Examining the Relationship Between Acute Meal Intake and Inflammation in Children

Study Overview
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Brief Summary
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Recent evidence has shown that obese and overweight children exhibit states of chronic inflammation. In obese adults, a high carbohydrate meal induces an inflammatory response; however, the effects of a high carbohydrate meal on biomarkers of inflammation has not previously been examined in children. The purpose of this research project is to characterize the inflammatory response to a high carbohydrate versus a low carbohydrate meal in healthy weight, overweight, and obese children (age 7-17 years). After completing informed consent/assent, a Dual-energy X-ray Absorptiometry (DXA) scan, and baseline blood draw on experimental day 1, children will then return to the lab two times to ingest either a high or low carbohydrate beverage followed by post-meal blood collection for a total of 3 blood draws. Biomarkers of inflammation will be analyzed by flow cytometry and enzyme-linked immunosorbent assay (ELISA). Participants will be recruited through various studies through the Neurocognitive Kinesiology Lab/Body Composition and Nutritional Neuroscience Labs as well as through the local Champaign-Urbana community. Data from this project will provide a better understanding of the inflammatory response to different meals in healthy weight, overweight, and obese children.

Official Title
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Examining the Relationship Between Acute Meal Intake and Inflammation in Children

Conditions
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Obesity, Inflammation

Intervention / Treatment
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* Other: Eggs and Carbohydrates


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Between the ages of 7-17 Exclusion Criteria: Younger than 7 years and older than 17 years Presence of allergies to eggs and/or sugar substitutes Presence of heart or respiratory disease Presence of uncontrolled hypertension, diabetes Use of anti-inflammatory medications Presence of cancer or metabolic disease

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Double blind randomized cross-over design
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Maltodextrin<br>Participants will consume 56g of maltodextrin dissolved in 500mL of water. | Other: Eggs and Carbohydrates<br>* Participants are asked to consume both egg based powder or maltodextrin dissolved in 500mL of water at two different time points at least one week apart. Participants will then submit to a venous blood draw to assess levels of cellular inflammation.<br>|
| Experimental: Egg<br>Participants will consume 36g of spray-dried egg powder (equivalent to 3 eggs) dissolved in 500mL of water. | Other: Eggs and Carbohydrates<br>* Participants are asked to consume both egg based powder or maltodextrin dissolved in 500mL of water at two different time points at least one week apart. Participants will then submit to a venous blood draw to assess levels of cellular inflammation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effects of egg or maltodextrin on inflammatory cytokines (Tumor necrosis factor-alpha, C-reactive protein, and Interleukin-6) | Will be used by determining any changes in inflammatory cytokines via enzyme-linked immunosorbent assay (ELISA) kits. | 3 weeks. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effects of egg or maltodextrin on inflammatory monocyte cells with and without expression of Toll-like receptor 4 and C-C Chemokine receptor-2. | Will be used by determining the cells per microliter of lysed whole blood. | 3 weeks. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Children, Inflammation, Obesity