Obesity Clinical Trial
The purpose of this study is to investigate the effect of calcium on postprandial lipid profile and appetite.
Several reports have found inverse associations between calcium intake and body weight.
Intervention studies have shown that a high calcium diet resulted in a greater body weight
loss than a low calcium diet. In addition, it seems that calcium from dairy products have a
more profound effect than calcium from supplements. The mechanism of this additional dairy
effect is not yet clear, but one possible explanation could be reduced absorption of fat in
the gut. The increase in fecal fat excretion on a high calcium diet could be due to the
formation of calcium-fatty acid soaps in the gut.
The long term effect of a high calcium intake have been under intense investigation, but as
far as we know the acute effect of a high calcium intake have not yet been examined. A study
concerning the acute effects could help us understand the effect of calcium on the
absorption of fat. After a meal triglyceride (TG) is packaged with cholesterol, lipoproteins
and other lipids into particles called chylomicrons. Earlier studies have shown that the
fatty acid pattern of chylomicron lipids postprandial was very similar to that of the
ingested fat. If we assume that calcium inhibits the absorption of fat, we would expect a
reduced total plasma triglyceride concentration after a calcium-rich meal.
Appetite involves many different sensations among which hunger and satiety are the most
investigated. Several different hormones are involved in the regulation of appetite. Some of
these hormones are known to respond to the intake or absorption of fat. If the absorption of
fat is inhibited the regulation of appetite most likely will be affected. In the long term
this could be important because an increased appetite probably would increase energy intake
and thereby reducing the weight loss we otherwise might have accomplished by the reduced
absorption of fat.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label
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