ObesityNCT03864107
Investigating the Possible Link Between Habitual Diet, Physical Activity, Sleeping Patterns, Obesity Status and Age With Gut Bacterial Composition, Gut Barrier Function, Metabolic Endotoxemia, Systemic Inflammation and Glycaemic Control.
An observational study of Obesity and Metabolic Syndrome, run by Loughborough University at 1 site in United Kingdom.
Trial summary
In the UK, 25% of the adults are affected by metabolic syndrome (NHS, 2016). Metabolic syndrome is a cluster of different conditions including: hyperglycaemia, insulin resistance hypertriglyceridemia, dyslipidaemia and hypertension. Read more about this study
- Who is it for?
- Ages 18 to 70 yearsHealthy volunteers can take part
- Conditions the study is for
- Obesity, Metabolic Syndrome, Insulin Resistance
- How many people
- 100 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 21 Mar 2019to Mar 2022
- Phase
- Observational
- 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
Study population: Men and women living in and around Loughborough, Leicestershire, United Kingdom
Who may be able to join
- Men and women aged 18-70 years
- BMI 18.5-50 kg/m2
- Not taking antibiotics and antimicrobial drugs for at least three months
- Both physically active and sedentary individuals will be eligible to take part in the study
- Weight stable (±5kg) for at least 6 months
- Excusion Criteria:
Show all 9Show fewer
- No cardiometabolic (e.g. heart disease, high blood pressure) or inflammatory illness
- Smokers (including the use of vaporisers and e-cigarettes)
- Taking anti-inflammatory drugs (excluding aspirin)
Who cannot join
None listed.
Trial locations and contacts
1 site in 1 country.
Malvina Begalli, MSc contact
United Kingdom1 site, 1 recruiting
- Recruiting
School of Sport, Exercise and Health Sciences
Loughborough, Leicestershire, LE11 3TU
Carl Hulston, PhD
About this study
In the UK, 25% of the adults are affected by metabolic syndrome (NHS, 2016). Metabolic syndrome is a cluster of different conditions including: hyperglycaemia, insulin resistance hypertriglyceridemia, dyslipidaemia and hypertension. Such individuals also have increased risk of developing type 2 diabetes and cardiovascular disease. The factors contributing to the development of metabolic syndrome are potentially numerous and understudied in humans, with much of what we think we know coming from animal research. Recent animal studies have pointed towards gut health playing a role in metabolic health. More specifically it has been suggested that changes in the composition of the gut microbiota may drive insulin resistance and type 2 diabetes through a mechanism that is linked to increased gut permeability and the development of metabolic endotoxemia and inflammation. Yet, this link has not been confirmed in humans. This research will look at the relationship between diet, physical activity, sleeping patterns, obesity status and age etc. and measures of gut bacterial composition, gut barrier function and metabolic health. Findings will provide us with new insights on the effect of different physiological and behavioural/ lifestyle variables on gut health and metabolic function.
- Conditions
- Obesity, Metabolic Syndrome, Insulin Resistance
- Keywords
- Glycaemic Control, Gut Permeability, Gut Microbiota, Metabolic Endotoxemia, Metabolic Health
- Medical subject headings
- Obesity, Metabolic Syndrome, Insulin Resistance
What is being measured
The primary outcome is the main question the study is designed to answer.
Glycaemic control / Whole body insulin sensitivity index
Assessed by oral glucose tolerance test
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Systemic Markers of Metabolic Endotoxemia (for example LBP determined using an ELISA)
Assessed following the collection of fasted blood samples
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Secondary outcomes (18)
Gut permeability
Urine samples will be used to assess the ratio of lactulose to mannitol excretion
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Anthropometric Measurements (for example height and weight that will be aggregated to report BMI in kg/m^2)
Measured using standard equipment
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Fasting Serum Lipid Profile (for example total, HDL and LDL cholesterol, TAG, free fatty acids measured by spectrophotometric assay)
Assessed following the collection of fasted blood samples
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Systemic Markers of Inflammation (for example IL-6, CRP determined using an ELISA/ spectrophotometric assay)
Assessed following the collection of fasted blood samples
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Systemic Markers of Oxidative Stress (for example protein carbonyls, glutathione and redox enzymes by ELISA/ spectrophotometric assay (in sub-cohort of participants not taking high-dose antioxidant supplements)
Assessed following the collection of fasted blood samples
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Fasting hormone concentration (for example ghrelin, leptin measured by ELISA)
Assessed following the collection of fasted blood samples
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Characterisation of immune cell migratory capacity using an ex vivo model (in a sub-cohort of obese participants only)
Assessed following the collection of fasted blood samples by flow cytometry analysis
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Characterisation of immune cell populations (monocyte subsets) from peripheral blood mononuclear cells
Assessed following the collection of fasted blood samples by flow cytometry analysis
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Dietary intake
Assessed via a Food Frequency Questionnaire (FFQ)
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Fasting blood pressure
Systolic and diastolic blood pressure and central blood pressure, measured in triplicate using a Mobil-O-Graph following 20 min period of seated rest
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Fasting arterial stiffness
Pulse wave analysis and velocity, measured in triplicate using a Mobil-O-Graph following 20 min period of seated rest
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Step count
Habitual daily step count as measured by pedometer for 7 consecutive days prior to the first experimental session
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Self-reported activity
Participants will complete the International Physical Activity Questionnaire to measure participants' time spent in physical activity.
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Sleeping pattern
Habitual sleep pattern will be assessed by sleep diary 7 consecutive days prior to the first experimental session
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Functional tests
To be assessed by handgrip strength (measured in force) and timed sit-to-stand movements (measured as time in seconds to perform 5 sit-to-stand movements followed by the maximum number of movements that can be completed in 60 seconds)
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Questionnaires
Morningness and Eveningness questionnaire; Mood state
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Urinary metabolomics
Urine samples will be used for metabolic profiling of excreted metabolites
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Microbiome analysis
Faecal samples will be used to analyse gut microbiota composition through the 16S ribosomal RNA gene sequencing technique
Measured: Cross-sectional (all outcome measures will be collected within a 4 week period)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2019
- Study start21 Mar 2019
- Primary completionMar 2022 (estimated)
- Study completionMar 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Loughborough University
- Sponsor type
- University, hospital or other
- Collaborators
- University of Reading
- Responsible party
- Principal investigator, Carl Hulston, Loughborough University
- Investigators
- Carl Hulston, PhD, Principal investigator, Loughborough University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03864107
- Sponsor's protocol ID
- R18-P206
- Status last verified
- Feb 2021
- First submitted
- 14 Feb 2019
- Last updated
- 24 Feb 2021
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigating the Possible Link Between Habitual Diet, Physical Activity, Sleeping Patterns, Obesity Status and Age With Gut Bacterial Composition, Gut Barrier Function, Metabolic Endotoxemia, Systemic Inflammation and Glycaemic Control.
- ClinicalTrials.gov ID
- NCT03864107
- Acronym / sponsor ID
- R18-P206
- Conditions
- Obesity, Metabolic Syndrome, Insulin Resistance
- Keywords
- Glycaemic Control, Gut Permeability, Gut Microbiota, Metabolic Endotoxemia, Metabolic Health
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- Loughborough UniversityUniversity, hospital or other
- Collaborators
- University of Reading
- Study start
- 21 Mar 2019 (actual)
- Primary completion
- Mar 2022 (estimated)
- Study completion
- Mar 2022 (estimated)
- First posted
- 6 Mar 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In the UK, 25% of the adults are affected by metabolic syndrome (NHS, 2016). Metabolic syndrome is a cluster of different conditions including: hyperglycaemia, insulin resistance hypertriglyceridemia, dyslipidaemia and hypertension. Such individuals also have increased risk of developing type 2 diabetes and cardiovascular disease. The factors contributing to the development of metabolic syndrome are potentially numerous and understudied in humans, with much of what we think we know coming from animal research. Recent animal studies have pointed towards gut health playing a role in metabolic health. More specifically it has been suggested that changes in the composition of the gut microbiota may drive insulin resistance and type 2 diabetes through a mechanism that is linked to increased gut permeability and the development of metabolic endotoxemia and inflammation. Yet, this link has not been confirmed in humans. This research will look at the relationship between diet, physical activity, sleeping patterns, obesity status and age etc. and measures of gut bacterial composition, gut barrier function and metabolic health. Findings will provide us with new insights on the effect of different physiological and behavioural/ lifestyle variables on gut health and metabolic function.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Men and women living in and around Loughborough, Leicestershire, United Kingdom
Key inclusion criteria (9 listed)
- Men and women aged 18-70 years
- BMI 18.5-50 kg/m2
- Not taking antibiotics and antimicrobial drugs for at least three months
- Both physically active and sedentary individuals will be eligible to take part in the study
- Weight stable (±5kg) for at least 6 months
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Glycaemic control / Whole body insulin sensitivity index
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Assessed by oral glucose tolerance test
Systemic Markers of Metabolic Endotoxemia (for example LBP determined using an ELISA)
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Assessed following the collection of fasted blood samples
18 secondary outcomes
Gut permeability
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Anthropometric Measurements (for example height and weight that will be aggregated to report BMI in kg/m^2)
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Fasting Serum Lipid Profile (for example total, HDL and LDL cholesterol, TAG, free fatty acids measured by spectrophotometric assay)
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Systemic Markers of Inflammation (for example IL-6, CRP determined using an ELISA/ spectrophotometric assay)
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Systemic Markers of Oxidative Stress (for example protein carbonyls, glutathione and redox enzymes by ELISA/ spectrophotometric assay (in sub-cohort of participants not taking high-dose antioxidant supplements)
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Fasting hormone concentration (for example ghrelin, leptin measured by ELISA)
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Characterisation of immune cell migratory capacity using an ex vivo model (in a sub-cohort of obese participants only)
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Characterisation of immune cell populations (monocyte subsets) from peripheral blood mononuclear cells
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Dietary intake
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Fasting blood pressure
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Fasting arterial stiffness
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Step count
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Self-reported activity
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Sleeping pattern
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Functional tests
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Questionnaires
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Urinary metabolomics
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Microbiome analysis
Time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Feb 2021.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Malvina Begalli, MSc contact
Carl Hulston, PhD principal investigator
Loughborough University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Obesity and Metabolic Syndrome, run by Loughborough University 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 9 inclusion and 0 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: status not confirmed, as of the sponsor's last update on 24 Feb 2021. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Carl Hulston, PhD (+44 (0)1509 226449, c.j.hulston@lboro.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Glycaemic control / Whole body insulin sensitivity index (time frame: Cross-sectional (all outcome measures will be collected within a 4 week period)). 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 24 Feb 2021.