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| Name | Class |
|---|---|
| University of Southern Denmark | OTHER |
| University Ghent | OTHER |
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The effect of calorie restriction combined with low or moderate carbohydrate availability on exercise capacity, metabolism and metabolic health indicators will be measured in a randomized parallel group design. Forty overweight (BMI 25-30) and relatively inactive women (20-35 of age) will be included. These will be randomized into one of two experimental groups both receiving a calorie-restricted diet (-1000 kcal) combined with either low carbohydrate availability or moderate carbohydrate availability across a 10 day period. Laboratory-based physical capacity tests and blood and muscle sampling will be performed before and after the intervention. In addition, an additional follow-up test day will be performed after continuing the diet for another 48 h and then standardizing the pre-testing carbohydrate availability before repeating the tests of physical capacity.
Overweight (BMI 25-30), but healthy premenopausal women aged 20-35 years (n=40) will be included in the trial, which is structured as a randomized, parallel group design where participants are randomized to either consume a hypocaloric diet (-1000 kcal) with concurrent carbohydrate restriction (low carbohydrate, L-CHO, n=20) or a similar hypocaloric diet with moderate carbohydrate availability (moderate carbohydrate, M-CHO, n=20). The trial will be single-blinded since it might be transparent to the participants which diet they are consuming, whereas the test personnel collecting and processing test results will be blinded to diet allocation. Diet handling will be managed by specific individuals in the research group who do not partake in executing the physical capacity tests. Additionally, the direction of the trial's primary hypothesis will not be disclosed to the participants to avoid creating preconceived expectations about the effects.
After an initial screening interview and two familiarization visits, participants will complete the intervention period consisting of 10 days with the allocated diet manipulation with preceding and subsequent test days with a series of tests. The tests before and after each test period include measurements of the participants' physical capacity level and energy metabolism in the laboratory as well as blood and muscle sampling. In addition, resting metabolism and body composition will be measured. During each test period, participants' habitual activity level will be monitored with an accelerometer attached to the wrist (Axivity). There will also be monitoring of the activity level with an accelerometer in a 7-day cycle before the start of the trial as a baseline measurement.
Similarly, a glucose monitor will be placed on the upper arm for continuous glucose readings via a Freestyle Libre2 sensor during the trial period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low-carbohydrate calorie-restriction | Active Comparator | Minimum of 3 g carbohydrate/kg body weight/day and a ~1000 kcal calorie restriction |
|
| Moderate-carbohydrate calorie-restriction | Experimental | Maximum of 1 g carbohydrate/kg body weight/day and a ~1000 kcal calorie restriction |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Calorie-restriction with low carbohydrate | Other | Calorie-restriction and low carbohydrate availability |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to exhaustion | Time to exhaustion at 85% VO2max | Pre, post (day 11 of the intervention) and follow-up (day 2 after the post measurement) |
| Sprint performance | Peak and mean 15-s sprint performance | Pre, post (day 11 of the intervention) and follow-up (day 2 after the post measurement) |
| Exercise tolerance | Ratings of perceived exertion (Borg scale) during standardized-intensity exercise from 6 (lowest exertion) to 20 (highest exertion) | Pre, post (day 11 of the intervention) and follow-up (day 2 after the post measurement) |
| Muscle glycogen levels | Muscle glycogen levels obtained from biopsy sample | Pre and post (day 11 of the intervention) |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity level | Measured with accelerometer during the intervention | During the intervention (days 1 to 11 of the intervention) |
| Maximal fat oxidation capacity | Maximal fat oxidation measured in the laboratory |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Section for Sport Science, Department of Public Health, Aarhus University | Aarhus C | 8000 | Denmark |
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D009765 | Obesity |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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The study is performed as a randomized single-blinded parallel group design. Randomization is performed into two groups using minimization based on a predetermined estimated VO2max middle value of 30.
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The study is labelled as a single-blinded study because the investigators are blinded to the group allocation (the group allocation and diet handling is managed by a researcher not involved in other aspects of the data collection or processing). The participants are not informed about their allocated condition, however, it is conceivably possible for them to recognize this based on the food provided. However, the direction of the hypothesis will not be evident to the participants. Moreover, we include questionnaires before the post-tests related to their perceived diet allocation and their perception of the effect of the diet on the test assessments.
| Calorie-restriction with moderate carbohydrate | Other | Calorie-restriction and moderate carbohydrate availability |
|
| Pre, post (day 11 of the intervention) and follow-up (day 2 after the post measurement) |
| Muscle metabolic enzyme activity | Activity of key enzymes involved in carbohydrate and fat metabolism | Pre and post (day 11 of the intervention) |
| Blood lipid profile | High-density lipoproteins, low-density lipoproteins, very-low-density lipoproteins, cholesterol, free fatty acids and triglycerides | Pre and post (day 11 of the intervention) |
| Continuous glucose levels | Glucose levels measured continuously across the trial + during exercise tests | 14 days from the day before the intervention, throughout the intervention (days 1 to 11) and 2 days after the intervention (follow-up) |
| Fasting blood glucose and insulin | Insulin sensitivity (Homa 2 IR) | Pre and post (day 11 of the intervention) |
| Long-term glycemic control (HbAc1) | Measured from fasting blood | Pre and post (day 11 of the intervention) |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |