About this trial
The overall aim of this project is to study the effects of short-term high ultra-processed food intake, compared to nutrient- and energy density matched low ultra-processed food (UPF) intake, on energy intake and appetite.
A total of 24 men and women who meet all inclusion criteria and none of the exclusion criteria will be invited to participate. A randomized 2\*2 factorial four-way crossover study will be conducted at the Department of Internal medicine and Clinical Nutrition at the University of Gothenburg, comparing a high-UPF meal to a low-UPF meal also with high and/or low energy density. A supervised breakfast meal will be served, and postprandial blood samples and appetite measures will be collected continuously up to 4 hours after the breakfast meal. Subsequently, an ad libitum lunch meal will be served, and energy intake will be recorded.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Body mass index (BMI) 18.5-30 kg/m2
Fasting glucose < 6.1 mmol/l
Hb >110 g/L
Weight stability the last 3 months +/-5%
Disqualifiers
Food allergies, intolerances or preferences preventing consumption of any products included in the study.
Unable to sufficiently understand written and spoken Swedish or English to provide written consent and understand information and instructions from the study personal.
Pregnant, lactating or planning a pregnancy during the study period.
Blood donation or participation in a clinical study with blood sampling within 30 days prior to screening visit and throughout the study.
Trial design
Crossover
Treatments tested in this trial
Meal high in energy density, high in ultra-processed food
Other interventionMeal high in energy density, high in ultra-processed food
Meal high in energy density, low in ultra-processed food
Other interventionMeal high in energy density, low in ultra-processed food
Meal low in energy density, high in ultra-processed food
Other interventionMeal low in energy density, high in ultra-processed food
Meal low in energy density, low in ultra-processed food
Other interventionMeal low in energy density, low in ultra-processed food
Treatment groups
Trial outcomes
Primary outcomes
Self-reported appetite
Appetite ratings (hunger, fullness, and desire to eat) will be assessed using separate 100-mm Visual Analogue Scales (VAS), anchored with "not at all" (0 mm) and "extremely" (100 mm). Higher scores indicate greater perceived intensity.
Energy intake
Energy intake estimated by nutrient calculation of leftover food at the ad libitum lunch meal
Gastrointestinal hormones - incretins
Difference between groups in incretins GIP and GLP-1 in response to meal
Gastrointestinal hormones - cholecystokinin
Difference between groups in cholecystokinin in response to meal
Secondary outcomes
Eating rate
Time it takes to eat the study meal until satisfied
Glucose postprandial
Difference between groups in postprandial glucose in response to meal.
Insulin postprandial
Difference between groups in postprandial insulin in response to meal.
Lipid metabolism
Difference between groups in postprandial lipid metabolism in response to meal.
Other outcomes
Determinants of energy intake - proteome
Correlation between baseline proteome measured using proteomics and the primary outcome energy intake
Determinants of energy intake - metabolome
Correlation between baseline metabolome measured using metabolomics and primary outcome energy intake
Determinants of energy intake - body composition
Correlation between baseline body composition (fat percentage and fat free mass percentage) measured using Bioelectrical impedance analysis (BIA) and primary outcome energy intake
Determinants of energy intake - metabolic markers
Correlation between baseline metabolic markers, fasting plasma glucose, insulin, and triglycerides measured via standard clinical chemistry methods, and primary outcome energy intake
Sponsors and contacts
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