Weight LossBEEFNCT04156165
The Effect of High vs. Moderate Protein Consumption on Human Health
A study testing VLCD-Active and Maintenance-Active in people with Weight Loss and Metabolism and Nutrition Disorder, run by University of Copenhagen at 1 site in Denmark.
Trial summary
The study will be conducted as a parallel randomized controlled intervention trial, initiated by eight weeks rapid weight loss with one of two VLCDs, one week of reintroducing regular foods, and 12 weeks with one of two different ad libitum diets; in total 21 weeks. The study will be blinded for the statistician. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Weight Loss, Metabolism and Nutrition Disorder, Obesity
- What is being tested?
- VLCD-Active and Maintenance-Active
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 110 participants
- Where
- 1 siteDenmark
- Study dates
- 1 Nov 2019to 31 Dec 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 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Healthy men or women
- Age, 18-65 years
- Overweight or grade I-II obesity (BMI 28-40.0 kg/m2)
- Provided voluntary written informed consent
Who cannot join
- Weight changes ± 5% in the last three months
- Vegetarian, vegan
- Pregnancy or lactation, pregnancy within the past 12 month or plans to become pregnant during the study
- History or diagnosis of diabetes
- History or diagnosis of heart, liver or kidney disease
- History or diagnosis of eating disorders
Show all 11Show fewer
- Chronic diseases e.g. cancer within the past 5 years (except adequately-treated localized basal cell skin cancer)
- Simultaneous blood donation for other purpose than this study
- Simultaneous participation in other clinical intervention studies
- Use of drugs, that in the opinion of the medically responsible investigator, are likely to affect the outcomes of the study
- Any other condition that judged by the investigator may interfere with the adherence to the study protocol
Trial locations and contacts
1 site in 1 country.
About this study
Official title: BEEF The Effect of High vs. Moderate Protein Consumption on Human Health - With Beef as Major Source of Protein
The study will be conducted as a parallel randomized controlled intervention trial, initiated by eight weeks rapid weight loss with one of two VLCDs, one week of reintroducing regular foods, and 12 weeks with one of two different ad libitum diets; in total 21 weeks. The study will be blinded for the statistician. Due to obvious different dietary intakes in the two diets, subjects cannot be blinded and neither the study personnel. As the study includes different dietary recommendations the registered clinical dietician advising the subjects cannot be blinded either.
In total 110 overweight and obese volunteers will be included.
- Conditions
- Weight Loss, Metabolism and Nutrition Disorder, Obesity
- Being tested
- VLCD-Active, Maintenance-Active, VLCD-Control, Maintenance-Control
- Keywords
- Body composition, Metabolism
- Medical subject headings
- Weight Loss, Nutrition Disorders, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VLCD-ActiveDietary supplement
Also called High protein VLCD
Lighter life formula products supplied to subjects, four sachets pr day. Dietetic advise given regularly.
Maintenance-ActiveOther
Also called High protein diet
Weight loss maintenance diet with high protein and low glycemic index and load, high in fiber and whole grain, daily including 150 g minced beef.
VLCD-ControlDietary supplement
Also called Moderat protein VLCD
Lighter life VLCD products
Maintenance-ControlOther
Also called Moderate protein diet
Weight loss maintenance diet with moderate protein and low glycemic index and load, high in fiber and whole grain, daily including 25 g minced beef.
| Study group | Role | What they receive |
|---|---|---|
| VLCD-Control | Active comparator | Very low calorie diet, 600 kcal pr day for eight weeks. Receives: Dietary Supplement: VLCD-Control |
| VLCD-Active | Experimental | Very low calorie diet plus additional 25 g protein powder, 700 kcal pr day for eight weeks. Receives: Dietary Supplement: VLCD-Active |
| Maintenance-Control | Active comparator | 12-week weight maintenance diets: Moderate protein weight maintenance diet (MP-WMD): Recommended healthy diet including 25 g beef daily.
The diet is ad libitum and will be high in fibre (40 g/10 MJ) and whole grain (150 g/day) and allow inclusion of free/added sugar up to the recommended level (<10E% sugar). Receives: Other: Maintenance-Control |
| Maintenance-Active | Experimental | 12-week weight maintenance diets: High protein weight maintenance diet (HP-WMD): The macronutrient distribution will be 25 energy percentage (E%) from protein, 45 E% from carbohydrate and 30 E% from fat. The diet will include 150 g beef as a daily source of protein, The diet is ad libitum and will be high in fibre (40 g/10 MJ) and whole grain (150 g/day) and allow inclusion of free/added sugar up to the recommended level (<10E% sugar). Receives: Other: Maintenance-Active |
What is being measured
The primary outcome is the main question the study is designed to answer.
Body weight
The subjects will be instructed to stand in the middle of the platform of the scale with a straight neck and eyes looking straight ahead, whilst distributing their weight evenly on both feet. Two measurements are made when the scale has stabilized and both results are noted to the nearest 0.1 kg. The average of the two measurements is used in further analysis.
Measured: up to week 21
Secondary outcomes (10)
Body composition
Body composition will be assessed by DXA as whole body scan
Measured: up to week 21
Glucose metabolism
Measurements of fasting glucose, insulin, HbA1c
Measured: up to week 21
Inflammation
Measurements of fasting CRP, plasma lipids
Measured: Up to week 21
Fecal samples
Measurement of microbiota (bacteria strains present in feces) and metabolomics markers
Measured: Up to week 21
Resting metabolic rate
Resting metabolic rate will be measured by indirect calorimetry, using a ventilated hood system as described by the manufacture
Measured: Up to week 21
Endocrine disruptors
Measurement of fasting T3 and T4
Measured: Up to week 21
Height
The participant will be instructed to remove shoes and asked to stand erect with their back to the wall-mounted stadiometer, with the back of their head, back, and buttocks touching the stadiometer. The participant will be further instructed to look straight ahead and keep arms relaxed and hanging loosely alongside their body and to inhale deeply. The reading on the stadiometer will be performed before the participant exhales. Two measurements are made and both results are recorded in centimeters to the nearest 0.5 of a centimeter. The average of the two measurements is used in further analysis.
Measured: Week 0
Waist circumference
The measurement of waist circumference will be performed in a fasting condition with an empty bladder. The measure is done with a with a no-elastic tape measure mid-way between the lower rib and iliac crest (top of the hip bone) at the end of expiration with the participant in a standing position with their weight distributed evenly on both feet. Two measurements are made and both results are noted to the nearest 0.5 cm and the average of the two measurements is used in further analysis.
Measured: Up to week 21
Hip circumference
The measurement of hip circumference will be measured in a fasting condition with an empty bladder. The measure is done with a tape measure at the widest point between the hips and buttocks observed from the front at the end of expiration with the participant in a standing position with their weight distributed evenly on both feet. Two measurements are made and both results are noted to the nearest 0.5 cm and the average of the two measurements is used in further analysis.
Measured: Up to week 21
Blood pressure
Systolic and diastolic blood pressure will be measured using a validated automatic device with an appropriate arm cuff after 5-10 min rest in a resting position
Measured: Up to week 21
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Nov 2019
- Study start1 Nov 2019
- Primary completion10 Nov 2020
- Study completion31 Dec 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Weight LossStudies of the same condition, open and under way.
- More trials run by University of CopenhagenThe sponsor's other registered studies.
- 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Model description
- 2x2 factorial intervention trial with two and two arms
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 110 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Copenhagen
- Sponsor type
- University, hospital or other
- Collaborators
- US National Cattlemen´s Association, Danish Agriculture and Food Counsel
- Responsible party
- Principal investigator, Arne Astrup, University of Copenhagen
- Investigators
- Arne Astrup, Professor, Principal investigator, Department of Nutrition, Exercise and Sports, UCPH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04156165
- Sponsor's protocol ID
- B-352
- Other IDs
- H-19041921
- Acronym
- BEEF
- Status last verified
- Oct 2021
- First submitted
- 1 Nov 2019
- Last updated
- 1 Nov 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Magkos F, Hjorth MF, Asping S, Rosenkrans MI, Rasmussen SI, Ritz C, Sjodin A, Geiker NRW. A protein-supplemented very-low-calorie diet does not mitigate reductions in lean mass and resting metabolic rate in subjects with overweight or obesity: A randomized controlled trial. Clin Nutr. 2021 Dec;40(12):5726-5733. doi: 10.1016/j.clnu.2021.10.006. Epub 2021 Oct 18.
PubMed 34749132
Study at a glance
From the registry record, last updated by the sponsor on 1 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- BEEF The Effect of High vs. Moderate Protein Consumption on Human Health - With Beef as Major Source of Protein
- ClinicalTrials.gov ID
- NCT04156165
- Acronym / sponsor ID
- BEEF / B-352
- Conditions
- Weight Loss, Metabolism and Nutrition Disorder, Obesity
- Keywords
- Body composition, Metabolism
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 110 participants (actual)
- Lead sponsor
- University of CopenhagenUniversity, hospital or other
- Collaborators
- US National Cattlemen´s Association, Danish Agriculture and Food Counsel
- Study start
- 1 Nov 2019 (actual)
- Primary completion
- 10 Nov 2020 (actual)
- Study completion
- 31 Dec 2020 (actual)
- First posted
- 7 Nov 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.
The study will be conducted as a parallel randomized controlled intervention trial, initiated by eight weeks rapid weight loss with one of two VLCDs, one week of reintroducing regular foods, and 12 weeks with one of two different ad libitum diets; in total 21 weeks. The study will be blinded for the statistician. Due to obvious different dietary intakes in the two diets, subjects cannot be blinded and neither the study personnel. As the study includes different dietary recommendations the registered clinical dietician advising the subjects cannot be blinded either.
In total 110 overweight and obese volunteers will be included.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 4
- Model description
- 2x2 factorial intervention trial with two and two arms
| Arm | Type | Receives |
|---|---|---|
| VLCD-Control | Active comparator | Dietary Supplement: VLCD-ControlVery low calorie diet, 600 kcal pr day for eight weeks. |
| VLCD-Active | Experimental | Dietary Supplement: VLCD-ActiveVery low calorie diet plus additional 25 g protein powder, 700 kcal pr day for eight weeks. |
| Maintenance-Control | Active comparator | Other: Maintenance-Control12-week weight maintenance diets: Moderate protein weight maintenance diet (MP-WMD): Recommended healthy diet including 25 g beef daily. The diet is ad libitum and will be high in fibre (40 g/10 MJ) and whole grain (150 g/day) and allow inclusion of free/added sugar up to the recommended level (<10E% sugar). |
| Maintenance-Active | Experimental | Other: Maintenance-Active12-week weight maintenance diets: High protein weight maintenance diet (HP-WMD): The macronutrient distribution will be 25 energy percentage (E%) from protein, 45 E% from carbohydrate and 30 E% from fat. The diet will include 150 g beef as a daily source of protein, The diet is ad libitum and will be high in fibre (40 g/10 MJ) and whole grain (150 g/day) and allow inclusion of free/added sugar up to the recommended level (<10E% sugar). |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Healthy men or women
- Age, 18-65 years
- Overweight or grade I-II obesity (BMI 28-40.0 kg/m2)
- Provided voluntary written informed consent
Key exclusion criteria (11 listed)
- Weight changes ± 5% in the last three months
- Vegetarian, vegan
- Pregnancy or lactation, pregnancy within the past 12 month or plans to become pregnant during the study
- History or diagnosis of diabetes
- History or diagnosis of heart, liver or kidney disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VLCD-ActiveAlso: High protein VLCDLighter life formula products supplied to subjects, four sachets pr day. Dietetic advise given regularly. | Dietary supplement | VLCD-Active |
| Maintenance-ActiveAlso: High protein dietWeight loss maintenance diet with high protein and low glycemic index and load, high in fiber and whole grain, daily including 150 g minced beef. | Other | Maintenance-Active |
| VLCD-ControlAlso: Moderat protein VLCDLighter life VLCD products | Dietary supplement | VLCD-Control |
| Maintenance-ControlAlso: Moderate protein dietWeight loss maintenance diet with moderate protein and low glycemic index and load, high in fiber and whole grain, daily including 25 g minced beef. | Other | Maintenance-Control |
Primary outcome
Body weight
Time frame: up to week 21
The subjects will be instructed to stand in the middle of the platform of the scale with a straight neck and eyes looking straight ahead, whilst distributing their weight evenly on both feet. Two measurements are made when the scale has stabilized and both results are noted to the nearest 0.1 kg. The average of the two measurements is used in further analysis.
10 secondary outcomes
Body composition
Time frame: up to week 21
Glucose metabolism
Time frame: up to week 21
Inflammation
Time frame: Up to week 21
Fecal samples
Time frame: Up to week 21
Resting metabolic rate
Time frame: Up to week 21
Endocrine disruptors
Time frame: Up to week 21
Height
Time frame: Week 0
Waist circumference
Time frame: Up to week 21
Hip circumference
Time frame: Up to week 21
Blood pressure
Time frame: Up to week 21
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Nov 2021.
- Derived from this study: PubMed 34749132Magkos F, Hjorth MF, Asping S, Rosenkrans MI, Rasmussen SI, Ritz C, Sjodin A, Geiker NRW. A protein-supplemented very-low-calorie diet does not mitigate reductions in lean mass and resting metabolic rate in subjects with overweight or obesity: A randomized controlled trial. Clin Nutr. 2021 Dec;40(12):5726-5733. doi: 10.1016/j.clnu.2021.10.006. Epub 2021 Oct 18.
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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.
Arne Astrup, Professor principal investigator
Department of Nutrition, Exercise and Sports, UCPH
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing VLCD-Active and Maintenance-Active in people with Weight Loss and Metabolism and Nutrition Disorder, run by University of Copenhagen 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 4 inclusion and 11 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 1 Nov 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 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?
Body weight (time frame: up to week 21). 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 NCT04156165, which also lists 1 linked publication.
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 1 Nov 2021.