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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.
Detailed description (Why and How?) 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 and deteriorations in insulin sensitivity. 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 typical levels of different fructose containing sugars and glucose on measures of glucose and insulin metabolism.
AIM 2: To investigate whether ten weeks of daily consumption changes the fat content of the liver, skeletal muscles or abdomen.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 9% Fuctose | Active Comparator | Milk Sweetened with fructose in an amount that the added fructose contributes 9% of the calories required for weight maintenance. |
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| 18% Sucrose | Active Comparator | Milk Sweetened with sucrose in an amount that the added sucrose contributes 18% of the calories required for weight maintenance. |
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| 18% High fructose corn syrup | Active Comparator | Milk Sweetened with High fructose corn syrup (HFCS) in an amount that the added HFCS contributes 18% of the calories required for weight maintenance. |
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| 9% Glucose | Active Comparator | Milk Sweetened with glucose in an amount that the added glucose contributes 9% of the calories required for weight maintenance. |
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| Unsweetened Milk | Active Comparator | Unsweetened milk consumed in amount the contributes 18% of the calories required for weight maintenance. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Beverage Consumption | Other |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in glucose tolerance | Change in glucose Area Under the Curve (AUC) in response to a standard 2 hour Oral Glucose Tolerance Test | 10 weeks (Baseline and week 10) |
| Change in Insulin Sensitivity | Change in 1) insulin AUC in response to a standard 2 hour Oral Glucose and Matsuda Insulin Sensitivity Index | 10 weeks (Baseline and week 10) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in fat content of the liver | Change in fat content of the liver as determined by Magnetic Resonance Spectroscopy (MRS) | 10 weeks (baseline and Week 10) |
| Change in fat content of the abdomen |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rippe Lifestyle Institute | Celebration | Florida | 34747 | United States |
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Change in fat content of the abdomen as determined by MRS
| 10 weeks (baseline and Week 10) |
| Change in fat content of the skeletal muscles | Change in fat content of the Vastus Lateralis and Gluteus Maximum as determined by MRI. | 10 weeks (baseline and Week 10) |
| Change in hypothalamic activity | Change in hypothalamic activity in response to consumption of test beverages consumed as part of a standardized, mixed nutrient meal will be measured by functional MRI. Changes from baseline (mean percent signal change) will be determined after 10 weeks of daily consumption of the test beverage as part of the usual diet | 10 weeks (baseline and Week 10) |