Metabolic Effects of Short-term Ultra-processed Food Intake (MEST-UPF)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Meal high in energy density, high in ultra-processed food, Meal high in energy density, low in ultra-processed food, Meal low in energy density, high in ultra-processed food, Meal low in energy density, low in ultra-processed food.
- Who it may be relevant to
- Registry conditions: Appetite, Obesity and Obesity-related Medical Conditions. Basic parameters: 18 years — 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Sweden
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Metabolic Effects of Short-term Ultra-processed Food Intake (MEST-UPF): a Randomized Controlled Trial
Overview
The overall aim of this project is to study the effects of short-term high ultra-processed food intake, compared to nutrient- and energy density matched low ultra-processed food (UPF) intake, on energy intake and appetite. A total of 24 men and women who meet all inclusion criteria and none of the exclusion criteria will be invited to participate. A randomized 2\*2 factorial four-way crossover study will be conducted at the Department of Internal medicine and Clinical Nutrition at the University of Gothenburg, comparing a high-UPF meal to a low-UPF meal also with high and/or low energy density. A supervised breakfast meal will be served, and postprandial blood samples and appetite measures will be collected continuously up to 4 hours after the breakfast meal. Subsequently, an ad libitum lunch meal will be served, and energy intake will be recorded.
Interventions
- Other Meal high in energy density, high in ultra-processed food
Meal high in energy density, high in ultra-processed food - Other Meal high in energy density, low in ultra-processed food
Meal high in energy density, low in ultra-processed food - Other Meal low in energy density, high in ultra-processed food
Meal low in energy density, high in ultra-processed food - Other Meal low in energy density, low in ultra-processed food
Meal low in energy density, low in ultra-processed food
Primary outcome measures
- Self-reported appetite [Time frame: Baseline to 8 hours after test meal]
- Energy intake [Time frame: 4 hours after test meal]
- Gastrointestinal hormones - incretins [Time frame: Baseline to 4 hours after test meal]
- Gastrointestinal hormones - cholecystokinin [Time frame: Baseline to 4 hours after test meal]
- Gastrointestinal hormones - peptide YY [Time frame: Baseline to 4 hours after test meal]
- Gastrointestinal hormones - ghrelin [Time frame: Baseline to 4 hours after test meal]
Secondary outcome measures (11)
- Eating rate [Time frame: Baseline til end of study meal]
- Glucose postprandial [Time frame: Baseline to 4 hours after test meal]
- Insulin postprandial [Time frame: Baseline to 4 hours after test meal]
- Lipid metabolism [Time frame: Baseline to 4 hours after test meal]
- Metabolome [Time frame: Baseline to 4 hours after test meal]
- Proteome [Time frame: Baseline to 4 hours after test meal]
- Self-reported prospective energy intake [Time frame: From 30 min until midnight or bedtime (which ever comes first)]
- Inflammatory markers in blood - cytokines [Time frame: Baseline to 4 hours after test meal]
- Inflammatory markers in blood - lipopolysaccharides [Time frame: Baseline to 4 hours after test meal]
- Inflammatory markers in blood - GlycA [Time frame: Baseline to 4 hours after test meal]
- Lipid profile [Time frame: Baseline to 4 hours after test meal]
Eligibility criteria
Inclusion criteria
- Body mass index (BMI) 18.5-30 kg/m2
- Fasting glucose < 6.1 mmol/l
- Hb >110 g/L
- Weight stability the last 3 months +/-5%
Exclusion criteria
- Food allergies, intolerances or preferences preventing consumption of any products included in the study.
- Unable to sufficiently understand written and spoken Swedish or English to provide written consent and understand information and instructions from the study personal.
- Pregnant, lactating or planning a pregnancy during the study period.
- Blood donation or participation in a clinical study with blood sampling within 30 days prior to screening visit and throughout the study.
- History of gastrointestinal conditions or major gastrointestinal surgery (Inflammatory bowel disease, Crohn's disease, malabsorption, colostomy, bowel resection, gastric bypass surgery etc.).
- Type 1 diabetes or type 2 diabetes.
- Thyroid disorder.
- Current smoking, vaping.
- Following any weight reduction program or having followed one during the last 6 months prior to screening.
- Not habitually eating breakfast (<5 times/week).
- Restrained eating based on the three-factor eating questionnaire.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Crossover
- Masking
- Single blind
- Primary purpose
- Prevention
Study locations
Sweden · 1 center
- Department of internal medicine and clinical nutrition, University olf Gothenburg — Gothenburg
Identifiers
NCT: NCT07213245 · MEST-UPF