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| Name | Class |
|---|---|
| Almased Wellness GmbH | INDUSTRY |
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This study will investigate the impact of a 12-week powdered meal replacement on inflammatory, metabolic, and hormonal markers of obesity-associated conditions and to correlate this response to compositional shifts within the gut microbiota. Moreover, resting energy expenditure, body composition, appetite sensations and soy metabolomics will be explored.
This study will be a randomized, parallel group, clinical trial of a 12-week nutritional intervention. A sample size of n=88 participants will be randomly allocated into one of the following groups:
The following variables will be analyzed:
Overweight and obesity increase the risk of developing several diseases having a negative effect on people's health. The prevalence of these conditions is increasing worldwide, but successful treatments are lacking. As excess body weight is a result of an imbalance between calories in and calories out, dietary intake plays an important role in maintaining a healthy body weight and overall health status. Meal replacements are nutritionally complete formula foods used to substitute a meal. They can be a drink, bar, or soup. These products have been gaining popularity because they can help individuals lose weight. In addition, depending on its ingredients, meal replacements may affect our health. For this reason, meal replacements have been studied for health benefits. However, how meal replacements affect the microbes living in our gut, inflammation, and our genes is not known. Well-designed studies using state-of-the-art equipment can help elucidate the mechanisms by meal replacements act in individuals with overweight or obesity.
The overall purpose of this research is to investigate the impact of a 12-week powdered meal replacement on inflammatory, metabolic, and hormonal markers of obesity-associated conditions and to correlate this response to compositional shifts within the gut microbiota. Moreover, resting energy expenditure, body composition, appetite sensations, soy metabolomics, gene expression, and genetic polymorphisms will be explored.
This study will be a randomized, parallel group, clinical trial of a 12-week nutritional intervention. A sample size of n=88 participants will be randomly allocated into one of the following groups:
The following variables will be analyzed:
Participants will receive a digital scale and will be asked to weight themselves daily. Participants from the PMR group will also be asked to rate their appetite sensations on a 100-mm VAS paper sheet. Appetite sensation should be completed in the morning (after waking up and while fasting) and 30 minutes after consuming the supplement snacks in order to assess hunger, satiety, fullness, and prospective food consumption.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | No Intervention | Those assigned to the Control group will be asked to maintain their usual dietary intake over 12 weeks. Participants' usual dietary intake is expected to reflect the North American dietary pattern (i.e. ~15% of total energy intake coming from protein, ~50% from carbohydrate and ~35% from fat). | |
| Powdered Meal Replacement Group | Experimental | Those assigned to the Powdered Meal Replacement group will be asked to maintain their usual dietary intake and consume a powdered meal replacement composed of soy protein, honey and yogurt twice daily (in two snacks) over 12 weeks. The addition of the nutritional supplement to a North American Dietary Pattern (described on the CON group diet) will result in a diet composed of, approximately, 22% of protein, 48% of carbohydrate and 30% of fat of total energy intake. The amount of protein is considered higher than the North American dietary pattern (i.e. 15%); however, still within the Acceptable Macronutrient Distribution Range (AMDR) recommended by the Dietary Guidelines for Americans (10-35%). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Soy protein, honey and yogurt. | Dietary Supplement | Participants will be asked to maintain their usual dietary intake and consume a powdered meal replacement composed of soy protein, honey and yogurt twice daily (in two snacks) over 12 weeks. The addition of the nutritional supplement to a North American Dietary Pattern (described on the CON group diet) will result in a diet composed of, approximately, 22% of protein, 48% of carbohydrate and 30% of fat of total energy intake. The amount of protein is considered higher than the North American dietary pattern (i.e. 15%); however, still within the Acceptable Macronutrient Distribution Range (AMDR) recommended by the Dietary Guidelines for Americans (10-35%). |
| Measure | Description | Time Frame |
|---|---|---|
| Interleukin-6. | Changes in blood interleukin-6 will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Measure | Description | Time Frame |
|---|---|---|
| Gut microbiota diversity and composition. | Changes in gut microbiome diversity and composition (specifically taxa that have been associated with health benefits, obesity and weight loss) will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Measure | Description | Time Frame |
|---|---|---|
| High-sensitivity C-reactive protein. | Changes in blood high-sensitivity C-reactive protein will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Interleukin 8. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jens Walter, PhD | University of Alberta | Principal Investigator |
| Carla M Prado, PhD | University of Alberta | Principal Investigator |
| Arya Sharma, PhD | University of Alberta | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Human Nutrition Research Unit | Edmonton | Alberta | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42142662 | Derived | Montenegro J, Oliveira CL, Nguyen NK, Armet AM, Berg A, Sharma AM, Mereu L, Cominetti C, Ghosh S, Cani PD, Richard C, Walter J, Prado CM. The Effects of a Powdered Meal Replacement on Inflammation, Gut Microbiota, and Metabolism in People With Excess Body Weight-A Randomized Controlled Trial. J Nutr. 2026 May 15;156(7):101595. doi: 10.1016/j.tjnut.2026.101595. Online ahead of print. | |
| 37709337 |
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| ID | Term |
|---|---|
| D007249 | Inflammation |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D030262 | Soybean Proteins |
| D006722 | Honey |
| D015014 | Yogurt |
| ID | Term |
|---|---|
| D010940 | Plant Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D014674 | Plant Proteins, Dietary |
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Changes in interleukin 8 will be assessed at baseline, middle and end of the 12-week dietary intervention period. |
| At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Interleukin 10. | Changes in interleukin 10 will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Tumor necrosis factor-α. | Changes in tumor necrosis factor-α will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Adiponectin. | Changes in adiponectin will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Blood glucose. | Changes in blood glucose will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Insulin. | Changes in insulin will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Lipid panel. | Changes in lipid panel (i.e. total cholesterol, LDL, HDL and triglycerides) will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Peptide tyrosine-tyrosine. | Changes in peptide tyrosine-tyrosine will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Glucagon-like peptide 1. | Changes in glucagon-like peptide-1 will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Ghrelin. | Changes in ghrelin will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Leptin. | Changes in leptin will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Free glycerol. | Changes free glycerol will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Free fatty acids. | Changes in free fatty acids will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Thyroid stimulating hormone. | Changes in thyroid stimulating hormone will be assessed at baseline, middle and end of the 12-week dietary intervention period. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Resting energy expenditure. | Changes in resting energy expenditure will be assessed at baseline, middle and end of the 12-week dietary intervention period using a whole body calorimetry unit. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Body composition. | Changes in fat mass, lean soft tissue and bone mineral content will be assessed at baseline, middle and end of the 12-week dietary intervention period using dual-energy X-ray absorptiometry. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Appetite sensations. | Changes in hunger, satiety, fullness, and prospective food consumption will be assessed weekly using a 100 mm visual analogue scale. | Once per week during the intervention period (12 weeks). |
| Soy polyphenols' metabolomics. | Soy polyphenols' metabolomics will be assessed on participants assigned to the 12-week dietary intervention periodPowdered Meal Replacement group at baseline, middle and end of the 12-week dietary intervention period using blood and urine samples. | At baseline (week 1), middle (week 6) and end (week 12) of the intervention period (12 weeks). |
| Gene expression | Changes in gene expression will be assessed at baseline and at the end of the 12-week dietary intervention period | At baseline (week 1) and end (week 12) of the intervention period (12 weeks). |
| Genetic polymorphisms | Genetic polymorphisms will be identified at baseline | At baseline (week 1) |
| Derived |
| Montenegro J, L P Oliveira C, Armet AM, Berg A, Sharma AM, Mereu L, Cominetti C, Ghosh S, Richard C, Nguyen NK, Cani PD, Walter J, Prado CM. Impact of a Powdered Meal Replacement on Metabolism and Gut Microbiota (PREMIUM) in individuals with excessive body weight: a study protocol for a randomised controlled trial. BMJ Open. 2023 Sep 13;13(9):e070027. doi: 10.1136/bmjopen-2022-070027. |
| D004044 |
| Dietary Proteins |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D045730 | Soy Foods |
| D000067075 | Vegetable Products |
| D014675 | Vegetables |
| D019602 | Food and Beverages |
| D043302 | Cultured Milk Products |
| D008892 | Milk |
| D001628 | Beverages |
| D000074421 | Fermented Foods |
| D003611 | Dairy Products |