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Dietary Essential Fatty Acid Regulation of Omega-3 HUFA Metabolism; Satiety and Body Composition

Primary Purpose

Weight Gain, Healthy Subjects, Obesity

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Linoleic Acid
Docosahexaenoic Acid
Eicosapentaenoic Acid
Sponsored by
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Weight Gain focused on measuring Lipids, Obesity, Omega-3 Fatty Acids, Overweight

Eligibility Criteria

18 Years - 50 Years (Adult)FemaleAccepts Healthy Volunteers
  • INCLUSION CRITERIA:

Subjects will be overweight, but otherwise healthy, pre-menopausal ambulatory volunteers aged 18 to 50.

To be eligible for this research study, participants must:

  • Be between 18 and 50 years of age.
  • Have regular menstrual cycles.
  • Be willing to use an effective method of birth control such as hormonal contraception, intrauterine device, barrier methods combined with spermicide, or surgical sterilization.
  • Have a body mass index of 25 to 35 kg/m(2).
  • Be otherwise healthy as determined by history, medical examination and laboratory tests.
  • Be able to come to the NIH Clinical Center every weekday for 3 months.
  • Be able to understand the consent form, and provide informed written consent.

EXCLUSION CRITERIA:

Participants are not eligible for this research study if they:

  • Have been pregnant or have breast fed within the last 2 years.
  • Work, or have an immediate family member who works, with a study investigator. Immediate family is defined as a spouse, parent, child or sibling, whether biological or legally adopted.
  • Are HIV positive.
  • Have any current, unstable medical conditions including respiratory insufficiency requiring oxygen therapy; cardiac ischemia; cardiac or hepatic failure; or acute neurological illness as assessed by history and physical exam.
  • Have evidence of diseases that may influence metabolism (e.g. overt diabetes mellitus, thyroid disease, cancer)
  • Have any current or past history of eating disorders such as binge eating or anorexia nervosa.
  • Have had weight loss (bariatric) surgery.
  • Have gained or lost more than 3% of your current weight in the past 3 months.
  • Exercise strenuously, like running, swimming, or basketball, 4 or more times per week.
  • Are planning to begin a strenuous exercise program in the next 4 months.
  • Take supplements that contain omega-6 or omega-3 fatty acids (e.g. fish, cod liver, borage, evening primrose oils)
  • Have significant dietary limitations (e.g. multiple food allergies/intolerances, vegan diet) or special dietary requirements that are difficult to accommodate with study diets
  • Have significant claustrophobia that would preclude study tests.
  • Have a history of alcohol or substance abuse or dependence in the past 5 years.
  • Drink more than 2 alcoholic beverages per day, on average, or 6 drinks per sitting in the past year. Participants may drink up to one alcoholic beverage per day during the study.
  • Used marijuana, amphetamines, cocaine, or heroin even once over the last year. Participants may not use marijuana, amphetamines, cocaine, or heroin during the study.
  • Have smoked 2 or more cigarettes per week, on average, over the past year.
  • Participants may not use tobacco products during the study.
  • Eat fish 3 or more times per week on average.
  • Have a known bleeding disorder.
  • Take medications or supplements that may interfere with this study by altering energy metabolism, nutrient absorption, or food intake. Regular use of the following compounds warrants exclusion: medications for the management of diabetes (Type 1 or 2), typical and atypical antipsychotics, thyroid medications, glucocorticoids, orlistat, decongestants, anti-histamines, and medications for cardiac conditions (e.g. beta blockers), attention disorders (e.g. amphetamine derivatives), blood lipid disorders (e.g. statins, fibrates), and hypertension (e.g. thiazide diuretics), as well as certain anti-depressants (e.g. tricyclics), and supplements that impact energy metabolism, such as ephedrine.
  • Regularly take an anticoagulant medication, such as warfarin or aspirin.
  • Have a pacemaker, brain stimulator, or other implanted electrical device, permanent eyeliner, metallic prosthesis (including metal pins and rods, heart valves, and cochlear implants) that would preclude MRI scans.
  • Are currently participating in any other clinical research studies that include blood draws or other procedures.
  • Have a serum follicle-stimulating hormone (FSH) level greater than 20 units per liter

Sites / Locations

  • National Institutes of Health Clinical Center, 9000 Rockville Pike

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Diet A: Low omega-3 (n-3) + High linoleic acid (LA)

Diet B: Low omega-3 (n-3) + Low linoleic acid (LA)

Diet C: High omega-3 (n-3) + Low linoleic acid (LA)

Arm Description

Study diet containing 8 % energy (en%) linoleic acid (LA), 0.4 % energy (en%) arachidonic acid (AA), 0.05 % omega-3 highly unsaturated fatty acids (HUFA) for 12 weeks

Study diet containing 1 % energy (en%) linoleic acid (LA), 0.4 % energy (en%) arachidonic acid (AA), 0.05 % omega-3 highly unsaturated fatty acids highly unsaturated fatty acids (HUFA) for 12 weeks

Study diet containing 1 % energy (en%) linoleic acid (LA), 0.4 % energy (en%) arachidonic acid (AA), 0.81 % omega-3 (n-3) HUFA for 12 weeks

Outcomes

Primary Outcome Measures

Proportion of n-6 HUFA in Total HUFA (%n-6 in HUFA)
Tissue accretion of omega-6 (n-6) highly unsaturated fatty acids (HUFA) in fasting plasma as percent of total HUFA.
Proportion of n-6 HUFA in Total HUFA (%n-6 in HUFA)
Tissue accretion of omega-6 (n-6) highly unsaturated fatty acids (HUFA) in fasting plasma as percent of total HUFA.
Proportion of n-6 HUFA in Total HUFA (%n-6 in HUFA)
Tissue accretion of omega-6 (n-6) highly unsaturated fatty acids (HUFA) in fasting plasma as percent of total HUFA.
Proportion of n-6 HUFA in Total HUFA (%n-6 in HUFA)
Tissue accretion of omega-6 (n-6) highly unsaturated fatty acids (HUFA) in fasting plasma as percent of total HUFA.

Secondary Outcome Measures

Proportion of n-6 HUFA Arachidonic Acid (AA)
Tissue accretion of Arachidonic Acid (AA or 20:4n6), an omega-6 (n-6) highly unsaturated fatty acid, as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-6 HUFA Arachidonic Acid (AA)
Tissue accretion of Arachidonic Acid (AA or 20:4n6), an omega-6 (n-6) highly unsaturated fatty acid, as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-6 HUFA Arachidonic Acid (AA)
Tissue accretion of Arachidonic Acid (AA or 20:4n6), an omega-6 (n-6) highly unsaturated fatty acid, as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-6 HUFA Arachidonic Acid (AA)
Tissue accretion of Arachidonic Acid (AA or 20:4n6), an omega-6 (n-6) highly unsaturated fatty acid, as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-3 HUFA Eicosapentaenoic Acid (EPA)
Tissue accretion of eicosapentaenoic acid (EPA or 20:5n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-3 HUFA Eicosapentaenoic Acid (EPA)
Tissue accretion of eicosapentaenoic acid (EPA or 20:5n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-3 HUFA Eicosapentaenoic Acid (EPA)
Tissue accretion of eicosapentaenoic acid (EPA or 20:5n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-3 HUFA Eicosapentaenoic Acid (EPA)
Tissue accretion of eicosapentaenoic acid (EPA or 20:5n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-3 HUFA Docosahexaenoic Acid (DHA)
Tissue accretion of Docosahexaenoic Acid (DHA or 22:6n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-3 HUFA Docosahexaenoic Acid (DHA)
Tissue accretion of Docosahexaenoic Acid (DHA or 22:6n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-3 HUFA Docosahexaenoic Acid (DHA)
Tissue accretion of Docosahexaenoic Acid (DHA or 22:6n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Proportion of n-3 HUFA Docosahexaenoic Acid (DHA)
Tissue accretion of Docosahexaenoic Acid (DHA or 22:6n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.

Full Information

First Posted
December 1, 2010
Last Updated
August 6, 2021
Sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
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1. Study Identification

Unique Protocol Identification Number
NCT01251887
Brief Title
Dietary Essential Fatty Acid Regulation of Omega-3 HUFA Metabolism; Satiety and Body Composition
Official Title
Dietary Linoleic Acid Regulation of Omega-3 HUFA Metabolism: Satiety and Body Composition Among Overweight Female Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
July 25, 2018
Overall Recruitment Status
Completed
Study Start Date
November 12, 2010 (undefined)
Primary Completion Date
July 25, 2018 (Actual)
Study Completion Date
July 25, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Background: - Rates of obesity have increased dramatically in recent decades, and researchers are investigating how changes in diets and physical activity have contributed to this increase. To understand how weight might be controlled, it is important to learn what kinds of dietary changes can affect hunger and might lower body weight. Essential fatty acids, for instance, are an important part of a healthy diet, but researchers have not yet determined the ideal amount of essential fatty acids that people should eat. By studying how different diets affect body chemistry and hormone levels in women who are overweight or obese, researchers hope to be able to determine better diets or treatments to help people reach and maintain an optimum healthy weight. Objectives: - To examine how certain fats in the diet affect body metabolism, hormones, and weight regulation. Eligibility: - Healthy women between 18 and 50 years of age who are overweight or obese (body mass index between 25 and 35). Design: This study has an initial screening visit and three phases. All participants will be involved in the first two phases of the study, and some participants will be involved in the third phase. Participants will be screened with a physical examination and medical history, in addition to blood and urine tests and questionnaires about eating habits and other diet factors. Phase 1: Participants will have three visits to the National Institutes of Health over a 4-week period. At the visits, participants will have blood and urine tests, complete questionnaires, and have other tests including brain and body imaging studies. Participants will then be assigned to one of three study diets. Phase 2: Participants will have a 12-week diet phase, with all foods supplied by the study researchers. Participants will keep a daily log of food and beverage intake, and will have three testing sessions with procedures similar to those performed in Phase 1. Phase 3: Participants assigned to a particular study diet (one-third of all participants) will be given the option of continuing the diet for an additional 36 weeks (9 months), with food consumption, monitoring, and testing procedures similar to those performed in Phase 2....
Detailed Description
Objective To evaluate the effects of lowering the dietary nutrient linoleic acid (LA) as a controlled variable on: 1) tissue accretion of omega-6 and omega-3 highly unsaturated fatty acids (HUFA); 2) bioactive endocannabinoids derived from the omega-6 HUFA arachidonic acid (AA); 3) insulin sensitivity; 4) satiety and hunger; and 5) body composition. Modifications in dietary LA will be offset with reciprocal changes in the nutrient oleic acid (OA) to maintain equivalency of calories and nutrients. Study Population Up to 180 overweight, but otherwise healthy pre-menopausal women volunteers (aged 18 through 50) with body mass index (BMI) between 25 and 35 kg/m(2), will be enrolled. With the anticipated dropout rates described in Section 7.4, we anticipate that 84 of these subjects will be randomized to study diets, and 64 subjects will complete the 12 week diet phase. Three Group Comparative Analysis A total of 84 subjects will be randomized to one of 3 healthy and nutritionally complete diets that differ only in the fatty acid composition of added visible oils. All foods will be provided through the NIH metabolic kitchen, with subjects visiting the kitchen daily Monday through Friday to obtain foods. Each Friday, subjects will carry home foods packed for their weekend meals. Baseline testing battery will include: 1) blood composition of omega-6 and omega-3 HUFA; 2) endocannabinoid, eicosanoid, and docosanoid derivatives of omega-6 and omega-3 HUFA; 3) insulin function assessment; 4) body composition assessment; 4) functional satiety assessment; and 5) self-reported measures of satiety, hunger and affective states. The full baseline testing battery will be repeated after 84 days of randomized treatment. An abbreviated testing battery will be performed after 28 and 56 days of randomized treatment. A subset of participants will undergo additional inpatient testing in the 24-hour metabolic chamber as described in Section 3.3.2. The remaining subjects will remain ambulatory throughout the study. Participants will be advised to continue their usual medical care and medications throughout the study. 36-Week Continuation (Gradient Dose Replacement) Sub Study At completion of the 84 day (12 week) study, participants in the low LA group (Group B) will have the option of continuing their study diets for another 252 days (36 weeks). During the continuation phase, the abbreviated testing battery will be completed after 6, 12, 18, 24 and 30 weeks, and the full testing battery will be repeated after 36 weeks. Outcome Measures A Primary Dependent Variables The primary outcomes will be the proportion of omega-6 HUFA in total HUFA (%omega-6 in HUFA) and two endocannabinoids derived from omega-6 AA, 2-Arachidonoylglycerol (2-AG) and N-Arachidonoylethanolamine (Anandamide or AEA). Secondary Dependent Variables Secondary outcome measures will include blood concentrations of the omega-6 HUFA Arachidonic Acid (AA); the omega-3 HUFA Eicosapentaenoic Acid (EPA) and Docosahexaenoic Acid (DHA); the rates of change in %omega-6 in HUFA, AA, EPA, DHA, 2-AG and AEA over time; adipose and muscle tissue fatty acid composition; endocrine hormones; gene expression profiles; psychometrics; functional satiety; 24-hr energy metabolism and substrate utilization; and body composition, as follows: Omega-6 and omega-3 HUFA and total fat content will be measured in adipose and muscle tissue biopsies. Other endocannabinoid, eicosanoid and docosanoid derivatives of omega-6 and omega-3 HUFA will be measured in plasma via mass spectrometry. Psychometric outcomes will include self-reported measures of satiety and affective states. Functional satiety will be assessed via buffet-style food array testing. Body composition outcomes will include DEXA, 3T MRI, anthropometric measurements and bioelectrical impedance. Genotyping will also be performed to assess for interactions between selected gene variants and effects of the intervention.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Weight Gain, Healthy Subjects, Obesity, Women
Keywords
Lipids, Obesity, Omega-3 Fatty Acids, Overweight

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Allocation
Randomized
Enrollment
85 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Diet A: Low omega-3 (n-3) + High linoleic acid (LA)
Arm Type
Experimental
Arm Description
Study diet containing 8 % energy (en%) linoleic acid (LA), 0.4 % energy (en%) arachidonic acid (AA), 0.05 % omega-3 highly unsaturated fatty acids (HUFA) for 12 weeks
Arm Title
Diet B: Low omega-3 (n-3) + Low linoleic acid (LA)
Arm Type
Experimental
Arm Description
Study diet containing 1 % energy (en%) linoleic acid (LA), 0.4 % energy (en%) arachidonic acid (AA), 0.05 % omega-3 highly unsaturated fatty acids highly unsaturated fatty acids (HUFA) for 12 weeks
Arm Title
Diet C: High omega-3 (n-3) + Low linoleic acid (LA)
Arm Type
Experimental
Arm Description
Study diet containing 1 % energy (en%) linoleic acid (LA), 0.4 % energy (en%) arachidonic acid (AA), 0.81 % omega-3 (n-3) HUFA for 12 weeks
Intervention Type
Dietary Supplement
Intervention Name(s)
Linoleic Acid
Intervention Type
Dietary Supplement
Intervention Name(s)
Docosahexaenoic Acid
Intervention Type
Dietary Supplement
Intervention Name(s)
Eicosapentaenoic Acid
Primary Outcome Measure Information:
Title
Proportion of n-6 HUFA in Total HUFA (%n-6 in HUFA)
Description
Tissue accretion of omega-6 (n-6) highly unsaturated fatty acids (HUFA) in fasting plasma as percent of total HUFA.
Time Frame
Baseline
Title
Proportion of n-6 HUFA in Total HUFA (%n-6 in HUFA)
Description
Tissue accretion of omega-6 (n-6) highly unsaturated fatty acids (HUFA) in fasting plasma as percent of total HUFA.
Time Frame
Week 4
Title
Proportion of n-6 HUFA in Total HUFA (%n-6 in HUFA)
Description
Tissue accretion of omega-6 (n-6) highly unsaturated fatty acids (HUFA) in fasting plasma as percent of total HUFA.
Time Frame
Week 8
Title
Proportion of n-6 HUFA in Total HUFA (%n-6 in HUFA)
Description
Tissue accretion of omega-6 (n-6) highly unsaturated fatty acids (HUFA) in fasting plasma as percent of total HUFA.
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
Proportion of n-6 HUFA Arachidonic Acid (AA)
Description
Tissue accretion of Arachidonic Acid (AA or 20:4n6), an omega-6 (n-6) highly unsaturated fatty acid, as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Baseline
Title
Proportion of n-6 HUFA Arachidonic Acid (AA)
Description
Tissue accretion of Arachidonic Acid (AA or 20:4n6), an omega-6 (n-6) highly unsaturated fatty acid, as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Week 4
Title
Proportion of n-6 HUFA Arachidonic Acid (AA)
Description
Tissue accretion of Arachidonic Acid (AA or 20:4n6), an omega-6 (n-6) highly unsaturated fatty acid, as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Week 8
Title
Proportion of n-6 HUFA Arachidonic Acid (AA)
Description
Tissue accretion of Arachidonic Acid (AA or 20:4n6), an omega-6 (n-6) highly unsaturated fatty acid, as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Week 12
Title
Proportion of n-3 HUFA Eicosapentaenoic Acid (EPA)
Description
Tissue accretion of eicosapentaenoic acid (EPA or 20:5n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Baseline
Title
Proportion of n-3 HUFA Eicosapentaenoic Acid (EPA)
Description
Tissue accretion of eicosapentaenoic acid (EPA or 20:5n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Week 4
Title
Proportion of n-3 HUFA Eicosapentaenoic Acid (EPA)
Description
Tissue accretion of eicosapentaenoic acid (EPA or 20:5n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Week 8
Title
Proportion of n-3 HUFA Eicosapentaenoic Acid (EPA)
Description
Tissue accretion of eicosapentaenoic acid (EPA or 20:5n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Week 12
Title
Proportion of n-3 HUFA Docosahexaenoic Acid (DHA)
Description
Tissue accretion of Docosahexaenoic Acid (DHA or 22:6n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Baseline
Title
Proportion of n-3 HUFA Docosahexaenoic Acid (DHA)
Description
Tissue accretion of Docosahexaenoic Acid (DHA or 22:6n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Week 4
Title
Proportion of n-3 HUFA Docosahexaenoic Acid (DHA)
Description
Tissue accretion of Docosahexaenoic Acid (DHA or 22:6n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Week 8
Title
Proportion of n-3 HUFA Docosahexaenoic Acid (DHA)
Description
Tissue accretion of Docosahexaenoic Acid (DHA or 22:6n3), an omega-3 (n-3) highly unsaturated fatty acid (HUFA), as measured in fasting plasma as a percent of total fatty acids.
Time Frame
Week 12

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
INCLUSION CRITERIA: Subjects will be overweight, but otherwise healthy, pre-menopausal ambulatory volunteers aged 18 to 50. To be eligible for this research study, participants must: Be between 18 and 50 years of age. Have regular menstrual cycles. Be willing to use an effective method of birth control such as hormonal contraception, intrauterine device, barrier methods combined with spermicide, or surgical sterilization. Have a body mass index of 25 to 35 kg/m(2). Be otherwise healthy as determined by history, medical examination and laboratory tests. Be able to come to the NIH Clinical Center every weekday for 3 months. Be able to understand the consent form, and provide informed written consent. EXCLUSION CRITERIA: Participants are not eligible for this research study if they: Have been pregnant or have breast fed within the last 2 years. Work, or have an immediate family member who works, with a study investigator. Immediate family is defined as a spouse, parent, child or sibling, whether biological or legally adopted. Are HIV positive. Have any current, unstable medical conditions including respiratory insufficiency requiring oxygen therapy; cardiac ischemia; cardiac or hepatic failure; or acute neurological illness as assessed by history and physical exam. Have evidence of diseases that may influence metabolism (e.g. overt diabetes mellitus, thyroid disease, cancer) Have any current or past history of eating disorders such as binge eating or anorexia nervosa. Have had weight loss (bariatric) surgery. Have gained or lost more than 3% of your current weight in the past 3 months. Exercise strenuously, like running, swimming, or basketball, 4 or more times per week. Are planning to begin a strenuous exercise program in the next 4 months. Take supplements that contain omega-6 or omega-3 fatty acids (e.g. fish, cod liver, borage, evening primrose oils) Have significant dietary limitations (e.g. multiple food allergies/intolerances, vegan diet) or special dietary requirements that are difficult to accommodate with study diets Have significant claustrophobia that would preclude study tests. Have a history of alcohol or substance abuse or dependence in the past 5 years. Drink more than 2 alcoholic beverages per day, on average, or 6 drinks per sitting in the past year. Participants may drink up to one alcoholic beverage per day during the study. Used marijuana, amphetamines, cocaine, or heroin even once over the last year. Participants may not use marijuana, amphetamines, cocaine, or heroin during the study. Have smoked 2 or more cigarettes per week, on average, over the past year. Participants may not use tobacco products during the study. Eat fish 3 or more times per week on average. Have a known bleeding disorder. Take medications or supplements that may interfere with this study by altering energy metabolism, nutrient absorption, or food intake. Regular use of the following compounds warrants exclusion: medications for the management of diabetes (Type 1 or 2), typical and atypical antipsychotics, thyroid medications, glucocorticoids, orlistat, decongestants, anti-histamines, and medications for cardiac conditions (e.g. beta blockers), attention disorders (e.g. amphetamine derivatives), blood lipid disorders (e.g. statins, fibrates), and hypertension (e.g. thiazide diuretics), as well as certain anti-depressants (e.g. tricyclics), and supplements that impact energy metabolism, such as ephedrine. Regularly take an anticoagulant medication, such as warfarin or aspirin. Have a pacemaker, brain stimulator, or other implanted electrical device, permanent eyeliner, metallic prosthesis (including metal pins and rods, heart valves, and cochlear implants) that would preclude MRI scans. Are currently participating in any other clinical research studies that include blood draws or other procedures. Have a serum follicle-stimulating hormone (FSH) level greater than 20 units per liter
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christopher E Ramsden, M.D.
Organizational Affiliation
National Institute on Aging (NIA)
Official's Role
Principal Investigator
Facility Information:
Facility Name
National Institutes of Health Clinical Center, 9000 Rockville Pike
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20892
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
18426497
Citation
Cota D. The role of the endocannabinoid system in the regulation of hypothalamic-pituitary-adrenal axis activity. J Neuroendocrinol. 2008 May;20 Suppl 1:35-8. doi: 10.1111/j.1365-2826.2008.01673.x.
Results Reference
background
PubMed Identifier
16306385
Citation
Pagotto U, Marsicano G, Cota D, Lutz B, Pasquali R. The emerging role of the endocannabinoid system in endocrine regulation and energy balance. Endocr Rev. 2006 Feb;27(1):73-100. doi: 10.1210/er.2005-0009. Epub 2005 Nov 23.
Results Reference
background
PubMed Identifier
18440538
Citation
Szmitko PE, Verma S. The endocannabinoid system and cardiometabolic risk. Atherosclerosis. 2008 Aug;199(2):248-56. doi: 10.1016/j.atherosclerosis.2008.03.011. Epub 2008 Mar 20.
Results Reference
background

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Dietary Essential Fatty Acid Regulation of Omega-3 HUFA Metabolism; Satiety and Body Composition

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