Effects of High-fat and Low-fat Diet on the Gut

Maastricht University Medical Centre (MUMC)

Status

Completed

Conditions

Metabolic Syndrome X

Treatments

Dietary Supplement: low fat diet followed by high fat diet

Dietary Supplement: high fat diet followed by low fat diet

Study type

Interventional

Funder types

Other

Identifiers

NCT00561626

07-3-088

Details and patient eligibility

About

Rationale: The prevalence of the metabolic syndrome is strongly increasing in developed countries. The role of the small intestine seems important in the development of the metabolic syndrome. Although it is known that a high-fat Western-style of diet has deleterious effects on (post-prandial) lipidemia and glucose homeostases, effects of such a diet on the small intestine is not known. To elucidate the role of the small intestine on the early development of the metabolic syndrome, the effects of a high-fat (HF) and a low-fat (LF) diet will be examined on gene expression in the small intestine and early biomarkers in blood of healthy subjects.

Objective: The objective of this study is to compare in healthy subjects the effects of a HF diet (40 En% fat) with those of a LF diet (20 En% fat) on early biomarkers and parameters of metabolic stress in blood and on expression of genes in the small intestine.

Additional research objectives are:

To compare the diet-induced changes in transcriptome profile of the small intestine with more easily accessible peripheral blood mononuclear cells (PBMC)
To establish effects of HF and LF diet on basal gut permeability and after a chenodeoxycholic acid (CDCA) load (second hit).

Study design: Randomised crossover design. The duration of the experimental periods (HF and LF diet) will be 28 days, separated by a wash out period of at least 3 weeks. At day 21 of each intervention period a postprandial test will be performed and duodenum biopsies will be taken. At day 25 and 28 of each intervention period, respectively, basal gut permeability and gut permeability after a CDCA load will be determined with a sugar recovery test.

Study population: Ten healthy men in the age of 18-60 years, without a history of any gastrointestinal disorders or complaints.

Intervention: Subjects will consume in random order:

a HF diet (40 En% fat, 45 En% carbohydrates and 15 En% proteins)
a LF diet (20 En% fat, 65 En% carbohydrates and 15 En% proteins)

Primary study parameters/endpoints: Potential early biomarkers of the metabolic syndrome in blood and gene expression profiles in the small intestine.

Secondary study parameters/endpoints: Parameters of the metabolic syndrome in blood, gene expression profiles in PBMC and gut permeability.

Enrollment

10 estimated patients

Sex

Male

Ages

18 to 65 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

age between 18 and 65 years
body mass index (BMI) between 18 and 30 kg/m2

Exclusion criteria

BMI ≤ 18 and ≥ 25 kg/m2
Smoking
Serum Total cholesterol > 8.0 mmol/L
Fasting glucose > 7.0 mmol/L
Use of any medication
Active cardiovascular diseases like congestive heart failure or recent (<6 months) event (acute myocardial infarction, CVA)
Gastrointestinal diseases (like celiac disease, inflammatory bowel disease, irritable bowel disease and food allergies) or a history of any gastrointestinal disorders or complaints
Pre-existing gallbladder disease
Diabetes mellitus
Familial hypercholesterolemia
Severe medical conditions that might interfere with the study such as epilepsy, asthma, COPD and rheumatoid arthritis.
Unstable body weight (weight gain or loss > 3 kg in the past three months)
Impairment of renal function, as evidenced by increased serum creatinine >150 mmol/L
Hepatic diseases as manifested by ALT, AST, GGT, total bilirubin or ALP > 2 times the upper limit of normal
CRP values > 8.0 mg/mL
Abuse of drugs and/or alcohol
Participation in another biomedical study within 1 month prior to the start of this study
Having donated blood (as blood donor) within 1 month prior to start of this study