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Vascular function decreases following the intake of a mixed meal in some, but not all studies. Differences in the relative amounts of dietary fat, carbohydrates and protein present in the mixed-meal challenges may have contributed to these apparently inconsistent results. Well-designed trials - comparing under rigorously standardized conditions - on the effects of macronutrients on postprandial vascular function are missing. The primary objective of the current study is thus to evaluate in overweight and slightly obese men the effects of the three macronutrients (fat, carbohydrates, and protein) on postprandial vascular function, as assessed by brachial artery flow-mediated vasodilation (FMD). Secondary objectives are to examine postprandial effects on other markers reflecting vascular function, plasma markers for low-grade systemic inflammation and endothelial dysfunction, blood pressure, and serum lipid and plasma glucose metabolism.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High-fat milkshake | Experimental |
| |
| High-carbohydrate milkshake | Experimental |
| |
| High-protein milkshake | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High-fat (HF-LC-LP) milkshake | Other | During this experimental day, men will receive a high-fat milkshake |
|
| Measure | Description | Time Frame |
|---|---|---|
| Vascular endothelial function | Flow-mediated vasodilation (FMD) of the brachial artery | Change from baseline at 2 hours after milkshake consumption |
| Measure | Description | Time Frame |
|---|---|---|
| Vascular function markers | Carotid-femoral pulse wave velocity (PWV), pulse wave analysis (PWA), retinal microvascular caliber | Change from baseline at 2 hours after milkshake consumption |
| Cardiometabolic risk markers |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Peter J Joris, PhD | Maastricht University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University Medical Center | Maastricht | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34992516 | Derived | Gravesteijn E, Mensink RP, Smeets ETHC, Plat J. Dietary Macronutrients Do Not Differently Influence Postprandial Serum and Plasma Brain-Derived Neurotrophic Factor Concentrations: A Randomized, Double-Blind, Controlled Cross-Over Trial. Front Neurosci. 2021 Dec 21;15:774915. doi: 10.3389/fnins.2021.774915. eCollection 2021. | |
| 33744041 |
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| High-carbohydrate (LF-HC-LP) milkshake | Other | During this experimental day, men will receive a high-carbohydrate milkshake |
|
| High-protein (LF-LC-HP) milkshake | Other | During this experimental day, men will receive a high-protein milkshake |
|
Plasma markers for low-grade systemic inflammation and endothelial dysfunction
| Change from baseline at 2 hours after milkshake consumption |
| Cardiometabolic risk markers | Office blood pressure | During 4 hours following milkshake consumption |
| Postprandial metabolism | Serum lipid and plasma glucose metabolism | During 4 hours following milkshake consumption |
| Schroor MM, Plat J, Konings MCJM, Smeets ETHC, Mensink RP. Effect of dietary macronutrients on intestinal cholesterol absorption and endogenous cholesterol synthesis: a randomized crossover trial. Nutr Metab Cardiovasc Dis. 2021 May 6;31(5):1579-1585. doi: 10.1016/j.numecd.2021.01.010. Epub 2021 Jan 29. |
| 32728881 | Derived | Smeets ETHC, Mensink RP, Joris PJ. Dietary macronutrients do not differently affect postprandial vascular endothelial function in apparently healthy overweight and slightly obese men. Eur J Nutr. 2021 Apr;60(3):1443-1451. doi: 10.1007/s00394-020-02340-y. Epub 2020 Jul 29. |