Constitutional Thinness, Lipid Overnutrition
Conditions
Keywords
Thinness, Leanness, healthy volunteers, Lipid metabolism disorder
Brief summary
For a given food intake, fat and energy metabolism in adipose tissue and muscle adapt to nutrient intakes. This adaptation to nutrition may be impaired in susceptible individuals or in obese patients by promoting weight gain, either in constitutional thinness (MC) by blocking it. The MC is a little known entity. These patients wish to grow for her and others. Can they? We have demonstrated abnormalities of hormones regulating appetite (ghrelin, PYY, GLP1 and leptin) that may participate in thinness. Furthermore, this thinness is associated with osteoporosis in 25% of true MC who is 25 years old.
Detailed description
This project aims to overfed MCs and follow the control parameters of energy metabolism. We will look for abnormalities in the adaptation to overnutrition in subjects with genetic background of thinness, which could explain the resistance to weight gain. The answer could possibly help to understand obesity.
Interventions
During 4 months, the daily caloric intake will be increased by about 70 g fat as butter 20 grams, 100 grams of cheese (Emmental) and 40 grams of almonds. This overnutrition corresponds to an excess of 760 kcal / day or 21,280 calories for the period and then taken to a theoretical 2.4 kg of fat (1 kg fat = 9000 kcal).
Sponsors
Study design
Eligibility
Inclusion criteria
* consent form the study signed * consent form for genetic study signed * normal laboratory values for liver enzymes, glucose, lipid
Exclusion criteria
(common to the two groups): * pregnant * vegetarian * heavy smoking * heavy alcohol * depressive * taking hypolipidemic or antihypertensive drugs * dyslipidemia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| gene expression | After one month of lipid overnutrition | Level of genes (which regulate the lipid and energy metabolism) expression in fat and muscle tissues |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anthropometric parameter | After one month of lipid overnutrition | Lean mass |
| Autonomic nervous system activity | After one month of lipid overnutrition | Heart rate variability analyses using ECG Holter monitoring |
| gastrointestinal hormone level | After one month of lipid overnutrition | Serum level of GLP1 |
Countries
France