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The aim of this study is to compare the effects of emulsification and lipid droplet size on gastric emptying rate, and to determine if the change in gastric emptying rate can in turn influence postprandial glycemic, insulinemic and lipidemic responses.
This study will be conducted using a randomized, crossover design with three dietary phases: 1) fine emulsion beverage (small lipid droplet size), 2) coarse emulsion beverage (large lipid droplet size) and 3) non-emulsified oil and water. All treatments will be consumed together with bread. All participants will be randomly allocated to the three test meals. Fifteen to twenty participants aged between 21 and 50 years will be recruited from the general public in Singapore.
During the testing sessions, participants' glycemic, insulinemic, lipidemic responses and gastric emptying to the test meals will be measured. Gastric antral distention ultrasound measurement is an indirect measure of gastric emptying rate. Participants' metabolic satiety for the test meals will also be assessed at regular intervals throughout the testing session. Each testing session will take approximately four hours in duration and the testing sessions will take place at least five days apart.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fine emulsion | Experimental | Emulsion with small lipid droplet size served together with white bread |
|
| Coarse emulsion | Experimental | Emulsion with large lipid droplet size served together with white bread |
|
| Control | Experimental | Non-emulsified oil and water served together with white bread |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fine emulsion | Other | Emulsion is made up of distilled water, olive oil and emulsifier. Emulsion will be flavored, sweetened (sucralose) and served in a portion of 300ml and approximately 3 slices of white bread (50g of available carbohydrate). Additional glass of plain water will be provided with every treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Glycemic response | Blood glucose response to the test meal measured over 4 hours | 4 hours post-prandial (0, 15, 30, 45, 60, 90, 120, 150, 180, 210 and 240 min) |
| Measure | Description | Time Frame |
|---|---|---|
| Insulinemic response | Plasma insulin response to the test meal measured over 4 hours | 4 hours post-prandial (0, 15, 30, 45, 60, 90, 120, 150, 180, 210 and 240 min) |
| Triglycerides response | Plasma triglycerides response to the test meal measured over 4 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Nutrition Research Centre | Singapore | Singapore | 117599 | Singapore |
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| ID | Term |
|---|---|
| D008659 | Metabolic Diseases |
| ID | Term |
|---|---|
| D009750 | Nutritional and Metabolic Diseases |
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| Coarse emulsion | Other | Emulsion is made up of distilled water, olive oil and emulsifier. Emulsion will be flavored, sweetened (sucralose) and served in a portion of 300ml and approximately 3 slices of white bread (50g of available carbohydrate). Additional glass of plain water will be provided with every treatment. |
|
| Control | Other | Beverage is made up of distilled water and olive oil. Beverage will be flavored, sweetened (sucralose) and served in a portion of 300ml and approximately 3 slices of white bread (50g of available carbohydrate). Additional glass of plain water will be provided with every treatment. |
|
| 4 hours post-prandial (0, 15, 30, 45, 60, 90, 120, 150, 180, 210 and 240 min) |
| Non-esterified fatty acid (NEFA) response | Plasma NEFA response to the test meal measured over 4 hours | 4 hours post-prandial (0, 15, 30, 45, 60, 90, 120, 150, 180, 210 and 240 min) |
| Gastric emptying | Gastric antrum dimension measured over 2 hours | 2 hours post-prandial (0, 15, 45, 90 and 120 min) |
| Post-test-meal subjective appetite rating | Appetite ratings will be collected after test meal consumption using a previously validated visual analog scales | 4 hours (0, 15, 30, 45, 60, 90, 120, 150, 180, 210 and 240 min) |