Glycogen and Appetite

NCT05417659 — Not applicable, Completed, 15 participants, University of Bath

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The Effect of Suppression of Adipose Lipolysis on GLP-1 and Energy Intake in Men and Women

RegistryNCT05417659
StatusCompleted
PhaseNot applicable
Study typeInterventional; randomized, crossover, masking: quadruple, basic science
Enrollment15 (Actual)
SponsorUniversity of Bath (Other)
ConditionsEnergy Intake
InterventionsExercise plus carbohydrate, Exercise plus niacin, Placebo (Dietary supplement, other)
Datesstart 2022-10-10, primary completion 2024-03-15, completion 2024-08-30, first posted 2022-06-14, last updated 2025-03-27
Locations1 site in United Kingdom

Related Papers Related Patents Related Grants Related Experts
All trials for Energy Intake All trials of Exercise plus carbohydrate All trials of Exercise plus niacin

-Summary

Obesity is the outcome of chronic excessive energy intake and reduced energy expenditure leading to energy imbalance. It is a risk factor for many preventable diseases such as metabolic disease and its consequences such as type 2 diabetes and cardiovascular disease. Sedentary adults have been shown to have an increased appetite in excess of energy requirements and adults who are more active are able to better regulate energy intake. It is thought that carbohydrate availability and specifically hepatic glycogen utilisation during exercise is a regulator of appetite. However, the majority of research so far does not support this theory, potentially due to research not examining the tissue-specific link between glycogen use and appetite. The aim of this study is to assess whether altering substrate utilisation during exercise by suppressing lipolysis influences GLP-1 levels and caloric intake post exercise. Additionally, the study will explore if there is a tissue specific link between substrate utilisation and post exercise energy intake and examine potential sex differences.

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+Arms and interventions

ArmTypeInterventionsDescription
ControlPlacebo comparatorOther: PlaceboA placebo drink to be consumed 1 hour prior to exercise and every 15 minutes during exercise and placebo tablets to be consumed 30 minutes prior to exercise, at the onset of exercise and 30 minutes into exercise.
Exercise plus carbohydrateActive comparatorDietary Supplement: Exercise plus carbohydrateA high carbohydrate drink (1.6g/kg) to be consumed 1 hour prior to exercise and further drinks (0.2g/kg) every 15 minutes during exercise.
Exercise plus niacinExperimentalDietary Supplement: Exercise plus niacinA dose of niacin (10mg/kg) to be consumed 30 minutes prior to exercise and two further doses (5mg/kg) at the onset of exercise and 30 minutes into exercise.
  • Exercise plus carbohydrate (Dietary supplement): A high carbohydrate drink to be consumed 1 hour prior to exercise and every 15 minutes during exercise.
  • Exercise plus niacin (Dietary supplement): A dose of niacin to be consumed 30 minutes prior to exercise, at onset of exercise and 30 minutes into exercise.
  • Placebo (Other): A placebo drink to be consumed 1 hour prior to exercise and every 15 minutes during exercise and placebo tablets to be consumed 30 minutes prior to exercise, at the onset of exercise and 30 minutes into exercise.

+Outcome measures

Primary outcomes

  • Difference in ad libitum energy intake [2 hours post exercise]: Difference between ad libitum energy intake (kcal) post exercise between trials

Other outcomes

  • Change in plasma GLP-1 concentrations post exercise [2 hours]: Incremental area under the curve of plasma GLP-1 concentrations
  • Change in plasma leptin concentrations post exercise [2 hours]: Incremental area under the curve of plasma leptin concentrations
  • Change in plasma insulin concentrations during exercise [1 hour]: Incremental area under the curve for plasma insulin concentrations
  • Change in plasma non-esterified fatty acid concentrations during exercise [1 hour]: Incremental area under the curve for plasma non-esterified fatty acid concentrations
  • Change in plasma glucose concentrations during exercise [1 hour]: Incremental area under the curve for plasma glucose concentrations
  • Change in plasma lactate concentrations during exercise [1 hour]: Incremental area under the curve for plasma lactate concentrations
  • Change in carbohydrate oxidation during exercise [1 hour]: Incremental area under the curve for carbohydrate oxidation
  • Change in fat oxidation during exercise [1 hour]: Incremental area under the curve for fat oxidation
  • Change in skin temperature during exercise [1 hour]: Incremental area under the curve for skin temperature
  • Change in core body temperature during exercise [1 hour]: Incremental area under the curve for core body temperature
  • Muscle glycogen utilisation [1 hour]: Difference in muscle glycogen utilisation during exercise between conditions
  • Extra-muscular glycogen oxidation [1 hour]: Difference in extra muscular glycogen oxidation during exercise between conditions
  • Difference in blood pressure between conditions [3 hours]: Difference in blood pressure between conditions

+Eligibility

Sex: All, ages: 18 Years to 60 Years, accepts healthy volunteers

Inclusion Criteria:

* Males aged 18-60 and premenopausal women
* Physically active (at least 30 minutes of exercise 3 times a week)
* Body mass index 18.0-30.0 kg·m-2

Exclusion Criteria:

* Weight instability (>5kg change in body mass over last 6 months)
* Restrained eater (e.g. limiting food intake, calorie counting)
* Current smoker
* Aversion or allergy to test meal foods
* Pregnant or lactating
* Amenorrhoea in women
* Any medical condition or medication that could introduce bias into the study (e.g., diabetes, CVD, lipid or glucose metabolism altering medications)
* Any cardiopulmonary condition prohibiting exercise testing
* Any contraindication to niacin or aspirin (e.g., diabetes, gout, clotting disorders, allergy to non-steroidal anti-inflammatory drugs)

+Locations (1)

FacilityCityCountryStatus
Department for Health, University of BathBathUnited Kingdom

+Publications

  • Results publication: Bradshaw L, Moreno-Cabanas A, Spellanzon B, Hutchins K, Narang B, Collins AJ, Koumanov F, Betts JA, Gonzalez JT. Metabolic, endocrine and appetite responses to carbohydrate versus niacin ingestion during exercise in healthy females and males. J Nutr. 2026 Aug 7:101773. doi: 10.1016/j.tjnut.2026.101773. Online ahead of print. PMID 42567359
  • Results publication: Bradshaw L, Cabanas AM, Spellanzon B, Hutchins KM, Collins AJ, Buniam J, van der Stede T, Mallinson J, Tsintzas K, Derave W, Walhin JP, Betts JA, Koumanov F, Gonzalez JT. Isolating the effects of carbohydrate and lipid availability on exercise-induced skeletal muscle signalling in males. J Physiol. 2026 Jan;604(1):267-281. doi: 10.1113/JP289864. Epub 2025 Nov 16. PMID 41243363