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| Name | Class |
|---|---|
| National Pork Board | OTHER |
| American Egg Board | OTHER |
| Dairy Research Institute | OTHER |
| National Cattlemen's Beef Association, a contractor to the Beef Checkoff |
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About two-thirds of adults in the United States are overweight or obese with likely adverse health consequences. A Moderate weight loss by dieting and exercise is recommended to improve health. We are interested to know whether eating dietary protein at different times of the day influences changes in body composition, muscle and indices of health. The purpose of this study is to examine the effects of within-day patterning of dietary protein intake (even vs. skewed) on energy-restriction and resistance training-induced changes in body composition, muscle size, appetite, and clinical health (including blood glucose and blood pressure).
About two-thirds of adults in the United States are overweight or obese. Obesity is associated with an increased risk of chronic disease and metabolic syndrome and a reduced physical functioning capacity, all of which contribute to disproportionately high healthcare expenditures and premature mortality. A moderate dietary energy restriction with a higher protein diet has been recommended for weight loss to prevent or improve medical complications associated with obesity as well as improve body composition, including preserving lean body mass. Emerging research indicates that the consumption of multiple high protein meals daily may be superior than only consuming one high-protein meal (typically dinner) to stimulate muscle protein synthesis throughout the day. This concept is based on research showing that the patterning of energy and protein intake influences muscle protein synthesis and whole body composition and protein retention. Very limited research exists regarding the effects of protein intake on skeletal muscle size after weight loss, and currently, no longitudinal studies have evaluated the effectiveness of consuming an even vs. skewed distribution of protein intake across meals on phenotypic changes in skeletal muscle size over the longer-term. Recent studies have also suggested that evenly distributed protein patterning may promote satiety and improve blood glucose response in healthy adult men and women. However, there is a need for controlled, longer-duration trials to investigate the effects of daily protein distribution on appetite, glucose response and metabolic syndrome after weight loss in overweight or obese adults. The goal of the proposed research is to evaluate the effects of within-day patterning of dietary protein intake (even vs. skewed) on energy-restriction and resistance training-induced changes in body composition, skeletal muscle size, appetite, glucose response, and metabolic syndrome parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Skew meal pattern w/ wt loss&exercise | Active Comparator | Skew meal pattern w/ wt loss&exercise e |
|
| even meal pattern w/ wt loss&exercise | Active Comparator | even meal pattern w/ wt loss&exercise |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| wt loss | Other | subjects will consume a 750 reduced calorie daily diet based on current ht. wt and age |
|
| Measure | Description | Time Frame |
|---|---|---|
| Body composition | Fasting-state body weight and waist and hip circumferences will be measured. Body composition (fat mass, lean body mass, and bone mass) will also be determined using Dual Energy X-ray Absorptiometry (DXA, GE Healthcare LUNAR iDXAâ„¢ with EnCORE software version 5.60, Madison, WI). | 20 weeks |
| Body composition | Fasting-state body weight and waist and hip circumferences will be measured. Body composition (fat mass, lean body mass, and bone mass) will also be determined using Dual Energy X-ray Absorptiometry | 20 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Whole body Imaging | A total of 2 magnetic resonance imaging (MRI) images of muscle and 1 MRI of the abdomen will be obtained | 20 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Aerobic Fitness and Muscle Strength Assessment | An aerobic fitness will be assessed by submaximal aerobic capacity test and a maximal muscle strength will be examined using a one-repetition maximum test | 20 weeks |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Wayne W Campbell, Ph.D. | Purdue University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Purdue University | West Lafayette | Indiana | 47907 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28903957 | Derived | Hudson JL, Kim JE, Paddon-Jones D, Campbell WW. Within-day protein distribution does not influence body composition responses during weight loss in resistance-training adults who are overweight. Am J Clin Nutr. 2017 Nov;106(5):1190-1196. doi: 10.3945/ajcn.117.158246. Epub 2017 Sep 13. |
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| ID | Term |
|---|---|
| C564221 | Glucocorticoid Receptor Deficiency |
| D010291 | Paresis |
| D018149 | Glucose Intolerance |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| INDUSTRY |
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| Meal Pattern | Other | Even or skewed distribution of protein for a 16 week period of wt loss. |
|
| meal pattern | Other | skew or even |
|
|
| even | Dietary Supplement | even amount of protein distributed between each meal |
|
| skew | Dietary Supplement | a skewed amount of protein is distributed between each meal |
|
| D006943 | Hyperglycemia |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |