Obesity
Conditions
Keywords
Obesity, Gastric bypass surgery, Resveratrol, Insulin sensitivity, Lipid turnover, VLDL-triglyceride uptake, Liver
Brief summary
The purpose of this study is to investigate potential metabolic effects of resveratrol in morbidly obese women undergoing gastric bypass surgery. The investigators hypothesize that resveratrol will: * Decrease hepatic very-low-density-lipoprotein-triglyceride (VLDL-TG) secretion * Decrease hepatic and adipose tissue VLDL-TG uptake * Increase insulin sensitivity The investigators will look at changes in: * Lipid turnover (VLDL-TG kinetics, palmitate kinetics,calorimetry) * VLDL-TG uptake in different tissues (subcutaneous femoral adipose tissue, subcutaneous abdominal adipose tissue, visceral adipose tissue and liver tissue) * Insulin sensitivity (glucose kinetics during hyperinsulinaemic euglycaemic clamp) * Regulation of liver fat handling * Lipoprotein lipase activity and fat cell size (abdominal and femoral adipose tissue)
Interventions
500mg 3 times daily for 1 month
1 placebo tablet 3 times daily for 1 month
Sponsors
Study design
Eligibility
Inclusion criteria
* Female * 25-60 years * Obesity (BMI \> 35 kg/m2) * Have at least one element of the metabolic syndrome either hypertension and/or hypercholesterolemia (high triglyceride, low HDL-cholesterol) * Undergoing gastric bypass surgery * Written informed consent
Exclusion criteria
* Any other relevant disease (e.g. diabetes, thyroid or parathyroid disease, heart, kidney or liver disease) * May have arthrosis or depression * Any present or previous malignancy * History of smoking * Alcohol dependency (more than 14 units of alcohol per week) * Participation in studies with radioactive isotope within the last six months * Hemoglobin under the normal range regarding to sex (under 7.3 mmol/l for women)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hepatic VLDL-TG secretion and peripheral VLDL-TG clearance | 1 month | \- changes from baseline after treatment with either resveratrol or placebo |
| Hepatic and adipose VLDL-TG uptake | 1 month | \- changes in VLDL-TG uptake in resveratrol group and placebo group |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Basal and insulin stimulated free fatty acid (FFA) and glucose turnover | 1 month | \- changes from baseline after treatment with either resveratrol or placebo |
| VLDL-TG oxidation | 1 month | \- changes from baseline after treatment with either resveratrol or placebo |
| Regulation of liver fat handling | 1 month | \- changes in regulation of liver fat handling in resveratrol group and placebo group |
Countries
Denmark