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Overfeeding and ExerciseFeedEXNCT02333916

Effect of Exercise and Training on Fat Oxidation During Overfeeding - the FeedEX Study

A study testing overfeeding + exercise pre-training, fitness training and overfeeding + exercise post-training in people with Overfeeding and Exercise, run by Maastricht University Medical Center at 1 site in Netherlands.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Rationale: Body weight is not well regulated in all individuals. In an obesogenic environment, where overeating is common, some individuals are more prone to weight gain and therefore overweight than others. Yet, the reasons behind this are unclear. Read more about this study

Who is it for?
Ages 18 to 30 years, men onlyHealthy volunteers can take part
Conditions the study is for
Overfeeding and Exercise
What is being tested?
overfeeding + exercise pre-training, fitness training and overfeeding + exercise post-training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
5 participants
Where
1 siteNetherlands
Study dates
Jun 2014to Apr 2015
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 30 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Caucasians
  • Male
  • Healthy
  • 18-30 years
  • BMI 21-27.5 kg.m-2
  • Sedentary lifestyle: the following serve as (non-strict) guidelines: "Low category of activity" according to the short version of the International Physical Activity Questionnaire (IPAQ); VO2max (ml.kg-1.min-1) below: 45 - AGE (yrs) / 3 corresponding to a fitness category below "fair" (i.e. "poor" or "very poor") as defined by Schvartz and Reibold. For example for an 18 year-old male, VO2max below 39 ml.kg-1.min-1.
  • Stable body weight (<5% change in the last 6 months)

Who cannot join

  • Following a (weight-loss) diet
  • Using medications
  • Smoking
  • Consuming more than 3 units of alcohol per day
  • Diagnosed with any chronic diseases known to affect energy metabolism (intake/expenditure) such as diabetes, cardiovascular disease, cancer, or thyroid disease.
  • Trained or regularly physically active (according to the IPAQ)

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Maastricht University

    Maastricht, Limburg, 6200

Other trials in Netherlands

About this study

Official title: Effects of Short-term Overfeeding With or Without Exercise on 24-hour Fat Oxidation and Fat Balance Before and After 10 Weeks of Training - The FeedEX Study

Rationale: Body weight is not well regulated in all individuals. In an obesogenic environment, where overeating is common, some individuals are more prone to weight gain and therefore overweight than others. Yet, the reasons behind this are unclear. "Resistant" individuals often have higher physical activity levels (PALs). It seems that - at higher levels of physical activity and therefore energy expenditure - satiety signals are more precisely regulated, making one better at matching energy intake with expenditure. In other words, active people may not overeat where sedentary people would. However, this does not explain the differences in weight gain observed when subjects all have to overeat (imposed overfeeding). It could be that active people are better able to cope metabolically with the extra calories because of already higher levels of carbohydrate and fat oxidation compared to their inactive counterparts.

Objectives: 1/ To study the effects of overfeeding (normal diet composition) on substrate balance and oxidation and more specifically fat balance and oxidation; 2/ to study the effects of exercise and training on fat oxidation during overfeeding (normal diet composition).

Study design: This controlled intervention study will follow a cross-over design. Each subject will spend 5 nights and 4 days in a respiration chamber on two occasions, separated by a 10-week training period.

Being tested
overfeeding + exercise pre-training, fitness training, overfeeding + exercise post-training
Medical subject headings
Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • overfeeding + exercise pre-trainingOther

  • fitness trainingBehavioural

  • overfeeding + exercise post-trainingOther

Study groups in NCT02333916
Study groupRoleWhat they receive
Overfeeding + exercise pre/post trainingExperimentaloverfeeding + exercise pre-training: day1 energy balance; day2 and day3: energy intake equals 1.25 times day 2 and day 3 energy expenditure respectively, no exercise; day4: 3 cycling bouts to expend 0.25 times day3 energy expenditure + energy intake equals 1.25 times day4 energy expenditure - before training period. fitness training: 10-week training period (3 times per week at a gym, 30-45 minutes cardio training and 15-30 minutes strength training). overfeeding + exercise post-training: day1 energy balance; day2 and day3: energy intake equals 1.25 times day 2 and day 3 energy expenditure respectively, no exercise; day4: 3 cycling bouts to expend 0.25 times day3 energy expenditure + energy intake equals 1.25 times day4 energy expenditure - after training period.
Receives: Other: overfeeding + exercise pre-training; Behavioral: fitness training; Other: overfeeding + exercise post-training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in 24-hour fat balance with overfeeding after training

    Day3 24-hour fat balance (calculated as the difference between metabolisable fat intake and fat oxidation measured by indirect calorimetry in respiration chamber) after training compared to baseline (=before training)

    Measured: Baseline and 3 months

  2. Change in 24-hour fat balance with overfeeding and exercise after training

    Day4 24-hour fat balance (calculated as the difference between metabolisable fat intake and fat oxidation measured by indirect calorimetry in respiration chamber) after training compared to baseline (=before training)

    Measured: Baseline and 3 months

Secondary outcomes (19)
  1. Change in 24-hour fat oxidation with overfeeding and exercise in inactive men

    Fat oxidation measured by indirect calorimetry in respiration chamber on day 4 compared to day 3 at baseline

    Measured: Day 3 and day 4 (baseline stay in respiration chamber)

  2. Change in 24-hour carbohydrate oxidation with overfeeding and exercise in inactive men

    Carbohydrate oxidation measured by indirect calorimetry in respiration chamber on day 4 compared to day 3 at baseline

    Measured: Day 3 and day 4 (baseline stay in respiration chamber)

  3. Change in 24-hour fat balance with overfeeding and exercise in inactive men

    Fat balance (calculated as the difference between metabolisable fat intake and fat oxidation) on day 4 compared to day 3 at baseline

    Measured: Day 3 and day 4 (baseline stay in respiration chamber)

  4. Change in 24-hour fat oxidation with overfeeding and exercise in active men

    Fat oxidation measured by indirect calorimetry in respiration chamber on day 4 compared to day 3 after the training period

    Measured: Day 3 and day 4 (stay in respiration chamber at 3 months)

  5. Change in 24-hour carbohydrate oxidation with overfeeding and exercise in active men

    Carbohydrate oxidation measured by indirect calorimetry in respiration chamber on day 4 compared to day 3 after the training period

    Measured: Day 3 and day 4 (stay in respiration chamber at 3 months)

  6. Change in 24-hour fat balance with overfeeding and exercise in active men

    Fat balance (calculated as the difference between metabolisable fat intake and fat oxidation) on day 4 compared to day 3 after the training period

    Measured: Day 3 and day 4 (stay in respiration chamber at 3 months)

  7. Change in 24-hour carbohydrate oxidation with overfeeding after training

    Day3 24-hour carbohydrate oxidation measured by indirect calorimetry in respiration chamber after training compared to baseline (=before training)

    Measured: Baseline and 3 months

  8. Change in 24-hour carbohydrate oxidation with overfeeding and exercise after training

    Day4 24-hour carbohydrate oxidation measured by indirect calorimetry in respiration chamber after training compared to baseline (=before training)

    Measured: Baseline and 3 months

  9. Change in fat oxidation after training assessed in energy balance

    Measured: Baseline and 3 months

  10. Change in carbohydrate oxidation after training assessed in energy balance

    Measured: Baseline and 3 months

  11. Energy expenditure with overfeeding in inactive men

    Energy expenditure measured by indirect calorimetry during a 4-day stay in respiration chamber, with overfeeding on days 2 to 4.

    Measured: 4 days at baseline

  12. Energy expenditure with overfeeding in active men

    Energy expenditure measured by indirect calorimetry during a 4-day stay in respiration chamber, with overfeeding on days 2 to 4, after a 10-week fitness training.

    Measured: 4 days at 3 months

  13. Insulin sensitivity

    Based on glucose and insulin plasma concentrations from oral glucose tolerance test, where blood is collected in fasted state at t=0, 30, 60, 90 and 120min after a glucose drink is ingested)

    Measured: Baseline, 2 weeks (pre-training), 3 months (post-training)

  14. adipocyte size

    Fat biopsy taken these time points

    Measured: Baseline, 2 weeks (pre-training), 3 months (post-training)

  15. Genes involved in lipid metabolism

    Using fat biopsies: analysis of genes involved in the lipolytic pathway [ATGL (PNPLA2), HSL (S660/565/563), CGI-58, G0S2, PLIN1, AQP7, GK], in insulin signaling/glucose metabolism [GLUT4, IRS1/IRS2, AKT, pAKT (S473), pIRS1 (S1101)], in fatty acid metabolism [CD36, FABP4 (aP2), FASN, CPT1a/1b, CPT2, ACADL/ACADVL/ACADS/ACADM, ACOX1, OXPHOS (complex I-V), PPAR(α/βδ/γ), PGC1a, PGC1b, SIRT1, AMPK (pAMPK)], and in DAG/ceramide metabolism [DGAT 1/2, GPAT1/GPAM, PLC, SPTLC1 and SPTLC2, CERK, ASAH1 and ASAH2

    Measured: Baseline, 2 weeks (pre-training), 3 months (post-training)

  16. Change in body composition

    Measured using body weight, underwater weighing and deuterium dilution, before and after the fitness training

    Measured: Baseline and 3 months

  17. Change in cardiorespiratory fitness

    Cardiorespiratory fitness estimated as the maximal oxygen uptake (VO2max) assessed using an incremental test on a bicycle ergometer

    Measured: Baseline, after 6-7 weeks of training and 3 months

  18. Change in energy expenditure in free-living conditions

    Energy expenditure measured over 14 days using doubly-labeled water and two accelerometers (TracmorD and Actigraph GT3X)

    Measured: Baseline and 3 months

  19. Validity of Actigraph GT3X accelerometer

    The Actigraph GT3X accelerometer is worn by each subject twice for 14 days and will be validated against the doubly labeled water technique and compared to the tracmorD accelerometer

    Measured: Two 14-day periods (baseline and 3 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jan 2015 (estimated)
  2. Study startJun 2014
  3. Primary completionApr 2015

Why it stopped: Recruitment target could not be met

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
5 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02333916
Sponsor's protocol ID
NL47945.068.14
Acronym
FeedEX
Status last verified
Apr 2015
First submitted
30 Dec 2014
Last updated
23 Sep 2015
Results posted
No
Data monitoring committee
Yes

Publications

  • Schokker DF, Visscher TL, Nooyens AC, van Baak MA, Seidell JC. Prevalence of overweight and obesity in the Netherlands. Obes Rev. 2007 Mar;8(2):101-8. doi: 10.1111/j.1467-789X.2006.00273.x.

    PubMed 17300276
  • Bouchard C, Tremblay A, Despres JP, Nadeau A, Lupien PJ, Theriault G, Dussault J, Moorjani S, Pinault S, Fournier G. The response to long-term overfeeding in identical twins. N Engl J Med. 1990 May 24;322(21):1477-82. doi: 10.1056/NEJM199005243222101.

    PubMed 2336074
  • Diaz EO, Prentice AM, Goldberg GR, Murgatroyd PR, Coward WA. Metabolic response to experimental overfeeding in lean and overweight healthy volunteers. Am J Clin Nutr. 1992 Oct;56(4):641-55. doi: 10.1093/ajcn/56.4.641.

    PubMed 1414963
  • Joosen AM, Bakker AH, Westerterp KR. Metabolic efficiency and energy expenditure during short-term overfeeding. Physiol Behav. 2005 Aug 7;85(5):593-7. doi: 10.1016/j.physbeh.2005.06.006.

    PubMed 16039676
  • Lammert O, Grunnet N, Faber P, Bjornsbo KS, Dich J, Larsen LO, Neese RA, Hellerstein MK, Quistorff B. Effects of isoenergetic overfeeding of either carbohydrate or fat in young men. Br J Nutr. 2000 Aug;84(2):233-45.

    PubMed 11029975
  • Levine JA, Eberhardt NL, Jensen MD. Role of nonexercise activity thermogenesis in resistance to fat gain in humans. Science. 1999 Jan 8;283(5399):212-4. doi: 10.1126/science.283.5399.212.

    PubMed 9880251
  • Norgan NG, Durnin JV. The effect of 6 weeks of overfeeding on the body weight, body composition, and energy metabolism of young men. Am J Clin Nutr. 1980 May;33(5):978-88. doi: 10.1093/ajcn/33.5.978.

    PubMed 7369169
  • Joosen AM, Bakker AH, Zorenc AH, Kersten S, Schrauwen P, Westerterp KR. PPARgamma activity in subcutaneous abdominal fat tissue and fat mass gain during short-term overfeeding. Int J Obes (Lond). 2006 Feb;30(2):302-7. doi: 10.1038/sj.ijo.0803146.

    PubMed 16247507
  • MAYER J, ROY P, MITRA KP. Relation between caloric intake, body weight, and physical work: studies in an industrial male population in West Bengal. Am J Clin Nutr. 1956 Mar-Apr;4(2):169-75. doi: 10.1093/ajcn/4.2.169. No abstract available.

    PubMed 13302165
  • Hill JO, Wyatt HR, Peters JC. Energy balance and obesity. Circulation. 2012 Jul 3;126(1):126-32. doi: 10.1161/CIRCULATIONAHA.111.087213.

    PubMed 22753534
  • Horton TJ, Drougas H, Brachey A, Reed GW, Peters JC, Hill JO. Fat and carbohydrate overfeeding in humans: different effects on energy storage. Am J Clin Nutr. 1995 Jul;62(1):19-29. doi: 10.1093/ajcn/62.1.19.

    PubMed 7598063
  • Jebb SA, Prentice AM, Goldberg GR, Murgatroyd PR, Black AE, Coward WA. Changes in macronutrient balance during over- and underfeeding assessed by 12-d continuous whole-body calorimetry. Am J Clin Nutr. 1996 Sep;64(3):259-66. doi: 10.1093/ajcn/64.3.259.

    PubMed 8780332
  • Blaak EE, Hul G, Verdich C, Stich V, Martinez A, Petersen M, Feskens EF, Patel K, Oppert JM, Barbe P, Toubro S, Anderson I, Polak J, Astrup A, Macdonald IA, Langin D, Holst C, Sorensen TI, Saris WH. Fat oxidation before and after a high fat load in the obese insulin-resistant state. J Clin Endocrinol Metab. 2006 Apr;91(4):1462-9. doi: 10.1210/jc.2005-1598. Epub 2006 Jan 31.

    PubMed 16449343
  • Blair SN, Brodney S. Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues. Med Sci Sports Exerc. 1999 Nov;31(11 Suppl):S646-62. doi: 10.1097/00005768-199911001-00025.

    PubMed 10593541
  • Knudsen SH, Hansen LS, Pedersen M, Dejgaard T, Hansen J, Hall GV, Thomsen C, Solomon TP, Pedersen BK, Krogh-Madsen R. Changes in insulin sensitivity precede changes in body composition during 14 days of step reduction combined with overfeeding in healthy young men. J Appl Physiol (1985). 2012 Jul;113(1):7-15. doi: 10.1152/japplphysiol.00189.2011. Epub 2012 May 3.

    PubMed 22556394

Questions about this trial

What is this clinical trial studying?

A study testing overfeeding + exercise pre-training, fitness training and overfeeding + exercise post-training in people with Overfeeding and Exercise, run by Maastricht University Medical Center at 1 site in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 23 Sep 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: Recruitment target could not be met). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in 24-hour fat balance with overfeeding after training (time frame: Baseline and 3 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02333916, which also lists 19 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Sep 2015.

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