Obesity Clinical Trial
The objective of this study is to determine the acute effects of a dairy supplement compared to a soy supplement on oxidative and inflammatory stress in overweight and obese subjects in the absence of any changes in adiposity.
Obesity is associated with sub-clinical chronic oxidative and inflammatory stress, both of
which are major contributors to obesity-associated co-morbidities. Calcitriol (1,
25-(OH)2-D3) regulates adipocyte lipid metabolism, while dietary calcium inhibits obesity by
suppression of calcitriol. We have recently shown calcitriol to increase oxidative stress
and to stimulate the expression and release of inflammatory cytokines, while inhibiting the
expression and release of anti-inflammatory cytokines. We have also shown that inhibition of
calcitriol with high calcium diets decreases both adipose tissue and systemic oxidative and
inflammatory stress in a mouse model of obesity. Moreover, dairy exerted a greater effect on
both oxidative and inflammatory stress. These mice also exhibited significant reductions in
adiposity, which could lead to confounding, as this reduction will independently reduce
oxidative and inflammatory stress. However, the supporting cellular/mechanistic data
indicate an effect which is independent of adiposity reduction. Consequently, we propose
that low calcium diets exacerbate oxidative and inflammatory stress and that high dairy
diets can attenuate both independently of changes in adiposity, thereby significantly
reducing the risk of obesity-associated co-morbidities. Accordingly, the objective of this
study is to determine the acute effects of a dairy-rich diet on oxidative and inflammatory
stress in overweight and obese subjects in the absence of any changes in adiposity.
Twenty subjects (10 obese and 10 overweight) will undergo a randomized crossover study of
low dairy and high dairy eucaloric diets. Each dietary period will be four weeks, and the
two dietary periods will be separated by a four-week washout period. Primary outcomes will
be circulating indices of oxidative stress and of inflammation. Secondary outcomes include
blood pressure, circulating glucose, insulin, lipids, calcium-regulatory hormones and body
composition.
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Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Single Blind (Subject), Primary Purpose: Basic Science
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