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Over the last decades, changes in the diet and lifestyle have led to overall energy imbalance becoming commonplace and the emergence of an obesity epidemic with more than 1.6 billion adults being overweight.
Consumption of foods that can affect appetite by increasing satiety could regulate the total energy intake and thus body weight. There is data suggesting that the macronutrient composition of the foods and especially protein content may have a potent role on satiety. However, it is difficult to pinpoint the optimum quantity needed to observe significant effects of protein on satiety.
The research project is dedicated to identify which food components [proteins, carbohydrates (CHO), fats] and the optimized protein quantity needed to accelerate satiation, suppress appetite and extend satiety until hunger appears again.
It is hypothesized that the consumption of protein-enriched meals will induce a reduction in hunger through the impact on gut hormones and peptides that are closely related to the short-term regulation of food intake.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High protein/ High fat beverage | Experimental | Beverage based on milk protein: 1.8 MJ, 40 E% Protein, 42 E% fat Acute effect of beverages varying in macronutrient content on appetite and energy intake |
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| High protein/ Normal CHO beverage | Experimental | Beverage based on milk protein: 1.8 MJ, 40 E% Protein, 47 E% CHO Acute effect of beverages varying in macronutrient content on appetite and energy intake |
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| Low protein/ High fat beverage | Experimental | Beverage based on milk protein: 1.8 MJ, 9 E% Protein, 63 E% fat Acute effect of beverages varying in macronutrient content on appetite and energy intake |
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| Low protein/ High CHO beverage | Experimental | Beverage based on milk protein: 1.8 MJ, 9 E% Protein, 71 E% CHO Acute effect of beverages varying in macronutrient content on appetite and energy intake |
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| Normal protein/ Normal CHO beverage 1 | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Beverages varying in macronutrient content on appetite | Dietary Supplement | In this randomized, within-subject study, subjects are asked to consume 7 iso-energetic and iso-volumetric beverages as breakfast (20% of estimated energy requirements) with varying distribution of macronutrients. The objective is to identify the optimal protein quantity or macronutrient distribution on suppressing appetite. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes from baseline in perceived appetite and satiety | The appetite profile is assessed using validated Visual Analogue Scales (VAS) ratings (i.e hunger, fullness, desire to eat, prospective food consumption). The Questionnaires are performed electronically in personal laptops using the Adaptive Visual Analogue Scales (AVAS) software. | Assessed every 30 min for 270 min after each of the seven beverages which are served at least one week apart (7 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Ad libitum energy intake | Energy intake is assessed by ad libitum hot pasta meal provided 210 min after the test beverages, which are given as breakfast. Subjects are instructed to eat only until they feel comfortable satisfied and are given 25min to consume the meal. The total energy consumed is monitored | Energy intake is assessed 210 min after the 7 test beverages, which are served one week apart. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anestis Dougkas, PhD | Lund University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Applied Nutrition and Food Chemistry | Lund | Skåne County | 221 00 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26791555 | Derived | Dougkas A, Ostman E. Protein-Enriched Liquid Preloads Varying in Macronutrient Content Modulate Appetite and Appetite-Regulating Hormones in Healthy Adults. J Nutr. 2016 Mar;146(3):637-45. doi: 10.3945/jn.115.217224. Epub 2016 Jan 20. |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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Beverage based on milk protein: 1.8 MJ, 24 E% Protein, 50 E% CHO Acute effect of beverages varying in macronutrient content on appetite and energy intake |
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| Normal protein/Normal CHO beverage 2 | Experimental | Beverage based on milk protein: 1.8 MJ, 24 E% Protein, 50 E% CHO Acute effect of beverages varying in macronutrient content on appetite and energy intake |
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| Normal protein/Normal CHO beverage 3 | Experimental | Beverage based on milk protein: 1.8 MJ, 24 E% Protein, 50 E% CHO Acute effect of beverages varying in macronutrient content on appetite and energy intake |
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| Changes from baseline in the postprandial concentration of satiety hormones | Blood samples (2 ml) are collected at 0 min (fasted blood sample), 30, 60, 90, 150 and 205 min (i.e. total of 6 samples) over the morning on each test day (separated by 1 week) to quantify the plasma concentrations of circulating appetite regulating hormones. Protease inhibitors are added to the samples to reduce protein degradation. All samples are centrifuged at 4 C for 10 min at 2000 g after collection and are separated and stored in cryogenic vials at -80 C. | Assessed at 6 points in time over the morning of each of the 7 test days, which are separated by 1 week (7 weeks) |
| Hedonic ratings and palatability of the test beverages and meals | The palatability and hedonic ratings are assessed using validated Visual Analogue Scales (VAS) ratings (i.e appearance, taste, overall palatability). The Questionnaires are performed electronically in personal laptops using the Adaptive Visual Analogue Scales (AVAS) software. | Assessed immediately after consumption of the 7 test beverages and pasta meal (7 weeks) |
| Changes from baseline in the postprandial concentration of glucose | Capillary blood samples are collected by finger-prick at 0 min (fasted blood sample), 30, 45, 60, 90, 150 and 205 min (i.e. total of 7 samples) over the morning on each test day (separated by 1 week) to quantify the glucose concentration using HemoCue Glucose System. | Assessed at 7 points in time over the morning of each of the 7 test days, which are separated by 1 week (7 weeks) |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |