The investigators aim to understand whether the acute cortisol response to food differs between differently processed foods. In this monocentric, randomized, cross-over, open-label study, 20 healthy volunteers will receive two differently processed meals of similar caloric content and composition. The study will primarily focus on changes in blood cortisol levels, but other metabolic parameters will also be compared.
Obesity is one of the most serious health problems of the 21st century, with ultra-processed diets being a major driver of the current obesity pandemic. Understanding how these diets affect body weight is critical to identifying new treatment targets. Current evidence suggests that the degree of food processing may affect cortisol secretion, a hormone that plays a key role in body weight regulation by increasing with acute food intake and promoting energy storage in adipose tissue. However, whether ultra-processed foods enhance cortisol response has not been thoroughly investigated. Here, the investigators aim to understand the reaction of GCs in response to different processed foods in healthy volunteers. No medication will be used in this study. Participants will be asked to refrain from strenuous physical activity and alcohol consumption for 24 hours prior to the study. They will fast for 12 hours before consuming a high-calorie, low-processed meal. After fasting again, participants will consume a high-calorie, ultra-processed meal on a second study day. The order of the meals is not fixed. The study will include a screening visit and two study visits.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
20
With this intervention, participants will consume ultra-processed foods
With this intervention, participants will consume low-processed foods
University Hospital Basel
Basel, Canton of Basel-City, Switzerland
Blood cortisol change
Change in blood cortisol assessed by repeadidly collecting blood before and after the meal
Time frame: Up to six weeks
Energy expenditure (basal metabolic rate, diet-induced thermogenesis
Basal metabolic rate measured with indirect calorimetry
Time frame: Up to six weeks
Substrate utilization (respiratory quotient)
Respiratory quotient assessed with indirect calorimetry
Time frame: Up to six weeks
Body composition
Body impedance analysis before meal
Time frame: Up to six weeks
Satiety
Appetite rating with visual analogue scale (VAS) from 0mm-100mm (0mm=not at all and 100mm=extreme)
Time frame: Up to six weeks
Weight
Measurement of weight with a standard scale
Time frame: Up to six weeks
Motivation to eat
Motivation to eat measured with a speed clicking test
Time frame: Up to six weeks
Systolic and diastolic blood pressure
Assessment of blood pressure with a standard blood pressure monitor
Time frame: Up to six weeks
Lipids (total cholesterol, LDL-cholesterol, HDL-cholesterol, and triglycerides)
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Blood collection fasted
Time frame: Up to six weeks
Perceived stress
Measured by perceived stress questionnaire
Time frame: Up to six weeks
C-peptide
Change in blood cortisol assessed by repeadidly collecting blood before and after the meal
Time frame: Up to six weeks
Insulin
Change in blood cortisol assessed by repeadidly collecting blood before and after the meal
Time frame: Up to six weeks
Blood glucose
Change in blood glucose assessed by repeadidly collecting blood before and after the meal
Time frame: Up to six weeks
Neuroendocrine hormones (thyroid hormones, GLP1, glucagon, ACTH)
Change in blood cortisol assessed by repeadidly collecting blood before and/or after the meal
Time frame: Up to six weeks