity (glucose, insulin, C Reactive Protein (CRP), lipid panel) | Baseline and 10 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| James M Rippe, MD | Rippe Lifestyle Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rippe Lifestyle Institute | Celebration | Florida | 34747 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25496265 | Derived | Angelopoulos TJ, Lowndes J, Sinnett S, Rippe JM. Fructose containing sugars do not raise blood pressure or uric acid at normal levels of human consumption. J Clin Hypertens (Greenwich). 2015 Feb;17(2):87-94. doi: 10.1111/jch.12457. Epub 2014 Dec 15. |
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| Change in glucose tolerance | Measured by the area under the plasma curve for 2 hours after an oral glucose challenge (75g glucose) | Baseline and 10 weeks |
| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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