Peanuts Second Meal Glycemic Response
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Purpose
Nut consumption is associated with reduced risk of Type 2 diabetes. The aim of this study was to assess the effects of peanut (whole or peanut butter) to breakfast meals on glycemic, insulinemic and selected gut hormone responses, appetite, and food intake over two consecutive meals in obese women with high Type 2 diabetes risk. Fifteen women participated in a randomized crossover trial where 42.5g of whole peanuts (P), peanut butter (PB), or no peanuts (control-C) were added to a 75g available carbohydrate-matched breakfast meal. Postprandial concentrations of blood glucose, insulin, non-esterified free fatty acids (NEFA), glucagon-like peptide-1 (GLP-1), peptide YY (PYY), cholecystokinin (CCK), appetitive sensations and food intake were assessed after breakfast treatments and a standard lunch (75g available carbohydrate).
| Condition | Intervention |
|---|---|
|
Type 2 Diabetes Mellitus |
Dietary Supplement: Whole peanuts without skins, Peanut butter, or no peanuts (control) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Acute and Second Meal Effects of Peanuts on Glycemic Response and Appetite in Obese Women With High Type 2 Diabetes Risk: a Randomized Crossover Trial |
- Change from baseline in glucose homeostasis at eight hours [ Time Frame: Baseline (-10), 15, 45, 60, 90, 120, 180, 240, 265, 295, 310, 340, 370, 430 and 490 minutes ] [ Designated as safety issue: No ]Postprandial concentrations and incremental area under the curve of blood glucose, insulin and glucagon-like peptide-1, and incremental area above the curve of non-esterified free fatty acids were assessed after breakfast treatments and a standard lunch
- Change from baseline in incretin hormones at four hours [ Time Frame: Baseline (-10), 15, 45, 60, 90, 120, 180 and 240 minutes ] [ Designated as safety issue: No ]Postprandial concentrations and the incremental area under the curve of peptide YY and cholecystokinin were assessed after breakfast treatments
- Change in food intake over 24 hours [ Time Frame: 24 hours ] [ Designated as safety issue: No ]All food consumed in laboratory and after leaving the laboratory in the experiment day were recorded
- Change from baseline in appetitive sensations at twelve hours [ Time Frame: Baseline (-10), 15, 45, 60, 90, 120, 180, 240, 265, 295, 310, 340, 370, 430, 490, 550, 610, 670 and 730 minutes ] [ Designated as safety issue: No ]Appetite ratings were scored at baseline and in a pre-determined times on a 100 mm visual analogue scale anchored with descriptors of "not at all" and "extremely"
| Enrollment: | 15 |
| Study Start Date: | October 2009 |
| Study Completion Date: | February 2011 |
| Primary Completion Date: | September 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Peanut butter
42.5 g of Peanuts butter were added to a 75g available carbohydrate-matched breakfast meal
|
Dietary Supplement: Whole peanuts without skins, Peanut butter, or no peanuts (control)
In accordance with the Food and Drug Administration qualified health claim regarding daily nut intake, 42.5 g of whole peanuts or peanut butter were added to a 75g available carbohydrate-matched breakfast meal each test session.
|
|
Experimental: Whole peanut
42.5 g of whole peanuts were added to a 75g available carbohydrate-matched breakfast meal
|
Dietary Supplement: Whole peanuts without skins, Peanut butter, or no peanuts (control)
In accordance with the Food and Drug Administration qualified health claim regarding daily nut intake, 42.5 g of whole peanuts or peanut butter were added to a 75g available carbohydrate-matched breakfast meal each test session.
|
| No Intervention: No peanuts (control) |
Dietary Supplement: Whole peanuts without skins, Peanut butter, or no peanuts (control)
In accordance with the Food and Drug Administration qualified health claim regarding daily nut intake, 42.5 g of whole peanuts or peanut butter were added to a 75g available carbohydrate-matched breakfast meal each test session.
|
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Body mass index between 30 - 35 kg/M2
- Not taking medications known to affect glycemia, fat metabolism, or appetite
- Regular breakfast consumer (≥100 kilocalories ingested within 2 hours of waking on ≥4d/wk)
- No body weight fluctuation (<5kg in the past 3 months)
- Willingness to eat all test foods
- No self-reported allergy to the foods provided in the study
- No self-reported sleep disorders
- At least one of the following conditions: waist circumference ≥ 88 cm; reported family history of Type 2 diabetes in first degree relatives; capillary glycemia between 5.5 - 7.0 mmol/L; and/or a 2-hour blood glucose of 7.8 - 11.1 mmol/L (impaired glucose tolerance)
Exclusion Criteria:
- Type 2 diabetes mellitus
- Dyslipidemia
- High blood pressure
Contacts and Locations| Brazil | |
| Federal University of Viçosa | |
| Viçosa, Minas Gerais, Brazil, 36570-000 | |
| Principal Investigator: | Caio EG Reis, PhD Student | University of Brasília, Brazil |
| Study Chair: | Daniela N Ribeiro, M.Sc. | Federal University of Viçosa, Brazil |
| Study Chair: | Neuza MB Costa, Ph.D. | Federal University of Espírito Santo, Brazil |
| Study Chair: | Josefina Bressan, Ph.D. | Federal University of Viçosa, Brazil |
| Principal Investigator: | Rita CG Alfenas, Ph.D. | Federal University of Viçosa, Brazil |
| Study Director: | Richard D Mattes, Ph.D. | Purdue University |
More Information
No publications provided
| Responsible Party: | Rita de Cássia Gonçalves Alfenas, Federal University of Viçosa (Brazil) |
| ClinicalTrials.gov Identifier: | NCT01413126 History of Changes |
| Other Study ID Numbers: | NUTBRA |
| Study First Received: | August 8, 2011 |
| Last Updated: | August 8, 2011 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by Federal University of Vicosa:
|
Peanut Blood glucose Insulin Non-esterified free fatty acids Glucagon-like peptide-1 |
Peptide YY Cholecystokinin Appetitive Food intake |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
ClinicalTrials.gov processed this record on June 18, 2013