Metabolites Profiling Reveals Nutrient Processing Patterns Upon Dietary Loading
Metabolism Disorder, Nutrition
About this trial
This is an interventional basic science trial for Metabolism Disorder
Eligibility Criteria
Inclusion Criteria: Those who agree to participate in the study and sign informed consent. Age between 20 and 65 year. Fasting plasma glucose < 7.0mmol/l, and 2-hour postprandial plasma glucose < 11.1mmol/l. BMI > 18 kg/m2. Exclusion Criteria: History of diabetes. Pregnant or lactating women. The subjects had not received oral/systemic corticosteroids for 7 consecutive days during the last 6 months. Subjects were taking medication known to affect glucose metabolism. Subjects who take strong inhibitors of cytochrome P450 (CYP)3A4/5, for example, ketoconazole, azanaway, clarithromycin, indinavir, itraconazole, nefazodone, nelfinavir, ritonavir, saquinavir and telithromycin. Patients with either of the following characteristics of severe hepatic disease: i. Two consecutive abnormal hepatic function results during recent four weeks, with ALT or AST three times the upper limit of the institutions normal reference ranges. ii. Hepatic excretion dysfunction (eg. hyperbilirubinemia) and/or synthesis dysfunction, or other decompensated liver disease. iii. Acute viral hepatitis, autoimmune hepatitis, and alcoholic hepatitis Patients with moderate and severe renal impairment, and end-stage renal disease (serum creatinine > 194.5 mmol/L, or serum potassium > 5.5 mmol/L). New York Heart Association (NYHA) functional class III or IV congestive heart failure. History of acute or chronic pancreatitis. History of gastrointestinal disorders: gastroenterostomy, enterectomy, ileus and intestinal ulcers. Subjects with previously diagnosed malignancy within the past 5 years. Any other reasons that the investigator considered inappropriate to participate in the study.
Sites / Locations
- First Affiliated Hospital, Nanjing Medical University
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Macronutrients loading test for healthy group
Mixed meal tolerance test (MMTT) for healthy group
Mixed meal tolerance test (MMTT) for overweight subjects with normal plasma glucose
Mixed meal tolerance test (MMTT) for obese subjects with abnormal plasma glucose
A total of 30 subjects with normal metabolic status underwent three successive food tolerance tests (glucose, protein and fat) at one-week intervals.
A total of 40 subjects with normal weight and plasma glucose levels underwent MMTT.
A total of 40 overweight subjects without a history of diabetes underwent MMTT.
A total of 40 obese subjects without a history of diabetes underwent MMTT.