An Egg Based Breakfast Maintains Flexibility in Older Adults

Study Overview
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Brief Summary
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Aging is associated with an increased risk for metabolic diseases, such as type 2 diabetes and cardiovascular disease. There is reason to believe that the time of day when specific food groups are eaten affects this risk. The investigators propose that eating foods made up of fat and protein (such as eggs) in the morning for breakfast, rather than foods made up of carbohydrates (such as white-bread toast or sugary cereal) may promote a healthier metabolism. This is because the body is designed to burn fat during times of fasting, such as overnight, during sleep. Thus, the body is not prepared to burn sugar early in the morning, when most people eat breakfast. Studies with mice have shown that a sugary breakfast meal inhibits the ability of the body to burn fat for the entire day. In contrast, a breakfast meal with more fat enabled the animals to burn fat as well as other fuels throughout the day. The ability to burn fat is thought to minimize risk for obesity, as well as related diseases such as type 2 diabetes and heart disease. The purpose of this study is to determine if, in older adult humans, consumption of a lower-carbohydrate breakfast meal (relative to a higher-carbohydrate meal) is associated with a healthier metabolism.

Official Title
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An Egg Based Breakfast Maintains Flexibility in Older Adults

Conditions
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Diabetes, Heart Diseases

Intervention / Treatment
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* Other: High fat breakfast
* Other: Higher carbohydrate breakfast


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Age 55-75 Body mass index 24-29 kg/m2 Exclusion Criteria: • Current practice of greater than 2h/wk of moderate intentional exercise Uncontrolled diabetes Unwillingness to eat study diets Use of any medication known to affect metabolism History of eating disorder Difficulty chewing and swallowing solid food Digestive diseases Cognitive impairment Depression Recent weight change (+/- 10 lbs. in the last 12 mo.) Poorly controlled blood pressure (SBP > 159 or DBP >95 mm Hg) History of non-skin cancer in the last 5 y Cardiovascular disease event in the past 6 mo. Severe pulmonary disease Renal failure Major liver dysfunction (elevation of liver transaminases >3x normal in past 2 y; current/recent smoker (within 6 mo.) Use of estrogen or testosterone replacement therapy Current use of oral corticosteroids >5 days/month on average Current use of medications for treatment of psychosis or manic-depressive illness Use of weight loss medications in the previous 3 months Unable to adhere to diet recommendations

Ages Eligible for Study
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Minimum Age: 55 Years
Maximum Age: 75 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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: High fat breakfast<br>45% fat 35% Carbohydrate 20% protein | Other: High fat breakfast<br>* High fat breakfast<br>|
| Experimental: Higher carbohydrate breakfast<br>60% carbohydrate 20% fat 20% protein | Other: Higher carbohydrate breakfast<br>* Higher carbohydrate breakfast<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Respiratory quotient (RQ, a measure of substrate oxidation) | 24 hour respiratory quotient will be measured using whole-room indirect calorimetry | 4 weeks |