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The appearance of intact macronutrients in the small intestine induces an intestinal brake; a negative feedback mechanism from different parts of the intestine to the stomach, the small intestine and to the central nervous system. These processes inhibit food processing, appetite sensations and food intake, and furthermore they increase feelings of satiety and satiation. Several studies showed that intraileal infusion of nutrients resulted in a reduction in food intake. However only acute effects were investigated in these studies and thus far it is not known whether repetitive (intermittent) infusion results in adaptation to repeated exposure and, thus, a lowered ileal brake response.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ileal infusion of casein | Experimental | Ileal infusion of casein |
|
| ileal infusion of tap water | Placebo Comparator | ileal infusion of tap water |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ileal infusion of casein | Other | Intraileal infusion of casein |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Ad libitum food intake | Ad libitum food intake will be measured in kcal and the end of each test day (4 in total, all within one week) | 1 Day |
| Measure | Description | Time Frame |
|---|---|---|
| Satiety | Visual analogue scale forms for satiety (0-100 mm scale) wil be filled in during each test day (4 in total, all within one week) | 1 Day |
| Gastrointestinal peptide release (CCK) | Blood will be drawn during each test day (multiple time points) (4 in total, all within one week) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| A. Masclee, Prof dr. | Maastricht University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University Medical Center | Maastricht | Maastricht | Netherlands |
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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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| Ileal infusion of tap water |
| Other |
Intraileal infusion of tap water |
|
|
| 1 Day |
| Gastrointestinal peptide release (GLP-1) | Blood will be drawn during each test day (multiple time points) (4 in total, all within one week) | 1 Day |
| Gastrointestinal peptide release (PYY) | Blood will be drawn during each test day (multiple time points) (4 in total, all within one week) | 1 Day |
| Gastrointestinal peptide release (insulin) | Blood will be drawn during each test day (multiple time points) (4 in total, all within one week) | 1 Day |
| Gastrointestinal peptide release (glucose) | Blood will be drawn during each test day (multiple time points) (4 in total, all within one week) | 1 Day |
| gastric emptying rate | Gastric emptying rate with 13C octanoic acid breath test to determine T1/2 | 1 Day |
| Gallbladder volume | Gallbladder measurements with ultrasound (volume of GB in mL will be scored) | 1 Day |
| Small intestinal transit time | Small intestinal transit time measurements with H2 breath analyser and lactulose | 1 Day |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |