Obesity, Abdominal
Conditions
Brief summary
Acute, double-blinded, randomized, cross-over cafestol intervention study with fifteen participants with a large waist circumference participating in three OGTTs.
Detailed description
The study is a acute, double-blinded, randomized, controlled intervention in 15 subjects with abdominal obesity at high risk of developing T2D. Initially, a blood sample is obtained (t=-15 min) and at time point 0, the participants will ingest a capsule containing either 6 or 12mg cafestol or placebo. Immediately hereafter an OGTT commences with ingestion of a 75 g glucose solution. In the following 2 hours blood samples are collected at time points 15, 30, 60, 90, 120 and 180 min. The samples will be used for determination of plasma glucose, insulin and cafestol, as well as GLP-1 and GIP. After a one-week washout period, the subject will undergo the same set-up again, however now with the different dosage of cafestol or placebo. The process is repeated for three weeks until every subject has undergone both interventions and the placebo.
Interventions
Capsule with 12 mg cafestol
Placebo capsule without cafestol
Capsule with 6 mg cafestol
Sponsors
Study design
Eligibility
Inclusion criteria
25 \< BMI \< 40 kg/m2 Waist circumference \> 102 cm (men) / 88 cm (women)
Exclusion criteria
* Type 2 diabetes (HbA1c \> 48 mmol/mol) or in treatment with antidiabetic drugs * Pregnancy * Planned pregnancy * Breastfeeding * Significant comorbidity expected to unable the subject from completing visits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Area under the curve for glucose | -15 to 180 minutes from ingestion of intervention/placebo capsule and 75 g. glucose solution | Area under the curve for glucose during OGTT after ingestion of cafestol or placebo capsule (mmol/L) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Area under the curve for insulin-response | -15 to 180 minutes from ingestion of intervention/placebo capsule and 75 g. glucose solution | Area under the curve for insulin response during OGTT after ingestion of cafestol or placebo capsule (pmol/L) |
| Area under the curve for cafestol | -15 to 180 minutes from ingestion of intervention/placebo capsule and 75 g. glucose solution | Area under the curve for cafestol during OGTT after ingestion of cafestol or placebo capsule |
| Area under the curve for GLP-1 (glucagon-like peptide-1) | -15 to 180 minutes from ingestion of intervention/placebo capsule and 75 g. glucose solution | Area under the curve for GLP-1 (glucagon-like peptide-1) during OGTT after ingestion of cafestol or placebo capsule (pmol/L) |
| Area under the curve for GIP (Glucose-dependent insulinotropic polypeptide) | -15 to 180 minutes from ingestion of intervention/placebo capsule and 75 g. glucose solution | Area under the curve for GIP (Glucose-dependent insulinotropic polypeptide) during OGTT after ingestion of cafestol or placebo capsule (pmol/L) |
Countries
Denmark