Clinical trial NCT00611117: Mechanisms of the Effect of Physical Activity on the Adaptation to a High-Fat Diet
Official title: Mechanisms of the Effect of Physical Activity on the Adaptation to a High-Fat Diet
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthy
Keywords: adaptation to high fat diet
activity
exercise
Lead sponsor: Pennington Biomedical Research Center
Sponsor class: OTHER
Collaborators: name: University of Washington
First posted: 2008-02-08
Enrollment: 17
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: BASIC_SCIENCE

Brief summary: The study is designed to determine the effect of high physical activity level vs. low physical activity level on the adaptation to a high fat diet.

Detailed description: A high fat diet is linked to weight gain and obesity. An adjustment to the acute exposure to high fat diet is not abrupt and takes time. In a previous study from our laboratory, it has been shown that high level of physical activity can accelerate the adaptation to a high fat diet by increasing fat oxidation. In this study we will determine the mechanism involved in this adjustment. Our hypotheses are:

1. High fat diets decrease skeletal muscle glucose metabolism and decrease mitochondrial biogenesis through the upregulation of PDK4 and downregulation of PGC1α; increased physical activity will prevent these deleterious effects.
2. A high fat diet will increase hepatic and skeletal muscle lipid; increased physical activity will prevent these deleterious effects.
3. These effects are more pronounced in individuals with a low mitochondrial content

Eligibility criteria: Inclusion Criteria:

* Both genders and all races will be invited to participate
* BMI \> 19 and \< 35 kg/m2
* Age 18-35
* Women will be asked to participate in the follicular phase of the menstrual cycle as determined by menstrual history and a negative pregnancy test will be recorded prior to participation
* Willing and able to walk on a treadmill at a pace of 3 mph at 3%grade for 3-4 hours/day for 3 consecutive days
* Willing to eat only and all foods provided by Pennington for 9 days on 2 occasions (18 days)
* Willing to stop alcohol consumption for the duration of the study
* Able come to Pennington for meals and tests for 20 days 12 of these inpatient.

Exclusion Criteria:

* Significant renal, hepatic, endocrine, pulmonary, cardiac or hematological disease (for the consent form you will have to use kidney, liver, etc )
* You abuse alcohol or illegal drugs or are unable to avoid alcohol or caffeine prior to testing
* Smokers
* Unable or unlikely to eat all and only food provided by the PBRC metabolic kitchen.
* Pregnant or planning to become pregnant
* Corticosteroid use in previous two months
* Chronic use of anti-diabetic, anti-hypertensive, or other medications known to affect fat metabolism
* Use of Depo-Provera, hormone implants or estrogen replacement therapy
* Irregular menstrual cycles
* Post-menopausal women
* Weight gain or loss of \> 3kg in the last 6 months
* Unable or unwilling to perform treadmill walking at the required speed and incline to achieve 1.8\*RMR
* History or family history of blood clots deep vein thrombosis or pulmonary embolism)
* Poor circulation, bypass operation on legs, blood coagulation disorders, diagnosed peripheral arterial or vascular disease, cramping pain in your muscle during exercise or nerve damage in your legs.
* You had major surgery on the abdomen, pelvis or legs within previous 3 months.
* You have cancer
* You have rheumatoid disease/ walking or joint problems
* You are claustrophobic
* You are depressed or have an eating disorder
* You demonstrate a style of interpersonal relationships that would inhibit successful completion of the study

For the MRS / MRI, the following exclusion criteria apply:

* Individuals who have a heart pacemaker, defibrillator, or non-removable hearing aid
* Individuals with any clips or metal plates in their head
* Individuals who have any artificial limbs or prosthetic devices
* Individuals who were ever injured by a metallic foreign body which was not removed
* Individuals with bridgework held in place by magnets

Primary outcomes:
measure: To determine the effects of a high fat diet [at both low and high physical activity] on • Sk muscle PGC1α and PDK4 mRNA and protein • Glucose oxidation • Fatty acid oxidation • Hepatic and skeletal muscle lipid • VO2 max • Mitochondr
timeFrame: One Year
Secondary outcomes:
Other outcomes:
Locations:
city: Baton Rouge
country: United States
facility: Pennington Biomedical Research Center
state: Louisiana
Study officials:
affiliation: Pennington Biomedical Research Center
name: Steven Smith
role: PRINCIPAL_INVESTIGATOR
affiliation: Pennington Biomedical Research Center
name: George Bray
role: PRINCIPAL_INVESTIGATOR
References: