An interventional study of Standardized Liquid Meal in Diet-induced Thermogenesis, sponsored by Tel Aviv University. Not yet recruiting at 1 site in Israel. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-28.
Sponsored by Tel Aviv University · Not applicable, Interventional, and Basic science
This study aims to characterize how individuals differ in their metabolic response to food intake, specifically focusing on early diet-induced thermogenesis (DIT). DIT refers to the increase in energy expenditure that occurs after eating and reflects the body's metabolic response to processing nutrients.
Healthy adult participants will complete a single laboratory visit under standardized conditions. Resting metabolic rate will first be measured, followed by consumption of a standardized liquid meal (550 kcal). Energy expenditure will then be continuously monitored for 3 hours using indirect calorimetry.
The primary objective is to quantify inter-individual variability in early postprandial thermogenesis. Rather than estimating total daily energy expenditure, this study focuses on the early metabolic response following meal ingestion. Findings will improve understanding of differences in metabolic efficiency between individuals and support future research in metabolism and personalized nutrition.
Diet-induced thermogenesis (DIT) represents the increase in energy expenditure above resting levels following food intake and reflects the energetic costs of digestion, absorption, transport, and metabolism of nutrients. Although DIT typically accounts for a relatively small proportion of total daily energy expenditure, it plays an important role in postprandial metabolism and may contribute to inter-individual differences in energy balance and body weight regulation.
Most prior research has focused on estimating total DIT over prolonged postprandial periods (e.g., 4-6 hours or longer). However, these approaches may obscure meaningful variability in the early phase of the thermogenic response, which is characterized by rapid and dynamic metabolic changes. The most pronounced increase in energy expenditure typically occurs within the first 1-3 hours following meal ingestion, driven by early physiological processes including gastrointestinal activity and neuroendocrine responses.
Emerging evidence suggests that individuals vary substantially in their metabolic response to a standardized meal, even under controlled conditions. However, this variability is often averaged out in group-level analyses or diluted by long measurement windows. The present study is specifically designed to characterize observed inter-individual variability in early DIT, rather than to estimate total thermogenesis or test intervention effects.
This study is a controlled, cross-sectional physiological study in healthy adults. Each participant will complete a single study visit under standardized laboratory conditions. After an initial resting period, resting metabolic rate will be measured using indirect calorimetry. Participants will then consume a standardized liquid meal providing 550 kcal, after which energy expenditure will be continuously monitored for 180 minutes.
Strict pre-test standardization procedures (including fasting, avoidance of exercise, caffeine, and alcohol) will be implemented to minimize non-biological variability. Body composition will also be assessed to support interpretation of metabolic responses.
The primary outcome is early DIT, quantified as the increase in energy expenditure above baseline over the postprandial period. Secondary analyses will describe the distribution, magnitude, and temporal characteristics of the thermogenic response, including peak response and time to peak.
By focusing on the early postprandial phase, this study aims to provide detailed characterization of variability in metabolic responses under tightly controlled conditions. These findings will contribute to a better understanding of human metabolic heterogeneity and may inform future research in metabolic physiology, obesity, and personalized nutrition.
Although a standardized liquid meal is administered as part of the protocol, the study is designed to characterize physiological variability in metabolic response rather than to evaluate the effect of an intervention.
Exclusion Criteria:
Healthy adults (≥18 years) participating in a single laboratory visit. All participants undergo resting metabolic rate assessment, consume a standardized liquid meal (550 kcal), and complete continuous postprandial energy expenditure measurement using indirect calorimetry under controlled conditions.
Other: Standardized Liquid Meal
Consumption of a standardized liquid meal (\~550 kcal) under controlled laboratory conditions, followed by continuous measurement of energy expenditure using indirect calorimetry for assessment of postprandial thermogenesis. The procedure is used for measurement purposes only and is not intended as a therapeutic intervention.
Also known as: Ensure®
Early Diet-Induced Thermogenesis Area Under the Curve
Area under the curve for diet-induced thermogenesis over 180 minutes after consumption of the standardized liquid meal. DIT will be calculated as postprandial energy expenditure minus baseline resting energy expenditure and expressed as kcal/180 min.
Time frame: From meal completion to 180 minutes post-meal
Mean Diet-Induced Thermogenesis
Mean increase in energy expenditure above baseline resting energy expenditure during the 180-minute postprandial measurement period, expressed as kcal/min or kcal/180 min.
Time frame: From meal completion to 180 minutes post-meal
Peak Diet-Induced Thermogenesis
Maximum increase in energy expenditure above baseline resting energy expenditure observed during the 180-minute postprandial measurement period, expressed as kcal/min.
Time frame: From meal completion to 180 minutes post-meal
Time to Peak Diet-Induced Thermogenesis
From meal completion to 180 minutes post-meal
Time frame: Time from completion of the standardized liquid meal to the maximum observed increase in energy expenditure, expressed in minutes.
Percent Increase in Energy Expenditure Above Baseline
Percentage increase in postprandial energy expenditure above baseline resting energy expenditure during the 180-minute measurement period.
Time frame: From meal completion to 180 minutes post-meal
Fat-Free Mass-Normalized Diet-Induced Thermogenesis
Diet-induced thermogenesis area under the curve normalized to fat-free mass, expressed as kcal/180 min/kg fat-free mass.
Time frame: From meal completion to 180 minutes post-meal
Plan to share: No
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Tel Aviv University