Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Following the establishment of causal links between breakfast consumption, the individual components of energy balance, and health it is now important to examine and target the underlying biological mechanisms involved to maximise potential health benefits.
To begin investigating the outlined mechanisms healthy, non-obese participants will be recruited to take part in phase I (acute crossover design) of a wider project.
Causal links between breakfast consumption, the individual components of energy balance, and health have recently been established and it is now important to examine and target the underlying biological mechanisms involved to maximised potential health benefits.
Specifically, the substitution of a portion of carbohydrate for protein at breakfast may enhance the potential health benefits of breakfast through targeting distinct mechanistic pathways. Broadly, introducing a greater protein load at breakfast increases insulin secretion and delays gastric emptying, thereby eliciting a potentiated insulin response. In turn this may therefore improve glucose tolerance during a subsequent meal. Additionally, maintenance of euglycaemia following breakfast consumption, coupled with the thermic effect of feeding protein may accentuate the elevated energy expenditure following breakfast observed in previous studies. Finally, both the physical and chemical properties of protein exert a marked satiating effect. Collectively, these mechanisms could interact to maximise the net impact of breakfast on energy balance and associated health outcomes. However, whilst the evidence indicates obvious benefits of feeding a higher protein dose at breakfast, relatively little research has focused on the response to protein over multiple meals/days. Furthermore, and importantly, the mechanisms involved in the second-meal phenomenon and the potential for initial meals of varied composition to target these mechanisms have never been systematically investigated.
To begin investigating the outlined mechanisms healthy, non-obese participants will be recruited to take part a randomised crossover trial that will contrast the acute metabolic responses to a protein-enriched breakfast, with a carbohydrate rich breakfast, and the total omission of breakfast.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Carbohydrate rich breakfast | Active Comparator | Participants will consume a porridge breakfast that is considered in line with typical carbohydrate consumption for this meal. |
|
| Whey protein enriched breakfast | Experimental | Participants will consume a porridge breakfast that is considered in line with typical carbohydrate consumption for this meal. |
|
| Extended morning fast | No Intervention | Participants will extend their overnight fast until the ad libitum lunch is provided. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Carbohydrate rich breakfast | Other | A porridge breakfast meal fed at a carbohydrate delivery rate of 7.3 mg/kJ of each participants resting metabolic rate. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postprandial glycaemia following breakfast | The postprandial time course response of plasma glucose to each breakfast meal | Plasma glucose time course data over 3 hours following breakfast |
| Postprandial insulinaemia following breakfast | The postprandial time course response of plasma insulin to each breakfast meal | Plasma insulin time course data over 3 hours following breakfast |
| Postprandial glycaemia following ad libitum lunch | The postprandial time course response of Plasma glucose to the ad libitum lunch following each type of breakfast | Plasma glucose time course data over 2 hours following lunch |
| Postprandial insulinaemia following ad libitum lunch | The postprandial time course response of plasma insulin to the ad libitum lunch following each type of breakfast | Plasma insulin time course data over 2 hours following lunch |
| Measure | Description | Time Frame |
|---|---|---|
| Postprandial incretin hormone response following breakfast | The postprandial time course response of plasma incretin hormones (e.g. GLP-1 & GIP) to the each breakfast. | Plasma insulin time course data over 3 hours following breakfast |
| Postprandial incretin hormone response following ad libitum lunch |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Harry A Smith, MSci | University of Bath | Principal Investigator |
| James A Betts, PhD | University of Bath | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Bath | Bath | Somerset | BA2 7AY | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26004166 | Background | Chowdhury EA, Richardson JD, Tsintzas K, Thompson D, Betts JA. Carbohydrate-rich breakfast attenuates glycaemic, insulinaemic and ghrelin response to ad libitum lunch relative to morning fasting in lean adults. Br J Nutr. 2015 Jul 14;114(1):98-107. doi: 10.1017/S0007114515001506. Epub 2015 May 25. | |
| 25733459 | Background |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Participants will complete 3 breakfast feeding trials in a randomised order:
Typical high carbohydrate breakfast followed by an ad libitum lunch. Whey protein enriched carbohydrate followed by an ad libitum lunch. Extended morning fast followed by an ad libitum lunch.
Not provided
Not provided
Where applicable (i.e. the two breakfast feeding trials) participants will be blinded to the breakfast that they receive.
| Whey protein enriched breakfast | Dietary Supplement | A porridge breakfast meal in which 15 grams of whey protein is substituted in place of carbohydrate and a small portion of fat. |
|
The postprandial time course response of plasma incretin hormones (e.g. GLP-1 & GIP) to the ad libitum lunch following each type of breakfast |
| Plasma incretin time course data over 3 hours following breakfast |
| Subjective appetite ratings following breakfast | Ratings of appetite provided on subjective appetite scales following each type of breakfast. On a scale of 0-100mm with 0 typically being associated with lower subjective ratings and 100 being associated with higher subjective ratings. | For 3 hours following each breakfast |
| Subjective appetite ratings following ad libitum lunch | Ratings of appetite provided on subjective appetite scales following ad libitum lunch. On a scale of 0-100mm with 0 typically being associated with lower subjective ratings and 100 being associated with higher subjective ratings. | For 3 hours following the ad libitum lunch |
| Fuel oxidation following breakfast | Fat and carbohydrate oxidation following each type of breakfast | For 3 hours following breakfast |
| Fuel oxidation following ad libitum lunch | Fat and carbohydrate oxidation following ad libitum lunch | For 2 hours following the ad libitum lunch |
| Park YM, Heden TD, Liu Y, Nyhoff LM, Thyfault JP, Leidy HJ, Kanaley JA. A high-protein breakfast induces greater insulin and glucose-dependent insulinotropic peptide responses to a subsequent lunch meal in individuals with type 2 diabetes. J Nutr. 2015 Mar;145(3):452-8. doi: 10.3945/jn.114.202549. Epub 2014 Dec 24. |
| 25733634 | Background | Bray GA, Redman LM, de Jonge L, Covington J, Rood J, Brock C, Mancuso S, Martin CK, Smith SR. Effect of protein overfeeding on energy expenditure measured in a metabolic chamber. Am J Clin Nutr. 2015 Mar;101(3):496-505. doi: 10.3945/ajcn.114.091769. Epub 2015 Jan 14. |
| 23446906 | Background | Leidy HJ, Ortinau LC, Douglas SM, Hoertel HA. Beneficial effects of a higher-protein breakfast on the appetitive, hormonal, and neural signals controlling energy intake regulation in overweight/obese, "breakfast-skipping," late-adolescent girls. Am J Clin Nutr. 2013 Apr;97(4):677-88. doi: 10.3945/ajcn.112.053116. Epub 2013 Feb 27. |
| 37557957 | Derived | Smith HA, Watkins JD, Walhin JP, Gonzalez JT, Thompson D, Betts JA. Whey Protein-Enriched and Carbohydrate-Rich Breakfasts Attenuate Insulinemic Responses to an ad libitum Lunch Relative to Extended Morning Fasting: A Randomized Crossover Trial. J Nutr. 2023 Oct;153(10):2842-2853. doi: 10.1016/j.tjnut.2023.08.008. Epub 2023 Aug 7. |