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Trial registered on ANZCTR
Registration number
ACTRN12616000771459
Ethics application status
Approved
Date submitted
24/05/2016
Date registered
14/06/2016
Date last updated
14/06/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of a preload on postprandial glycaemic response and satiety.
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Scientific title
The effect of consuming a carbohydrate preload 30 minutes before a starchy carbohydrate meal on postprandial glycaemic response and satiety in Asian adults.
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Secondary ID [1]
289292
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None
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Universal Trial Number (UTN)
U1111-1183-1762
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dysglycaemia
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Condition category
Condition code
Diet and Nutrition
298950
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0
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Other diet and nutrition disorders
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Metabolic and Endocrine
298951
298951
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0
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Metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This will be a randomised crossover study involving five visits on five days. On three days, participants will receive breakfast at 8am consisting of a different preload on each day (water, kiwifruit, portion of rice-based meal) followed half an hour later by a rice-based meal. Blood will be sampled via cannula at intervals over two-and-a-half-hours following consumption of the preload. On the other two days, participants will receive a standard breakfast at 8am after which participants will be permitted to leave the facility and asked to return for lunch at 12pm. At lunchtime, the same protocol as described previously (one of two preloads, water and kiwifruit followed by a rice-based meal) will be used. On each test day, the amount of carbohydrate in the preload plus rice meal will be standardized. Subjective appetite ratings will be taken via questionnaire.
The preloads will comprise 2 kiwifruit (24g available carbohydrate; 400kJ); apple segments (24g available carbohydrate; 380kJ); sugar (24g; 400kJ); or water.
The meal following the preloads will comprise cooked white rice (250g containing 50g avail CHO; 840kJ) garnished with leafy green vegetables in soy sauce.
On the days of lunch testing, a standard breakfast will be served comprising noodles (200g containing 40g avail CHO; 600kJ) in beef stock.
The washout will be one week between treatments.
All meals will be eaten under supervision to ensure the preloads and meals are fully consumed. The preload will be eaten within 10 minutes of starting. The test meals will be consumed within 15 minutes of starting.
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Intervention code [1]
294842
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Lifestyle
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Intervention code [2]
294876
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Prevention
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Intervention code [3]
294877
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Treatment: Other
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Comparator / control treatment
A water preload will be used as the comparator/control; participants will consume a larger rice meal in one sitting after the water preload, this is to keep carbohydrate amount equal across all test meals.
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Control group
Active
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Outcomes
Primary outcome [1]
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Blood glucose response
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Assessment method [1]
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Timepoint [1]
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Blood glucose concentrations will be measured at baseline (before eating) and at 15, 30, 45, 60, 75, 90, 120, and 150 minutes thereafter
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Primary outcome [2]
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Satiety will be assessed using a visual analogue scale (reference Flint et al. Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes 2000;24:38-48).
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Assessment method [2]
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Timepoint [2]
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Satiety will be measured via a validated questionnaire at baseline (before eating) and at 15, 30, 45, 60, 75, 90, 120, and 150 minute thereafter
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Primary outcome [3]
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Circulating blood vitamin C concentration
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Assessment method [3]
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Timepoint [3]
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The vitamin C concentration will be measured at baseline (before eating) and at 15, 30, 45, 60, 75, 90, 120, and 150 minutes thereafter
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Secondary outcome [1]
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Blood insulin concentration
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Assessment method [1]
324090
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Timepoint [1]
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Blood insulin will be measured at baseline (before eating) and at 15, 30, 60, 90, 120, and 150 minutes thereafter
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Secondary outcome [2]
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Ghrelin concentration using a Milliplex assay
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Assessment method [2]
324091
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Timepoint [2]
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We will measure ghrelin concentration in blood samples at baseline (before eating) and at 15, 30, 60, 90, 120, and 150 minutes thereafter
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Secondary outcome [3]
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Glucagon-like peptide-1 (GLP-1) concentration using a Milliplex assay
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Assessment method [3]
324226
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Timepoint [3]
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We will measure GLP-1 concentration in blood samples at baseline (before eating) and at 15, 30, 60, 90, 120, and 150 minutes thereafter
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Secondary outcome [4]
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Interleukin-6 (IL-6) concentration using a Milliplex assay
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Assessment method [4]
324673
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Timepoint [4]
324673
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We will measure Interleukin-6 (IL-6) concentration in blood samples at baseline (before eating) and at 15, 30, 60, 90, 120, and 150 minutes thereafter
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Eligibility
Key inclusion criteria
Healthy adults of Chinese ethnicity
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Inability to speak English; self-reported disease of the digestive system (coeliac, Crohn’s); having had gastrointestinal surgical procedures; an allergy to kiwifruit; and pregnancy.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The person who will determine whether a person is eligible for inclusion in the trial will be unaware, when this decision is made, to which order the person will be allocated. Allocation concealment will be achieved with the use of sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A biostatistician will randomise to order of preload using a computerised sequence generation.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
20/06/2016
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Actual
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Date of last participant enrolment
Anticipated
25/07/2016
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
7898
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New Zealand
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State/province [1]
7898
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Otago
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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High Value Nutrition
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Address [1]
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Liggins Institute
The University of Auckland
Private Bag 92019
Victoria Street West
Auckland 1142
New Zealand
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Country [1]
293668
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New Zealand
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Funding source category [2]
293669
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Commercial sector/Industry
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Name [2]
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Zespri International
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Address [2]
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400 Maunganui Rd
Mount Maunganui
Tauranga 3116
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Country [2]
293669
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New Zealand
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Funding source category [3]
293670
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University
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Name [3]
293670
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University of Otago
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Address [3]
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Department of Human Nutrition
PO Box 56
Dunedin
9054
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Country [3]
293670
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
Department of Human Nutrition
PO Box 56
Dunedin
9054
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Country
New Zealand
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Secondary sponsor category [1]
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Government body
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Name [1]
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Plant and Food Research Limited
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Address [1]
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Food Industry Science Centre
Fitzherbert Science Centre
Batchelar Road
Palmerston North 4474
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Country [1]
292503
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295108
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University of Otago Human Ethics Committee
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Ethics committee address [1]
295108
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University of Otago PO Box 56 Dunedin 9054
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Ethics committee country [1]
295108
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New Zealand
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Date submitted for ethics approval [1]
295108
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09/05/2016
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Approval date [1]
295108
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09/06/2016
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Ethics approval number [1]
295108
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H16/066
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Summary
Brief summary
It is important to control the glycaemic and hormonal response to food both for people with normal and impaired glucose tolerance. The purpose of the proposed project is to investigate whether glycaemic and hormonal responses to carbohydrate-containing food can be manipulated by providing meals in two stages (a preload given half an hour before the main meal) compared with meals containing the same amount of carbohydrate given in a single sitting. Our hypothesis is that a beneficial effect of lowering the glycaemic response without adversely affecting the insulin or satiety hormone responses will be observed when a preload containing carbohydrate is given before either breakfast or lunch.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Bernard Venn
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Address
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University of Otago
Department of Human Nutrition
PO Box 56
Dunedin
9054
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Country
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New Zealand
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Phone
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+6434795068
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Fax
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Email
66154
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[email protected]
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Contact person for public queries
Name
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John Monro
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Address
66155
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Food Industry Science Centre
Fitzherbert Science Centre
Batchelar Road
Palmerston North 4474
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Country
66155
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New Zealand
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Phone
66155
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+6463556137
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Fax
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Email
66155
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[email protected]
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Contact person for scientific queries
Name
66156
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John Monro
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Address
66156
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Food Industry Science Centre
Fitzherbert Science Centre
Batchelar Road
Palmerston North 4474
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Country
66156
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New Zealand
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Phone
66156
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+6463556137
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Fax
66156
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Email
66156
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Postprandial glycaemic, hormonal and satiety responses to rice and kiwifruit preloads in Chinese adults: A randomised controlled crossover trial.
2018
https://dx.doi.org/10.3390/nu10081110
N.B. These documents automatically identified may not have been verified by the study sponsor.
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