Obesity
Conditions
Keywords
de novo lipogenesis, fructose, roux-en-Y gastric bypass, post-prandial triglycerides
Brief summary
8 healthy volunteers, 8 pre-bypass obese subjects, 8 subjects between 12-18 months post-bypass, and 8 subjects matched to the post-bypass patients will be studied in two sub-studies Sub-study 1) after ingestion of two or three different of the following test-meals: A)cream and whey protein B)cream, whey protein and fructose + 13C6 fructose C)test meal with cream, whey protein, fructose and glucose + 13C6 fructose Their intestinal de novo lipogenesis will be estimated by measuring 13C-palmitate on triglyceride-rich lipoprotein particles associated with apoB48 in blood Sub-study 2) after ingestion of two or three different of the following test-meals: A)cream labelled with 13C6 palmitic acid and whey protein B))cream labelled with 13C6 palmitic acid, whey protein, fructose and glucose Their intestinal de novo lipogenesis will be estimated by measuring 13C-palmitate on triglyceride-rich lipoprotein particles associated with apoB48 in blood in sub-study 1 Their exogenous lipid absorption kinetics will be assessed by measuring 13C palmitate on triglyceride-rich lipoprotein particles associated with apoB48 in sub-study 2
Interventions
cream+ whey protein
cream+ whey protein +13C fructose
Cream + whey protein + glucose:13C fructose mixture
cream labelled with 13C palmitate + whey protein
cream labelled with 13C palmitate + whey protein + glucose:fructose mixture
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18-50 years * sex male or female * less than 2 kg body weight change over the past 3 months subjects
Exclusion criteria
* antidiabetic and hypolipemic drugs * alcohol consumption \>20g/day * severe eating disorders * severe psychological problems * vegetarian diet or other specific diet * consumption of illicit substances * pregnancy * weight gain or weight loss \> 1 kg in the last 3 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intestinal de novo lipogenesis (sub-study 1) | 0-8-hour post-prandial | Measurement of total TG and 13C palmitate in chylomicrons: The sf \>20 fraction of post-prandial blood samples will be prepared, and non-chylomicrons, apoB100-containing lipoprotein will be removes by immuno-affinity chromatography using a specific anti-apoB100 antibody |
| Postprandial exogenous, labelled palmitate concentration (sub-study 2) | 0-8-hour post-prandial | Measurement of total TG and 13C palmitate in chylomicrons of sf \>20 fraction of post-prandial blood samples will be prepared, |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| post-prandial triglyceride profile (sub-studies 1 and 2 | 0-8 hour post-prandial | Triglyceride will be measured in the chylomicron, VLDL, LDL and HDL fractions of post-prandial blood samples |
Countries
Switzerland