Kent'Erbas: Assessment Metabolic Flexibility in Middle-aged Individuals: The Nutritional Impact of Cheese Consumption

Sponsor
University of Cagliari (Other)
Overall Status
Recruiting
CT.gov ID
NCT06012227
Collaborator
(none)
105
1
2
59
1.8

Study Details

Study Description

Brief Summary

The aim of the study will be to evaluate the impact of consumption of meat and dairy products from extensive or intensive farming on apparently healthy individuals aged between 45 and 65 years, a stage of life associated with reduced metabolic flexibility and changes in lipid metabolism.

The study will analyze:
  1. The transcription factor PPAR-α determined by the gene expression of PPAR-α in white blood cells, variations in circulating fatty acid metabolism, and the endocannabinoid system determined by circulating analysis of N-acylethanolamine (NAE), and 2-monoacylglycerols (2-MG);

  2. Metabolic flexibility, determined by indirect calorimetry in fasting condition during an incremental exercise;

  3. Body composition, determined by bioimpedance analysis, waist circumference, and waist-to-hip ratio.

Condition or Disease Intervention/Treatment Phase
  • Dietary Supplement: kent'erbas cheese study
N/A

Detailed Description

The study will be a double-blind crossover intervention clinical trial conducted on the aforementioned individuals, who will consume "kent'erbas" cheese products, from extensive and intensive farming.

The study will include 105 individuals aged between 45 and 65 years, apparently in good health, recruited from the UTIC cardiology unit of A.O.U.CA Cagliari (Italy). All participants will be provided with a detailed explanation of the study procedures and its purpose, and their participation will be contingent upon signing an informed consent form. Throughout the study, subjects will maintain their regular lifestyle and unrestricted food intake.

At the outset of the study, relevant information necessary for an appropriate approach to each participant will be collected, including a comprehensive medical history, measurement of anthropometric parameters, and blood sampling for a thorough hematological, inflammatory, and lipid-metabolomic analysis.

In the pecorino study, subjects will consume 350g/week of "kent'erbas" pecorino from extensive farming or 350g/week of "industrial" pecorino from intensive farming for 4 weeks in total. At the end of this period, a blood sample will be taken. Subsequently, there will be a 8 weeks washout period during which participants will follow their usual diet without consuming either type of pecorino. At the end of the washout period, an additional blood sample will be taken. Following this, the participants who had consumed "kent'erbas" pecorino will switch to "industrial" pecorino for 4 weeks, and vice versa. At the end of this second period, a final blood sample will be collected.

The quantities of pecorino cheese chosen for intake are representative of the average consumption in Italy.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
105 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
Assessment Metabolic Flexibility by Indirect Calorimetry and Circulating Metabolic Parameters in Middle-aged Individuals: The Nutritional Impact of Cheese From Extensive and Intensive Farming.
Actual Study Start Date :
Jan 20, 2022
Actual Primary Completion Date :
Jul 27, 2023
Anticipated Study Completion Date :
Dec 20, 2026

Arms and Interventions

Arm Intervention/Treatment
Experimental: "kent'erbas" pecorino from extensive farming with crossover Arm 1

This study was a 4-week, randomized, controlled, crossover clinical trial. Arm 1: Volunteers will be randomize to be allocated to eat 350g/week of "kent'erbas" pecorino from extensive farming with a crossover with arm 2 after 6 weeks of washout.

Dietary Supplement: kent'erbas cheese study
Nutritional intervention with "kent'erbas" pecorino from extensive farming with crossover and "industrial" pecorino from intensive farming

Active Comparator: "industrial" pecorino from intensive farming with crossover Arm 2

This study was a 4-week, randomized, controlled, crossover clinical trial. Arm 2 : Volunteers will be randomize to be allocated to eat 350g/week of "industrial" pecorino from intensive farming for 4 weeks in total, with a crossover with arm 1 after 6 weeks of washout.

Dietary Supplement: kent'erbas cheese study
Nutritional intervention with "kent'erbas" pecorino from extensive farming with crossover and "industrial" pecorino from intensive farming

Outcome Measures

Primary Outcome Measures

  1. Changes in plasma levels of DHA and acylethanolamides as Metabolic indices of PPAR-α induction increase in plasma levels of DHA [After 4 weeks of treatment, 8 weeks of washout and 4 weeks of crossover]

    Changes in plasma levels of DHA)and modulation of the endocannabinoid system, through the biosynthesis of AEA, PEA, and OEA. All these parameters will be assessed as pmoles/ml of plasma

Secondary Outcome Measures

  1. Quotient respiratory changes measurement as metabolic flexibility indices [After 4 weeks of treatment, 8 weeks of washout and 4 weeks of crossover]

    Metabolic flexibility indices, through fasting differences in the respiratory quotient, measured as Liter/min of Oxygen consumption and carbon dioxide

Eligibility Criteria

Criteria

Ages Eligible for Study:
45 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • 45-65 years of age

  • BMI < 27

  • waist-to-hip ratio female<0.85; male < 0.98

Exclusion Criteria:
  • metabolic diseases

  • Physical activity of competitive nature

  • Vegans and vegetarians

  • Intolerances and allergies to the foods under study

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Cagliari Monserrato Cagliari Italy 09042

Sponsors and Collaborators

  • University of Cagliari

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Sebastiano Banni, full professor, University of Cagliari
ClinicalTrials.gov Identifier:
NCT06012227
Other Study ID Numbers:
  • UCagliari2
First Posted:
Aug 25, 2023
Last Update Posted:
Aug 30, 2023
Last Verified:
Aug 1, 2023
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Sebastiano Banni, full professor, University of Cagliari

Study Results

No Results Posted as of Aug 30, 2023