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Appetite Suppression Trial With Polydextrose

Primary Purpose

Body Weight, Non-restrained Eaters

Status

Completed

Phase

Not Applicable

Locations

Netherlands

Study Type

Interventional

Intervention

12.5 g polydextrose

glucose syrup

About this trial

This is an interventional health services research trial for Body Weight focused on measuring pre-load, satiety, energy intake, appetite

Eligibility Criteria

20 Years - 45 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

Healthy, female participants aged 20-45 years inclusive
BMI: 20-30 kg/m2 inclusive
Written consent regarding participation after full information regarding all details of the study
Normal Dutch eating habits (consuming mostly three main meals per day; used to eat bread for lunch)

Exclusion Criteria:

Pregnancy
On-going or recent treatment for diabetes, hypertension, coronary heart disease, psychiatric conditions, inflammatory chronic disease - rheumatoid arthritis, Crohn Disease, ulcerous colitis, chronic constipation, eating disorders, or any disease condition which interferes with ADME of the investigational product
Reported postmenopausal
Having menstruation problems, e.g. PCOS
Reported to be on a slimming diet or other dietary treatment (currently or during last two months, like vegetarian diet, lactose restricted diet etc.)
Aversion towards products (yoghurt) provided in the study
On-going use of any slimming preparations
Any kind of dysfunction of digestive tract, food allergy, chronic constipation, recent/actual gastroenteritis
Restrained eaters (score DEBQ >3.4)
Participants consuming more than 23g of dietary fiber per day - P75 according to the Dutch National Food Consumption Survey - (as assessed with a general short questionnaire which gives estimation on the fiber intake. Exact fiber intake will not be calculated)
Smoker in the last 3 months
Heavy coffee drinkers (more than 6 cups a day)
High level of physical activity: Participants who perform more than 3 hours of intense training/sport activity per week (this will not include normal cycling transport)
Heavy alcohol consumers, no more than 14 units per week (1 unit represents 1 standard glass/portion of alcohol, independent of the type of alcoholic drink).

Remark:

When enough subjects are eligible (> 32), the women with the highest BMI will be selected to participate. At least 50% of the subjects will have a BMI ranging of 25-30. Also at least 50% of the women will be in the age range of 25-45 years. When more than 32 subjects are eligible the eldest subjects will be included.

With respect to eligibility of the subjects:

the BMI criterion always comes for age criterion, meaning that overweight is stressed to be of more importance for this study than age. Overweight will always come first, even when already > 50% of the women with a BMI 25-30 have been included. In this way the overweight group of women will be studied as much as possible.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

polydextrose or glucose syrup at breakfast

Pre-load with yogurt and polydextrose or glucose later

Arm Description

Breakfast with pre-load four hours before lunch

Breakfast without pre-load. Pre-load with yogurt provided 1.5h before lunch.

Outcomes

Primary Outcome Measures

Energy Intake at an ad Libitum Lunch on a Test-day in Normal Weight and Overweight Women.

Yogurt with a polydextrose (fiber with satiating effect) is consumed in the morning with breakfast or later in the morning. The satiating effect of the addition of polydextrose is tested on the amount of food consumed with lunch four hours or 1.5h later.

Secondary Outcome Measures

The Appetite Suppressive Effect of Polydextrose During Meal Consumption (Satiation) and Satiety (After Food Consumption)

The appetite suppressive effect of polydextrose measured with Visual Analogue rating Scales (VAS). The AUCs were calculated for the scores obtained before - first score after meal intake (satiation) and for score after meal till start of next meal (in between meals, satiety). The VAS scores ranged from 0-100 for hunger and fullness (HUNGER: 0 = no hunger , 100 = very hungry; FULNESS: 0 = not full, 100 = very full)

Evaluate Effect of Pre-load on Satiety Hormones in Normal Weight and Overweight Women.

The satiety hormones CCK, GLP-1, ghrelin and PYY are measured before (t=0) and after breakfast consumption (at t=30, 60, 90, 150, 240) . This is done on day 01, day 08, day 15 and day 22 with at least four days wash-out in-between. The satiety hormones were only measured in the conditions when the pre-load was given with breakfast (condition A and B). Area under the curves were calculated of the time curves.

Full Information

NCT ID

NCT02064205

First Posted

February 11, 2014

Last Updated

May 11, 2022

Sponsor

W.J. Pasman

1. Study Identification

Unique Protocol Identification Number

NCT02064205

Brief Title

Appetite Suppression Trial With Polydextrose

Official Title

A Double Blind, Placebo Controlled, Randomized, Cross-over Study to Assess the Effects of Polydextrose on Appetite Suppression and Its Mechanisms of Action in Healthy Women With a Normal Weight and Overweight Female Participants.

Study Type

Interventional

2. Study Status

Record Verification Date

May 2022

Overall Recruitment Status

Completed

Study Start Date

May 2014 (undefined)

Primary Completion Date

October 2014 (Actual)

Study Completion Date

December 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Sponsor-Investigator

Name of the Sponsor

W.J. Pasman

4. Oversight

Data Monitoring Committee

5. Study Description

Brief Summary

Overweight and obesity are a global epidemic, which causes a rapid increase in the frequency of diabetes and cardiovascular diseases. Food ingredients that influence the mechanisms that regulate satiety may play a role in weight management. Suppression of appetite may reduce energy intake, which in return may lead to body weight reduction. This study aims to verify the appetite suppressive effect of polydextrose in comparison to a placebo in normal weight and overweight women.

Detailed Description

Polydextrose is a well-tolerated, low calorie glucose polymer (4kJ/g) that can be easily incorporated into various food applications to replace sugar and fat (Auerbach et al., 2007). Polydextrose is poorly digested in the upper gastrointestinal tract and therefore shows fiber-like properties. The addition of polydextrose to foods may increase the satiating properties of foods. Previous studies have shown that: Consuming polydextrose-containing preloads (6.25 - 25.0 g polydextrose) resulted in a significant lower energy intake at lunch compared to the control (Astbury et al., 2013; Ranawana et al., 2013; Hull et al., 2012; King et al., 2005). Polydextrose is able to modify appetite ratings at low (6.25 - 12.5 g polydextrose) (Hull et al., 2012) and high doses (56.7 g/d) (Konings et al., 2013). Polydextrose (15.0 g) induced enhanced GLP-1 response after a high-fat meal in obese participants (Tiihonen et al., 2012). Therefore, it is hypothesized that with the consumption of 12.5 g polydextrose as compared with the placebo, appetite will be suppressed, resulting in: a lower consumption at lunch (energy intake at lunch) change in appetite scores (VAS) change in satiety hormones (CCK, PYY, GLP-1, ghrelin) change in glucose and insulin change in stomach emptying rate change in gastric wellbeing

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Body Weight, Non-restrained Eaters

Keywords

pre-load, satiety, energy intake, appetite

7. Study Design

Primary Purpose

Health Services Research

Study Phase

Not Applicable

Interventional Study Model

Crossover Assignment

Model Description

Breakfast meal with or without polydextrose

Masking

ParticipantCare ProviderInvestigatorOutcomes Assessor

Allocation

Randomized

Enrollment

32 (Actual)

8. Arms, Groups, and Interventions

Arm Title

polydextrose or glucose syrup at breakfast

Arm Type

Active Comparator

Arm Description

Breakfast with pre-load four hours before lunch

Arm Title

Pre-load with yogurt and polydextrose or glucose later

Arm Type

Placebo Comparator

Arm Description

Breakfast without pre-load. Pre-load with yogurt provided 1.5h before lunch.

Intervention Type

Dietary Supplement

Intervention Name(s)

12.5 g polydextrose

Other Intervention Name(s)

Litesse®Ultra TM

Intervention Description

Appetite suppressing supplement is added in yogurt and provided with breakfast (four hours before lunch) or 1.5h before lunch. Also yogurt with control (glucose syrup) is tested for its satiating effect.

Intervention Type

Dietary Supplement

Intervention Name(s)

glucose syrup

Intervention Description

Glucose syrup is used a control product for the polydextrose

Primary Outcome Measure Information:

Title

Energy Intake at an ad Libitum Lunch on a Test-day in Normal Weight and Overweight Women.

Description

Time Frame

Four hours or 1.5 hour after consumption of a pre-load at up to day 22

Secondary Outcome Measure Information:

Title

The Appetite Suppressive Effect of Polydextrose During Meal Consumption (Satiation) and Satiety (After Food Consumption)

Description

Time Frame

one day

Title

Evaluate Effect of Pre-load on Satiety Hormones in Normal Weight and Overweight Women.

Description

Time Frame

Four hour curves (t=0, 30, 60, 90, 150 and 240 min) of day 01, day 08, day 15 and day 22.

10. Eligibility

Sex

Female

Minimum Age & Unit of Time

20 Years

Maximum Age & Unit of Time

45 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Healthy, female participants aged 20-45 years inclusive BMI: 20-30 kg/m2 inclusive Written consent regarding participation after full information regarding all details of the study Normal Dutch eating habits (consuming mostly three main meals per day; used to eat bread for lunch) Exclusion Criteria: Pregnancy On-going or recent treatment for diabetes, hypertension, coronary heart disease, psychiatric conditions, inflammatory chronic disease - rheumatoid arthritis, Crohn Disease, ulcerous colitis, chronic constipation, eating disorders, or any disease condition which interferes with ADME of the investigational product Reported postmenopausal Having menstruation problems, e.g. PCOS Reported to be on a slimming diet or other dietary treatment (currently or during last two months, like vegetarian diet, lactose restricted diet etc.) Aversion towards products (yoghurt) provided in the study On-going use of any slimming preparations Any kind of dysfunction of digestive tract, food allergy, chronic constipation, recent/actual gastroenteritis Restrained eaters (score DEBQ >3.4) Participants consuming more than 23g of dietary fiber per day - P75 according to the Dutch National Food Consumption Survey - (as assessed with a general short questionnaire which gives estimation on the fiber intake. Exact fiber intake will not be calculated) Smoker in the last 3 months Heavy coffee drinkers (more than 6 cups a day) High level of physical activity: Participants who perform more than 3 hours of intense training/sport activity per week (this will not include normal cycling transport) Heavy alcohol consumers, no more than 14 units per week (1 unit represents 1 standard glass/portion of alcohol, independent of the type of alcoholic drink). Remark: When enough subjects are eligible (> 32), the women with the highest BMI will be selected to participate. At least 50% of the subjects will have a BMI ranging of 25-30. Also at least 50% of the women will be in the age range of 25-45 years. When more than 32 subjects are eligible the eldest subjects will be included. With respect to eligibility of the subjects: the BMI criterion always comes for age criterion, meaning that overweight is stressed to be of more importance for this study than age. Overweight will always come first, even when already > 50% of the women with a BMI 25-30 have been included. In this way the overweight group of women will be studied as much as possible.

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Naguib Muhsen, MD

Organizational Affiliation

QPS, The Netherlands

Official's Role

Principal Investigator

Facility Information:

Facility Name

QPS

City

Groningen

ZIP/Postal Code

9713AG

Country

Netherlands

12. IPD Sharing Statement

Citations:

PubMed Identifier

27916475

Citation

Ibarra A, Olli K, Pasman W, Hendriks H, Alhoniemi E, Raza GS, Herzig KH, Tiihonen K. Effects of polydextrose with breakfast or with a midmorning preload on food intake and other appetite-related parameters in healthy normal-weight and overweight females: An acute, randomized, double-blind, placebo-controlled, and crossover study. Appetite. 2017 Mar 1;110:15-24. doi: 10.1016/j.appet.2016.12.002. Epub 2016 Dec 2.

Results Reference

derived

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Appetite Suppression Trial With Polydextrose

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