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The aims of the present study are described below:
Aim 1: In-vitro measures to determine the validity, precision and accuracy of the Vyntus CPX metabolic cart assessed by:
1.1. Methanol burning tests. 1.2. Pure gas (nitrogen [N2] and carbon dioxide [CO2]) infusions to simulate both, constant and variable fluxes of oxygen consumption (VO2) and carbon dioxide production (VCO2) in different conditions and moments.
Aim 2: In-vivo measures using the Vyntus CPX metabolic cart:
2.1. To assess the resting metabolic rate (RMR or resting energy expenditure [REE]) and respiratory exchange ratio (RER) day-to-day biological reproducibility (i.e. reliability) of the metabolic cart.
2.2. Further, the investigators will use an oral glucose tolerance test (OGTT) to determine the post-prandial day-to-day biological reproducibility (especifically the post-prandial RER) of the metabolic cart.
The study will be developed in three different experiments which are detailed below:
EXPERIMENT 1 (AIM 1.1 AND 1.2.A):
The investigators will determine the Vyntus CPX measurement error over 14 different days by using both, methanol burnings and pure gas infusions. The order will be random.
EXPERIMENT 2 (AIM 1.2.B):
The investigators will determine the Vyntus CPX measurement error over 14 different days by using pure gas infusions (each pure gas infusion will last 20 minutes). The procedures will be as follow:
EXPERIMENT 3 (AIM 2.1 and 2.2.):
The investigators will assess the RMR and RER of 10-15 young-healthy adults using the Vyntus CPX metabolic cart on two consecutive days in the morning. The assessment will last 30 minutes and will be performed in agreement with current guidelines. The subjects will lay on a reclined bed in supine position and covered by a bed sheet for 20 minutes before the assessment as an 'acclimation period'. Immediately after this acclimation period the RMR and RER assessment will start under the same conditions. Then, the glucose beverage (75g of glucose/200ml) is given to the participants and another 180 minutes of assessment are performed.
In addition, the participants' weight, height and body composition (using a dual X-ray absorptiometry scan [DXA scan]) will be measured upon arrival on the first visit. Blood samples will be collected at different time periods to determine the blood glucose concentration. Lastly, participants will be asked to consume a standardized dinner (specifically designed by a dietitians team) the night before each study day.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vyntus CPX | Device | To study the validity, precision and accuracy of the Vyntus CPX metabolic cart using both, in-vitro and in-vivo (i.e., human study) measures. |
| Measure | Description | Time Frame |
|---|---|---|
| VO2 post-prandial gas exchange assessed by indirect calorimetry | Volume of oxygen consumption (VO2 [ml/min]) | 5 hours |
| VCO2 post-prandial gas exchange assessed by indirect calorimetry | Volume of carbon dioxide production (VCO2 [ml/min]) | 5 hours |
| EE post-prandial gas exchange assessed by indirect calorimetry | -Energy Expenditure (EE [kcal/day]) | 5 hours |
| RER post-prandial gas exchange assessed by indirect calorimetry | Respiratory Exchange Ratio (RER [calculated as VCO2-to-VO2 ratio]) | 5 hours |
| CHOox post-prandial gas exchange assessed by indirect calorimetry | Carbohydrate oxidation (CHOox [g/min]) | 5 hours |
| FATox post-prandial gas exchange assessed by indirect calorimetry | Fat oxidation (FATox [g/min]) | 5 hours |
| VO2 validity of the metabolic cart. In-vitro measurements and/or simulations to determine the validity, precision and accuracy of the metabolic cart assessed by methanol burning tests and controlled pure gas infusions. | Volume of oxygen consumption (VO2) measurement error (ml/min) | 14 separate days; measurements of 2 hours per day |
| Measure | Description | Time Frame |
|---|---|---|
| Post-prandial blood glucose concentrations | Measures of blood glucose concentrations (mg/dl) | 5 hours |
| Body composition outcomes (DXA scann) | Lean mass, fat-free mass and fat mass in kilograms |
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Inclusion Criteria:
Exclusion Criteria:
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To be included in the study, the participants have to be healthy and meet the abovementioned inclusion criteria.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jonatan Ruiz Ruiz, Dr. | Contact | 958242754 | 34 | ruizj@ugr.es |
| Juan Manuel Alcántara Alcántara, Dr. | Contact | alcantarajma@ugr.es |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Granada | Recruiting | Granada | 18011 | Spain |
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| ID | Term |
|---|---|
| D024821 | Metabolic Syndrome |
| ID | Term |
|---|---|
| D007333 | Insulin Resistance |
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
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| VCO2 validity of the metabolic cart. In-vitro measurements and/or simulations to determine the validity, precision and accuracy of the metabolic cart assessed by methanol burning tests and controlled pure gas infusions. |
Volume of carbon dioxide production (VCO2) measurement error (ml/min) |
| 14 separate days; measurements of 2 hours per day |
| EE validity of the metabolic cart. In-vitro measurements and/or simulations to determine the validity, precision and accuracy of the metabolic cart assessed by methanol burning tests and controlled pure gas infusions. | Energy Expenditure (EE) measurement error (kcal/day) | 14 separate days; measurements of 2 hours per day |
| RER validity of the metabolic cart. In-vitro measurements and/or simulations to determine the validity, precision and accuracy of the metabolic cart assessed by methanol burning tests and controlled pure gas infusions. | Respiratory Exchange Ratio (RER) measurement error | 14 separate days; measurements of 2 hours per day |
| 1 day |
| Anthropometric measurements 1, weight | Weight in kilograms | 1 day |
| Anthropometric measurements 2, height | Height in meters | 1 day |
| Anthropometric measurements 3, body mass index | BMI: Weight and height will be combined to report in kg/m^2 | 1 day |
| D009750 |
| Nutritional and Metabolic Diseases |