Obesity
Conditions
Brief summary
The purpose of this study is to learn more about how diet affects the hormone ghrelin. Ghrelin is made in the stomach and causes appetite to increase. Learning about ghrelin will help the investigators understand more about obesity.
Detailed description
Control subjects will be provided 3 different diets for 2 weeks each. At the end of each diet period participants will be admitted to OHSU Clinical Translation Research Center (CTRC) for blood sampling every 30 minutes for 13.5 hours, to measure levels of hormones. Participants will also have a DXA scan to measure body composition. PWS subjects will have one admission after eating a standardized diet prepared by caregivers for 2 weeks.
Interventions
20% fat diet
40% fat diet
Medium chain triglyceride diet
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 or older. * Weight stable for at least 3 months. * At lifetime maximal body weight.
Exclusion criteria
* Actively losing weight by diet or exercise. * Smokers. * Alcohol consumption \> 2 drinks per day. * Exercise \> 30 minutes 3 times a week. * Prescription drug use (except birth control pills, vitamins, or minerals). * Type 2 diabetes. * Heart disease, cancer, malabsorptive states, or chronic infections that would affect body weight. * Weight \> 300 lbs (exceeds the weight limit of the DEXA machine). * Hemoglobin \< 12.0 g/dL for women, \< 13.5 g/dL for men
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcomes for aim 1 are the suppression of total and acylated ghrelin from peak fasting (highest value) level to nadir (lowest level) during the 4 hours after each meal, comparing the obese to the lean subjects. | every 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Area-under-the-curve measurements during the 12 ½ hours of testing for ghrelin and other nutrient and gut-peptides, including glucose, insulin, PYY3-36, and active GLP-1. | Every 8 weeks |
Countries
United States