A Low Glycemic Index Diet as Prevention of the Catch-up Fat Phenomenon
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
The catch-up fat phenomenon is an evolutionary conserved physiological response to a starvationrefeeding cycle. It is characterized by long-term suppression of thermogenesis, reduced body protein regain and an increase in fat mass above basal level during refeeding. Clinically, it characterises weight cycling in overweight patients which is associated with increasing fat mass (visceral fat) and increased morbidity (e.g. insulin resistance, inflammation). In this project, the physiological, cellular and molecular mechanisms of this phenomenon will be investigated in humans, mice and C. elegans. It is hypothesized that refeeding a low GI (=glycemic index)- diet after weight loss prevents the catchup fat phenomenon and its sequelae. This translational research will provide comprehensive insights into the catch-up fat phenomenon as well as provide a suitable strategy of its prevention.
| Condition | Intervention |
|---|---|
|
Dietary Intervention |
Other: dietary intervention by varying GI diets |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Ätiologie, Pathophysiologie Und Prävention Einer überschießenden Körperfettzunahme Nach Gewichtsreduktion - Vermeidung Des JoJo-Effektes in Der Behandlung Von Übergewicht |
- Changes in body composition and energy metabolism after 3 weeks of underfeeding and 2 following weeks of refeeding [ Time Frame: Body composition measurement after 4 and 6 study weeks ] [ Designated as safety issue: No ]Body composition measurement including BODPOD, QMR, BIA Energy Metabolism measurement using indirect calorimetry
| Enrollment: | 32 |
| Study Start Date: | January 2011 |
| Study Completion Date: | August 2012 |
| Primary Completion Date: | August 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: low GI, low GI
low GI diet (semi starvation phase) followed by low GI diet in the refeeding phase
|
Other: dietary intervention by varying GI diets
The human study intends to characterise the partitioning of weight gain during refeeding and to affect the catch-up fat phenomenon by the glycemic index (GI) of the diet.
|
|
Experimental: low GI, high GI
low GI diet (semi starvation phase) followed by high GI diet in the refeeding phase
|
Other: dietary intervention by varying GI diets
The human study intends to characterise the partitioning of weight gain during refeeding and to affect the catch-up fat phenomenon by the glycemic index (GI) of the diet.
|
|
Experimental: high GI, low GI
high GI diet (semi starvation phase) followed by low GI diet in the refeeding phase
|
Other: dietary intervention by varying GI diets
The human study intends to characterise the partitioning of weight gain during refeeding and to affect the catch-up fat phenomenon by the glycemic index (GI) of the diet.
|
|
Experimental: high GI, high GI
high GI diet (semi starvation phase) followed by high GI diet in the refeeding phase
|
Other: dietary intervention by varying GI diets
The human study intends to characterise the partitioning of weight gain during refeeding and to affect the catch-up fat phenomenon by the glycemic index (GI) of the diet.
|
Detailed Description:
In a human intervention study, changes in physiological, metabolic, and neuroendocrine functions in response to weight cycling will be investigated under controlled conditions in normal weight subjects. The mechanisms of the catch-up fat phenomenon are analysed starting from stable energy balance followed by overfeeding, weight loss and weight regain following weight loss (refeeding). Changes in body composition (including ectopic fat), metabolism (resting energy expenditure, substrate oxidation rates, insulin resistance) and plasma hormone concentrations will be assessed. Fat tissue probes will be used to characterise key enzymes and signalling pathways, redox status and whole genome expression. Modulation of the hormonal response to weight cycling is brought about by varying macronutrient content and glycemic index of the diets. We hypothesize that, insulin and leptin resistance are explained by increased insulin secretion during the refeeding period. Both, adaptive thermogenesis as well as insulin and leptin resistance can be ameliorated by attenuation of the increase in insulin and leptin secretion during refeeding a low GI diet after weight loss.
Eligibility| Ages Eligible for Study: | 20 Years to 40 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- normal weight (BMI 20-24 kg/m2), normal fat mass
Exclusion Criteria:
- smoking, chronic diseases, drug intake, nutrient allergies, lactose intolerance, pacemaker, metalliferous implants
Contacts and Locations| Germany | |
| Institute of Human Nutrition | |
| Kiel, Schleswig-Holstein, Germany, 24105 | |
| Study Chair: | Manfred J. Müller, Prof. | Institute of Human Nutrition, University of Kiel |
More Information
Additional Information:
No publications provided
| Responsible Party: | Prof. Dr. Manfred James Müller, Principal Investigator, University of Kiel |
| ClinicalTrials.gov Identifier: | NCT01737034 History of Changes |
| Other Study ID Numbers: | BMBF 0315681 |
| Study First Received: | November 26, 2012 |
| Last Updated: | November 29, 2012 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by University of Kiel:
|
partitioning of weight gain refeeding catch-up fat phenomenon glycemic index |
ClinicalTrials.gov processed this record on May 21, 2013