Sex Differences in Metabolism Following a High-fat Meal

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-35
SponsorKirsten Bell

About this trial

Long-term consumption (i.e., several weeks to months) of a diet that is high in fat (\>35% daily calories from fat) is associated with the development of insulin resistance, a condition that can lead to a diagnosis of type 2 diabetes. Women tend to be better protected against the development of high-fat diet-induced insulin resistance compared with men, but it is not fully understand why this sex difference exists. It is possible that women metabolize high-fat meals differently than men, which might explain why they are less likely to develop type 2 diabetes over the course of their lifetime. However, no one has ever compared the metabolic response to a high-fat meal between men and women in the hours immediately after ingestion.

During this study, the investigators will administer a single high-fat "fast-food" style breakfast meal (846 kcal, of which 58% is fat) to 24 health young adults (n=12 men, n=12 women) 18-35 years old. Their objective is to determine whether there are differences in the way men and women metabolize high-fat meals, such as this one. The research team will take regular blood samples after participants ingest this meal to measure features of glucose metabolism (e.g., blood glucose and insulin) as well as resting oxygen uptake (VO2) measurements to examine how much of this meal is burned for energy in the hours immediately after ingestion.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

BMI between 18.5 and 30.0 kg/m2

Weight stable for the past 6 months (± 2kg)

Exercise at or below the Canadian Physical Activity Guidelinesa

Fasting blood glucose <6.0 mM

Disqualifiers

Smoking

Diabetes, cancer, or other metabolic disorders

Cardiac or gastrointestinal problems

Infectious disease

Trial design

Design model

Single group

Treatments tested in this trial

  • High-fat test meal

    Other intervention

    Ingestion of a mixed macronutrient breakfast meal providing 846 kcal, of which 58% is fat, 29% is carbohydrate and 13% is protein.

Treatment groups

24 Participants
are divided into 1 treatment group
Group A: High-fat test mealExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Plasma insulin

Peak postprandial concentration and/or area under the curve

Time frame
Will be measured in blood samples taken at 0 minutes (fasting), and 15, 30, 45, 60, 90, 120, 150, 180, 210, and 240 minutes post-ingestion of a high-fat meal
2

Plasma glucose

Peak postprandial concentration and/or area under the curve

Time frame
Will be measured in blood samples taken at 0 minutes (fasting), and 15, 30, 45, 60, 90, 120, 150, 180, 210, and 240 minutes post-ingestion of a high-fat meal
3

Plasma c-peptide

Peak postprandial concentration and/or area under the curve

Time frame
Will be measured in blood samples taken at 0 minutes (fasting), and 15, 30, 45, 60, 90, 120, 150, 180, 210, and 240 minutes post-ingestion of a high-fat meal
4

Plasma glucagon

Peak postprandial concentration and/or area under the curve

Time frame
Will be measured in blood samples taken at 0 minutes (fasting), and 15, 30, 45, 60, 90, 120, 150, 180, 210, and 240 minutes post-ingestion of a high-fat meal

Secondary outcomes

1

Plasma triglycerides

Peak postprandial concentration and/or area under the curve

Time frame
Will be measured in blood samples taken at 0 minutes (fasting), and 15, 30, 45, 60, 90, 120, 150, 180, 210, and 240 minutes post-ingestion of a high-fat meal
2

Plasma cholesterols (total and HDL)

Peak postprandial concentration and/or area under the curve

Time frame
Will be measured in blood samples taken at 0 minutes (fasting), and 15, 30, 45, 60, 90, 120, 150, 180, 210, and 240 minutes post-ingestion of a high-fat meal
3

Plasma non-esterified fatty acids

Peak postprandial concentration and/or area under the curve

Time frame
Will be measured in blood samples taken at 0 minutes (fasting), and 15, 30, 45, 60, 90, 120, 150, 180, 210, and 240 minutes post-ingestion of a high-fat meal
4

Respiratory exchange ratio (RER)

Average resting RER over a 10-minute sampling period

Time frame
Will be measured using indirect calorimetry and a facemask at -10 to 0 minutes (fasting), and 50-60 minutes, 110-120 minutes, 170-180 minutes and 230-240 minutes post-ingestion of a high-fat meal.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Kirsten Bell

Lead sponsor

McMaster University

Sponsor institution

McMaster University

Collaborator