Metabolic Syndrome, Overweight or Obesity
Conditions
Keywords
Dairy, Liver fat, Glucose metabolism
Brief summary
The study will be conducted as a randomized controlled trial with four parallel arms including four dairy products. We will investigate the health effects of including yogurt in the diet through a 16-weeks intervention period among 100 volunteering males with symptoms of the metabolic syndrome. The study has a total duration of 20 weeks as a wash out period of four weeks will be initiated prior to the intervention.
Interventions
400 g/day of regular whole milk
400 g/day of yogurt with live bacteria
400 g/day of yogurt with inactivated bacteria
400 g/day of yogurt with acidified whole milk
Sponsors
Study design
Masking description
Until the statistical analyses are performed, principal investigator and statistician are blinded
Intervention model description
16-week parallel randomized controlled trial
Eligibility
Inclusion criteria
* Male * Age between 30-70 years * BMI of 28-45 kg/m2 * Abdominal obesity (defined as waist circumference \>102 cm) * Provided voluntary written informed consent
Exclusion criteria
* Body weight changes +/- 5% in the past three months * Any diet, allergy or intolerance which results in not being able to follow the study protocol * Contraindications related to MRI (pacemaker, stent, magnitic metal in the body, claustrophobia, physiological diseases or a body weight \>160 kg) * History or diagnosis of diabetes * History or diagnosis of heart, liver, gastrointestinal or kidney disease * History or diagnosis of illness related to energy balance * History or diagnosis of eating disorders * Simultaneous blood donation for other purpose than this study (and one month before initiating the study) * Simultaneous participation in other clinical intervention studies * Any other condition that judged by the investgator may interfere with the adherence to the study protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Liver fat | Change from Week 0 to week 16 | Measurements of liver fat by Magnetic Resonance Imaging |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Body composition | Change from week -4 to week 16 | Measurements of body weight (every week), height (stadiometer) (only at screening), waist and hip circumference (non-elastic tape), sagittal diameter (abdominal caliper) (only week 0 and 16) as wells as fat mass and fat free mass (whole body DXA scan) (only week 0 and 16). |
| Fat disposition and pancreatic fat | Change from Week 0 to week 16 | Measurements of viceral, subcutaneous and pancreatic fat by Magnetic Resonance Imaging |
| Cardiometabolic risk | Change from Week 0 to week 16 | Measured by fasting cholesterol, HDL, LDL, Triglycerid and LDL fractions |
| Gut microbiome | Change from week -4 to week 16 | Measurments of microbiota (fecal spot samples) |
| Glucose metabolism (fasting samples) | Change from Week 0 to week 16 | Measurements of fasting glucose, insulin, C-peptide, HbA1C |
| Glucose metabolism (5 hour oral glucose tolerance test) | Week 16 (5 hour test) | Measurements of glucose, insulin and C-peptide during a 5 hour oral glucose tolerance test |
| Inflammation | Change from Week 0 to week 16 | Measurements of fasting CRP |
Other
| Measure | Time frame | Description |
|---|---|---|
| Metabolome | Change from week -4 to week 16 | Measurement of metabolomic markers in blood, urine and feces |
| Physical activity | Change from week -4 to week 16 | Measured by International Physical Activity Questionnaire (IPAQ) |
| Sleep quality | Change from week -4 to week 16 | Measured by Pittsburg Sleep Quality Index (PSQI) |
| Perceived stress | Change from week -4 to week 16 | Measured by Perceived Stress Scale (PSS) |
| Life quality | Change from week -4 to week 16 | Measured by Physical and mental life quality, Short Form-36 (SF-36) |
| The influence of initial glucose metabolism | Change from week -4 to week 16 | Statistical investigation of the effect of initial glucose metabolism on liver fat |
| The influence of initial gut microbiota | Change from week -4 to week 16 | Statistical investigation of the effect of initial microbiota assessed by fecal sample on liver fat |
| The influence of initial body composition | Change from week -4 to week 16 | Statistical investigation of the effect of initial body composition assessed by DXA scan on liver fat |
Countries
Denmark