In the Lean and Obese Dietary Inflammation (LODI) study, the primary goal is to determine the effect of short-term intake of high dietary fat (5 days) compared to low fat intake (5 days) in a cross-over design in older adults (men and women) with normal body weight or obesity. Inflammation will be examined by measuring serum endotoxin and other markers, as well as the fecal microbiota.
In the Lean and Obese Dietary Inflammation (LODI) study, short-term intake of a high-fat diet (HFD) that is also high in saturated fatty acids will be examined compared to a low-fat diet (LFD) in individuals who are normal body weight (BMI 19.5-24.9) or who have obesity (BMI of 30 - 40 kg/m2). To characterize persons at baseline, this study will examine body composition, and serum glucose, endotoxin, inflammation and intestinal permeability during fasting and in response to a mixed meal. Also, while it is known that long term intake of foods affects the microbiota, it is unclear whether short-term consumption of a HFD will shift towards a pro-inflammatory gut microbiota compared to a low fat intake. This will be tested in a cross-over design (5 days on a HFD, washout, and 5 days on a LFD) with order randomly assigned in older adults (50+ years of age) who have obesity or are normal weight, and will also be examined by estimated visceral adipose tissue level.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
32
Subjects will be asked to adhere to a low fat diet (assigned in random order) and be counseled by a dietitian using 5 days of sample menus, monitored online using a shared nutrient analysis program, and supplied with low fat foods to increase compliance
Subjects will be asked to adhere to a high fat diet that is rich in SFAs (assigned in random order) and be counseled by a dietitian using sample 5 days of menus, monitored online using a shared nutrient analysis program, and supplied with high fat foods to increase compliance
Rutgers University
New Brunswick, New Jersey, United States
Change in Endotoxin from Low to High fat diet
serum and stool
Time frame: Change from LFD (5 days) to HFD (5 days) over an average of 6 weeks
Change in Microbiome composition
stool
Time frame: Change from LFD (5 days) to HFD (5 days) over an average of 6 weeks
Inflammatory markers
Serum IL-6, hsCRP, TNF-alpha, TLR4 (grams/volume)
Time frame: Change from LFD (5 days) to HFD (5 days) over an average of 6 weeks
Zonulin
Serum
Time frame: Change from LFD (5 days) to HFD (5 days) over an average of 6 weeks
Lipopolysaccharide binding protein (LBP)
Serum
Time frame: Change from LFD (5 days) to HFD (5 days) over an average of 6 weeks
Toll like receptor-4 and Null 2 stimulation
serum and the HEK cell reporter assay
Time frame: Change from LFD (5 days) to HFD (5 days) over an average of 6 weeks
Endotoxin in response to a meal
Serum inflammatory response to a mixed meal tolerance test (MMT)
Time frame: Change over 5 hour MMT
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