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Appetitive BehaviorNCT03585920

The Influence of Fat Perception on Satiety From Consumption of Reduced Fat Snacks

A study testing Expanded Corn Snack in people with Appetitive Behavior and Individual Difference, run by University of Reading at 1 site in United Kingdom.

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 present study aims to investigate the effect of fat level and fat type of a snack on self-reported satiety and associated biomarkers. The relevant individual differences will also be investigated. Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
What is being tested?
Expanded Corn Snack
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteUnited Kingdom
Study dates
2 Jul 2018to 25 Oct 2019
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 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Men and women
  • Aged 18-70 years
  • Body mass index (BMI): 18-32 kg/m2
  • Fasting glucose < 7 mmol/l
  • Fasting total cholesterol < 7.5 mmol/L
  • Fasting triglycerides < 2.3 mmol/L
  • Weight stable in the last three months

Who cannot join

  • Diagnosed with diabetes or cardiovascular disease (e.g. stroke or heart attack), gastrointestinal (e.g. Irritable bowel syndrome (IBS), inflammatory conditions, gastroenteritis), endocrine or renal diseases
  • Smoker
  • Taking prescribed medications that could influence study outcomes (e.g. lipid lowering medications, anti-depressants, anticoagulants)
  • Food allergies (e.g. gluten, dairy) and intolerances (e.g. lactose)
  • Drug abuse
  • Anaemia (men: haemoglobin<130 g/L and women <115 g/L)
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  • Hypertension (systolic blood pressure > 140 mmHg, diastolic blood pressure > 90 mmHg)
  • Planning or currently on a weight reducing programme
  • Pregnancy, planned pregnancy in the next year or lactating
  • Currently taking part or participation in other research studies within the last three months

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Sensory Science Centre, Department of Food and Nutritional Science, University of Reading

    Reading, Berkshire, RG6 6UR

Other trials in United Kingdom

About this study

The present study aims to investigate the effect of fat level and fat type of a snack on self-reported satiety and associated biomarkers. The relevant individual differences will also be investigated.

Read the detailed description

The aims are: (1) To determine whether reducing fat in a snack leads to rebound hunger and higher food intake at the subsequent meal, (2)To determine whether a low fat snack product matched for expected satiety leads to differences in post-ingestive satiety (i.e. mouth-gut discordance), (2) To determine whether individual differences in sensory perception influence expected or post-ingestive satiety.

Stage 1, Characterising Volunteers:

Fat is perceived through three sensory modalities; mouthfeel, taste and odour. Humans vary in their perception of fat across all sensory modalities. Volunteers will be characterised on their ability to taste fatty acids and perceive mouthfeel.

Stage 2, Establish Sensory Tolerance in Expected Satiety of a fat reduced snack model:

Reduced fat products are typically reformulated to match the perceived texture and mouthfeel of the original product. This stage aims to quantify sensory tolerance to fat reduction.

Stage 3, Establish Mouth Gut Discordance of a fat reduced snack model:

Using a standard preload study design, and the same fat-emulsion snack model from stage 2, the investigators will contrast effects of 3 test samples in a balanced cross-over design.

Being tested
Expanded Corn Snack
Keywords
Fat, Oral sensitivity, Appetite, Metabolism
Medical subject headings
Appetitive Behavior, Food Intolerance, Food Preferences, Platelet Glycoprotein IV Deficiency

What participants receive

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

  • Expanded Corn SnackBehavioural

    A standard expanded snack will be used in each of the 3 arms, the content and type of fat added to the snack is varied in the two experimental arms.

Study groups in NCT03585920
Study groupRoleWhat they receive
Positive Control (standard fat)Active comparatorExpanded Corn Snack. Positive control (13 g oil per 40 g snack portion)
Receives: Behavioral: Expanded Corn Snack
Negative Control (reduced fat)ExperimentalExpanded Corn Snack. Negative control (<8 g oil per 40 g snack)
Receives: Behavioral: Expanded Corn Snack
Reduced Fat Sensory MatchedExperimentalExpanded Corn Snack. Reduced fat optimised (<8 g oil, matched sensory signals)
Receives: Behavioral: Expanded Corn Snack

What is being measured

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

  1. Food Intake (gram)

    Weighed food intake (gram) at ad libitum meal

    Measured: One measurement taken at 240 min after start of each stage 3 visit day.

Secondary outcomes (16)
  1. Satiety hormone Cholecystokinin (CCK)

    Cholecystokinin (CCK) is one of the satiety hormones, a peptide hormone of the gastrointestinal system responsible for stimulating the digestion of fat and modulating appetite. Blood sample will be collected in order to analyze the level (pg/ml) of cholecystokinin (CCK).

    Measured: Sampled via cannula at 0, 15, 105, 125, 155, 180 and 240 min on each stage 3 visit day.

  2. Satiety hormone Peptide YY (PYY)

    Peptide YY (PYY) is one of the satiety hormones, acting to reduce appetite. Blood sample will be collected in order to analyze the level (pg/ml) of Peptide YY (PYY).

    Measured: Sampled via cannula at 0, 15, 105, 125, 155, 180 and 240 min on each stage 3 visit day.

  3. Satiety hormone Glucagon-like peptide-1 (GLP-1)

    Glucagon-like peptide-1 (GLP-1) is one of the satiety hormones, modulating appetite. Blood sample will be collected in order to analyze the level (pg/ml) of Glucagon-like peptide-1 (GLP-1).

    Measured: Sampled via cannula at 0, 15, 105, 125, 155, 180 and 240 min on each stage 3 visit day.

  4. Satiety hormone Ghrelin

    Ghrelin is termed as the 'hunger hormone' as it stimulates appetite, increases food intake and promotes fat storage. Blood sample will be collected in order to analyze the level (pg/ml) of Ghrelin.

    Measured: Sampled via cannula at 0, 15, 105, 125, 155, 180 and 240 min on each stage 3 visit day.

  5. Satiety hormone Leptin

    Leptin is a hormone that can regulate energy intake and modulate hunger. Blood sample will be collected in order to analyze the level (pg/ml) of Leptin.

    Measured: Sampled via cannula at 0, 15, 105, 125, 155, 180 and 240 min on each stage 3 visit day.

  6. Satiety hormone Gastric inhibitory polypeptide (GIP)

    Gastric inhibitory polypeptide (GIP) can modulate appetite. Blood sample will be collected in order to analyze the level (pg/ml) of Gastric inhibitory polypeptide (GIP).

    Measured: Sampled via cannula at 0, 15, 105, 125, 155, 180 and 240 min on each stage 3 visit day.

  7. Saliva Samples

    The level (ppm) of metabolomics (e.g. butyrate, propionate, lactate, acetate and 3-hydroxyisovalerate) in un-stimulated saliva will be analyzed using Nuclear Magnetic Resonance (NMR). As all these metabolomics in saliva can be analysed in one run, this is treated as one outcome.

    Measured: Samples at 0, 15, 105, 125, 155, 180 and 240 min on each stage 3 visit day.

  8. Urine Samples

    Sample for urinary Nuclear Magnetic Resonance (NMR) metabolic profiles. Spectra will be compared and differences in integrated peak areas compared as AU (arbitrary units)

    Measured: One sample at start of study day (0 min) and one sample at start of lunch (180 min) on each stage 3 visit day

  9. Satiety Ratings

    Satiety Ratings on visual analogue unstructured line scale (from 0 (not at all) to 100 (extremely)). The score obtained from participants only represents the hunger or satiety at that time point, which does not represent "good" or "bad" outcome.

    Measured: Over 4 hours at time 0, 120, 150, 180 and 240 min on each stage 3 visit day.

  10. Hunger Ratings

    Hunger Ratings on visual analogue unstructured line scale (from 0 (not at all) to 100 (extremely)). The score obtained from participants only represents the hunger or satiety at that time point, which does not represent "good" or "bad" outcome.

    Measured: Over 4 hours at time 0, 120, 150, 180 and 240 min on each stage 3 visit day.

  11. Individual differences in sensory perception (fatty acid sensitivity)

    Volunteers will have been characterised on their ability to taste the emulsions samples with the added fatty acid at the level of 0.016% and 0.11% (weight by weight) in Stage 1 (in the first visit). A discrimination forced choice test will be used, where the participant is asked to state the odd sample out of a set. If they can detect fatty acid in the samples correctly three times, they will be classified as hyper-sensitivity, otherwise they will be classified as hypo-sensitivity.

    Measured: Sensory perception measures taken once in stage 1 (in the first visit of the study)

  12. Individual differences in sensory perception (Mouthfeel Sensitivity)

    A mouthfeel discrimination test will be carried out using savoury biscuits which are constant in overall fat content but vary in mouthfeel characteristics. Four samples will be prepared varying in mouthfeel and participants will be asked to taste the samples and then rate them for the mouthfeel attributes of Crunchiness, Hardness, Greasiness, on visual analogue structured line scale (from 0 (not at all) to 100 (extremely)).

    Measured: Sensory perception measures taken once in stage 1 (in the first visit).

  13. Individual differences in sensory perception (Tactile sensitivity )

    Von Frey filaments will be used to evaluate tactile sensitivity on the tongue, and to relate this to taste sensitivity. Participants will be asked to wear a blindfold, the middle of their tongue is then either stimulated or not stimulated with two Von Frey filaments of 0.008g and 0.02g sizes. The participant responds to say whether they have felt the stimulation and how sure they are (signal sure, signal not sure, no signal sure, no signal not sure). This is repeated 10 times in rapid succession. Responses are analysed using an R-index (%) value which is standard for a signal-noise detection test.

    Measured: Sensory perception measures taken once in stage 1 (in the first visit).

  14. Individual differences in sensory perception (Mouth behaviour test )

    A simple short questionnaire will be used, which has been validated in the USA, to categorise people as "Crunchers", "Chewers", "Suckers" and "Smooshers". Whereas "Chewers" tend to chew foods to a fine particle size before swallowing, "Crunchers" rapidly crunch and swallow. This questionnaire has been validated in the United States.

    Measured: Sensory perception measures taken once in stage 1 (in the first visit).

  15. Individual differences in sensory perception (Fungiform papillae (FP) density)

    In order to determine fungiform papillae density on the tongue, a digital camera will be used to record an image of the number of fungiform papillae in two one cm2 areas of the tongue. A small area of the participant's tongue will be temporarily dyed blue using food colour applied by a cotton wool bud. The tongue will then be blotted dry to remove excess moisture prior to recording a digital image. The blue colour will fade after approximately 1 hour and the extent of the colouration is similar to eating certain coloured sweets (e.g. blue Smarties).The number of the fungiform papillae (FP) density will be counted afterwards and quantified as papillae / cm square.

    Measured: Sensory perception measures taken once in stage 1 (in the first visit).

  16. Individual differences in expected satiety

    7 snack samples will be presented to subjects in a monadic sequential manner (i.e. one at a time) in a balanced order. After tasting each sample, participants will rate expected satiety ( "If you were to consume a full portion of this product, how full do you think you would feel?"and "How long do you think it would be before you felt hungry again?"). Visual analogue unstructured line scales (from 0 (not at all) to 100 (extremely)) will be used.

    Measured: Expected satiety measures taken once in stage 2 (in the second visit).

Timeline

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

  1. First posted13 Jul 2018
  2. Study start2 Jul 2018
  3. Primary completion11 Apr 2019
  4. Study completion25 Oct 2019

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
Randomised
Intervention model
Crossover
Model description
This is a 3 way crossover design using a pre-load study protocol that is standard for behavioural appetite studies. The study will be conducted single-blind, as it is not feasible to blind the researcher to the pre-load food products. Each participant will attend 3 visits, the pre-load study foods will be presented to them with random blinding codes.
Masking
Single blind
Who is masked
Participant
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03585920
Sponsor's protocol ID
UREC 18/05
Status last verified
Feb 2020
First submitted
14 Jun 2018
Last updated
12 Feb 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: No personal identification data will be shared. The study is not under an obligation to share data, however it is possible that some of the individual (unlinked / non-identifiable) data will be useful in a meta-analysis and, hence, sharing individual participant data (IPD) will be considered.

Publications

  • Zhou X, Shen Y, Parker JK, Kennedy OB, Methven L. Relative Effects of Sensory Modalities and Importance of Fatty Acid Sensitivity on Fat Perception in a Real Food Model. Chemosens Percept. 2016;9:105-119. doi: 10.1007/s12078-016-9211-5. Epub 2016 Jul 11.

    PubMed 27594969
  • Stewart JE, Newman LP, Keast RS. Oral sensitivity to oleic acid is associated with fat intake and body mass index. Clin Nutr. 2011 Dec;30(6):838-44. doi: 10.1016/j.clnu.2011.06.007. Epub 2011 Jul 14.

    PubMed 21757270
  • Lett AM, Norton JE, Yeomans MR. Emulsion oil droplet size significantly affects satiety: A pre-ingestive approach. Appetite. 2016 Jan 1;96:18-24. doi: 10.1016/j.appet.2015.08.043. Epub 2015 Sep 4.

    PubMed 26344811
  • Woodend DM, Anderson GH. Effect of sucrose and safflower oil preloads on short term appetite and food intake of young men. Appetite. 2001 Dec;37(3):185-95. doi: 10.1006/appe.2001.0425.

    PubMed 11895319
  • Yeomans MR, Chambers L. Satiety-relevant sensory qualities enhance the satiating effects of mixed carbohydrate-protein preloads. Am J Clin Nutr. 2011 Dec;94(6):1410-7. doi: 10.3945/ajcn.111.011650. Epub 2011 Oct 26.

    PubMed 22030223
  • Keller KL, Liang LC, Sakimura J, May D, van Belle C, Breen C, Driggin E, Tepper BJ, Lanzano PC, Deng L, Chung WK. Common variants in the CD36 gene are associated with oral fat perception, fat preferences, and obesity in African Americans. Obesity (Silver Spring). 2012 May;20(5):1066-73. doi: 10.1038/oby.2011.374. Epub 2012 Jan 12.

    PubMed 22240721
  • Kulkarni BV, Mattes RD. Lingual lipase activity in the orosensory detection of fat by humans. Am J Physiol Regul Integr Comp Physiol. 2014 Jun 15;306(12):R879-85. doi: 10.1152/ajpregu.00352.2013. Epub 2014 Apr 2.

    PubMed 24694384
  • Mennella I, Savarese M, Ferracane R, Sacchi R, Vitaglione P. Oleic acid content of a meal promotes oleoylethanolamide response and reduces subsequent energy intake in humans. Food Funct. 2015 Jan;6(1):204-10. doi: 10.1039/c4fo00697f. Epub 2014 Oct 27.

    PubMed 25347552
  • Jeltema M, Beckley J, Vahalik J. Model for understanding consumer textural food choice. Food Sci Nutr. 2015 May;3(3):202-12. doi: 10.1002/fsn3.205. Epub 2015 Feb 2.

    PubMed 25987995
  • Yackinous C, Guinard JX. Relation between PROP taster status and fat perception, touch, and olfaction. Physiol Behav. 2001 Feb;72(3):427-37. doi: 10.1016/s0031-9384(00)00430-3.

    PubMed 11274688
  • Eldeghaidy S, Marciani L, Hort J, Hollowood T, Singh G, Bush D, Foster T, Taylor AJ, Busch J, Spiller RC, Gowland PA, Francis ST. Prior Consumption of a Fat Meal in Healthy Adults Modulates the Brain's Response to Fat. J Nutr. 2016 Nov;146(11):2187-2198. doi: 10.3945/jn.116.234104. Epub 2016 Sep 21.

    PubMed 27655761

Questions about this trial

What is this clinical trial studying?

A study testing Expanded Corn Snack in people with Appetitive Behavior and Individual Difference, run by University of Reading at 1 site in United Kingdom.

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 10 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 12 Feb 2020. 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 Kingdom. 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?

Food Intake (gram) (time frame: One measurement taken at 240 min after start of each stage 3 visit day.). 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 NCT03585920, 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 12 Feb 2020.

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