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Eating BehaviorNCT03947281

Snacks and Satiety

A study testing Almond snack and Cereal-based snack in people with Eating Behavior and Overweight, run by USDA, Western Human Nutrition Research Center at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study is designed to compare two types of snacks (almonds or a cereal-based snack), eaten between meals, on measures of appetite, including appetitive hormones, self-reported feelings of hunger and fullness, and food intake at a buffet meal or in the home environment. Read more about this study

Who is it for?
Ages 18 to 45 years, women onlyHealthy volunteers can take part
Conditions the study is for
Eating Behavior, Overweight, Obesity
What is being tested?
Almond snack and Cereal-based snack
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteUnited States
Study dates
24 Jun 2019to 8 Aug 2022
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 45 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Pre-menopausal
  • Body Mass Index 25 - 39.9 kg/m2

Who cannot join

  • Women who are post-menopausal or peri-menopausal
  • BMI < 25 or > 40 kg/m2
  • Allergies to tree nuts
  • Using any hormonal contraception including oral contraceptive, contraceptive patch, contraceptive ring, contraceptive injection (e.g. Depo-Provera), or contraceptive implant (e.g. Nexplanon/Implanon)
  • Menstrual cycle lengths < 25 days or > 45 days, or have amenorrhea, eumenorrhea, or polymenorrhea.
  • Pregnant or nursing within the last 6 months, or plan to become pregnant during the trial
  • Medical diagnoses of chronic diseases including cardiovascular or pulmonary diseases, renal disease, cancer, type 1 or type 2 diabetes mellitus, thyroid disease requiring medication, inflammatory bowel disease, irritable bowel disease, or those with recent major surgeries
  • current medical diagnosis of polycystic ovarian syndrome (PCOS).

Trial locations and contacts

1 site in 1 country.

United States1 site
  • USDA, ARS, Western Human Nutrition Research Center

    Davis, California, 95616

Other trials in United States

About this study

Official title: Almond Snacks and Satiety: a Randomized Intervention Trial Examining Acute and Chronic Effects

This study is designed to compare two types of snacks (almonds or a cereal-based snack), eaten between meals, on measures of appetite, including appetitive hormones, self-reported feelings of hunger and fullness, and food intake at a buffet meal or in the home environment. The investigators hypothesize that the acute responses of appetitive hormones to a meal challenge protocol will differ between almond and cereal-based snacks based on multivariate models of satiety that will be predictive of ad libitum food intake at a dinner meal as part of the meal challenge protocol. Further, the investigators will estimate if, under free-living conditions, self-selected and self-reported food intake will show appropriate energy compensation for the added calories of the snacks, and determine if one type of snack is superior to the other in this regard.

Read the detailed description

This study will use a randomized, parallel design that includes an almond snack intervention and a cereal-based snack intervention group. The almond intervention will be roasted, unsalted almonds at a level of 56 grams per day for 4 weeks. The cereal-based intervention will be isocaloric snacks provided in the form of a mixture of dry cereal, pretzels, and bread sticks for 4 weeks. A satiety test protocol will be done at the beginning and the end of the intervention period. Each test day will include measures of satiety responses to two standard meals, two snacks (either almonds or cereal-based snacks), and a dinner buffet. The protocol to evaluate satiety signals include tonic measures that may signal homeostasis to the brain and evaluation of episodic signals that may drive food intake In addition, other modulators of satiety will be tested including evaluation of preferences for palatable foods, self-reports of cravings and satiety using questionnaires, and perceived hunger, fullness, desire to eat.

Being tested
Almond snack, Cereal-based snack
Keywords
satiety, gastrointestinal hormones, appetite, Dietary fiber, food cravings
Medical subject headings
Feeding Behavior, Overweight, Obesity

What participants receive

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

  • Almond snackOther

    The almond intervention will be roasted, unsalted almonds provided at 56 g/day for 28 days. Almonds provide approximately 350 kcals/day.

  • Cereal-based snackOther

    The cereal-based intervention will be a prepared mix of cereal, pretzels, and bread sticks prepared at the WHNRC. It will be provided at the level of 350 kcals per day for 28 days.

Study groups in NCT03947281
Study groupRoleWhat they receive
Almond snackExperimentalThe almond intervention will be roasted almonds 56 grams/day for 28 days. The caloric value is approximately 350 kcals.
Receives: Other: Almond snack
Cereal-based snackExperimentalThe cereal-based intervention will be a mixture of dry cereal, pretzels, and bread sticks prepared by the Western Human Nutrition Research Center (WHNRC). The caloric value is approximately 350 kcals.
Receives: Other: Cereal-based snack

What is being measured

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

  1. Baseline level and change in cholecystokinin

    Cholecystokinin (CCK) measured in blood using an antibody based assay

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal

  2. Baseline level and change in peptide-YY

    Peptide-YY (PYY) measured in blood using an antibody based assay

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal

  3. Baseline level and change in glucose-like peptide 1

    Glucose-like peptide 1 (GLP-1) measured in blood using an antibody based assay

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal

  4. Baseline level and change in gastric inhibitory peptide

    Gastric inhibitory peptide (GIP) measured in blood using an antibody based assay

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal

  5. Baseline level and change in insulin

    Insulin measured in blood using an antibody based assay

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal

  6. Baseline level and change in glucose

    Glucose measured by standard chemistry in blood

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal

  7. Baseline level and change in oleoylethanolamide

    Oleoylethanolamide measured by mass spectrometry in blood

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal

  8. Baseline level and change in ghrelin

    Ghrelin measured in blood using an antibody based assay

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal

  9. Baseline level and change in leptin

    Leptin measured in blood using an antibody based assay

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal

  10. Baseline level and change in orexin

    Orexin measured in blood using an antibody based assay

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal

  11. Baseline level and change in endocannabinoid profiles

    Endocannabinoid profiles measured by mass spectrometry in blood

    Measured: Baseline, 60 minutes before lunch meal, and 10, 30, and 150 minutes after a lunch meal

  12. Baseline level and change in hunger

    Self-reported feelings of hunger measured on a visual analog scale. Responses will be a marked on an unsegmented line from 0 or "not at all" to 100 or "extremely."

    Measured: Baseline, every 30 minutes up to 480 minutes, and immediately before and after three meals

  13. Baseline level and change in satiety

    Self-reported feelings of fullness measured on a visual analog scale. Responses will be a marked on an unsegmented line from 0 or "not at all" to 100 or "extremely."

    Measured: Baseline, every 30 minutes up to 480 minutes, and immediately before and after three meals

  14. Change in food intake at a dinner meal

    Calories consumed at a dinner meal following the satiety protocol

    Measured: Week 1 and 4

Secondary outcomes (22)
  1. Body composition reference measurement

    Body composition (fat mass and fat-free mass in kg) will be measured once during the study using dual energy x-ray absorptiometry (DEXA)

    Measured: Week 1

  2. Change in body weight

    measured in kg

    Measured: Weeks 0, 1, 2, 3, and 4

  3. Change in body fat

    measured in kg using multi frequency bioimpedance

    Measured: Weeks 0, 1, 2, 3, and 4

  4. Change in lean body mass

    measured in kg using multi frequency bioimpedance

    Measured: Weeks 0, 1, 2, 3, and 4

  5. Change in total body water

    measured in kg using multi frequency bioimpedance

    Measured: Weeks 0, 1, 2, 3, and 4

  6. Change in waist circumference

    measured in cm

    Measured: Week 0 and 4

  7. Change in hip circumference

    measured in cm

    Measured: Week 0 and 4

  8. Change in Food Choice

    Food choice computer-based tests from Leeds, United Kingdom, will be used to estimate explicit liking and implicit wanting for several different categories of foods.

    Measured: Baseline and following a lunch meal at Weeks 0 and 4

  9. Change in food craving

    Food craving estimated from the questionnaire, Food Craving Inventory, on a 5 point likert scale

    Measured: Week 0 and 4

  10. Change in self-reported satiety

    Self reported satiety measured using the 5-factor satiety questionnaire. Scale is a generalized labeled magnitude scale of 150 mm Subscales include mental hunger, physical hunger, mental fullness, physical fullness, and satiation. Subscale scores will range from 0 to 150.

    Measured: Week 0 and 4

  11. Power of food questionnaire

    Power of food questionnaire measured once on a 5 point likert scale

    Measured: Week 0

  12. Food addiction questionnaire

    Yale food addiction questionnaire measured once on a 5-point likert scale

    Measured: Week 0

  13. Eating behavior

    Dutch eating behavior questionnaire measured once. Scale is a 5-point likert scale. Sub scales include restrained eating, emotional eating, and external eating. Scores will be reported separately for each subscale.

    Measured: Week 0

  14. Three factor eating inventory

    Three factor eating inventory questionnaire measured once. Instrument has three subscales, combining likert scales and true/false questions. Subscales include cognitive restraint (score can range from 0 to 21), disinhibition (score can range from 0 to 16) and hunger (score can range from 0 to 14).

    Measured: Week 0

  15. Premenstrual Syndrome

    Premenstrual Syndrome screening questionnaire measured once. Scale is a 4-point likert. Subscales for premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD), reported separately.

    Measured: Week 0

  16. General health and well-being

    The SF-36 General Health and Well-being questionnaire measured once

    Measured: Week 0

  17. Usual physical activity

    Physical activity estimated from the Stanford Brief Physical Activity questionnaire. Scale is categorical for two subscales: work physical activity and leisure time activity.

    Measured: Week 0

  18. Change in metabolic rate

    Resting and post-prandial metabolic rate measured using indirect calorimetry.

    Measured: Baseline and 1 hour before lunch meal, 1 hour after lunch meal, and 1 hour after mid-afternoon snack

  19. Change in dietary intake

    Dietary intake estimated from 24-hour recall using a web based automated multi-pass method

    Measured: Ten dietary recalls collected at home during weeks 1-4

  20. Genetic risk of obesity

    A polygenic risk score (PRS) indexing genetic predisposition to obesity using known obesity single nucleotide polymorphisms (SNPs).

    Measured: Week 1

  21. Change in liver fat

    Liver fat assessed from the Controlled Attenuation Parameter (CAP) computed from the liver stiffness measurement using the Fibroscan®

    Measured: Week 0 and 4

  22. Change in liver stiffness

    Liver stiffness assessed from the shear wave speed with pulse echo ultrasound using the Fibroscan®

    Measured: Week 0 and 4

Timeline

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

  1. First posted13 May 2019
  2. Study start24 Jun 2019
  3. Primary completion8 Aug 2022
  4. Study completion8 Aug 2022

Why it stopped: After delay due to pandemic, sponsor declined to continue funding.

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
The study will be a randomized, parallel design that includes an almond snack group and a cereal-based snack group. The intervention will be for 28 days. The almond intervention will be roasted almonds 56 grams/day. The cereal-based snack intervention will be the caloric equivalent.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03947281
Sponsor's protocol ID
FL107
Status last verified
Oct 2024
First submitted
9 May 2019
Last updated
26 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Almond snack and Cereal-based snack in people with Eating Behavior and Overweight, run by USDA, Western Human Nutrition Research Center 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 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: stopped early, as of the sponsor's last update on 26 Oct 2024. 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 stopped early (reason given: After delay due to pandemic, sponsor declined to continue funding.). Results are not available in the source record.

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?

Baseline level and change in cholecystokinin (time frame: Baseline, 60 minutes before lunch meal, and 10, 30, 90, 150, 180, 210, 240, and 270 minutes after a lunch meal). The study lists 14 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 26 Oct 2024.

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