Drinking soft drinks fast or slow, which one is better?

ISRCTN ISRCTN14798840
DOI https://doi.org/10.1186/ISRCTN14798840
Submission date
21/05/2021
Registration date
01/06/2021
Last edited
08/07/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Drinking sweetened beverages is associated with an increased risk of heart disease and type 2 diabetes. The aim of this study is to determine if the speed of drinking the sweetened beverage alters the effects of fructose (fruit sugar).

Who can participate?
Healthy adult volunteers who are free of any chronic illness and do not routinely use any medication

What does the study involve?
Participants are randomly allocated to one of two groups. After overnight fasting, participants in group 1 drink 500 ml of apple juice over an hour by drinking 125 ml every 15 minutes, while subjects in group 2 drink 500 ml of apple juice over 5 minutes. Blood samples are collected at 0, 15, 30, 60, and 120 minutes after ingestion to be tested for levels of sugar and other factors.

What are the possible benefits and risks of participating?
Participation is on a voluntary basis and does not provide individual benefits. Risks include the risks of having blood drawn, which are mainly temporary pain due to needle stick and bruising.

Where is the study run from?
Koc University Hospital (Turkey)

When is the study starting and how long is it expected to run for?
June 2020 to December 2020

Who is funding the study?
Koc University Research Center for Translational Medicine (KUTTAM) (Turkey)

Who is the main contact?
Prof. Dr. Mehmet Kanbay
mkanbay@ku.edu.tr

Contact information

Prof Mehmet Kanbay
Scientific

Koc University Hospital Topkapi
Davutpasa Cd. No:4
Istanbul
34010
Türkiye

ORCiD logoORCID ID 0000-0002-1297-0675
Phone +90 (0)5423536986
Email mkanbay@ku.edu.tr
Dr Lale Ertuglu
Public

Koc University Hospital Topkapi
Davutpasa Cd. No:4
Istanbul
34010
Türkiye

ORCiD logoORCID ID 0000-0002-6318-4199
Phone +90 (0)5369334311
Email lertuglu14@ku.edu.tr

Study information

Study designSingle-center interventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeOther
Participant information sheet ISRCTN14798840_PIS.doc
Scientific titleThe effects of speed of ingestion of a sugary beverage on the acute metabolic response to fructose
Study acronymSPEFRU
Study hypothesisIt is hypothesized that the metabolic effects of fructose in sugary beverages might be modulated by the speed of ingestion in addition to the overall amount.
Ethics approval(s)Approved 10/06/2020, Koc University Committee on Human Research (Rumelifeneri Mahallesi, Rumelifeneri Yolu, 34450, Sariyer, Istanbul, Turkey; +90 (0)212 338 11 76; chr@ku.edu.tr), ref: 2020.275.IRB1.098
ConditionDetermination of the metabolic response to fructose after fast versus slow ingestion of 100% fruit juice
InterventionThirty healthy, nonobese participants without any systemic disease and receiving no medications and alcohol are included in this study. Each subject is given a total of 500 ml of 100% pure, commercially available apple juice to consume during the intervention. The participants are randomly allocated to either group 1 or group 2. The study used 100% apple juice as the fructose source since it has a higher fructose-to-glucose ratio and has no antioxidant effect. Each participant drinks the same apple juice. The participants in group 1 are instructed to drink 125 ml every 15 min under direct supervision four times until a total of 500 ml is consumed. The participants in group 2 are instructed to drink 500 ml of apple juice within 5 min under direct supervision. No other eating or drinking is allowed during the 2 h study period for both groups. The subjects do not perform any physical activity during the study period. Blood samples are collected for laboratory analysis at baseline and 15, 30, 60, and 120 min after apple juice consumption initiation
Intervention typeOther
Primary outcome measure1. Serum glucose measured using a Roche Cobas 6000 analyzer (Roche, Mannheim, Germany) at baseline, and 15, 30, 60, and 120 min after drinking apple juice
2. Insulin measured using a Roche Cobas 6000 analyzer (Roche, Mannheim, Germany) at baseline, and 15, 30, 60, and 120 min after drinking apple juice
3. FGF-21 measured using sandwich enzyme-linked immunosorbent assay (ELISA) using commercial kits (Cloud-Clone Corp., Wuhan, China) at baseline, and 15, 30, 60, and 120 min after drinking apple juice. Sera is separated in aliquots and is frozen rapidly at -80 °C for the measurements.
4. Copeptin measured using sandwich enzyme-linked immunosorbent assay (ELISA) using commercial kits (Cloud-Clone Corp., Wuhan, China) at baseline, and 15, 30, 60, and 120 min after drinking apple juice. Sera is separated in aliquots and is frozen rapidly at -80 °C for the measurements.
5. Osmolarity measured using the freezing-point Osmometer K-7400S (Knauer, Berlin, Germany) at baseline, and 15, 30, 60, and 120 min after drinking apple juice
6. Sodium measured using a Roche Cobas 6000 analyzer (Roche, Mannheim, Germany) at baseline, and 15, 30, 60, and 120 min after drinking apple juice
7. BUN measured using a Roche Cobas 6000 analyzer (Roche, Mannheim, Germany) at baseline, and 15, 30, 60, and 120 min after drinking apple juice
8. Lactic acid measured using a Roche Cobas 6000 analyzer (Roche, Mannheim, Germany) at baseline, and 15, 30, 60, and 120 min after drinking apple juice
9. Uric acid measured using a Roche Cobas 6000 analyzer (Roche, Mannheim, Germany) at baseline, and 15, 30, 60, and 120 min after drinking apple juice
10. Phosphate measured using a Roche Cobas 6000 analyzer (Roche, Mannheim, Germany) at baseline, and 15, 30, 60, and 120 min after drinking apple juice
Secondary outcome measuresHOMA-IR measured using the following formula: HOMA-IR  =  (plasma glucose  ×  plasma insulin/405), where glucose is in mass units (mg/dL), measured using a Roche Cobas 6000 analyzer (Roche, Mannheim, Germany) and calculated for baseline, and 15, 30, 60, and 120 min after drinking apple juice
Overall study start date10/06/2020
Overall study end date01/12/2020

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexBoth
Target number of participants30
Total final enrolment30
Participant inclusion criteria1. Healthy, nonobese participants
2. No systemic diseases
3. Not taking medications or alcohol
Participant exclusion criteria1. Obesity
2. Any systemic disease
3. Receiving any medications routinely
4. Significant alcohol use
Recruitment start date01/09/2020
Recruitment end date01/12/2020

Locations

Countries of recruitment

  • Türkiye

Study participating centre

Koc University Hospital
Topkapı, Koç Üniversitesi Hastanesi
Davutpaşa Cd. No:4
Istanbul
34010
Türkiye

Sponsor information

Koc University Research Center for Translational Medicine (KUTTAM)
University/education

Topkapi, Davutpasa Cd. No. 4
Istanbul
3401
Türkiye

Phone +90 (0)850 250 8 250
Email ctunit@ku.edu.tr
Website https://kuttam.ku.edu.tr/

Funders

Funder type

University/education

Koc University Research Center for Translational Medicine (KUTTAM), funded by The Presidency of Turkey, Presidency of Strategy and Budget

No information available

Results and Publications

Intention to publish date20/06/2021
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in Nutrients
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Prof. Dr Mehmet Kanbay (mkanbay@ku.edu.tr).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 02/06/2021 08/06/2021 Yes No
Participant information sheet 08/07/2021 No Yes

Additional files

ISRCTN14798840_PIS.doc
Uploaded 08/07/2021

Editorial Notes

08/07/2021: The participant information sheet has been uploaded.
08/06/2021: Publication reference added.
26/05/2021: Trial's existence confirmed by Koc University Committee on Human Research.

Springer Nature