ClinicalTrials.gg
CompletedNCT02516956Updated May 19, 2016

Impact of Different Breakfast Meals on Food Choices, Eating Behaviors and Brain Activation

An interventional study of Breakfast consumption and Blood tests in Regulation, Appetite, Eating Behavior and Cognition, sponsored by University of Parma. Completed at 1 site in Italy. Open to participants aged 20 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-05-19.

Sponsored by University of Parma · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
20 Years to 30 Years
Sex
All
01

Study summary

This project aims to demonstrate that the best breakfast meal is the one able to improve the best postprandial hunger, satiety and adiposity regulators profile as well as the best reward-related gratification, due to hedonistic parameters. To do this, 4 different breakfasts will be tested and blood tests, food choices, and attentional components will be analysed.

Read the detailed description

Although breakfast seems to be positively associated with healthy eating patterns and food choices later in the day, eating behaviours are a complex interaction of several factors. Nutritional requirements are not only affected by the body homeostasis, but also by environmental signals, as cultural and social habits, lifestyle, etc. These parameters evoke reward-related and motivational signals influencing our daily eating behaviour choices. Most of the theories on food regulation propose two parallel systems interacting with food consumption homeostatic and reward-related systems. For all these reasons, there is an increasing interest on motivational and decisional aspects of food choices, eating behaviours and how they are influenced by food characteristics. This project aims to explore the association between compositional and perceived characteristics of a breakfast meal with nutritional/biochemical/physiological variables. The approach will be the evaluation of appetite, food intake as well as metabolic and compensatory responses to foods consumed during the day. Volunteers (n=15) will be fed with 4 different breakfast meals (one control and three iso-caloric with different glycemic indexes) and several different parameters will be evaluated, as biological parameters linked to satiety, food choices during a free lunch buffet, psycho-physiological and biological mechanisms underlying the compensatory effect and attentional components in the postprandial period. The participants will complete, in randomized order, the four breakfast meals, on four different weeks, separated by at least one week.

02

Conditions studied

  • Regulation, Appetite
  • Eating Behavior
  • Cognition

Keywords

  • Breakfast
  • Food choices
  • Lunch
  • Eating habits
  • Appetite
  • Neural activation
  • Attention
  • Glucose
  • Insulin
  • fMRI
03

In context

Feeding Behavior

243 studies on the registry are indexed under Feeding Behavior; 101 are open to participants now.

This study's enrollment of 15 is below the median of 80 across 181 interventional studies indexed under Feeding Behavior.

Browse Feeding Behavior studies →

Lead sponsor

University of Parma is the lead sponsor of 77 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • both gender
  • age 19 - 29 y
  • BMI 20-24 kg ⁄m2
  • healthy
  • no metabolic, psychological, or neurological diseases/conditions
  • not currently/previously (in the past 6 months) on a weight loss/other special diet
  • omnivorous
  • chocolate eaters
  • right-handed (necessary for the fMRI analyses)

Exclusion criteria

Exclusion Criteria:

  • BMI \< 20 or BMI > 24 kg ⁄m2
  • chronic health conditions
  • use of medications
  • significant change in body weight in the last 3 months
  • currently on a diet/food restriction
  • food allergy
  • celiac disease
  • lactose intolerance
  • left-handed
  • claustrophobic
  • do not meet the fMRI criteria established by the MU-BIC (regarding metal implants, etc.)
  • pregnant
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Breakfast meal 1

    Breakfast meal 1 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 2 and health-related cognitive perception as Breakfast meal 3. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.

    Other: Breakfast consumption · Other: Blood tests · Other: Food choices and energy intakes assessments · Other: Attention tests · Other: fRMI tests

  • Experimental
    Breakfast meal 2

    Breakfast meal 2 is isocaloric (330 kcal) and balanced for protein and fiber contents with regard to the other two experimental breakfasts. It has the same sugar and lipid profiles as Breakfast meal 1 but a higher health-related cognitive perception than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.

    Other: Breakfast consumption · Other: Blood tests · Other: Food choices and energy intakes assessments · Other: Attention tests · Other: fRMI tests

  • Experimental
    Breakfast meal 3

    Breakfast meal 3 is isocaloric (330 kcal) and similar for protein and fiber contents in relation to the other two experimental breakfasts. It has the same health-related cognitive perception as Breakfast meal 1 but lower lipid and higher sugar amounts than the other two experimental breakfasts. Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.

    Other: Breakfast consumption · Other: Blood tests · Other: Food choices and energy intakes assessments · Other: Attention tests · Other: fRMI tests

  • Placebo comparator
    Breakfast meal 4

    Breakfast meal 4 is a non-caloric meal representing fasting condition (control arm). Breakfast consumption; Blood tests; Food choices and energy intakes assessments; Attention tests; fRMI tests.

    Other: Breakfast consumption · Other: Blood tests · Other: Food choices and energy intakes assessments · Other: Attention tests · Other: fRMI tests

Interventions

  • OtherBreakfast consumption

    Participants will consume the assigned breakfast each morning for 7 days. Participants will express a hedonic rating of the breakfast through 7-point Likert Scales before (overview) and after breakfast consumption.

  • OtherBlood tests

    On the third day, participants will be involved in blood tests. Blood will be taken at baseline (fasting), and up to 4 hours after consuming the breakfast. Participants will complete serial visual analog rating scales of hunger and fullness before (fasting) and every 30 minutes up to 4 hours after breakfast consumption.

  • OtherFood choices and energy intakes assessments

    Following the last blood sample, participants will be given the opportunity to consume food ad libitum from a buffet lunch. Double weighing of food will be set up to evaluate food choices and energy intake of lunch. During the test week, participants will record all foods and beverage on a 7-day food dairy.

  • OtherAttention tests

    On the fourth day, 4 hours after the breakfast consumption and avoid other foods, participants will be involved in attentional test (Mackworth Clock Test for sustained attention and Stroop Test for selective attention).

  • OtherfRMI tests

    On the fifth day, 4 hours after the breakfast consumption and avoid other foods, participants will focus on a set of photographs (stimuli will be randomly choose from three categories of pictures including food, nonfood, and blurred baseline images) during an fMRI brain scan procedure to scan brain activation responses

06

What researchers measure

Primary outcomes

  1. Changes in biomarkers of appetite regulation in response to each breakfast:

    * Glucose * Insulin * Ghrelin * Leptin * Peptide YY * Glucagon-like peptide-1 * Non Esterified Fatty Acids

    Time frame: 4 hours (0 -12h fasting-, 15, 30, 45, 60, 90, 120, 150, 180, 210, 240 minutes)

Secondary outcomes

  1. Hedonic rating of breakfast measured by 7-point Likert Scales

    healthy, satiating, palatable, energizing and caloric perception

    Time frame: 2 times: 0-12h fasting- and 15 minutes after breakfast consumption

  2. Self-reported appetite and satiety ratings measured by Visual Analog rating Scales

    Time frame: 0-12h fasting- and every 30 minutes up to 4 hours after breakfast consumption

  3. Food choices at subsequent meal measured by double weighing of food during an ad libitum lunch buffet

    Time frame: 4 hours after breakfast conusmption

  4. Daily Energy Intake measured by 7-day food dairy

    Energy intake during breakfast, morning snacks, lunch, afternoon snacks, dinner, and evening snacks

    Time frame: 7 days

  5. Post-prandial attention measured by Mackworth Clock Test and Stroop Test

    sustained and selective attention

    Time frame: 4 hours after breakfast conusmption

  6. Brain activation responses to images of food measured by fMRI brain scan

    Time frame: 4 hours after breakfast conusmption

07

Study locations

1 site
  • University of Parma
    Parma, PR 43125, Italy
08

References and documents

Publications

  • Rosi A, Martini D, Scazzina F, Dall'Aglio E, Leonardi R, Monti L, Fasano F, Di Dio C, Riggio L, Brighenti F. Nature and Cognitive Perception of 4 Different Breakfast Meals Influence Satiety-Related Sensations and Postprandial Metabolic Responses but Have Little Effect on Food Choices and Intake Later in the Day in a Randomized Crossover Trial in Healthy Men. J Nutr. 2018 Oct 1;148(10):1536-1546. doi: 10.1093/jn/nxy160. PubMed 30204905 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2014, a primary completion of Jul 2015 and a completion of Mar 2016. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 31, 2015
First posted
Aug 6, 2015
Start
Jun 2014
Primary completionActual
Jul 2015
CompletionActual
Mar 2016
Last update
May 19, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 19, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02516956
Lead sponsor
University of Parma
Responsible party
Professor Furio Brighenti (Professor, University of Parma) — Principal investigator
First posted
Aug 6, 2015
Start date
Jun 2014
Primary completion
Jul 2015
Completion
Mar 2016
Last update
May 19, 2016

Study contacts

Furio Brighenti, Professor
principal investigator · University of Parma

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2016. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion