obesity overweight
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Ability to provide informed consent; - Age >50 years; - BMI >30kg/m2; - Insulin resistance, as reflected by fasting plasma insulin >62pmol/L and/or fasting plasma glucose > 5.5 and
Exclusion criteria
Exclusion criteria: - Use of any medication except for those related to treatment of the metabolic syndrome or adequately dosed levothyroxine in patients with hypothyroidism;; - Any medical condition interfering with the study outcomes or design; - History of any psychiatric disorder, including eating disorders (anorexia, binge eating, bulimia); - Performing shift work; - Performing intensive sports (>3/week); - Smoking; - Drugs of abuse; - Alcohol abuse (>3 units/day); - Contraindication for MRI (e.g. pacemaker, claustrophobia); - Known lactose/gluten intolerance; - Known soy, egg, milk, or peanut allergy; - Childhood onset of obesity (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| insulin sensitivity, measured by indices of systemic insulin sensitivity and indices derived from mixed-meal tolerance measurements | — |
Secondary
| Measure | Time frame |
|---|---|
| - liver fat content (degree of hepatic steatosis); - de novo lipogenesis, basal and in response to a meal; - beta cell function; - glucoregulatory and liporegulatory hormones (including incretins), immunologic markers; - movement activity; - brain activity assessed as the induced change in BOLD and ASL signals and resting state brain connectivity measured with fMRI; - neuropsychological functioning and feeding behaviour characteristics assessed by questionnaires and tasks; - assessments of motivation and impulse control of feeding behaviour (questionnaires); - assessment of craving and hunger (questionnaires); | — |
Countries
Netherlands