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ObesityNCT02656940

Dietary Lipids, Energy Expenditure and Obesity Biomarkers

A study testing Group 1 - diet rich in n-3 and n-6 PUFA and Group 2 - diet rich in MUFA in people with Obesity, run by Universidade Federal do Rio de Janeiro.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to determine whether the modulation of dietary lipids are effective in the treatment of obesity and comorbidities. Read more about this study

Who is it for?
Ages 20 to 39 years, women only
Conditions the study is for
Obesity
What is being tested?
Group 1 - diet rich in n-3 and n-6 PUFA and Group 2 - diet rich in MUFA
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
32 participants
Where
No sites listed yet
Study dates
Feb 2013to Jul 2014
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 20 to 39 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • obesity grades I and II (body mass index between 30 and 39,99 kg/m2);
  • completion of basic education (former 4th primary series).

Who cannot join

  • menopausal;
  • weight loss more than three kilograms (3 kg) in the last three months;
  • diagnosis of diabetes mellitus, heart disease, hypertension, nephropathy, liver diseases , thyroid dysfunction; gastrointestinal disorders , acquired immunodeficiency syndrome or cancer;
  • cholecystectomy in the past 12 months and other recent surgeries;
  • pregnancy or lactation;
  • smokers;
  • drugs to lipid-lowering, diabetes, hypertension, depression, or obesity;
  • food history of allergy or intolerance to vegetable oils (olive oil, soy or canola), fish oil, fish and / or seafood.

About this study

Official title: Effects of Dietary Lipid Modulation in Energy Expenditure, Body Composition, Obesity-related Biomarkers and Gene Expression of Peroxisome Proliferator-Activated Receptors Alpha and Gamma 2 in Adipose Tissue of Obese Women

The purpose of this study is to determine whether the modulation of dietary lipids are effective in the treatment of obesity and comorbidities.

Read the detailed description

Obesity is a complex disease of multifactorial etiology and difficult to control. Among lifestyle changes proposed to the treatment of this disease and comorbidities, there is the modulation of dietary lipid composition. This study aimed to evaluate the effects of the modulation of fatty acid (FA) polyunsaturated (PUFA) and monounsaturated (MUFA) in energy expenditure (EE), weight loss, body composition, lipid and glycemic profile, free fatty acids (FFA), glycerol, adiponectin, leptin, blood pressure (BP), feeding behavior and expression of PPARα and PPARγ2 genes in adipose tissue (AT) of obese women. It was conducted a parallel, randomized, controlled, single-blind study with dietary intervention (DI) for 60 days, where 32 women with obesity classes I and II were distributed into three groups: G1 = diet rich in n-3 PUFA and n-6 (n = 10); G2 = MUFA-rich diet (n = 11); and G3 = control (n = 11). For G1 and G2 were prescribed normocaloric diets with similar macronutrient composition, varying only the type of lipids offered. In order to achieve the desired intake of unsaturated FA, both groups received individual portions of vegetable oils in the form of sachets, which were consumed for lunch and dinner (G1 = mix of virgin olive oil [VOO] and soybean oil [SO], overall of 35.2g to 52.8g / day; G2 = VOO, overall of 35.2g to 50.6 g / day), besides gelatin capsules (G1 = 2 g of fish oil / day; G2 = 1 capsule of 1g of SO / day). G3 was instructed to keep their eating habits and consuming placebos (1 sachet of 2g of SO and 1 capsule of 1g of SO / day).

Conditions
Obesity
Being tested
Group 1 - diet rich in n-3 and n-6 PUFA, Group 2 - diet rich in MUFA, Group 3 - Placebo group
Keywords
obesity, lipids, energy expenditure, gene expression
Medical subject headings
Obesity

What participants receive

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

  • Group 1 - diet rich in n-3 and n-6 PUFADietary supplement

    In order to achieve the desired intake of unsaturated FA, the group received individual portions of vegetable oils in the form of sachets, which were consumed for lunch and dinner, besides gelatin capsules, for 60 days.

  • Group 2 - diet rich in MUFADietary supplement

    In order to achieve the desired intake of unsaturated FA, the group received individual portions of vegetable oils in the form of sachets, which were consumed for lunch and dinner, besides gelatin capsules, for 60 days.

  • Group 3 - Placebo groupDietary supplement

    Placebo group was instructed to keep their eating habits and consuming placebo for 60 days.

Study groups in NCT02656940
Study groupRoleWhat they receive
Group 1 - diet rich in n-3 and n-6 PUFAExperimentalAssigned intervention: The dietary intervention was conducted by 60 days. Were prescribed normocaloric diets with similar macronutrient composition, varying only the type of lipids offered. Group 1 received diet rich in n-3 and n-6 polyunsaturated fatty acids (PUFA). The volunteers were asked to consume daily a mixture of virgin olive oil and soybean oil, totaling 35.2g to 52.8g, and 2 g of fish oil.
Receives: Dietary Supplement: Group 1 - diet rich in n-3 and n-6 PUFA
Group 2 - diet rich in MUFAExperimentalAssigned intervention: The dietary intervention was conducted by 60 days. Were prescribed normocaloric diets with similar macronutrient composition, varying only the type of lipids offered. Group 2 received diet rich in monounsaturated fatty acids (MUFA). The volunteers were asked to consume daily virgin olive oil, totaling 35.2g to 50.6g, and 1 capsule of 1g of soybean oil.
Receives: Dietary Supplement: Group 2 - diet rich in MUFA
Group 3 - Placebo groupExperimentalPlacebo group was instructed to keep their eating habits and consuming 1 sachet of 2g of soybean oil and 1 capsule of 1g of soybean oil by day.
Receives: Dietary Supplement: Group 3 - Placebo group

What is being measured

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

  1. Compare the effects of modulation of PUFA and MUFA in energy expenditure of obese women

    The energy expenditure was evaluated by indirect calorimetry (Vmax Encore 29 Systems®)

    Measured: Change from baseline energy expenditure at 2 months

Secondary outcomes (13)
  1. Effects of modulation of PUFA and MUFA in body weight of obese women

    Measured: Change from baseline loss of body weight at 2 months

  2. Effects of modulation of PUFA and MUFA in body composition of obese women

    The body composition was evaluated by electrical bioimpedance

    Measured: Change from baseline body composition at 2 months

  3. Effects of modulation of PUFA and MUFA in feeding behavior of obese women

    Feeding behavior was evaluated by Three Factor Eating Questionnaire

    Measured: Change from baseline feeding behavior at 2 months

  4. Effects of modulation of PUFA and MUFA in gene expression of obese women

    Gene expression of PPARα and PPARγ2 in adipose tissue

    Measured: Change from baseline gene expression at 2 months

  5. Effects of modulation of PUFA and MUFA in blood glucose of obese women

    Measured: Change from baseline blood glucose at 2 months

  6. Effects of modulation of PUFA and MUFA in blood insulin of obese women

    Measured: Change from baseline blood insulin at 2 months

  7. Effects of modulation of PUFA and MUFA in insulin resistance of obese women

    Insulin resistance was evaluated by Homeostasis Model Assessment

    Measured: Change from baseline insulin resistance at 2 months

  8. Effects of modulation of PUFA and MUFA in insulin sensitivity of obese women

    Insulin resistance was evaluated by Quantitative Insulin Sensitivity Check Index

    Measured: Change from baseline insulin sensitivity at 2 months

  9. Effects of modulation of PUFA and MUFA in total cholesterol and fractions of obese women

    total cholesterol and fractions and triglycerides

    Measured: Change from baseline total cholesterol and fractions at 2 months

  10. Effects of modulation of PUFA and MUFA in adiponectin of obese women

    serum adiponectin

    Measured: Change from baseline adiponectin at 2 months

  11. Effects of modulation of PUFA and MUFA in leptin of obese women

    serum leptin

    Measured: Change from baseline leptin at 2 months

  12. Effects of modulation of PUFA and MUFA in TNF alpha of obese women

    serum TNF alpha

    Measured: Change from baseline TNF alpha at 2 months

  13. Effects of modulation of PUFA and MUFA in interleukin 6 of obese women

    serum interleukin 6

    Measured: Change from baseline interleukin 6 at 2 months

Timeline

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

  1. First posted15 Jan 2016 (estimated)
  2. Study startFeb 2013
  3. Primary completionMay 2014
  4. Study completionJul 2014

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02656940
Sponsor's protocol ID
778/10 Parecer CEP
Status last verified
Jan 2016
First submitted
7 Jan 2016
Last updated
15 Jan 2016
Results posted
No
Data monitoring committee
No

Publications

  • Ailhaud G, Massiera F, Weill P, Legrand P, Alessandri JM, Guesnet P. Temporal changes in dietary fats: role of n-6 polyunsaturated fatty acids in excessive adipose tissue development and relationship to obesity. Prog Lipid Res. 2006 May;45(3):203-36. doi: 10.1016/j.plipres.2006.01.003. Epub 2006 Feb 10.

    PubMed 16516300
  • Barson JR, Karatayev O, Gaysinskaya V, Chang GQ, Leibowitz SF. Effect of dietary fatty acid composition on food intake, triglycerides, and hypothalamic peptides. Regul Pept. 2012 Jan 10;173(1-3):13-20. doi: 10.1016/j.regpep.2011.08.012. Epub 2011 Sep 6.

    PubMed 21903140
  • Bjermo H, Iggman D, Kullberg J, Dahlman I, Johansson L, Persson L, Berglund J, Pulkki K, Basu S, Uusitupa M, Rudling M, Arner P, Cederholm T, Ahlstrom H, Riserus U. Effects of n-6 PUFAs compared with SFAs on liver fat, lipoproteins, and inflammation in abdominal obesity: a randomized controlled trial. Am J Clin Nutr. 2012 May;95(5):1003-12. doi: 10.3945/ajcn.111.030114. Epub 2012 Apr 4.

    PubMed 22492369
  • Buckley JD, Howe PR. Anti-obesity effects of long-chain omega-3 polyunsaturated fatty acids. Obes Rev. 2009 Nov;10(6):648-59. doi: 10.1111/j.1467-789X.2009.00584.x. Epub 2009 May 12.

    PubMed 19460115
  • Casas-Agustench P, Lopez-Uriarte P, Bullo M, Ros E, Gomez-Flores A, Salas-Salvado J. Acute effects of three high-fat meals with different fat saturations on energy expenditure, substrate oxidation and satiety. Clin Nutr. 2009 Feb;28(1):39-45. doi: 10.1016/j.clnu.2008.10.008. Epub 2008 Nov 17.

    PubMed 19010571
  • Clarke SD, Gasperikova D, Nelson C, Lapillonne A, Heird WC. Fatty acid regulation of gene expression: a genomic explanation for the benefits of the mediterranean diet. Ann N Y Acad Sci. 2002 Jun;967:283-98.

    PubMed 12079856
  • Clevenger HC, Stevenson JL, Cooper JA. Metabolic responses to dietary fatty acids in obese women. Physiol Behav. 2015 Feb;139:73-9. doi: 10.1016/j.physbeh.2014.11.022. Epub 2014 Nov 13.

    PubMed 25446217
  • DeFina LF, Marcoux LG, Devers SM, Cleaver JP, Willis BL. Effects of omega-3 supplementation in combination with diet and exercise on weight loss and body composition. Am J Clin Nutr. 2011 Feb;93(2):455-62. doi: 10.3945/ajcn.110.002741. Epub 2010 Dec 15.

    PubMed 21159785
  • Flint A, Helt B, Raben A, Toubro S, Astrup A. Effects of different dietary fat types on postprandial appetite and energy expenditure. Obes Res. 2003 Dec;11(12):1449-55. doi: 10.1038/oby.2003.194.

    PubMed 14694208
  • Guri AJ, Hontecillas R, Bassaganya-Riera J. Dietary modulators of peroxisome proliferator-activated receptors: implications for the prevention and treatment of metabolic syndrome. J Nutrigenet Nutrigenomics. 2008;1(3):126-35. doi: 10.1159/000112460. Epub 2008 Feb 20.

    PubMed 19776622
  • Krebs JD, Browning LM, McLean NK, Rothwell JL, Mishra GD, Moore CS, Jebb SA. Additive benefits of long-chain n-3 polyunsaturated fatty acids and weight-loss in the management of cardiovascular disease risk in overweight hyperinsulinaemic women. Int J Obes (Lond). 2006 Oct;30(10):1535-44. doi: 10.1038/sj.ijo.0803309. Epub 2006 Mar 21.

    PubMed 16552404
  • Krishnan S, Cooper JA. Effect of dietary fatty acid composition on substrate utilization and body weight maintenance in humans. Eur J Nutr. 2014 Apr;53(3):691-710. doi: 10.1007/s00394-013-0638-z. Epub 2013 Dec 22.

    PubMed 24363161
  • Liao FH, Liou TH, Shieh MJ, Chien YW. Effects of different ratios of monounsaturated and polyunsaturated fatty acids to saturated fatty acids on regulating body fat deposition in hamsters. Nutrition. 2010 Jul-Aug;26(7-8):811-7. doi: 10.1016/j.nut.2009.09.009. Epub 2009 Dec 22.

    PubMed 20022469
  • Nakamura MT, Yudell BE, Loor JJ. Regulation of energy metabolism by long-chain fatty acids. Prog Lipid Res. 2014 Jan;53:124-44. doi: 10.1016/j.plipres.2013.12.001. Epub 2013 Dec 18.

    PubMed 24362249
  • Mejia-Barradas CM, Del-Rio-Navarro BE, Dominguez-Lopez A, Campos-Rodriguez R, Martinez-Godinez Md, Rojas-Hernandez S, Lara-Padilla E, Abarca-Rojano E, Miliar-Garcia A. The consumption of n-3 polyunsaturated fatty acids differentially modulates gene expression of peroxisome proliferator-activated receptor alpha and gamma and hypoxia-inducible factor 1 alpha in subcutaneous adipose tissue of obese adolescents. Endocrine. 2014 Feb;45(1):98-105. doi: 10.1007/s12020-013-9941-y. Epub 2013 Apr 2.

    PubMed 23546614

Questions about this trial

What is this clinical trial studying?

A study testing Group 1 - diet rich in n-3 and n-6 PUFA and Group 2 - diet rich in MUFA in people with Obesity, run by Universidade Federal do Rio de Janeiro.

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 2 inclusion and 8 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: finished, as of the sponsor's last update on 15 Jan 2016. Status can change between updates, so confirm with the study contact before making plans.

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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Compare the effects of modulation of PUFA and MUFA in energy expenditure of obese women (time frame: Change from baseline energy expenditure at 2 months). 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 NCT02656940, which also lists 17 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 15 Jan 2016.

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