Sulfur amino acid restriction, energy metabolism and obesity: a study protocol of an 8-week randomized controlled dietary intervention with whole foods and amino acid supplements

Abstract Background Dietary sulfur amino acid (SAA) restriction is an established animal model for increasing lifespan and improving metabolic health. Data from human studies are limited. In the study outlined in this protocol, we will evaluate if dietary SAA restriction can reduce body weight and i...

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Main Authors: Emma Stolt, Thomas Olsen, Amany Elshorbagy, Viktor Kožich, Marleen van Greevenbroek, Bente Øvrebø, Magne Thoresen, Helga Refsum, Kjetil Retterstøl, Kathrine J. Vinknes
Format: Article
Language:English
Published: BMC 2021-04-01
Series:Journal of Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12967-021-02824-3
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author Emma Stolt
Thomas Olsen
Amany Elshorbagy
Viktor Kožich
Marleen van Greevenbroek
Bente Øvrebø
Magne Thoresen
Helga Refsum
Kjetil Retterstøl
Kathrine J. Vinknes
author_facet Emma Stolt
Thomas Olsen
Amany Elshorbagy
Viktor Kožich
Marleen van Greevenbroek
Bente Øvrebø
Magne Thoresen
Helga Refsum
Kjetil Retterstøl
Kathrine J. Vinknes
author_sort Emma Stolt
collection DOAJ
description Abstract Background Dietary sulfur amino acid (SAA) restriction is an established animal model for increasing lifespan and improving metabolic health. Data from human studies are limited. In the study outlined in this protocol, we will evaluate if dietary SAA restriction can reduce body weight and improve resting energy expenditure (REE) and parameters related to metabolic health. Method/design Men and women (calculated sample size = 60), aged 18–45 years, with body mass index of 27–35 kg/m2 will be included in a double-blind 8-week dietary intervention study. The participants will be randomized in a 1:1 manner to a diet with either low or high SAA. Both groups will receive an equal base diet consisting of low-SAA plant-based whole foods and an amino acid supplement free of SAA. Contrasting SAA contents will be achieved using capsules with or without methionine and cysteine (SAAhigh, total diet SAA ~ 50–60 mg/kg body weight/day; SAAlow, total diet SAA ~ 15–25 mg/kg body weight/day). The primary outcome is body weight change. Data and material collection will also include body composition (dual X-ray absorptiometry), resting energy expenditure (whole-room indirect calorimetry) and samples of blood, urine, feces and adipose tissue at baseline, at 4 weeks and at study completion. Measures will be taken to promote and monitor diet adherence. Data will be analyzed using linear mixed model regression to account for the repeated measures design and within-subject correlation. Discussion The strength of this study is the randomized double-blind design. A limitation is the restrictive nature of the diet which may lead to poor compliance. If this study reveals a beneficial effect of the SAAlow diet on body composition and metabolic health, it opens up for new strategies for prevention and treatment of overweight, obesity and its associated disorders. Trial registration ClinicalTrials.gov: NCT04701346, Registration date: January 8th, 2021
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spelling doaj.art-8633d494d2174997953b3d11811e9b062022-12-21T23:46:41ZengBMCJournal of Translational Medicine1479-58762021-04-0119111110.1186/s12967-021-02824-3Sulfur amino acid restriction, energy metabolism and obesity: a study protocol of an 8-week randomized controlled dietary intervention with whole foods and amino acid supplementsEmma Stolt0Thomas Olsen1Amany Elshorbagy2Viktor Kožich3Marleen van Greevenbroek4Bente Øvrebø5Magne Thoresen6Helga Refsum7Kjetil Retterstøl8Kathrine J. Vinknes9Department of Nutrition, Institute of Basic Medical Sciences, University of OsloDepartment of Nutrition, Institute of Basic Medical Sciences, University of OsloDepartment of Nutrition, Institute of Basic Medical Sciences, University of OsloDepartment of Pediatrics and Inherited Metabolic Disorders, First Faculty of Medicine, Charles University and General University HospitalDepartment of Internal Medicine and CARIM School of Cardiovascular Diseases, Maastricht UniversityDepartment of Sports Science and Physical Education, Faculty of Health and Sport Sciences, University of AgderDepartment of Biostatistics, Institute of Basic Medical Sciences, University of OsloDepartment of Nutrition, Institute of Basic Medical Sciences, University of OsloDepartment of Nutrition, Institute of Basic Medical Sciences, University of OsloDepartment of Nutrition, Institute of Basic Medical Sciences, University of OsloAbstract Background Dietary sulfur amino acid (SAA) restriction is an established animal model for increasing lifespan and improving metabolic health. Data from human studies are limited. In the study outlined in this protocol, we will evaluate if dietary SAA restriction can reduce body weight and improve resting energy expenditure (REE) and parameters related to metabolic health. Method/design Men and women (calculated sample size = 60), aged 18–45 years, with body mass index of 27–35 kg/m2 will be included in a double-blind 8-week dietary intervention study. The participants will be randomized in a 1:1 manner to a diet with either low or high SAA. Both groups will receive an equal base diet consisting of low-SAA plant-based whole foods and an amino acid supplement free of SAA. Contrasting SAA contents will be achieved using capsules with or without methionine and cysteine (SAAhigh, total diet SAA ~ 50–60 mg/kg body weight/day; SAAlow, total diet SAA ~ 15–25 mg/kg body weight/day). The primary outcome is body weight change. Data and material collection will also include body composition (dual X-ray absorptiometry), resting energy expenditure (whole-room indirect calorimetry) and samples of blood, urine, feces and adipose tissue at baseline, at 4 weeks and at study completion. Measures will be taken to promote and monitor diet adherence. Data will be analyzed using linear mixed model regression to account for the repeated measures design and within-subject correlation. Discussion The strength of this study is the randomized double-blind design. A limitation is the restrictive nature of the diet which may lead to poor compliance. If this study reveals a beneficial effect of the SAAlow diet on body composition and metabolic health, it opens up for new strategies for prevention and treatment of overweight, obesity and its associated disorders. Trial registration ClinicalTrials.gov: NCT04701346, Registration date: January 8th, 2021https://doi.org/10.1186/s12967-021-02824-3Methionine restrictionCysteine restrictionSulfur amino acidsDietary interventionPlasma biomarkersTranslational research
spellingShingle Emma Stolt
Thomas Olsen
Amany Elshorbagy
Viktor Kožich
Marleen van Greevenbroek
Bente Øvrebø
Magne Thoresen
Helga Refsum
Kjetil Retterstøl
Kathrine J. Vinknes
Sulfur amino acid restriction, energy metabolism and obesity: a study protocol of an 8-week randomized controlled dietary intervention with whole foods and amino acid supplements
Journal of Translational Medicine
Methionine restriction
Cysteine restriction
Sulfur amino acids
Dietary intervention
Plasma biomarkers
Translational research
title Sulfur amino acid restriction, energy metabolism and obesity: a study protocol of an 8-week randomized controlled dietary intervention with whole foods and amino acid supplements
title_full Sulfur amino acid restriction, energy metabolism and obesity: a study protocol of an 8-week randomized controlled dietary intervention with whole foods and amino acid supplements
title_fullStr Sulfur amino acid restriction, energy metabolism and obesity: a study protocol of an 8-week randomized controlled dietary intervention with whole foods and amino acid supplements
title_full_unstemmed Sulfur amino acid restriction, energy metabolism and obesity: a study protocol of an 8-week randomized controlled dietary intervention with whole foods and amino acid supplements
title_short Sulfur amino acid restriction, energy metabolism and obesity: a study protocol of an 8-week randomized controlled dietary intervention with whole foods and amino acid supplements
title_sort sulfur amino acid restriction energy metabolism and obesity a study protocol of an 8 week randomized controlled dietary intervention with whole foods and amino acid supplements
topic Methionine restriction
Cysteine restriction
Sulfur amino acids
Dietary intervention
Plasma biomarkers
Translational research
url https://doi.org/10.1186/s12967-021-02824-3
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