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The purpose of this study is to investigate the effects of green tea extract (GTE) on fat oxidation, body composition and exercise performance in overweight individuals. The study will be conducted under laboratory conditions following an 8 week supplemental period. Participants will be required to attend the laboratory for a pre-screening/familiarisation trial followed by assessments at week 0 (baseline), week 2, 4 and 8. Across the intervention, participants will maintain habitual dietary intake and follow a prescribed exercise programme. Additionally participants will be randomised to either a placebo, green tea extract or GTE with antioxidant supplementation.
It is hypothesised that the addition of antioxidants with GTE will enhance fat oxidation in overweight individuals more than GTE or placebo. It is further hypothesised that such improvements in fat oxidation due to GTE will lead to improvements in both body composition variables and submaximal exercise performance (metabolic efficiency) in overweight, but otherwise healthy persons.
The health benefits of polyphenols found in green tea (GT), the unfermented leaves of the tea plant, Camellia sinensis, are of current scientific interest. These health benefits, in part, relate to the bioactive catechin polyphenol content of GT, of which (-)-epigallocatechin-3-gallate (EGCG) can account for between 50-80% of the total catechin content. GT catechins have been proposed to influence metabolic and thermogenic activities in the short term, leading to enhanced fat oxidation capacity, although this has been disputed.
Research investigating GT extracts (GTE) and exercise have produced conflicting results. Modest EGCG dosage in the short term (270 mg·d-1 EGCG for 6 days, and 68 mg·d-1 EGCG for 3 weeks) did not alter metabolic or performance variables in healthy or endurance trained volunteers. However, the inclusion of 100.5 mg·d-1 EGCG over a 10 week training period enhanced whole-body metabolic efficiency elsewhere. One confounding factor though is the use of caffeinated GTE in these studies. When decaffeinated GTE (dGTE) has been employed, 366 mg EGCG was found to acutely increase fat oxidation by 17%. Indeed a recent publication from our research group investigating the short term use of dGTE demonstrated positive changes in fat oxidation in healthy volunteers. However, less is known as to whether dGTE (or indeed combinations of dGTE with antioxidant nutrients which may improve GTE bioavailability) could provide similar results in overweight or sedentary individuals embarking on an exercise programme.
The aim of this research proposal is therefore to assess the impact of two GTE strategies on fat oxidation, cardiometabolic health, visceral fat reduction, and exercise performance in a healthy, but overweight cohort undertaking a standardised exercise training programme.
Research Questions:
Q1: Does regular consumption of dGTE favourably enhance fat oxidation and/or improve variables associated with cardiometabolic health and body composition in comparison to a placebo supplement in healthy, but overweight individuals? Q2: Does a dGTE complex (including key antioxidant nutrients) enhance fat oxidation and/or improve variables associated with cardiometabolic health and body composition more so than dGTE or placebo supplementation in healthy, but overweight individuals?
This study will involve participants attending sessions at Compass House, ARU, undertaking the following:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo group | Placebo Comparator | Placebo - capsulated, colour matched potato starch (~450mg per capsule) - provided by Biocare Ltd., UK using standard 00 vegetable capsules (hydroxypropyl methylcellulose). Dosage: 2 divided doses (1 capsule mid morning, 1 capsule mid afternoon) - daily for 8 weeks. |
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| Green tea 1 | Experimental | Capsulated decaffeinated green tea extract (dGTE) (standardised to 70% EGCG concentration, 571mg total per day, containing 400mg EGCG - provided by Biocare Ltd., UK using standard 00 vegetable capsules (hydroxypropyl methylcellulose). Dosage: 2 divided doses (1 capsule mid morning, 1 capsule mid afternoon) - daily for 8 weeks. |
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| Green tea 2 | Experimental | Capsulated decaffeinated green tea extract (dGTE) (standardised to 70% EGCG concentration, 571mg total per day, containing 400mg EGCG + 150mg quercitin and 150mg alpha lipoic acid - provided by Biocare Ltd., UK using standard 00 vegetable capsules (hydroxypropyl methylcellulose). Dosage: 2 divided doses (1 capsule mid morning, 1 capsule mid afternoon) - daily for 8 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo control | Dietary Supplement | 8 week supplementation period, with participants consuming 2 capsules per day containing potato starch |
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| Measure | Description | Time Frame |
|---|---|---|
| Fat oxidation (max) | Assessment of maximal fat oxidation rate (via expired air) during incremental exercise | Change from Baseline maximal fat oxidation at 1 month |
| Fat oxidation (max) | Assessment of maximal fat oxidation rate (via expired air) during incremental exercise | Change from Baseline maximal fat oxidation at 2 months |
| Fat oxidation (min) | Assessment of exercise intensity at which point fat oxidation is negligable | Change from Baseline minimum fat oxidation at 1 month |
| Fat oxidation (min) | Assessment of exercise intensity at which point fat oxidation is negligable | Change from Baseline minimum fat oxidation at 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Height | Assessment of height (in metres) | Change from baseline height at 1 month |
| Height | Assessment of height (in metres) | Change from baseline height at 2 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Justin Roberts, PhD | Anglia Ruskin University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anglia Ruskin University | Cambridge | CB1 1PT | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25650043 | Background | Roberts JD, Roberts MG, Tarpey MD, Weekes JC, Thomas CH. The effect of a decaffeinated green tea extract formula on fat oxidation, body composition and exercise performance. J Int Soc Sports Nutr. 2015 Jan 21;12(1):1. doi: 10.1186/s12970-014-0062-7. eCollection 2015. | |
| 19597519 | Background | Hursel R, Viechtbauer W, Westerterp-Plantenga MS. The effects of green tea on weight loss and weight maintenance: a meta-analysis. Int J Obes (Lond). 2009 Sep;33(9):956-61. doi: 10.1038/ijo.2009.135. Epub 2009 Jul 14. |
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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| ID | Term |
|---|---|
| D000975 | Antioxidants |
| ID | Term |
|---|---|
| D001685 | Biological Factors |
| D045504 | Molecular Mechanisms of Pharmacological Action |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
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Participants randomly assigned to either placebo, green tea extract (GTE) or GTE with antioxidants in a parallel, double blind manner
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Nutritional supplements will be provided in a randomised, double-blinded manner. Both the participants and research testers will be masked from knowing the specifics of the supplement intervention.
| GTE 1 | Dietary Supplement | 8 week supplementation period, with participants consuming 2 capsules per day containing green tea extract (571mg/d) |
|
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| GTE 2 | Dietary Supplement | 8 week supplementation period, with participants consuming 2 capsules per day containing green tea extract with additional antioxidants (150mg of quercitin and 150mg of alpha lipoic acid) |
|
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| Weight | Assessment of weight (in kilograms) | Change from baseline weight at 1 month |
| Weight | Assessment of weight (in kilograms) | Change from baseline weight at 2 months |
| Bodyfat percentage | Assessment of bodyfat (%) | Change from baseline bodyfat percentage at 1 month |
| Bodyfat percentage | Assessment of bodyfat (%) | Change from baseline bodyfat percentage at 2 months |
| Waist to hip ratio | Assessment of waist to hip ratio (cm) | Change from baseline waist to hip ratio at 1 month |
| Waist to hip ratio | Assessment of waist to hip ratio (cm) | Change from baseline waist to hip ratio at 2 months |
| Body mass index | Assessment of body mass index or BMI (measured in kilograms per metre squared) | Change from baseline BMI at 1 month |
| Body mass index | Assessment of body mass index or BMI (measured in kilograms per metre squared) | Change from baseline BMI at 2 months |
| Central abdomen depth | Assessment of central abdomen depth (in cm) | Change from baseline central abdominal depth at 1 month |
| Central abdomen depth | Assessment of central abdomen depth (in cm) | Change from baseline central abdominal depth at 2 months |
| Blood cholesterol | Assessment of total cholesterol, triglycerides, HDL-c and LDL-c (all in mmol/L) | Change from Baseline at 1 month |
| Blood cholesterol | Assessment of total cholesterol, triglycerides, HDL-c and LDL-c (all in mmol/L) | Change from Baseline at 2 months |
| Blood glucose | Assessment of blood glucose (in mmol/L) | Change from Baseline blood glucose at 1 month |
| Blood glucose | Assessment of blood glucose (in mmol/L) | Change from Baseline blood glucose at 2 months |
| Blood insulin | Assessment of blood glucose (in pmol/L) | Change from Baseline blood insulin at 1 month |
| Blood insulin | Assessment of blood glucose (in pmol/L) | Change from Baseline blood insulin at 2 months |
| Blood leptin | Assessment of blood leptin (in ng/ml) | Change from Baseline blood leptin at 1 month |
| Blood leptin | Assessment of blood leptin (in ng/ml) | Change from Baseline blood leptin at 2 months |
| Blood adiponectin | Assessment of blood adiponectin (in ug/ml) | Change from Baseline blood adiponectin at 1 month |
| Blood adiponectin | Assessment of blood adiponectin (in ug/ml) | Change from Baseline blood adiponectin at 2 months |
| Blood fatty acids and glycerol | Assessment of blood free fatty acids and glycerol (both in umol/L) | Change from Baseline at 1 month |
| Blood fatty acids and glycerol | Assessment of blood free fatty acids and glycerol (both in umol/L) | Change from Baseline at 2 months |
| Blood liver enzymes | Assessment of blood liver enzymes including alanine aminotransferase(ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) (all measured in U/L) | Change from baseline at 1 month |
| Blood liver enzymes | Assessment of blood liver enzymes including alanine aminotransferase(ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) (all measured in U/L) | Change from baseline at 2 months |
| Blood bilirubin | Assessment of blood concentration of bilirubin (in umol/L) | Change from baseline bilirubin at 1 month |
| Blood bilirubin | Assessment of blood concentration of bilirubin (in umol/L) | Change from baseline bilirubin at 2 months |
| Respiratory measures (oxygen, carbon dioxide) during steady state exercise | Assessment of expired oxygen and carbon dioxide (in litres per minute) | Change from baseline at 1 month |
| Respiratory measures (oxygen, carbon dioxide) during steady state exercise | Assessment of mean expired oxygen and carbon dioxide (in litres per minute) | Change from baseline at 2 months |
| 20142827 | Background | Hursel R, Westerterp-Plantenga MS. Thermogenic ingredients and body weight regulation. Int J Obes (Lond). 2010 Apr;34(4):659-69. doi: 10.1038/ijo.2009.299. Epub 2010 Feb 9. |
| 20459475 | Background | Ichinose T, Nomura S, Someya Y, Akimoto S, Tachiyashiki K, Imaizumi K. Effect of endurance training supplemented with green tea extract on substrate metabolism during exercise in humans. Scand J Med Sci Sports. 2011 Aug;21(4):598-605. doi: 10.1111/j.1600-0838.2009.01077.x. Epub 2010 Mar 10. |
| 18326618 | Background | Venables MC, Hulston CJ, Cox HR, Jeukendrup AE. Green tea extract ingestion, fat oxidation, and glucose tolerance in healthy humans. Am J Clin Nutr. 2008 Mar;87(3):778-84. doi: 10.1093/ajcn/87.3.778. |
| 10584049 | Background | Dulloo AG, Duret C, Rohrer D, Girardier L, Mensi N, Fathi M, Chantre P, Vandermander J. Efficacy of a green tea extract rich in catechin polyphenols and caffeine in increasing 24-h energy expenditure and fat oxidation in humans. Am J Clin Nutr. 1999 Dec;70(6):1040-5. doi: 10.1093/ajcn/70.6.1040. |
| 16169629 | Background | Ryu OH, Lee J, Lee KW, Kim HY, Seo JA, Kim SG, Kim NH, Baik SH, Choi DS, Choi KM. Effects of green tea consumption on inflammation, insulin resistance and pulse wave velocity in type 2 diabetes patients. Diabetes Res Clin Pract. 2006 Mar;71(3):356-8. doi: 10.1016/j.diabres.2005.08.001. Epub 2005 Sep 19. |
| 19074207 | Background | Maki KC, Reeves MS, Farmer M, Yasunaga K, Matsuo N, Katsuragi Y, Komikado M, Tokimitsu I, Wilder D, Jones F, Blumberg JB, Cartwright Y. Green tea catechin consumption enhances exercise-induced abdominal fat loss in overweight and obese adults. J Nutr. 2009 Feb;139(2):264-70. doi: 10.3945/jn.108.098293. Epub 2008 Dec 11. |
| 17073579 | Background | Feng WY. Metabolism of green tea catechins: an overview. Curr Drug Metab. 2006 Oct;7(7):755-809. doi: 10.2174/138920006778520552. |
| 23493529 | Background | Hodgson AB, Randell RK, Jeukendrup AE. The effect of green tea extract on fat oxidation at rest and during exercise: evidence of efficacy and proposed mechanisms. Adv Nutr. 2013 Mar 1;4(2):129-40. doi: 10.3945/an.112.003269. |
| 20175431 | Background | Dean S, Braakhuis A, Paton C. The effects of EGCG on fat oxidation and endurance performance in male cyclists. Int J Sport Nutr Exerc Metab. 2009 Dec;19(6):624-44. doi: 10.1123/ijsnem.19.6.624. |
| 19839000 | Background | Eichenberger P, Colombani PC, Mettler S. Effects of 3-week consumption of green tea extracts on whole-body metabolism during cycling exercise in endurance-trained men. Int J Vitam Nutr Res. 2009 Jan;79(1):24-33. doi: 10.1024/0300-9831.79.1.24. |
| 14598198 | Background | Achten J, Jeukendrup AE. Maximal fat oxidation during exercise in trained men. Int J Sports Med. 2003 Nov;24(8):603-8. doi: 10.1055/s-2003-43265. |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020011 | Protective Agents |
| D045505 | Physiological Effects of Drugs |
| D020313 | Specialty Uses of Chemicals |