Official Title
Assessing Metabolic Health With Stable Isotope Tracer Techniques in Adults With Obesity
Brief Summary

In a crossover design, 8 participants will receive caloric drinks containing stableisotopes. In one arm of the study, participants will consume 6 hourly drinks containingtwo stable isotopes. Repeated blood, breath, urine, and muscle biopsies will be taken. Inthe second arm, participants will consume 1 drink containing 75g glucose, labeled withtwo stable isotopes of glucose. Periodic blood and breath will be taken over three hours.

Detailed Description

1. Enrollment, Informed Consent, and Screening Questionnaires (Virtual): Prior to study
enrollment, participants will be asked to read a digital copy of an informed consent
document provided using the e-Consent framework through the Research Electronic Data
Capture (REDCap) system. Should participants have any questions about the study
after reading the document, they will be encouraged to contact the research team
prior to providing informed consent. Upon provision of informed consent,
participants will receive an email with questionnaires designed to assess
eligibility for the study through REDCap. Specifically, participants will be asked
to complete a health and medical history questionnaire, physical activity readiness
questionnaire (PARQ), International Physical Activity Questionnaire Long Form
(IPAQ), and Godin-Shephard Leisure-Time Physical Activity Questionnaire (LTPAQ).
Information from the medical history questionnaire, PARQ, and LTPAQ will be used to
assess exclusion criteria and the IPAQ be used to assess baseline habitual activity
level. Upon completion of these questionnaires, the research team will review
responses and determine eligibility. Should Participants be eligible, researchers
will work with the participant to schedule subsequent visits

2. Preliminary Testing (Visit 1): Participants will arrive for the preliminary testing
session after an overnight fast.

Urine samples: 30mL of urine at time points -30 min, 0 min, 240 min, 300 min, and 360
min. Briefly, participants will be provided with a urine collection cup, alcohol wipes,
and gloves and asked to fill the cup about 3/4 of they way.

Blood Collection: ~88 mL will be collected during the trial.

Breath Collection: At -30 min, 0 min, 120 min, 240 min, 300 min, 360 min, we will measure
the air exhaled. To do this, participants breathe normally through a hose. Immediately
after, they will exhale into a separate mouthpiece attached to a plastic bag.

Muscle Collection: A total of 2 muscle biopsies will be collected during the trial. The
biopsy procedure involves removal of a small piece of muscle tissue using a sterile
hollow needle (Bergström needle) and will be performed by Dr. Nicholas Burd under the
auspices of Dr. Jared Willard, MD. Participants will rest on a bed and the area for the
biopsy will be shaved, if required. Subsequently, the area will be sterilized using 4%
chlorhexidine gluconate before 5 mL of local anesthetic (2% Xylocaine with 1:100,000
epinephrine) is injected subcutaneously with special care to avoid infiltrating the
muscle. Once the anesthetic is active, a small incision will be made in the skin in order
to create an opening through which to put the biopsy needle for tissue collection. Dr.
Burd will quickly cut of a small piece of muscle. the subjects may feel a sensation of
deep pressure in their leg. A sterile disposable drape will be placed under the
participant's thigh and sterile gloves will be used for all biopsy procedures.

After the biopsy is completed, a trained research team member will apply pressure with
sterile gauze until the bleeding stops (at least 15 min). Subsequently, the incision site
will be closed using butterfly stitches (Steri-strips) following by application of a
bandage. An elastic pressure wrap will be applied on top of the bandage in order to
minimize the chance of bruising. Participants will then be instructed to leave the
butterfly stitches and the pressure wrap on the wound for 96 and 24 hrs, respectively.

The participant will be provided with a "biopsy care kit" (described in section
10.1/Biopsy care kit) in order to properly care for the incision after leaving the
laboratory. A member of the research team will contact the participants in the day
following the trial to check on the healing process.

After blood, breath, and muscle samples of time 0, participants will drink the first of a
series of drinks containing [13C]phenylalanine and [2H5]phenylalanine at a ratio of 1:10
with a 1:10 ratio of total tracer to tracee (naturally occurring phenylalanine) The first
drink will be primed with NaH13CO2 (0.176 mg/kg) in addition to [13C]phenylalanine and
[2H5]phenylalanine mixture. Drinks will be consumed every 30 minutes for the duration of
the procedure.

These drink will also contain 1.2x estimated RMR calories (divided into 12 drinks)

VCo2: Carbon dioxide production (VCO2) will be determined from expired air sampled by
open circuit spirometry using an on-line, computer-based acquisition system. Participants
will breathe through a one-way, high velocity non-rebreathing valve. The volume of
expired air is measured by a gas flow meter. The carbon dioxide concentrations of expired
air are assessed by a carbon dioxide analyser. Analog data from the gas analyser and flow
meter is digitized and sent to an IBM compatible PC for calculation of VCO2 converted to
Standard Temperature and Pressure Dry. Immediately after VCO2 analysis is performed (5
min), subjects are asked to exhale into a separate mouthpiece attached to a plastic bag.
This particular breath sample is stored in a sterile vacutainer for future analysis of
stable isotope tracer enrichment in the breath. The measurement of carbon dioxide
production (VCO2) and the measurement of tracer enrichment in the breath allow us to
assess how much of the protein is used for energy, rather than for building skeletal
muscle proteins. Subjects are not expected to experience any discomfort from this
procedure, nor will it influence their physical well-being.

(Visit 4) Stable Isotope OGTT: within 7 days after the first trail participants will be
asked to return to the lab for a second procedure.

Blood Collection: Blood collection procedures will be exactly as described above. There
will be a total of 9 blood collections (time -10, 10, 20, 30, 60. 90, 120, 150, 180)
minutes Breath Collection: Breath collection procedures will be exactly as described
above. There will be a total of 9 breath collections (-10, 10, 20, 30, 60, 90, 120, 150,
180) minutes After the blood and breath collection for time -10, participants will be
asked to consume a 75 g Glucose Drink dissolved in 250 ml of water enriched with
[6,6_2H2]glucose and [13C6]glucose. As stated above, blood and breath samples will be
taken periodically over the next 3 hours.

Recruiting
Obese Patients (BMI ≥ 30 Kg/m²)
Glucose Metabolism
Protein Metabolism

Procedure: Indispensable Amino Acid Oxidation

Participants will ingest six hourly meals designed to provide 50% of the daily intake of
1.1 g·kgLBM. Additional energy (1.5x daily resting metabolic rate), carbohydrate (55%),
and fat (35%) will be provided in beverages and protein-free cookies (for palatability).
The first drink will contain priming doses of NaH13CO2 (0.176 mg·kg-1),
[13C]phenylalanine (1.86 mg·kg-1), [2H5]phenylalanine (0.34 mg·kg-1) with all subsequent
drinks containing 1.2 mg·kg-1 [13C]phenylalanine and 0.51 mg·kg-1 [2H5]phenylalanine.
Other Name: IAAO

Procedure: Stable Isotope Oral Glucose Tolerance Test

Participants will consume a 75g glucose drink dissolved in 250 ml of water enriched with
[6,6_2H2]glucose and [13C6]glucose.
Other Name: Si OGTT

Eligibility Criteria

Inclusion Criteria:

- ages 19-59

- Obese >/= 30 kg/m^2 and >/= 102 cm for males and >/= 88 cm for females

- Godin Leisure-time or exercise questionnaire <14 units

Exclusion Criteria:

1. Pregnant or become pregnant

2. Any known food allergies

3. Smoker

4. Are physically active

5. Have any known metabolic diseases

6. Have been weight unstable within the last 6 months (lost or gained >10% of body
mass)

7. Non eumenorrheic or on a hormonal birth control

Eligibility Gender
All
Eligibility Age
Minimum: 19 Years ~ Maximum: 59 Years
Countries
United States
Locations

Freer Hall - University of Illinois
Urbana, Illinois, United States

Investigator: Nicholas Burd (Associate Professor), PhD
Contact: 2172440970
naburd@illinois.edu

Investigator: Nicholas Burd, PhD

Contacts

Nicholas Burd (Associate Professor), PhD
2172440970
naburd@illinois.edu

Gena L Irwin (Research Assistant), M.S
3608883281
genai2@illinois.edu

Not Provided

University of Illinois at Urbana-Champaign
NCT Number
MeSH Terms
Obesity