Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The goal of this clinical trial is to learn how food processing level affects appetite and gastrointestinal transit time when meal palatability is changed. Participants will complete one screening visit and four test visits. During each test visit, participants will consume one of four meals that differ by food processing level and palatability: high-palatability ultra-processed food, low-palatability ultra-processed food, high-palatability non-ultra-processed food, or low-palatability non-ultra-processed food. The main questions this study aims to answer are whether food processing and palatability affect appetite sensations and gastrointestinal transit time. Participants will rate appetite sensations during each test visit and provide breath samples to measure gastrointestinal transit time.
This is a randomized crossover trial examining the effects of food processing level and palatability on appetite and gastrointestinal transit time. Participants will complete a screening visit followed by four test visits, with each test visit separated by at least one week. Each participant will consume all four test meals: high-palatability ultra-processed food, low-palatability ultra-processed food, high-palatability non-ultra-processed food, and low-palatability non-ultra-processed food. Palatability will be reduced by adding bitter melon powder to the low-palatability meals. During each test visit, participants will consume the assigned test meal containing lactulose as a marker of gastrointestinal transit time. Breath samples will be collected to assess orocecal transit time using hydrogen analysis. Participants will also rate meal palatability and appetite sensations, including hunger, fullness, desire to eat, amount they could eat, and thirst, using visual analog scales during the test visit.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Palatable Ultra-Processed Food | Experimental | Participants will consume a palatable ultra-processed test meal during one study visit. The meal will be used to assess appetite sensations, palatability ratings, and gastrointestinal transit time. |
|
| Unpalatable Ultra-Processed Food | Experimental | Participants will consume an unpalatable ultra-processed test meal during one study visit. Palatability will be reduced by adding bitter melon powder. The meal will be used to assess appetite sensations, palatability ratings, and gastrointestinal transit time. |
|
| Palatable Non-Ultra-Processed Food | Experimental | Participants will consume a palatable non-ultra-processed test meal during one study visit. The meal will be used to assess appetite sensations, palatability ratings, and gastrointestinal transit time. |
|
| Unpalatable Non-Ultra-Processed Food | Experimental | Participants will consume a unpalatable non-ultra-processed test meal during one study visit. Palatability will be reduced by adding bitter melon powder. The meal will be used to assess appetite sensations, palatability ratings, and gastrointestinal transit time. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Palatable Ultra-Processed Food Meal | Other | Participants will consume a palatable ultra-processed test meal during one study visit. The meal will consist of commonly available ultra-processed food items and will be used to assess appetite sensations, meal palatability, and gastrointestinal transit time. |
| Measure | Description | Time Frame |
|---|---|---|
| Orocecal Transit Time | Orocecal transit time will be assessed using hydrogen analysis of end-alveolar breath samples collected after consumption of each test meal. Each test meal will contain lactulose as a marker of gastrointestinal transit time. | During each test visit, up to 4.5 hours after meal consumption |
| Appetite Sensations | Appetite sensations, including hunger, fullness, desire to eat, prospective food consumption, and thirst, will be assessed using 100-mm visual analog scales during each test visit after consumption of the assigned test meal every 30 minutes. Each visual analog scale ranges from 0 to 100 mm, with higher scores indicating a greater intensity of the rated sensation. Higher scores are not inherently better or worse outcomes, but reflect greater hunger, fullness, desire to eat, prospective food consumption, or thirst, depending on the item. | During each test visit, up to 4.5 hours after meal consumption |
| Meal Palatability Ratings | Meal palatability will be assessed using a 100-mm general labeled magnitude scale during each study visit. The scale ranges from 0 to 100 mm, with 0 mm anchored by "most disliked sensation imaginable," 50 mm anchored by "neutral," and 100 mm anchored by "most liked sensation imaginable." Higher scores indicate greater liking of the test meal and therefore a more favorable palatability rating. | During each test visit, up to 4.5 hours after meal consumption |
Not provided
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Purdue University | West Lafayette | Indiana | 47907 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31105044 | Background | Hall KD, Ayuketah A, Brychta R, Cai H, Cassimatis T, Chen KY, Chung ST, Costa E, Courville A, Darcey V, Fletcher LA, Forde CG, Gharib AM, Guo J, Howard R, Joseph PV, McGehee S, Ouwerkerk R, Raisinger K, Rozga I, Stagliano M, Walter M, Walter PJ, Yang S, Zhou M. Ultra-Processed Diets Cause Excess Calorie Intake and Weight Gain: An Inpatient Randomized Controlled Trial of Ad Libitum Food Intake. Cell Metab. 2019 Jul 2;30(1):67-77.e3. doi: 10.1016/j.cmet.2019.05.008. Epub 2019 May 16. |
Not provided
Not provided
Individual participant data will not be shared because the current IRB-approved protocol does not include a formal plan for external individual participant data sharing. Study data will be de-identified for analysis, and identifying information will be stored separately from study data. Code numbers linking participants to their data will be destroyed according to the approved protocol. No information by which participants can be identified will be released or published.
Not provided
Not provided
Not provided
Not provided
Not provided
This is a within-subject crossover trial. Each participant will complete four test visits and consume each of the four test meals: high-palatability ultra-processed food, low-palatability ultra-processed food, high-palatability non-ultra-processed food, and low-palatability non-ultra-processed food. Test visits will be separated by at least one week.
Not provided
Not provided
Not provided
Not provided
|
| Unpalatable Ultra-Processed Food Meal | Other | Participants will consume an unpalatable ultra-processed test meal during one study visit. Palatability will be reduced by adding organic bitter melon powder to the ultra-processed meal. The meal will be used to assess appetite sensations, meal palatability, and gastrointestinal transit time. |
|
| Palatable Non-Ultra-Processed Food Meal | Other | Participants will consume a palatable non-ultra-processed test meal during one study visit. The meal will consist of commonly available non-ultra-processed food items and will be used to assess appetite sensations, meal palatability, and gastrointestinal transit time. |
|
| Unpalatable Non-Ultra-Processed Food Meal | Other | Participants will consume an unpalatable non-ultra-processed test meal during one study visit. Palatability will be reduced by adding organic bitter melon powder to the non-ultra-processed meal. The meal will be used to assess appetite sensations, meal palatability, and gastrointestinal transit time. |
|
| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| ID | Term |
|---|---|
| D001522 | Behavior, Animal |
| D001519 | Behavior |
Not provided
Not provided