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| Name | Class |
|---|---|
| Ajinomoto Co., Inc. | INDUSTRY |
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People tend to regulate intake by the weight of food rather than its energy content, making energy dense foods, especially those combining salty, fatty, and umami tastes, more likely to promote passive overconsumption. Lowering energy density can reduce daily energy intake, but often decreases palatability, whereas umami can enhance palatability, and sometimes decrease food intake. This suggests that adding umami to a regular energy dense diet could reduce food intake over time, and that adding umami to a reduced energy dense diet could sustain palatability and limit compensatory energy intake. Therefore, the aim of this study is to assess the effect of a 2-week dietary intervention of adding umami and/or lowering energy density on food intake. Secondary objectives are whether adding umami and/or lowering energy density affect dietary satisfaction, appetite, perceived umami intensity, food preferences, bodyweight and composition, and wellbeing ratings.
This will assessed in a double-blind crossover, randomized controlled trial of three times two weeks, each separated by two weeks washout in 33 healthy Dutch adults between 18-65 years of age, with a BMI between 20-30. Umami taste will be added through MSG supplementation of the three main meals. Supplementation will depend on both intervention group, and individual participants' body weight. Energy density will be lowered by swapping regular products for low-fat, low-sugar or higher water products.
The three intervention diets will vary in umami taste intensity, and/or energy density: 1) regular energy density without added umami (control), 2) regular energy density with added umami, 3) reduced energy density with added umami. Umami will be supplemented by supplementing food items with 55-60 mg MSG per kg bodyweight daily, divided over three eating occasions. Foods will be offered ad libitum, and participants will add a seasoning sachet containing MSG to their selected portion.
The primary objective will be to compare average daily food intake (kcal) over two weeks between the three dietary interventions differing in umami taste intensity and energy density. Secondary outcomes are dietary satisfaction, appetite, perceived umami intensity, food preferences, bodyweight and composition, and wellbeing ratings.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| regED/-MSG -> regED/+MSG -> lowED/+MSG | Experimental | Participants receive Intervention regED/+MSG in Period 1, Intervention regED/-MSG in Period 2, and Intervention lowED/+MSG in Period 3. |
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| regED/-MSG -> lowED/-MSG -> regED/+MSG | Experimental | Participants receive Intervention regED/-MSG in Period 1, Intervention lowED/+MSG in Period 2, and Intervention regED/+MSG in Period 3. |
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| regED/+MSG -> lowED/+MSG -> regED/-MSG | Experimental | Participants receive Intervention regED/+MSG in Period 1, Intervention lowED/+MSG in Period 2, and Intervention regED/-MSG in Period 3. |
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| regED/+MSG -> regED/-MSG -> lowED/+MSG | Experimental | Participants receive Intervention regED/+MSG in Period 1, Intervention regED/-MSG in Period 2, and Intervention lowED/+MSG in Period 3. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Regular energy density, no added umami | Other | During this intervention, participants will receive a Dutch diet with regular energy density, without added umami (MSG) |
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| Measure | Description | Time Frame |
|---|---|---|
| Food intake (kcal) | Difference between interventions in daily food intake, averaged over two weeks. Food intake is defined as total daily energy intake from meal, snack and drink consumption. Food intake will be measured by weighing breakfast, lunch and dinner intake in grams, which will be converted to energy (kcal). Snack and drink consumption will be recorded and converted to energy (kcal) as well. Food intake is measured daily, and averaged over each intervention. | From start to end of each intervention (day 1-14, day 29-42 and day 57-72). |
| Measure | Description | Time Frame |
|---|---|---|
| Dietary satisfaction | Difference in dietary satisfaction scores between interventions, measured with the dietary satisfaction questionnaire (DSat-45). Difference between dietary satisfaction scores will be compared between the three interventions. | Measured at day 14 (end) of each intervention. |
| Appetite and thirst ratings |
| Measure | Description | Time Frame |
|---|---|---|
| MSG consumption | MSG will be administered based on intervention group and bodyweight of each individual participant. Daily MSG consumption will be measured by asking participants to return empty sachets that contained the MSG supplementation. Differences in MSG consumption between the interventions will be reported as a compliance measure. | From start to end of each intervention (day 1-14, day 29-42 and day 57-72) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Merel J. van der Kruijssen, Msc | Contact | +31 6 1289431 | merel.vanderkruijssen@wur.nl | |
| Monica Mars, Dr. Ir. | Contact | monica.mars@wur.nl |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Human Nutrition, Wageningen University | Wageningen | Gelderland | 6708WE | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30574344 | Background | James BL, Loken E, Roe LS, Myrissa K, Lawton CL, Dye L, Rolls BJ. Validation of the Diet Satisfaction Questionnaire: a new measure of satisfaction with diets for weight management. Obes Sci Pract. 2018 Oct 10;4(6):506-514. doi: 10.1002/osp4.299. eCollection 2018 Dec. | |
| 38577551 | Background | Terpstra SES, Hoogervorst LA, van der Velde JHPM, Mutsert R, van de Stadt LA, Rosendaal FR, Kloppenburg M. Validation of the SQUASH physical activity questionnaire using accelerometry: The NEO study. Osteoarthr Cartil Open. 2024 Mar 18;6(2):100462. doi: 10.1016/j.ocarto.2024.100462. eCollection 2024 Jun. |
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Individual participant data that underline the results reported in an article after de-identification will be shared.
Following the publication. No end date.
Anyone who whishes to access the data for secondary analysis must contact corresponding authors of specific publications for their approval. Next to this, they must reference the source of the data to provide appropriate credit to those who generated the data and allow searching for the studies it has supported.
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Randomised controlled intervention study (RCT). Participants are randomized to one of six possible intervention sequences, representing all permutations of the three interventions. Each participant completes three study periods and receives all three interventions in different orders depending on their assigned sequence. Two-week washout periods are included between intervention periods to minimize carryover effects.
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| lowED/+MSG -> regED/+MSG -> regED/-MSG | Experimental | Participants receive Intervention lowED/+MSG in Period 1, Intervention regED/+MSG in Period 2, and Intervention regED/-MSG in Period 3. |
|
| lowED/+MSG -> regED/-MSG -> regED/+MSG | Experimental | Participants receive Intervention lowED/+MSG in Period 1, Intervention regED/-MSG in Period 2, and Intervention regED/+MSG in Period 3. |
|
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| Regular energy density, with added umami | Other | During this intervention, participants will receive a Dutch diet with regular energy density, with added umami (MSG). Added umami will represent Dutch MSG intake levels of around the 95th percentile, which is about 55-60 mg/kg body weight. |
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| Lowered energy density, with added umami | Other | During this intervention, participants will receive a Dutch diet with lowered energy density, with added umami (MSG). Energy density will be lowered by substituting regular products for lower-fat, lower-sugar or higher water versions. Added umami will represent Dutch MSG intake levels of around the 95th percentile, which is about 55-60 mg/kg body weight. |
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Appetite and thirst ratings will be measured six times daily (before three main meals and at three random times each day). Difference between average appetite and thirst ratings will be compared between the three interventions. |
| From start to end of each intervention (day 1 to day 14, day 19 to day 42 and day 56 to day 70). |
| Taste Preference | Preference for sweet/fa, sweet, salt/fat and salt tastes will be measured using PrefQuest at the end of each intervention (day 14). Differences of preferences for these tastes will be compared between the three interventions. | Measured at day 14 (end) of each intervention. |
| Perceived umami taste intensity | Perceived umami taste intensity will be measured at the end of each intervention during a sensory test, during which participants will rate their perceived umami taste intensity of samples differing in food type (solid, semi-solid, liquid) and MSG concentration. Differences in perceived umami taste intensity will be compared between the three interventions. | Measured at day 14 (end) of each intervention. |
| Fat mass | Changes in fat mass will be measured using Bioelectrical Impedance Analysis (BIA), and compared between the three interventions. | Six times during each intervention (day 1, 3, 6, 8, 12 and 14). |
| Bodyweight | Changes in bodyweight will be measured using a calibrated scale, and compared between the three interventions. | Six times during each intervention (day 1, 3, 6, 8, 12 and 14). |
| Differences in MSG complex syndrome related complaints | MSG syndrome complex related complaints will be assessed daily using an MSG tolerance questionnaire. Number of reported complaints in differences of MSG complex syndrome related complaints will be compared between the three interventions. | From start to end of each intervention (day 1-14, day 29-42 and day 57-72) |
| Difference in adverse events or medication use | The difference in Adverse events occurence, or medication use between intervention groups at the end of each intervention, adjusted for baseline differences. This will be measured daily by a questionnaire. | From start to end of each intervention (day 1-14, day 29-42 and day 57-72) |
| Difference between change in food intake over time | Difference between interventions in the day-to-day pattern of food intake across the two-week intervention periods. Food intake is defined as total daily energy intake from meal, snack and drink consumption. Food intake will be measured by weighing breakfast, lunch and dinner intake in grams, which will be converted to energy (kcal). Snack and drink consumption will be recorded and converted to energy (kcal) as well. Food intake is measured daily, and averaged over each intervention. | From start to end of each intervention (day 1-14, day 29-42 and day 57-72). |
| Sex | Based on self-report in the screening questionnaire. Baseline characteristic. | Baseline (day 0) |
| Age | Based on self-report in the screening questionnaire. Baseline characteristic. | Baseline (day 0) |
| Height | Will be assessed using a stadiometer as the average of two measurements, rounded to the closest decimal. This will be done during the physical screening session. | Baseline (day 0) |
| Baseline medicine usage | Based on self-report in the screening questionnaire. Baseline characteristic. | Baseline (day 0) |
| Smoking status | Based on self-report in the screening questionnaire. Baseline characteristic. | Baseline (day 0) |
| Dietary restraint score | Measured by the Dutch Eating Behaviour Questionnaire (DEBQ). | Baseline (day 0) |
| Dietary taste patterns | Measured by Food Frequency Questionnaire designed to classify people on taste consumption patterns (tasteFFQ). Results will be used to describe habitual food intake based on taste (relative food intake in grams of each taste) at baseline. | Baseline (day 0) |
| Physical activity level | Measured using the SQUASH questionnaire with a reference period of two weeks. This is a compliance measure as participants are asked to maintain stable exercise patterns during the study period. Physical activity will be reported as a along with descriptive measures of participant characteristics. | Measured at day 14 (end) of each intervention. |
| 25852028 | Background | Dalton M, Finlayson G, Hill A, Blundell J. Preliminary validation and principal components analysis of the Control of Eating Questionnaire (CoEQ) for the experience of food craving. Eur J Clin Nutr. 2015 Dec;69(12):1313-7. doi: 10.1038/ejcn.2015.57. Epub 2015 Apr 8. |
| 12677732 | Background | Mueller C, Kallert S, Renner B, Stiassny K, Temmel AF, Hummel T, Kobal G. Quantitative assessment of gustatory function in a clinical context using impregnated "taste strips". Rhinology. 2003 Mar;41(1):2-6. |
| 24944058 | Background | Masic U, Yeomans MR. Umami flavor enhances appetite but also increases satiety. Am J Clin Nutr. 2014 Aug;100(2):532-8. doi: 10.3945/ajcn.113.080929. Epub 2014 Jun 18. |
| 18296383 | Background | Bellisle F. Experimental studies of food choices and palatability responses in European subjects exposed to the Umami taste. Asia Pac J Clin Nutr. 2008;17 Suppl 1:376-9. |