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| Name | Class |
|---|---|
| Hospices Civils de Lyon | OTHER |
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The present research protocol will analyze whether a short-term modification (one week) of dietary habits would have an impact on the postprandial metabolism of dietary fatty acids and on their uptake by non-adipose tissues, in healthy subjects.
Each subject will participate in two protocols randomly determined and separated by a period of one month: a 7-day isocaloric diet (Protocol A) and a 7-day carbohydrate-rich diet containing +50% of the subject's energy needs. (Protocol B).
At the end of each diet, the subject will go through a postprandial metabolic study of 8 hours where different parameters will be measured thanks to PET imaging and perfusions of stables isotopes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Isocaloric diet (7 days) | Placebo Comparator | Protocole A |
|
| Hypercaloric diet enriched with carbohydrate food (7 days) | Experimental | Protocole B |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| isocaloric diet | Dietary Supplement | a 7-day isocaloric diet |
| |
| Measure | Description | Time Frame |
|---|---|---|
| whole-body organ-specific Dietary Fatty Acid (DFA) partitioning | will be determined by whole-body CT (16 mA) followed by PET acquisition of 18FTHA | 2 months |
| Left ventricular function by Positron Emiting Positron (PET) ventriculography | will be determined using 11C-acetate PET/CT. 180 MBq will be administered by bolus injection at fasting. After a transmission scan and regional CT (40mA), a 30-min dynamic list-mode PET acquisition will be performed on a 18 cm-high thoraco-abdominal segment to include the left cardiac ventricle and most of the liver on a Philips Gemini TOF PET/CT | 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac DFA uptake | will be assessed using PET/CT method with oral administration of 18FTHA followed by a 30 min. dynamic PET acquisition | 2 months |
| Cardiac and hepatic oxidative metabolism index |
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Inclusion Criteria:
Healthy subjects: subjects with normal glucose tolerance determined according to an oral glucose tolerance test and with a BMI above 25 kg/m2 without first degree of familial history of type 2 diabetes (parents, siblings).
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| André Carpentier | Université de Sherbrooke | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre de recherche du CHUS | Sherbrooke | Quebec | J1H 5N4 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33870714 | Derived | Montastier E, Ye RZ, Noll C, Bouffard L, Fortin M, Frisch F, Phoenix S, Guerin B, Turcotte EE, Lewis GF, Carpentier AC. Increased postprandial nonesterified fatty acid efflux from adipose tissue in prediabetes is offset by enhanced dietary fatty acid adipose trapping. Am J Physiol Endocrinol Metab. 2021 Jun 1;320(6):E1093-E1106. doi: 10.1152/ajpendo.00619.2020. Epub 2021 Apr 19. |
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| ID | Term |
|---|---|
| D052439 | Lipid Metabolism Disorders |
| ID | Term |
|---|---|
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D009682 | Magnetic Resonance Spectroscopy |
| D002153 | Calorimetry, Indirect |
| ID | Term |
|---|---|
| D013057 | Spectrum Analysis |
| D002623 | Chemistry Techniques, Analytical |
| D008919 | Investigative Techniques |
| D002151 | Calorimetry |
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| Hypercaloric diet |
| Dietary Supplement |
A 7-day hypercaloric diet supplemented with carbohydrate-rich food (+ 50% of the subject's energy needs). |
|
| Liquid meal | Other |
|
| PET imaging | Radiation |
|
| perfusions of stable tracers | Other |
|
| Indirect calorimetry | Device |
|
will be determined using 11C-acetate PET/CT followed by a 30 minutes dynamic PET acquisition.
| 2 months |
| Cardiac and hepatic blood flow | will be determined using 11C-acetate PET/CT followed by a 30 minutes dynamic PET acquisition.. | 2 months |
| metabolites appearance rate | will be determined by perfusion of stable isotope tracers | 6 months |
| energy metabolism (whole body production) | by indirect calorimetry | 4 months |
| hormonal responses | analysed by colorimetric and Elisa tests | 4 months |
| Insulin sensitivity | will be determined using the HOMA-IR (based on fasting insulin and glucose) levels | 4 months |
| Insulin secretion rate | will be assessed using deconvolution of plasma C-peptide with standard Cpeptide kinetic parameters | 4 months |
| β-cell function | will be assessed by calculation of the disposition index (DI) that is insulin secretion in response to the ambient insulin | 4 months |
| Anthropometric parameters | will be measured at each postprandial metabolic study | 2 months |