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CompletedNCT00830999DEVUpdated Jan 21, 2013

Fat Metabolism in Response to Acute Diet- and Exercise-induced Changes in Energy Balance

An interventional study of Positive energy balance and Energy balance with exercise in Cardiovascular Diseases, sponsored by Washington University School of Medicine. Completed at 1 site in United States. Open to male participants aged 21 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-01-21.

Sponsored by Washington University School of Medicine · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
21 Years to 50 Years
Sex
Male
01

Study summary

This study is being conducted to learn more about the role of diet and exercise in regulating plasma triglyceride (fat) metabolism. The investigators will examine the effect of acute (24 hour) changes in energy intake and expenditure on fat metabolism the following day.

Read the detailed description

Excess body fat and a sedentary lifestyle are associated with increased plasma triglyceride (TG) and apolipoprotein B-100 (apoB-100) concentrations, which are important risk factors for the development of cardiovascular disease.

Weight loss and endurance exercise improve plasma lipid and lipoprotein concentrations. However, the mechanisms responsible for this effect are largely unknown, and much uncertainty remains regarding the independent roles of dietary energy intake, exercise energy expenditure, and net energy balance in controlling plasma TG concentrations.

The main goal of this project, therefore, is to investigate the mechanisms by which acute alterations in energy balance, induced by diet and/or physical activity (endurance exercise), regulate very-low density lipoprotein (VLDL) metabolism.

Subjects will be asked to perform 3 separate trials. One of these will always be an "energy balance" trial that will act as the control trial for the other 2 trials they perform. Subjects will therefore be randomized to 2 different study arms.

02

Conditions studied

  • Cardiovascular Diseases

Keywords

  • fat metabolism
  • exercise
  • liver
  • lipoproteins
  • triglycerides
03

In context

Cardiovascular Diseases

4,904 studies on the registry are indexed under Cardiovascular Diseases; 919 are open to participants now.

This study's enrollment of 12 is below the median of 100 across 2,738 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

Washington University School of Medicine is the lead sponsor of 1,765 studies on the registry; 271 are open to participants now.

Of its 324 completed or terminated interventional studies of FDA-regulated products, 212 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 50 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  • overweight and obese men
  • normal to mild hypertriglyceridemia

Exclusion criteria

Exclusion Criteria:

  • Smoking
  • Any medical condition other than increased body weight (e.g. diabetes, heart disease, etc.).
  • Use of drugs known to affect lipid metabolism (e.g. statins, etc.).
  • Regular exercise training.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Positive energy balance

    Comparison between isocaloric and hypercaloric diets with no exercise performed in any trials

    Behavioral: Positive energy balance · Behavioral: Energy balance

  • Experimental
    Energy balance with exercise

    Comparison between an isocaloric diet without exercise and a hypercaloric diet with a sufficient amount of exercise performed to match the excess calories consumed resulting in both trials being in net energy balance.

    Behavioral: Energy balance with exercise · Behavioral: Energy balance

  • Experimental
    Negative energy balance

    Comparison between isocaloric and hypocaloric diets with no exercise performed in any trials

    Behavioral: Negative energy balance · Behavioral: Energy balance

  • Experimental
    Negative energy balance with exercise

    Comparison between consuming an isocaloric diet without exercise and consuming the same amount of calories as in the isocaloric trial but with exercise performed resulting in net negative energy balance in the exercise trial.

    Behavioral: Negative energy balance with exercise · Behavioral: Energy balance

Interventions

  • BehavioralPositive energy balance

    Subjects will consume over a 24 hour period 33% more calories than they require to meet their energy demands.

  • BehavioralEnergy balance with exercise

    Subjects will consume over a 24 hour period 33% more calories than they require to meet their energy demands but will perform 2 hours of exercise that will be sufficient to burn off the excess calories consumed resulting in subjects being in net energy balance.

  • BehavioralNegative energy balance

    Subjects will consume over a 24 h period only 66% of the calories required to meet their energy demands such that they will be in a net negative calorie balance in this trial.

  • BehavioralNegative energy balance with exercise

    Subjects will consume over a 24 hour period the same amount of calories as ingested in the isocaloric trial but will also perform 2 hours of exercise that will be sufficient to burn off a third of the calories they consumed during this day resulting in subjects being in net negative energy balance in this trial

  • BehavioralEnergy balance

    Subjects will consume over a 24 hour period a sufficient amount of calories to meet their energy needs.

06

What researchers measure

Primary outcomes

  1. Very Low Density Lipoprotein-Triglyceride and apoB-100 concentrations

    Time frame: After acute (24 hour) changes in energy intake and/or energy expenditure

Secondary outcomes

  1. Liver Very Low Density Lipoprotein-Triglyceride and apoB-100 secretion rates

    Time frame: After acute (24 hour) changes in energy intake and/or energy expenditure

  2. Liver Very Low Density Lipoprotein-Triglyceride and apoB-100 clearance rates from plasma

    Time frame: After acute (24 hour) changes in energy intake and/or energy expenditure

  3. Plasma glucose concentration and turnover rate

    Time frame: After acute (24 hour) changes in energy intake and/or energy expenditure

  4. Plasma insulin concentration

    Time frame: After acute (24 hour) changes in energy intake and/or energy expenditure

  5. Plasma free fatty acid concentration and turnover rate

    Time frame: After acute (24 hour) changes in energy intake and/or energy expenditure

  6. Plasma glucose concentration

    Measured hourly over the 24 h period.

    Time frame: During acute (24 hour) changes in energy intake and/or energy expenditure

  7. Plasma insulin concentration

    Measured hourly over the 24 h period.

    Time frame: During acute (24 hour) changes in energy intake and/or energy expenditure

  8. Plasma free fatty acid concentration

    Measured hourly over the 24 h period.

    Time frame: During acute (24 hour) changes in energy intake and/or energy expenditure

07

Study locations

1 site
  • Washington University in Saint Louis
    Saint Louis, Missouri 63110, United States
08

References and documents

Publications

  • Smith GI, Magkos F, Reeds DN, Okunade AL, Patterson BW, Mittendorfer B. One day of mixed meal overfeeding reduces hepatic insulin sensitivity and increases VLDL particle but not VLDL-triglyceride secretion in overweight and obese men. J Clin Endocrinol Metab. 2013 Aug;98(8):3454-62. doi: 10.1210/jc.2013-1786. Epub 2013 Jun 7. PubMed 23750033 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 21, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00830999
Lead sponsor
Washington University School of Medicine
Responsible party
Sponsor
First posted
Jan 28, 2009
Start date
Apr 2006
Primary completion
Dec 2012
Completion
Dec 2012
Last update
Jan 21, 2013

Study contacts

Bettina Mittendorfer, PhD
principal investigator · Washington University School of Medicine

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2013. You cannot join it, but the record below documents what was studied.

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