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Effect of Intermittent Versus Continuous Energy Restriction on Compensatory Mechanisms Activated During Weight Reduction

Effect of Intermittent Versus Continuous Energy Restriction on Compensatory Mechanisms Activated During Weight Reduction

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02169778
Enrollment
34
Registered
2014-06-23
Start date
2013-08-31
Completion date
2015-12-31
Last updated
2017-05-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity

Keywords

Weight loss, Intermittent energy restriction, Metabolic compensation, Diet therapy

Brief summary

Obesity has become a global epidemic with huge public health implications. Although clinical significant weight loss can be achieved by a combination of diet and behavioral modification, strong metabolic adaptations, with increased appetite and suppressed energy expenditure, are activated, which compromise weight loss maintenance and increase the risk of relapse. The aim of this project is to compare the effects of intermittent versus continuous energy restriction on the compensatory responses previously described using two low calory diets, with a similar macronutrient distribution. More specifically, this study will analyze, in the short-term, if an intermittent energy restricted diet is associated with less appetite and low reduction in energy expenditure when compared with a continuous energy restricted diet. This project can bring large practical benefits concerning the design of weight loss programs to minimize weight relapse.

Interventions

BEHAVIORALIntermittent energy restricted diet
BEHAVIORALContinuous energy restricted diet

Sponsors

Monash University
CollaboratorOTHER
Portuguese Research Council
CollaboratorUNKNOWN
Norwegian University of Science and Technology
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

* adult (18-50 years old) * obese healthy volunteers (30\<BMI\<40 kg/m2) * weight stable on the last three months (\<2kg), not currently dieting to lose weight and with an inactive lifestyle

Exclusion criteria

* history of endocrine/cardiovascular/pulmonary/kidney disease * anaemia * milk intolerance * depression or other psychological disorders * eating disorders * drug or alcohol abuse within the last two years * current medication known to affect appetite or induce weight loss * a planned surgery during the study period * participating in another research study

Design outcomes

Primary

MeasureTime frameDescription
Appetite related hormones12 weeks after the interventionAppetite-related hormones (active Ghrelin, PYY, GLP-1, CCK) will be measured in fasting and every 30 minutes up to 2,5 hours.

Secondary

MeasureTime frameDescription
Resting metabolic rate (RMR)12 weeks after the interventionRMR measured by indirect calorimetry
Exercise efficiency12 weeks after the interventionExercise efficiency measured by graded exercise on a bike
Body composition12 weeks after the interventionRMR measured by indirect calorimetry

Countries

Norway

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 10, 2026