Fat Quality and Postprandial Inflammation (PI:fat)

Göteborg University

Status: Completed

Conditions: Inflammation; Inflammatory Response

Treatments: Other: Fat intake

Study type: Interventional

Funder types: Other

Identifiers

NCT05674708

2022-05898-01

Details and patient eligibility

About

This aim of this randomized controlled postprandial study is to compare the effects of four different far sources (butter, coconut, corn oil and flax seed oil) on postprandial inflammation and metabolic response.

The main questions it aims to answer are:

1. What is the impact of different dietary sources of saturated and polyunsaturated fatty acids on postprandial inflammation?
2. Is the impact of different dietary sources of saturated and polyunsaturated fatty acids on postprandial inflammation mediated by glucose or blood lipids?
3. Can postprandial inflammatory or metabolic response be predicted by individual factors at baseline?

Participants will consume four meals, identical except for the fat source, in random order and sampled for blood and urine for up to 6 hours.

Full description

A randomized crossover single meal study will be conducted, comparing four isocaloric meals. The study will be carried out at two sites; one study center is located in Gothenburg, Sweden (Department of Internal Medicine and Clinical Nutrition at the University of Gothenburg) and one study center in Oslo, Norway (Department of Nutrition, University of Oslo).

A total of 20 healthy adults will be recruited and consume four meals, identical except for the fat source, in random order and sampled for blood and urine for up to 6 hours after. Each of the four meals will be separated by a 1 month washout. Subjects will be asked to abstain from rigorous physical activity, alcohol and high-fat foods the day prior to their test meal days.

Four isocaloric high-fat meals with different fatty acid profiles will be compared:

1. butter
2. coconut oil
3. corn oil
4. flax seed oil

At test meal days, study outcomes will be assessed at baseline (0h, fasting, pre meal), 30 min, 1h, 2h, 4h and at 6h (endpoint). At these timepoints, blood pressure will be measured and blood glucose sampled through capillary blood. At baseline, 2h, 4h and 6h, blood will be drawn by venipuncture. Urine will be collected when the participants need to void.

Blood will be collected and handled according to a standardized protocol to prevent any degradation, before stored in -80°C until analysis. At baseline and endpoint, peripheral blood mononuclear cells from blood samples will be isolated using cell preparation tubes and stored at -80 °C until RNA isolation. Lipids, lipoprotein profile and inflammation markers (e.g. cytokines, chemokines, endothelial factors) will be analyzed in samples from 0, 2, 4 and 6 hours.

Differences between meals in the outcomes will be compared using area under the curve and mixed models effect.

Enrollment: 18 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• BMI >18.5
• Willingness to eat study meals

Exclusion criteria

• Diabetes
• Cardiovascular disease
• Cancer
• Dyslipidemia
• Anemia (Hb <100)
• Habitual intake of anti-inflammatory drugs
• Recent weight change (>±5%)
• Pregnancy, lactation
• Current smoking

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

---

18 participants in 4 patient groups

Butter

Active Comparator group

Description:

Butter based meal

Treatment:

Other: Fat intake

Coconut

Active Comparator group

Description:

Coconut based meal

Treatment:

Other: Fat intake

Corn oil

Active Comparator group

Description:

Corn oil based meal

Treatment:

Other: Fat intake

Flax seed oil

Active Comparator group

Description:

Flax seed oil based meal

Treatment:

Other: Fat intake