About this trial
The investigators will conduct a proof-of-principle 4-weeks low-calorie diet (LCD) intervention study in low birth weight (LBW) subjects and normal birth weight (NBW) controls with documented (MR scan) liver fat content equal to or above 5%. The investigators will provide extended in-depth mechanistic insight into the role of impaired subcutaneous adipose tissue (SAT) expandability in ectopic fat deposition before and after LCD.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
subjects with NAFLD (liver fat content ≥5% liver fat content verified on MRS in the screening NAFLD study)
Disqualifiers
BMI<18.5 and BMI>30 kg/m2
Family history of diabetes (siblings, parent, and grandparents)
Disease/medication known to affect primary outcome
Self-reported high physical activity level
Trial design
Single group
Treatments tested in this trial
Caloric restriction intervention
BehavioralThe intervention consist of 4-weeks low calories diet (LCD) using total meal replacement from NUPO. A dietician will guide the participants an ensure well-being during the intervention.
No intervention
Other interventionNo intervention
Treatment groups
Trial outcomes
Primary outcomes
Liver fat content
Validation by Magnetic resonance spectroscopy (MRS)
Liver fat content
Liver elastography (FibroScan)
Secondary outcomes
Liver stiffness
Liver elastography (FibroScan)
Body composition
DEXA scan
Other outcomes
Adipocyte size
Adipose tissue immunohistochemistry
Collagen content
Adipose tissue immunohistochemistry
Transcriptomics
RNAseq of bulk subcutaneous adipose tissue
Transcriptomics
RNAseq of ex vivo cultured preadipocytes
Sponsors and contacts
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Steno Diabetes Center Copenhagen
Lead sponsor
Aarhus University Hospital
Collaborator
Lund University
Collaborator