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The main objective of this intervention study is to evaluate the effect of satiating protein and/or fiber bar consumption on weight loss and other osteoarticular and cardiometabolic parameters related to excess weight in subjects with overweight or obesity.
To achieve this objective, volunteers will be instructed to consume three bars per day as part of a hypocaloric diet, in accordance with healthy nutritional guidelines, over a 12-week period.
The main questions to answer are:
The specific objectives are focused on evaluating the effects of the intervention on the following parameters:
Target sample size is 144 subjects and participants will be allocated in four different groups:
Volunteers expressing interest in the study will undergo an initial eligibility assessment, either via telephone interview or by completing an online screening form (Google Form), to verify compliance with the primary inclusion criteria. Candidates meeting these criteria will be invited to attend an information and screening visit, during which the study procedures will be explained in detail and any questions addressed. Individuals who agree to participate will provide written informed consent and will be randomly allocated to one of the four intervention groups. All necessary study materials will be provided at this stage.
Participants will attend three scheduled clinical investigation visits: baseline (day 0), mid-intervention (week 8), and post-intervention (week 12). At each visit, anthropometric and body composition measurements will be performed, and blood pressure will be recorded. Biological samples, including blood, urine, and stool, will be collected. In addition, data regarding dietary intake, physical activity levels, sleep patterns, and gastrointestinal symptoms will be obtained through validated questionnaires.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group 1 | Experimental | Bars containing satiating compounds: formulation 1 |
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| Experimental group 2 | Experimental | Bars containing satiating compounds: formulation 2 |
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| Experimental group 3 | Experimental | Bars containing satiating compounds: formulation 3 |
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| Placebo group | Placebo Comparator | Placebo bars |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental Bar (Formulation 1) + Hypocaloric diet (10% energy restriction) | Dietary Supplement | Participants will consume three satiating compound-enriched bars (formulation 1) daily, 30 minutes before breakfast, lunch, and dinner, as part of a 10% energy-restricted hypocaloric diet for 12 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Body weight | Weight of participants will be measured by bioimpedance an densitometry and reported in kg | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Measure | Description | Time Frame |
|---|---|---|
| Height | Height of participants will be measured by stadiometer and reported in cm. | Clinical Investigation Day 1 |
| Body mass index | Body mass index will be calculated as follows: weight (kilograms)/ height (m)2 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| María Ángeles Zulet, PhD | Contact | +34948425600 | 806317 | mazulet@unav.es |
| Fermín Milagro, PhD | Contact | +34948425600 | 806553 | fmilagro@unav.es |
| Name | Affiliation | Role |
|---|---|---|
| María Ángeles Zulet, PhD | Center for Nutrition Research | Principal Investigator |
| Fermín Milagro, PhD | Center for Nutrition Research | Study Chair |
| Idoia Ibero |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Nutrition Research | Recruiting | Pamplona | Navarre | 31008 | Spain |
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4 parallel groups, 12-week, randomized nutritional intervention
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| Experimental Bar (Formulation 2) + Hypocaloric diet (10% energy restriction) | Dietary Supplement | Participants will consume three satiating compound-enriched bars (formulation 2) daily, 30 minutes before breakfast, lunch, and dinner, as part of a 10% energy-restricted hypocaloric diet for 12 weeks. |
|
| Experimental Bar (Formulation 3) + Hypocaloric diet (10% energy restriction) | Dietary Supplement | Participants will consume three satiating compound-enriched bars (formulation 3) daily, 30 minutes before breakfast, lunch, and dinner, as part of a 10% energy-restricted hypocaloric diet for 12 weeks. |
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| Placebo Bar + Hypocaloric diet (10% energy restriction) | Dietary Supplement | Participants will consume three placebo bars daily, 30 minutes before breakfast, lunch, and dinner, as part of a 10% energy-restricted hypocaloric diet for 12 weeks. |
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| Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Waist circumference | Waist circumference of participants in fasting condition will be analyzed by measuring tape and reported in centimeters. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Hip circumference | Hip circumference of participants in fasting condition will be analyzed by measuring tape and reported in centimeters. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Neck circumference | Neck circumference of participants in fasting condition will be analyzed by measuring tape and reported in centimeters. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Body fat mass | Body fat of participants will be analyzed by bioimpedance and densitometry and reported in percentage and kilograms. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Body lean mass | Body lean mass of participants will be analyzed by bioimpedance and densitometry and reported in kilograms. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Body muscle mass | Body muscle mass of participants will be analyzed by bioimpedance and densitometry and reported in kilograms. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Fat free mass | Fat free mass of participants will be analyzed by densitometry and reported in kilograms. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3. |
| Visceral fat | Visceral fat of participants will be measured by bioimpedance an densitometry and reported in g. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Body water mass | Body water mass of participants will be analyzed by bioimpedance and densitometry and reported in kilograms and percentage. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Body bone mass | Body bone mass Body bone mass of participants will be analyzed by bioimpedance and densitometry and reported in kilograms. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Systolic blood pressure | Systolic blood pressure of participants in fasting condition will be analyzed by electronic tensiometer and reported in mmHg | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Diastolic blood pressure | Diastolic blood pressure of participants in fasting condition will be analyzed by electronic tensiometer and reported in mmHg | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Heart rate | Heart rate of participants in fasting condition will be analyzed by electronic tensiometer and reported in pulses/min. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Total bone mineral density | Total bone mineral density of participants will be analyzed by densitometry and reported in g/cm2. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Bone mineral density L1-L4 | Bone mineral density L1-L4 of participants will be analyzed by densitometry and reported in g/cm2. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3. |
| Total bone mineral density femur | Total bone mineral density femur of participants will be analyzed by densitometry and reported in g/cm2. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3. |
| Bone mineral density femur neck | Bone mineral density femur neck of participants will be analyzed by densitometry and reported in g/cm2. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3. |
| Knee articular range | Knee articular range of participants will be measured using a goniometer and performing the chair test. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3. |
| Grip strength | Grip strength of participants will be measured using a manual dynamometer and reported in kg. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3. |
| Level of hunger | Hunger of participants will be analyzed by Hunger-Satiety Visual Analogue Scale (VAS). The minimum value of the scale is 0 mm and the maximum value is 100 mm. A reduction in hunger scale means better outcome. | Clinical Investigation Day 1, Clinical Investigation Day 2 |
| Level of fullness | Fullness of participants will be analyzed by Hunger-Satiety Visual Analogue Scale. The minimum value of the scale is 0 mm and the maximum value 100 mm. An incrementation in fullness scale means better outcome. | Clinical Investigation Day 1, Clinical Investigation Day 2 |
| Level of satisfaction | Satisfaction sensation of participants will be analyzed by Hunger-Satiety Visual Analogue Scale. The minimum value of the scale is 0 mm and the maximum value 100 mm. An incrementation in satisfaction scale means better outcome. | Clinical Investigation Day 1, Clinical Investigation Day 2 |
| Want to eat something else | Want to eat something else sensation of participants will be analyzed by Hunger-Satiety Visual Analogue Scale. The minimum value of the scale is 0 mm and the maximum value 100 mm. A reduction in want to eat something else scale means better outcome. | Clinical Investigation Day 1, Clinical Investigation Day 2 |
| Thirst | Thirst sensation of participants will be analyzed by Hunger-Satiety Visual Analogue Scale. The minimum value of the scale is 0 mm and the maximum value 100 mm. | Clinical Investigation Day 1, Clinical Investigation Day 2 |
| Life quality | Life quality of participants will be evaluated by SF-36 questionnaire (36-Item Short Form Survey). | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Depression | Depression will be evaluated using the Beck Depression Inventory-II (BDI-II), a 21-item self-report questionnaire. Total scores range from 0 to 63, with higher scores indicating greater severity of depressive symptoms. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Anxiety | Anxiety will be evaluated using the State-Trait Anxiety Inventory (STAI), a 40-item self-report questionnaire that includes two subscales: State Anxiety (20 items) and Trait Anxiety (20 items). Each subscale yields scores ranging from 20 to 80, with higher scores indicating greater levels of anxiety. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Osteoarticular health | Osteoarticular health of participants will be measured using the Western Ontario and McMaster Universities Arthritis Index (WOMAC), a 24-item self-report questionnaire that assesses pain (range 0-20), stiffness (range 0-8), and physical function (range 0-68). The total score ranges from 0 to 96, with higher scores indicating worse osteoarticular symptoms and functional impairment. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Physical activity | Physical activity will be evaluated using the Physical Activity Questionnaire of the Seguimiento Universidad de Navarra (SUN) cohort, which estimates total physical activity expressed in Metabolic Equivalent of Task hours per week (MET-h/week). Higher values indicate greater levels of physical activity. Participants can also be classified into categories of low, moderate, or high physical activity according to standardized SUN cohort scoring procedures. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Gastrointestinal symptoms | Gastrointestinal symptoms will be registrated through Gastrointestinal Symptoms Rating Scale questionnaire, which is a questionnaire of 15 items. The questionnaire has a seven-point graded likert-type scale, where 1 represents absence of troublesome symptoms and 7 represents very troublesome symptoms. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Glucose concentration | Blood glucose levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in mg/dL. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Insulin concentration | Blood insulin concentration will be analyzed after an overnight fast by ELISA kit and reported in μUI/ml. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| HOMA index (Homeostatic Model Assessment Index) | HOMA index will be calculated as follows: HOMA-IR (Homeostatic Model Assessment for Insulin Resistance)= [fasting glucose (mmol/L) x fasting insulin (μU/ml)] / 22.5. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Total cholesterol | Blood total cholesterol levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in mg/dL | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| HDL cholesterol | Blood HDL cholesterol levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in mg/dL | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| LDL cholesterol | LDL cholesterol levels of participants in fasting condition will be analyzed by Friedewald formula and reported in mg/dL. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Triglyceride concentration | Triglyceride levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in mg/dL. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Alanine aminotransferase | Alanine aminotransferase levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in UI/L. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Aspartate aminotransferase | Aspartate aminotransferase levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in UI/L. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Gamma-glutamyl transferase | Gamma-glutamyl transferase levels of participants in fasting condition will be analyzed by biochemical autoanalyzer and reported in UI/L. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Fatty liver Index (FLI) | Fatty liver Index will be calculated as follows FLI = (e 0.953 × ln (triglycerides) + 0.139 × BMI + 0.718 × ln (ggt) + 0.053 × waist circumference - 15.745)/ (1 + e 0.953 × ln (triglycerides) + 0.139 × BMI + 0.718 × ln (ggt) + 0.053 × waist circumference - 15.745) × 100 | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Fructosamine concentration | Blood fructosamine concentration will be analyzed after an overnight fast by ELISA kit and reported in µg/L. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Leptine | Blood leptine concentration will be analyzed after an overnight fast by ELISA kit and reported in ng/ml | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Adiponectin | Blood adiponectin concentration will be analyzed after an overnight fast by ELISA kit and reported in ng/ml. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Homocysteine | Blood homocysteine concentration will be analyzed after an overnight fast by biochemical autoanalyzer and reported in μmol/L. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| MCP1 (Monocyte Chemoattractant Protein-1) | Blood MCP1 concentration will be analyzed after an overnight fast by ELISA kit and reported in pg/ml. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| TNF-alpha (tumor necrosis factor alpha) | TNF-alpha will be analyzed after an overnight fast by ELISA kit and reported in pg/ml. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Interleukin 6 (IL6) | Blood IL6 concentration will be analyzed after an overnight fast by ELISA kit and reported in pg/ml. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| C Reactive protein (CRP) | Blood CRP concentration will be analyzed after an overnight fast by ELISA kit and reported in mg/L | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Blood glycated hemoglobin | Fasting blood glycated hemoglobin will be reported in percentage. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Plasma CTX-II levels (C-terminal telopeptide of type II collagen) | Plasma CTX-II levels will be analyzed after an overnight fast by ELISA kit and reported in ng/ml | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Plasma C2C levels (Cartilage Collagen Neoepitope) | Plasma C2C levels will be analyzed after an overnight fast by ELISA kit and reported in ng/ml. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3. |
| Plasma CP2 levels (type II procollagen carboxy-propeptide) | Plasma CP2 levels will be analyzed after an overnight fast by ELISA kit and reported in ng/ml. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3. |
| Albumin concentration | Albumin levels of participants in fasting condition will be analyzed in urine by biochemical autoanalyzer and reported in mg/dl. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Creatinine concentration | Creatinine levels of participants in fasting condition will be analyzed in urine by biochemical autoanalyzer and reported in mg/dl. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Hydroxyproline | Urine hydroxyproline concentration will be analyzed after an overnight fast by colorimetry technique and reported in mg/ml. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Blood untargeted metabolomics | Untargeted metabolites will be expressed and analyzed in plasma and serum according to their intensity measured in arbitrary units (UA), which carries a direct relation with its concentration. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Urine untargeted metabolomics | Untargeted metabolomics will be expressed and analyzed in urine according to their intensity measured in arbitrary units (UA), which carries a direct relation with its concentration. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Lipidomic | Lipidomic will be expressed and analyzed in plasma and serum according to their intensity measured in arbitrary units (UA), which carries a direct relation with its concentration. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Dietary Intake (Energy and Nutrients) | Dietary intake will be assessed using the Food Frequency Questionnaire (FFQ). Outcomes will include energy intake (kcal/day), macronutrient intake (g/day), and micronutrient intake (mg/day or µg/day). | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Mediterranean Diet Adherence | Adherence to the Mediterranean dietary pattern will be evaluated using the Mediterranean Diet Adherence Questionnaire, with scores ranging from 0 to 14 points. Higher scores indicate greater adherence to the Mediterranean diet. | Clinical Investigation Day 1, Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Snacking frequency | Snacking behavior will be recorded using a daily snacking record. Results will be expressed as number of snacks per day. | Clinical Investigation Day 1, Clinical Investigation Day 2, and Clinical Investigation Day 3 |
| Adherence to bars consumption | Adherence will be assessed using the bars consumption record form. | Clinical Investigation Day 2 and Clinical Investigation Day 3 |
| Acceptance of bars | Acceptance will be assessed using the acceptance consumption record form. | Clinical Investigation Day 3 |
| Center for Nutrition Research |
| Study Chair |
| María Hernández | Center for Nutrition Research | Study Chair |
| Miguel López, PhD | Center for Nutrition Research | Study Chair |
| Verónica Ciaurriz | Center for Nutrition Research | Study Chair |
| Carlos J González, PhD | Center for Nutrition Research | Study Chair |
| Salomé Pérez | Center for Nutrition Research | Study Chair |
| Marián Pueyo | Center for Nutrition Research | Study Chair |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D015431 | Weight Loss |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001836 | Body Weight Changes |
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