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ObesityNCT03579043

The Effects of Beverages on Food Liking

A study testing Nutritive Sweetener, Non-Nutritive Sweetener and Carbonated Water in people with Obesity, run by The University of Tennessee, Knoxville at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The use of non-nutritive sweeteners (NNS) in replacement of nutritive sweeteners (NS) could be a potential weight loss strategy as it may reduce energy intake. One concern with the replacement of NS with NNS is the risk of caloric compensation after consumption of NNS. Read more about this study

Who is it for?
Ages 18 to 35 yearsHealthy volunteers can take part
Conditions the study is for
Obesity
What is being tested?
Nutritive Sweetener, Non-Nutritive Sweetener and Carbonated Water
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteUnited States
Study dates
22 May 2018to 30 Sep 2018
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 35 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • The eligible age range of participants will be 18-35 years. The age range for eligible participants was set because research has shown taste sensitivity declines after the age of 60. In 2001, Mojet and colleagues used sucrose and aspartame to test taste threshold sensitivity in young adults age 19-33 years and elderly adults age 60-75 years. Results showed a decrease in threshold and taste in the elderly adults (Mojet, et al., 2001). Sensitivity to the five basic tastes, sweet, salty, sour, bitter, and umami, begins to decline after the age of 60 ("Aging changes in the senses," n.d.).
  • Individuals with overweight or class I obesity - Body mass index (BMI) range 25-34.9 kg/m2
  • Does not participate in more than 100 minutes of structured, moderate- to high-intensity physical activity weekly
  • Consumes > 36oz of NS beverages daily as assessed by the Beverage Questionnaire (BEVQ)-15 (Hedrick, et al., 2012) - NS beverages include: 100% fruit juice, sweetened juice beverages, energy and sports drinks, sweetened tea or coffee, and soft drinks.
  • Willing to substitute NS beverages for NNS beverages or carbonated water for a three-day period
  • Able to complete all study days consecutively, with all study days following usual schedules and activities (i.e. not traveling)
Show all 9Show fewer
  • Report a favorable preference for the beverages involved in the study, with participants rating each beverage item ≥3 on a 5-point Likert scale during the phone screen
  • Reports a usual wake up time of 10:00a.m or earlier on Mondays through Fridays.
  • Reports no known allergic reaction to metal

Who cannot join

  • Report of current dieting or dieting within the past month
  • Report of known reactions to sugar or NNS

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Healthy Eating and Activity Laboratory, University of Tennessee

    Knoxville, Tennessee, 37996

Other trials in United States

About this study

Official title: The Effects of Non-Nutritive Sweeteners on Energy Intake

The use of non-nutritive sweeteners (NNS) in replacement of nutritive sweeteners (NS) could be a potential weight loss strategy as it may reduce energy intake. One concern with the replacement of NS with NNS is the risk of caloric compensation after consumption of NNS. Most studies have examined the effect of NNS foods and beverages on energy intake in the short-term (one-day or less), with results suggesting lack of compensation in the very short-term (less than one day), and then compensation, or over compensation, when the NNS products are consumed on one day with measures of energy intake taken over 1 to 2 days (Anton et al., 2010; Lavin et al., 1997; Overduin et al., 2016; Appleton et al., 2007; Piernas et al., 2013). Given these mixed results, it is still not clear if NNS foods and beverages are a beneficial strategy for decreasing energy intake. However most studies have been in lab-based settings, in which participants are consuming provided food at specific times. No study has reported on the effect of NNS foods or beverages consumed over several days and energy intake on these days when participants are in free-living situations.

Therefore, the purpose of this investigation is to evaluate how NNS beverage consumption affects energy intake in free-living situations over a span of three days. Through a 3x4 mixed design, participants will be randomized into one of three groups: NNS beverage, NS beverage, or carbonated water (control). Participants will be encouraged to go about their normal daily activities and not change any other aspect except for drink consumption. One baseline and three, 24-hour dietary recalls will be collected over the course of the study to analyze energy intake. The specific aim of this investigation is to determine if caloric compensation occurs during 3-day exposure to NNS beverages.

Read the detailed description

At the completion of the phone screen, eligible participants will be scheduled to come to the Healthy Eating and Activity Laboratory for the start of their baseline assessment.

The first session will occur the week prior to the test days. At this appointment, informed consent will be obtained, a demographic questionnaire completed, a beverage questionnaire (BEVQ-15) completed, and an appropriate time and preferred mode of contact (text message or e-mail) will be collected. Participant's height and weight will be collected through an electronic scale for weight and a stadiometer for height using standard procedures (Lohman, et al., 1988). Next, participants will be given the SenseWear armband. Participants will be instructed to start wearing the armband upon awakening on Monday morning and to wear the arm band on their upper right arm until going to sleep Monday night (wear time should be at least 10 hours per day). Participants will be instructed to continue wearing the armband, in an identical manner as on Monday, on Tuesday, Wednesday, and Thursday. Participants will be instructed to not alter their physical activity from their normal routine from Monday to Thursday.

Participants will be randomized to one of the three groups, Coke (NS), Diet Coke (NNS), or carbonated water (control) using a random numbers table. For this investigation, Coke and Diet Coke will be used due to Coke and Diet Coke ranked number one and two as the most popular beverages in the U.S. from 2010 to 2018 ("Sweet! America's top 10 brands of soda," 2011; "Top 10 Best Selling Soft Drink Brands in The World," 2016). Next, participants will receive twelve, 12-ounce cans of a beverage that represents their assigned condition. Participants will be instructed to drink their assigned beverages Tuesday through Thursday, and to consume one beverage at 12pm, the second at 3pm, and the third at 6pm. Participants will be instructed that the beverages need to be consumed within +/- 30 minutes of the instructed time. Participants will be instructed that any other beverage consumed on Tuesday through Thursday should be water. Next, instructions will be provided to participants on how to complete the 24-hour dietary recalls and a two-dimensional visual aid will be provided to help participants in estimating portion sizes. Participants will also be given a detailed schedule about their study participation.

Participants will be called on Tuesday, Wednesday, and Thursday to complete 24-hour dietary recalls. Participants will be sent daily reminders regarding their recalls and wearing the armband via text or e-mail (participant preferred mode of contact).

A final appointment will be completed on Friday in the HEAL lab. The armband will be returned and downloaded, the final recall will be completed, and participants will be debriefed about the purpose of the study. Participants will not be responsible for paying for the SenseWear Armband if they lose it or damage it. Once all data are collected, participants will be given a $25 gift card for their participation. If a participant cannot come to the lab on the Friday of their final appointment, then the last recall will be collected via phone and the appointment will be rescheduled in order to collect the armband.

Conditions
Obesity
Being tested
Nutritive Sweetener, Non-Nutritive Sweetener, Carbonated Water
Medical subject headings
Obesity

What participants receive

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

  • Nutritive SweetenerOther

    Also called Coke

    Participants will receive twelve, 12-ounce cans of a beverage that represents their assigned condition. Participants will be instructed to drink their assigned beverages Tuesday through Thursday, and to consume one beverage at 12pm, the second at 3pm, and the third at 6pm. Participants will be instructed that the beverages need to be consumed within +/- 30 minutes of the instructed time. Participants will be instructed that any other beverage consumed on Tuesday through Thursday should be water.

  • Non-Nutritive SweetenerOther

    Also called Diet Coke

    Participants will receive twelve, 12-ounce cans of a beverage that represents their assigned condition. Participants will be instructed to drink their assigned beverages Tuesday through Thursday, and to consume one beverage at 12pm, the second at 3pm, and the third at 6pm. Participants will be instructed that the beverages need to be consumed within +/- 30 minutes of the instructed time. Participants will be instructed that any other beverage consumed on Tuesday through Thursday should be water.

  • Carbonated WaterOther

    Also called Control

    Participants will receive twelve, 12-ounce cans of a beverage that represents their assigned condition. Participants will be instructed to drink their assigned beverages Tuesday through Thursday, and to consume one beverage at 12pm, the second at 3pm, and the third at 6pm. Participants will be instructed that the beverages need to be consumed within +/- 30 minutes of the instructed time. Participants will be instructed that any other beverage consumed on Tuesday through Thursday should be water.

Study groups in NCT03579043
Study groupRoleWhat they receive
Nutritive SweetenerExperimentalParticipants will consume 36 ounces of Coke daily for three consecutive days.
Receives: Other: Nutritive Sweetener
Non-Nutritive SweetenerExperimentalParticipants will consume 36 ounces of Diet Coke daily for three consecutive days.
Receives: Other: Non-Nutritive Sweetener
Carbonated WaterExperimentalParticipants will consume 36 ounces of carbonated water daily for three consecutive days.
Receives: Other: Carbonated Water

What is being measured

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

  1. Energy compensation including beverages

    Dietary intake and beverages

    Measured: 3 test days

  2. Energy compensation not including beverages

    Dietary intake without beverages included

    Measured: 3 test days

Timeline

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

  1. First posted6 Jul 2018
  2. Study start22 May 2018
  3. Primary completion30 Sep 2018
  4. Study completion30 Sep 2018

Why it stopped: Lack of recruitment - no eligible participants.

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
Screening
Allocation
Randomised
Intervention model
Factorial
Model description
To see if caloric compensation occurs during 3-day exposure to non-nutritive sweeteners, a 3x4 mixed factorial design will be used, with a between-subject factor of intervention group (NNS, NS, and control) and within-subject factor of time (baseline, day 1 of beverage exposure, day 2 of beverage exposure, and day 3 of beverage exposure).
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03579043
Sponsor's protocol ID
UTK IRB-18-04475-XP
Status last verified
Nov 2018
First submitted
25 Jun 2018
Last updated
20 Nov 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Anton SD, Martin CK, Han H, Coulon S, Cefalu WT, Geiselman P, Williamson DA. Effects of stevia, aspartame, and sucrose on food intake, satiety, and postprandial glucose and insulin levels. Appetite. 2010 Aug;55(1):37-43. doi: 10.1016/j.appet.2010.03.009. Epub 2010 Mar 18.

    PubMed 20303371
  • Appleton KM, Blundell JE. Habitual high and low consumers of artificially-sweetened beverages: effects of sweet taste and energy on short-term appetite. Physiol Behav. 2007 Oct 22;92(3):479-86. doi: 10.1016/j.physbeh.2007.04.027. Epub 2007 Apr 27.

    PubMed 17540414
  • Hedrick VE, Savla J, Comber DL, Flack KD, Estabrooks PA, Nsiah-Kumi PA, Ortmeier S, Davy BM. Development of a brief questionnaire to assess habitual beverage intake (BEVQ-15): sugar-sweetened beverages and total beverage energy intake. J Acad Nutr Diet. 2012 Jun;112(6):840-9. doi: 10.1016/j.jand.2012.01.023.

    PubMed 22709811
  • Lavin JH, French SJ, Read NW. The effect of sucrose- and aspartame-sweetened drinks on energy intake, hunger and food choice of female, moderately restrained eaters. Int J Obes Relat Metab Disord. 1997 Jan;21(1):37-42. doi: 10.1038/sj.ijo.0800360.

    PubMed 9023599
  • Lohman TR, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. Champaign,Illinois: Human Kinetics Books; 1988.

  • Mojet J, Heidema J, Christ-Hazelhof E. Taste perception with age: generic or specific losses in supra-threshold intensities of five taste qualities? Chem Senses. 2003 Jun;28(5):397-413. doi: 10.1093/chemse/28.5.397.

    PubMed 12826536
  • Overduin J, Collet TH, Medic N, Henning E, Keogh JM, Forsyth F, Stephenson C, Kanning MW, Ruijschop RMAJ, Farooqi IS, van der Klaauw AA. Failure of sucrose replacement with the non-nutritive sweetener erythritol to alter GLP-1 or PYY release or test meal size in lean or obese people. Appetite. 2016 Dec 1;107:596-603. doi: 10.1016/j.appet.2016.09.009. Epub 2016 Sep 9.

    PubMed 27620647
  • Piernas C, Tate DF, Wang X, Popkin BM. Does diet-beverage intake affect dietary consumption patterns? Results from the Choose Healthy Options Consciously Everyday (CHOICE) randomized clinical trial. Am J Clin Nutr. 2013 Mar;97(3):604-11. doi: 10.3945/ajcn.112.048405. Epub 2013 Jan 30.

    PubMed 23364015
  • Sweet! America's top 10 brands of soda. (2011, March 25). Retrieved March 1, 2018, from http://www.nbcnews.com/id/42255151/ns/business-us_business/t/sweet-americas-top-brands-soda/

  • Top 10 Best Selling Soft Drink Brands in The World. (2016, December 30). Retrieved March 1, 2018, from http://www.worldstopmost.com/2017-2018-2019-2020/products/best-selling-soft-drink-brands-world-cheapest-expensive-top-10-popular-list/

  • Aging changes in the senses: MedlinePlus Medical Encyclopedia. (n.d.). Retrieved March 1, 2018, from https://medlineplus.gov/ency/article/004013.htm

Questions about this trial

What is this clinical trial studying?

A study testing Nutritive Sweetener, Non-Nutritive Sweetener and Carbonated Water in people with Obesity, run by The University of Tennessee, Knoxville at 1 site in United States.

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 9 inclusion and 2 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: withdrawn, as of the sponsor's last update on 20 Nov 2018. 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 United States. 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 withdrawn before enrolling participants, so there are no results.

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?

Energy compensation including beverages (time frame: 3 test days). 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 NCT03579043, which also lists 11 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 20 Nov 2018.

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