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Abdominal ObesityMERITSNCT02931630

The Effect of Whey Protein and Dietary Fibers on Risk Markers of the Metabolic Syndrome and Bone Health

A study testing Whey protein powder, Maltodextrin powder and High fiber bread in people with Abdominal Obesity and Metabolic Syndrome, run by Aarhus University Hospital at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The prevalence of overweight and lifestyle related diseases such as cardiovascular disease (CVD) and type 2 diabetes (T2D) is increasing world wide. The metabolic syndrome (MeS) is a condition characterized by abdominal obesity, high blood lipids, high blood pressure and elevated blood sugar. Read more about this study

Who is it for?
Ages 40 years and olderHealthy volunteers can take part
What is being tested?
Whey protein powder, Maltodextrin powder and High fiber bread
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
1 siteDenmark
Study dates
May 2016to 29 Jun 2017
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 40 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Waist circumference ≥ 80 cm (women)/94 cm (men)
  • Age ≥40 years

Who cannot join

  • Significant cardiovascular, renal or endocrine disease
  • History of diabetes
  • ≥ 3 kg of weight gain or loss within the last 3 months
  • Any change in medication within the last month
  • Treatment with steroids
  • Pregnancy, breastfeeding or planned pregnancy
Show all 9Show fewer
  • Psychiatric history
  • Alcohol or drug addiction
  • Dietary fiber supplement within the last month

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Aarhus University Hospital, Dep. of clinical nutrition research

    Aarhus, 8000

Other trials in Denmark

About this study

The prevalence of overweight and lifestyle related diseases such as cardiovascular disease (CVD) and type 2 diabetes (T2D) is increasing world wide. The metabolic syndrome (MeS) is a condition characterized by abdominal obesity, high blood lipids, high blood pressure and elevated blood sugar. MeS is associated with an increased risk of developing CVD and T2D. Dietary fibers and whey protein have independently shown beneficial effects on several of these risk factors in previous studies. Whey protein is furthermore seen to show positive effects on bone turnover.

The purpose of this trial is to investigate whether an increased intake of dietary fibers and whey protein (separately or combined) over a period of 12 weeks will affect the risk markers of MeS and bone turnover in abdominally obese subjects.

Read more

A total of 80 people with abdominal obesity will be included. The design is a randomized, double blinded, controlled dietary intervention trial. Subjects are assigned to one of four experimental groups. Each group are provided with test products containing either high or low whey protein and high or low dietary fibers to replace part of their regular diet. The subjects are instructed in how to incorporate the test products in their habitual diets in order to maintain weight stability.

The primary outcome is postprandial lipaemia (PPL) - an independent risk factor of developing CVD. PPL is estimated by performing a standardized high fat meal test during which postprandial level of triglycerides is measured. The authors hypothesize that a diet of high content of whey protein and high dietary fiber during 12 weeks will induce a reduction in PPL.

Read the detailed description

Please refer to summary

Being tested
Whey protein powder, Maltodextrin powder, High fiber bread, Low fiber bread
Keywords
Whey protein, Dietary fibers, Wheat bran, Arabinoxylan, Postprandial lipaemia, Body composition, Blood pressure, Metabolic rate, Insulin sensitivity, Metabolic syndrome
Medical subject headings
Obesity, Abdominal, Metabolic Syndrome, Diabetes Mellitus, Type 2, Cardiovascular Diseases, Insulin Resistance

What participants receive

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

  • Whey protein powderOther

    60 g of whey protein powder

  • Maltodextrin powderOther

    60 g of Maltodextrin powder

  • High fiber breadOther

    Wheat bread with high content of dietary fibers (approximately 30 g fibers/day)

  • Low fiber breadOther

    Wheat bread with low content of dietary fibers (approximately 10 g fibers/day)

Study groups in NCT02931630
Study groupRoleWhat they receive
HP/HFExperimentalWhey protein powder / High fiber bread
Receives: Other: Whey protein powder; Other: High fiber bread
HP/LFExperimentalWhey protein powder / Low fiber bread
Receives: Other: Maltodextrin powder; Other: Low fiber bread
LP/HFExperimentalMaltodextrin powder / High fiber bread
Receives: Other: Maltodextrin powder; Other: High fiber bread
LP/LFExperimentalMaltodextrin powder / Low fiber bread
Receives: Other: Whey protein powder; Other: Low fiber bread

What is being measured

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

  1. Postprandial triglyceride response

    Postprandial triglyceride response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360 min) following a high-fat meal.

    Measured: Meal test: -15, 0, 60, 90, 120, 240, 360 min. Performed at baseline and at 12 weeks.

Secondary outcomes (54)
  1. 24 hours blood pressure (BP)

    Arteriograph 24, TensioMed, Hungary

    Measured: Performed at baseline and week 12

  2. 24 hours augmentation Index (AI)

    Arteriograph 24, TensioMed, Hungary

    Measured: Performed at baseline and week 12

  3. Respiratory Exchange Ratio

    Measured twice during each meal test by indirect calorimetry (hood)

    Measured: Meal test: -30 and 140 min. Performed at baseline and week 12.

  4. Body composition

    Dual Energy X-ray Absorptiometry (DEXA) scan: Total body fat percentage, lean mass percentage, gynoid and android fat percentage

    Measured: Performed at baseline and week 12

  5. Postprandial apolipoprotein B48 response

    Postprandial apolipoprotein response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360 min) following a high-fat meal.

    Measured: Meal test: -15, 0, 60, 240, 360 min. Performed at baseline and at 12 weeks.

  6. Glucose response during high-fat meal test

    Glucose response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360 min) following a high-fat meal.

    Measured: Meal test: -15, -10, 0, 15, 30, 60, 90, 120, 240, 360 min. Performed at baseline and week 12

  7. Insulin response during high-fat meal test

    Insulin response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360 min) following a high-fat meal.

    Measured: Meal test: -15, -10, 0, 15, 30, 60, 90, 120, 240, 360 min. Performed at baseline and week 12

  8. Glucagon response during high-fat meal test

    Glukagon response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360 min) following a high-fat meal.

    Measured: Meal test: -15, -10, 0, 15, 30, 60, 90, 120, 240, 360 min. Performed at baseline and week 12

  9. Glucagon-like peptide 1 (GLP-1) response during high-fat meal test

    GLP-1 response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360

    Measured: Meal test: -15, -10, 0, 15, 30, 60, 90, 120, 240, 360 min. Performed at baseline and week 12

  10. Glucagon-like peptide 2 (GLP-2) response during high-fat meal test

    GLP-2 response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360

    Measured: Meal test: -15, -10, 0, 15, 30, 60, 90, 120, 240, 360 min. Performed at baseline and week 12

  11. Glucose-dependent insulinotropic polypeptide (GIP) response during high-fat meal test

    GIP response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360

    Measured: Meal test: -15, -10, 0, 15, 30, 60, 90, 120, 240, 360 min. Performed at baseline and week 12

  12. Ghrelin response during high-fat meal test

    Ghrelin response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360

    Measured: Meal test: -15, -10, 0, 15, 30, 60, 90, 120, 240, 360 min. Performed at baseline and week 12

  13. Peptide tyrosine tyrosine (PYY) response during high-fat meal test

    PYY response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360

    Measured: Meal test: -15, -10, 0, 15, 30, 60, 90, 120, 240, 360 min. Performed at baseline and week 12

  14. Adiponectin response during high-fat meal test

    Adiponectin response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360)

    Measured: Meal test: -15, 0, 15, 30, 60, 90, 120, 240, 360 min. Performed at baseline and week 12

  15. Non-esterified fatty acids (NEFA) response during high-fat meal test

    NEFA response measured as fasting value and incremental Area Under the Curve (iAUC from -15 - 360)

    Measured: Meal test: -15, 0, 60, 90, 120, 240, 360 min. Performed at baseline and week 12

  16. Interleukin-6 (IL-6) response during high-fat meal test

    IL-6 response measured as fasting value and incremental Area Under the Curve (iAUC from 0-240 min)

    Measured: Meal test: 0, 15, 30, 60, 90, 120, 240 min. Performed at baseline and week 12

  17. Monocyte chemoattractant protein 1 (MCP-1) response during high-fat meal test

    MCP-1 response measured as fasting value and incremental Area Under the Curve (iAUC from 0 - 240 min)

    Measured: Meal test: 0, 15, 30, 60, 90, 120, 240 min. Performed at baseline and week 12

  18. RANTES (CCL5) response during high-fat meal test

    CCL5 response measured as fasting value and incremental Area Under the Curve (iAUC from 0-240 min)

    Measured: Meal test: 0, 15, 30, 60, 90, 120, 240 min. Performed at baseline and week 12

  19. High-sensitive c-reactive protein (hs-CRP) response during high-fat meal test

    hs-CRP response measured as fasting value and incremental Area Under the Curve (iAUC from 0-240 min)

    Measured: Meal test: 0, 15, 30, 60, 90, 120, 240 min. Performed at baseline and week 12

  20. Procollagen type 1 N-terminal propeptide (P1NP) response during high-fat meal test

    P1NP response measured as fasting value and incremental Area Under the Curve (iAUC from 0-240 min)

    Measured: Meal test: 0, 15, 30, 60, 90, 120, 240 min. Performed at baseline and week 12

  21. C-telopeptide (CTX) response during high-fat meal test

    CTX response measured as fasting value and incremental Area Under the Curve (iAUC from 0-240 min)

    Measured: Meal test: 0, 15, 30, 60, 90, 120, 240 min. Performed at baseline and week 12

  22. Parathyroid hormone (PTH) response during high-fat meal test

    PTH response measured as fasting value and incremental Area Under the Curve (iAUC from 0-240 min)

    Measured: Meal test: 0, 15, 30, 90, 240 min. Performed at baseline and week 12

  23. Osteoprotegrin response during high-fat meal test

    Osteoprotegrin response measured as fasting value and incremental Area Under the Curve (iAUC from 0-240 min)

    Measured: Meal test: 0, 15, 30, 90, 240 min. Performed at baseline and week 12

  24. Osteocalcin response during high-fat meal test

    Osteocalcin response measured as fasting value and incremental Area Under the Curve (iAUC from 0-240 min)

    Measured: Meal test: 0, 15, 30, 90, 240 min. Performed at baseline and week 12

  25. 25-dihydroxy vitamin D

    Fasting value measured at baseline and week 12

    Measured: Change from week 0 to week 12

  26. Phosphate

    Fasting value measured at baseline and week 12

    Measured: Change from week 0 to week 12

  27. Magnesium

    Fasting value measured at baseline and week 12

    Measured: Change from week 0 to week 12

  28. Total cholesterol

    Fasting value measured at baseline and week 12

    Measured: Change from week 0 to week 12

  29. Low density lipoprotein (LDL)

    Fasting value measured at baseline and week 12

    Measured: Change from week 0 to week 12

  30. High density lipoprotein (HDL)

    Fasting value measured at baseline and week 12

    Measured: Change from week 0 to week 12

  31. Glucose response during oral glucose tolerance test (OGTT)

    Glucose measured as incremental Area Under the Curve (iAUC from -15 - 120 min)

    Measured: OGTT: -15, -10, 0, 30, 60, 90, 120 min. Performed at baseline and week 12

  32. Insulin response during oral glucose tolerance test (OGTT)

    Insulin measured as incremental Area Under the Curve (iAUC from -15 - 120 min)

    Measured: OGTT: -15, -10, 0, 30, 60, 90, 120 min. Performed at baseline and week 12

  33. Glucagon response during oral glucose tolerance test (OGTT)

    Glucagon measured as incremental Area Under the Curve (iAUC from -15 - 120 min)

    Measured: OGTT: -15, -10, 0, 30, 60, 90, 120 min. Performed at baseline and week 12

  34. Glucagon-like peptide 1 (GLP-1) response during oral glucose tolerance test (OGTT)

    GLP-1 measured as incremental Area Under the Curve (iAUC from -15 - 120 min)

    Measured: OGTT: -15, -10, 0, 30, 60, 90, 120 min. Performed at baseline and week 12

  35. Glucagon-like peptide 2 (GLP-2) response during oral glucose tolerance test (OGTT)

    GLP-2 measured as incremental Area Under the Curve (iAUC from -15 - 120 min)

    Measured: OGTT: -15, -10, 0, 30, 60, 90, 120 min. Performed at baseline and week 12

  36. Glucose-dependent insulinotropic polypeptide (GIP) response during oral glucose tolerance test (OGTT)

    GIP measured as incremental Area Under the Curve (iAUC from -15 - 120 min)

    Measured: OGTT: -15, -10, 0, 30, 60, 90, 120 min. Performed at baseline and week 12

  37. Parathyroid hormone (PTH) response during oral glucose tolerance test (OGTT)

    PTH measured as incremental Area Under the Curve (iAUC from 0-90 min)

    Measured: OGTT: 0, 30, 90 min. Performed at baseline and week 12

  38. C-telopeptide (CTX) response during oral glucose tolerance test (OGTT)

    CTX measured as incremental Area Under the Curve (iAUC from 0-90 min)

    Measured: OGTT: 0, 30, 90 min. Performed at baseline and week 12

  39. Procollagen type 1 N-terminal propeptide (P1NP) response during oral glucose tolerance test (OGTT)

    P1NP measured as incremental Area Under the Curve (iAUC from 0-90 min)

    Measured: OGTT: 0, 30, 90 min. Performed at baseline and week 12

  40. Osteoprotegrin response during oral glucose tolerance test (OGTT)

    Osteoprotegrin measured as incremental Area Under the Curve (iAUC from 0-90 min)

    Measured: OGTT: 0, 30, 90 min. Performed at baseline and week 12

  41. Osteocalcin response during oral glucose tolerance test (OGTT)

    Osteocalcin measured as incremental Area Under the Curve (iAUC from 0-90 min)

    Measured: OGTT: 0, 30, 90 min. Performed at baseline and week 12

  42. Waist and hip circumference.

    Waist and hip circumference in cm

    Measured: Change from week 0 to week 12

  43. Body weight

    Body weight in kg

    Measured: Change from week 0 to week 12

  44. Body Mass Index

    kg/m2

    Measured: Change from week 0 to week 12

  45. Adipose tissue gene expression

    Subcutaneous fat tissue biopsy performed at baseline and week 12 for the measurement of changes in genes related to lipid and glucose metabolism and insulin signalling.

    Measured: Change from week 0 to week 12

  46. Adipose tissue proliferation and differentiation

    Subcutaneous fat tissue biopsy performed at baseline and week 12 for measuring proliferation and differentiation processes of preadipocyte stem cells into mature adipocytes, and to test the effect of diets on expanding the capacity of the subcutaneous adipose tissue to store fat.

    Measured: Change from week 0 to week 12

  47. Urinary calcium

    Urinary calcium excretion measured in 24-hour urine samples collected at baseline and week 12

    Measured: Change from week 0 to week 12

  48. Urinary nitrogen

    Urinary nitrogen excretion measured in 24-hour urine samples collected at baseline and week 12

    Measured: Change from week 0 to week 12

  49. Metabolomics, plasma

    Non-targeted metabolomics analysis using Liquid Chromatography - Mass Spectrometry

    Measured: OGTT: -15, 30, 60, 90, 120 min. Performed at baseline and week 12.

  50. Metabolomics, urine

    Non-targeted metabolomics analysis using Liquid Chromatography - Mass Spectrometry

    Measured: 24-hour urine collection performed at baseline and week 12.

  51. Metabolomics, faeces

    Non-targeted metabolomics analysis using Liquid Chromatography - Mass Spectrometry

    Measured: Collected at baseline and week 12.

  52. Insulin sensitivity during oral glucose tolerance test (OGTT)

    Homeostasis model assessment - insulin resistance (HOMA-IR) and Matsuda Index calculated based on blood glucose and insulin measurements during OGTT

    Measured: OGTT performed at baseline and week 12 (blood sampling at -15, -10, 0, 30, 60, 90, 120 min)

  53. Appetite assessment during high-fat meal test

    Visual Analog Scale (VAS) electronic questionnaire

    Measured: Meal test: Questionnaire at -10, 0, 30, 60, 90, 120, 180, 240, 300, 360 min. Performed at baseline and week 12.

  54. Microbiota

    Non-targeted microbiome and metabolome analyses using high-throughput DNA sequencing on Illumina Miseq and Liquid Chromatography - Mass Spectrometry (LC-MS) metabolomics,

    Measured: Faecal samples collected at baseline and week 12.

Timeline

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

  1. First posted13 Oct 2016 (estimated)
  2. Study startMay 2016
  3. Primary completion29 Jun 2017
  4. Study completion29 Jun 2017

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
Prevention
Allocation
Randomised
Intervention model
Factorial
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
72 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02931630
Sponsor's protocol ID
MERITS
Acronym
MERITS
Status last verified
Jul 2017
First submitted
19 Aug 2016
Last updated
17 Jul 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Fuglsang-Nielsen R, Rakvaag E, Vestergaard P, Hermansen K, Gregersen S, Starup-Linde J. The Effects of 12-Weeks Whey Protein Supplements on Markers of Bone Turnover in Adults With Abdominal Obesity - A Post Hoc Analysis. Front Endocrinol (Lausanne). 2022 Mar 29;13:832897. doi: 10.3389/fendo.2022.832897. eCollection 2022.

    PubMed 35422766

Questions about this trial

What is this clinical trial studying?

A study testing Whey protein powder, Maltodextrin powder and High fiber bread in people with Abdominal Obesity and Metabolic Syndrome, run by Aarhus University Hospital 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 2 inclusion and 9 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 17 Jul 2017. 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?

Postprandial triglyceride response (time frame: Meal test: -15, 0, 60, 90, 120, 240, 360 min. Performed at baseline and at 12 weeks.). 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 NCT02931630, 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 17 Jul 2017.

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