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Roux-en-Y Gastric BypassNCT03478098

Meal Glycaemic Index and Exercise After Gastric Bypass

A study testing Low GI mealtest, Low GI mealtest and subsequent exercise and High GI mealtest in people with Roux-en-Y Gastric Bypass and Obesity, run by Kirstine Nyvold Bojsen-Moeller at 1 site in Denmark.

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 study will evaluate postprandial glucose excursions and gut hormone secretion after ingestion of meals with different glycaemic index (GI) values (high vs low) followed by an acute bout of exercise or rest in gastric bypass operated subjects and matched control subjects. Read more about this study

Who is it for?
Ages 20 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Roux-en-Y Gastric Bypass, Obesity
What is being tested?
Low GI mealtest, Low GI mealtest and subsequent exercise and High GI mealtest
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteDenmark
Study dates
1 Mar 2018to 1 Mar 2020
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 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Undergone Roux-en-Y gastric bypass (RYGB) without complications at least 12 months prior to inclusion.
  • Achieved > 50% Excess BMI Loss
  • Weight stability (no fluctuations over ± 5 kg the last 3 months)
  • HBA1c < 48 mmol/mol before and after surgery without the use of anti-diabetic medication
  • The participant must be able to ingest the meals
  • Matched with the RYGB patients on gender, age (± 5 years), menopausal state (pre- versus post-menopausal) and BMI (± 3 points).
  • Weight stable ( ± 5 kg during 3 months)
  • HBA1c < 48 mmol/mol

Who cannot join

  • Low hemoglobin levels (< 6.5 mM)
  • Pregnancy (determined by human chorionic gonadotropin (hCG) test) or breastfeeding
  • Dysregulated thyroid gland affection
  • The use of medication which affects heart frequency (i.e. Beta-blockers)
  • Complications following RYGB consisting of dysphagia or other problems associated with ingestion of normal foods (i.e. vomit, diarrhea or strong abdominal pain).
  • Control group:
  • Prior bariatric surgery or prior surgery in the upper gastrointestinal tract.

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Department of Endocrinology, Hvidovre Hospital

    Hvidovre, DK-2650

Other trials in Denmark

About this study

Official title: The Importance of Glycaemic Index and Exercise on Postprandial Glucose Excursions and Gut Hormone Secretion Following Roux-en-Y Gastric Bypass

The study will evaluate postprandial glucose excursions and gut hormone secretion after ingestion of meals with different glycaemic index (GI) values (high vs low) followed by an acute bout of exercise or rest in gastric bypass operated subjects and matched control subjects.

Being tested
Low GI mealtest, Low GI mealtest and subsequent exercise, High GI mealtest, High GI mealtest and subsequent exercise
Keywords
Gut hormones, Glucose excursions
Medical subject headings
Obesity

What participants receive

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

  • Low GI mealtestOther

    Meal with low glycaemic index (GI) is consumed over 20 min

  • Low GI mealtest and subsequent exerciseOther

    Meal with low glycaemic index (GI) is consumed over 20 min and the subject postprandially exercises for 30 min

  • High GI mealtestOther

    Meal with high glycaemic index (GI) is consumed over 20 min

  • High GI mealtest and subsequent exerciseOther

    Meal with high glycaemic index (GI) is consumed over 20 min and the subject postprandially exercises for 30 min

Study groups in NCT03478098
Study groupRoleWhat they receive
10 Roux-en-Y Gastric Bypass patientsExperimental4 study days in randomized order are conducted with interventions: Low GI mealtest, High GI mealtest, Low GI mealtest and subsequent exercise, High GI mealtest and subsequent exercise
Receives: Other: Low GI mealtest; Other: Low GI mealtest and subsequent exercise; Other: High GI mealtest; Other: High GI mealtest and subsequent exercise
10 control subjectsExperimental4 study days in randomized order are conducted with interventions: Low GI mealtest, High GI mealtest, Low GI mealtest and subsequent exercise, High GI mealtest and subsequent exercise
Receives: Other: Low GI mealtest; Other: Low GI mealtest and subsequent exercise; Other: High GI mealtest; Other: High GI mealtest and subsequent exercise

What is being measured

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

  1. Impact of acute bout of exercise on nadir plasma glucose within groups for each intervention

    Comparison of nadir plasma glucose in response to an acute bout of exercise internally in groups a) RYGB and b) control group

    Measured: The lowest plasma glucose concentration at 5, 10, 15 ,20, 30, 45, 60, 70, 80, 90, 100, 110, 120, 135, 150, 180, 210 OR 240 min after ingestion of meal

  2. Impact of glycaemic index on nadir plasma glucose within groups for each intervention

    Comparison of nadir plasma glucose in response to meals with high vs low glycaemic index internally in groups a) RYGB and b) control group

    Measured: The lowest plasma glucose concentration at 5, 10, 15 ,20, 30, 45, 60, 70, 80, 90, 100, 110, 120, 135, 150, 180, 210 OR 240 min after ingestion of meal

Secondary outcomes (17)
  1. Impact of acute bout of exercise on AUC glucose within groups

    Comparison of plasma glucose excursions in response to an acute bout of exercise internally in groups a) RYGB and b) control group determined by differences in area under curve (AUC)

    Measured: AUC time-concentration-curve for plasma glucose from 0, 5, 10, 15 ,20, 30, 45, 60, 70, 80, 90, 100, 110, 120, 135, 150, 180, 210, 240 min after ingestion of meal

  2. Impact of acute bout of exercise on delta-fasting-peak glucose within groups

    Comparison of plasma glucose excursions in response to an acute bout of exercise internally in groups a) RYGB and b) control group determined by delta-fasting-to-peak concentrations of glucose

    Measured: Difference between fasting plasma glucose and highest plasma glucose at 5, 10, 15 ,20, 30, 45, 60, 70, 80, 90, 100, 110, 120, 135, 150, 180, 210, 240 min after ingestion of meal

  3. Impact of glycaemic index on AUC glucose within groups

    Comparison of plasma glucose excursions in response to meals with high vs low glycaemic index internally in groups a) RYGB and b) control group determined by differences in area-under-the-curve of glucose

    Measured: AUC time-concentration-curve for plasma glucose from 0, 5, 10, 15 ,20, 30, 45, 60, 70, 80, 90, 100, 110, 120, 135, 150, 180, 210, 240 min after ingestion of meal

  4. Impact of glycaemic index on delta-fasting-peak glucose within groups

    Comparison of plasma glucose excursions in response to meals with high vs low glycaemic index internally in groups a) RYGB and b) control group determined by differences in delta-fasting-peak glucose

    Measured: Difference between fasting plasma glucose and highest plasma glucose at 5, 10, 15 ,20, 30, 45, 60, 70, 80, 90, 100, 110, 120, 135, 150, 180, 210, 240 min after ingestion of meal

  5. Impact of postprandial exercise and meal glycaemic index on glucagon-like peptide-1 (GLP-1) secretion within the groups determined by differences in AUC

    AUC GLP-1 will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: AUC for time concentration curve of GLP-1 at 0, 10, 20, 30, 35, 60, 90, 120, 150, 180, 240 min after ingestion of meal

  6. Impact of postprandial exercise and meal glycaemic index on glucagon-like peptide-1 (GLP-1) secretion within the groups determined by differences in peak concentration

    Peak GLP-1 will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: Highest GLP-1 at 10, 20, 30, 35, 60, 90, 120, 150, 180, 240 min after ingestion of meal

  7. Impact of postprandial exercise and meal glycaemic index on ghrelin secretion within the groups determined by differences in suppression from basal values

    decremental AUC of ghrelin will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: Decremental AUC for the time concentration curve of ghrelin at 0, 10, 20, 30, 35, 60, 90, 120, 150, 180, 240 min after ingestion of meal

  8. Impact of postprandial exercise and meal glycaemic index on peptide YY (PYY) secretion within the groups determined by differences in AUC

    AUC PYY will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: AUC for time concentration curve of PYY at 0, 10, 20, 30, 35, 60, 90, 120, 150, 180, 240 min after ingestion of meal

  9. Impact of postprandial exercise and meal glycaemic index on peptide YY secretion within the groups determined by differences in peak concentration

    Peak PYY will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: Highest PYY concentration at 10, 20, 30, 35, 60, 90, 120, 150, 180, 240 min after ingestion of meal

  10. Impact of postprandial exercise and meal glycaemic index on glucose-dependent insulinotropic peptide (GIP) secretion within the groups determined by differences in AUC

    AUC GIP will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: AUC for time concentration curve of GIP at 0,10, 20, 30, 35, 60, 90, 120, 150, 180, 240 min after ingestion of meal

  11. Impact of postprandial exercise and meal glycaemic index on glucose-dependent insulinotropic peptide (GIP) secretion within the groups determined by differences in peak concentration

    Peak GIP will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: Highest concentration of GIP at 10, 20, 30, 35, 60, 90, 120, 150, 180, 240 min after ingestion of meal

  12. Impact of postprandial exercise and meal glycaemic index on glucagon secretion within the groups determined by differences in AUC

    AUC glucagon will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: AUC for time concentration curve of glucagon at 0, 10, 20, 30, 35, 60, 90, 120, 150, 180, 240 min after ingestion of meal

  13. Impact of postprandial exercise and meal glycaemic index on blood lactate levels within the groups determined by differences in AUC

    AUC lactate will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: AUC of the time-concentration curve of lactate at 0, 10, 20, 30, 45, 60, 70, 80, 90, 100, 110, 120, 150, 180, 240 min after ingestion of meal

  14. Impact of postprandial exercise and meal glycaemic index on blood lactate levels within the groups determined by differences in peak concentration

    Peak lactate will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: Highest lactate at 10, 20, 30, 45, 60, 70, 80, 90, 100, 110, 120, 150, 180, 240 min after ingestion of meal

  15. Impact of postprandial exercise and meal glycaemic index on insulin secretion within the groups determined by differences in AUC

    AUC insulin will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: AUC of time-concentration curve of insulin 0, 10, 20, 30, 35, 60, 90, 120, 150, 180, 240 min after ingestion of meal

  16. Impact of postprandial exercise and meal glycemic index on insulin secretion within the groups determined by differences in peak concentration

    Peak insulin will be compared for meals with high vs low glycaemic index and with and without acute bout of exercise within the RYGB and control group

    Measured: Highest insulin at 10, 20, 30, 35, 60, 90, 120, 150, 180, 240 min after ingestion of meal

  17. Impact of postprandial exercise and meal glycaemic index on ad libitum food intake within the groups determined by differences in ingested amount of ad libitum meal in grams

    Grams of ad libitum food intake. Food will be served at 240 minutes after fixed breakfast meal

    Measured: at 240 min following ingestion of test meal

Timeline

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

  1. First posted27 Mar 2018
  2. Study start1 Mar 2018
  3. Primary completion1 Mar 2020
  4. Study completion1 Mar 2020

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
Prevention
Allocation
Non-randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03478098
Sponsor's protocol ID
ExRYGB
Status last verified
Jun 2023
First submitted
6 Feb 2018
Last updated
15 Jun 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Low GI mealtest, Low GI mealtest and subsequent exercise and High GI mealtest in people with Roux-en-Y Gastric Bypass and Obesity, run by Kirstine Nyvold Bojsen-Moeller at 1 site in Denmark.

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 8 inclusion and 7 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 Jun 2023. 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 Denmark. 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 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?

Impact of acute bout of exercise on nadir plasma glucose within groups for each intervention (time frame: The lowest plasma glucose concentration at 5, 10, 15 ,20, 30, 45, 60, 70, 80, 90, 100, 110, 120, 135, 150, 180, 210 OR 240 min after ingestion of meal). 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?
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 Jun 2023.

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