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Current dietary recommendations suggest that lowering intake of saturated fats or replacing it with unsaturated fats will decrease the risk of developing cardiovascular disease. Coconut oil has gained popularity in recent years but it contains 90% saturated fat, which has higher percentage of saturated fat than butter. To date, only limited studies have determined the acute effects of meals containing coconut oil on blood lipids, but findings are inconsistent. Therefore, further studies are needed to address this knowledge gap and compare the postprandial effects of test meals rich in coconut oil with other sources of saturated fatty acids such as butter and unsaturated fatty acids (vegetable oils). A cross-over, double-blind, randomised acute postprandial study will be conducted in 15 healthy men. Participants will be assigned to consume the test meals rich in saturated or unsaturated fatty acids in random order on 3 separate occasions, with 3-4 weeks between each study visit. Participants will be provided with breakfast (toast with jam and milkshake, 50g fat) and lunch (toast with jam and milkshake, 30g fat). The anthropometric, blood pressure, arterial stiffness, and breath samples will be taken for each study visit. Blood samples will be collected for the measurement of fasting lipids, glucose, insulin, inflammatory markers, whole blood culture as well as blood clotting. Breath samples are collected for the measurement of gastric emptying as well as assessment of satiety using questionnaires (100 mm visual analogue scale) completed throughout the day. The findings from this study will contribute to the evidence base on how consuming meals rich in coconut oil influence the level of blood lipids as well as other biomarkers for cardiovascular disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Meal rich in coconut oil | Active Comparator | Participants will be asked to consume a breakfast (0 minute) and lunch (330 minute) rich in coconut oil |
|
| Meal rich in butter | Active Comparator | Participants will be asked to consume a breakfast (0 minute) and lunch (330 minute) rich in butter |
|
| Meal rich in vegetable oil | Active Comparator | Participants will be asked to consume a breakfast (0 minute) and lunch (330 minute) rich in vegetable oil |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coconut oil | Dietary Supplement | 50 g of coconut oil will be added to the test meal for breakfast and 30 g of coconut oil will be added to the test meal for lunch |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in postprandial triacylglycerol | Triacylglycerol | Acute study: taken at 0 (baseline), 30, 60, 90, 120, 180, 240, 300, 330, 360, 390, 420, 480 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Fasting blood lipids | Total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol | Acute study: taken at 0 (baseline) |
| Change from baseline in postprandial non-esterified fatty acids |
| Measure | Description | Time Frame |
|---|---|---|
| Genotyping for apolipoprotein E | Single nucleotide polymorphisms related to the metabolism of dietary fats | Acute study: taken at 0 (baseline) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Julie A Lovegrove, BSc PhD | University of Reading | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Food and Nutritional Sciences, University of Reading | Reading | Berkshire | RG6 6AP | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40609691 | Derived | Wong G, Clegg ME, Ross D, Lovegrove JA, Jackson KG. Sequential Meals Containing Animal and Plant-Based Saturated Fats Have Differential Effects on Postprandial Gut Hormones but No Impact on Satiety Compared with Unsaturated Fats in Generally Healthy Males: Findings from the Randomized Controlled Crossover CocoHeart Study. J Nutr. 2025 Jul 1;155(9):3020-9. doi: 10.1016/j.tjnut.2025.06.027. Online ahead of print. |
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| ID | Term |
|---|---|
| D000074263 | Coconut Oil |
| D002079 | Butter |
| D010938 | Plant Oils |
| ID | Term |
|---|---|
| D004041 | Dietary Fats |
| D005223 | Fats |
| D008055 | Lipids |
| D009821 | Oils |
| D003611 |
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| Butter | Dietary Supplement | 50 g of butter will be added to the test meal for breakfast and 30 g of butter will be added to the test meal for lunch |
|
| Vegetable oil | Dietary Supplement | 50 g of vegetable oil will be added to the test meal for breakfast and 30 g of vegetable oil will be added to the test meal for lunch |
|
Non-esterified fatty acids
| Acute study: taken at 0 (baseline), 30, 60, 90, 120, 180, 240, 300, 330, 360, 390, 420, 480 minutes |
| Change from baseline in postprandial insulin | Insulin | Acute study: taken at 0 (baseline), 30, 60, 90, 120, 180, 240, 300, 330, 360, 390, 420, 480 minutes |
| Change from baseline in postprandial vascular stiffness | Measured via pulse wave assessment using the Mobil-O-graph device | Acute study: taken at 0 (baseline), 150, 315, 465 minutes |
| Change from baseline in postprandial blood pressure | Systolic and diastolic blood pressure | Acute study: taken at 0 (baseline), 180, 300, 480 minutes |
| Change from baseline in postprandial thrombin generation | Thrombin generation | Acute study: taken at 0 (baseline), 180, 330, 480 minutes |
| Change from baseline in postprandial gastric emptying | Assessed using gas chromatography-mass spectrometry | Acute study: taken at 15 minutes intervals between 0 min (baseline) and 480 minutes |
| Appetite rating | Assessed using 100 mm visual analogue questionnaire | Acute study: taken at 30 minutes intervals after the test meals up to 8 hours |
| Change from baseline in postprandial gut hormones | Ghrelin, peptide YY, gastric inhibitory polypeptide, glucagon-like peptide-1 | Acute study: taken at 0 (baseline), 30, 60, 120, 240, 330, 360, 390 & 480 minutes |
| Change from baseline in postprandial endothelial activation | E-selectin, P-selectin, vascular cell adhesion molecule 1, intercellular adhesion molecule-1 | Acute study: taken at 0 (baseline),180, 300 and 420 minutes |
| Change from baseline in postprandial cytokine | Interleukin 6, interleukin 1 beta, interleukin 10, tumour necrosis factor alpha, C-C motif chemokine ligand 5, C-X-C motif chemokine ligand 5 | Acute study: taken at 0 (baseline),180, 300 and 420 minutes |
| Weight | Body mass index will be calculated (kg/ height in m^2) | Acute study: taken at 0 (baseline) |
| Body composition | Fat mass, fat free mass, trunk fat, trunk fat mass, trunk fat free mass | Acute study: taken at 0 (baseline) |
| Habitual diet assessment | 4-day food diary | Prior to the start of the study |
| Dairy Products |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
| D028321 | Plant Preparations |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |