About this trial
Declines in iron status are common in those with obesity and may be due to obesity-related chronic inflammation; however, the effects of reducing inflammation following diet-induced weight loss on iron metabolism are poorly understood. Low environmental oxygen exposure increases dietary iron absorption and availability to supply iron for erythropoiesis but has not yet been tested in the context of weight loss. This study is designed to investigate diet-induced weight loss (inflammation reduction) and overnight low oxygen exposure (erythropoiesis stimulating agent) as strategies to improve dietary iron absorption in obesity.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Obese (BMI between 30-39.9 kg/m2)
Born at altitudes below 2,100 meters (~7,000 feet)
Currently residing in Baton Rouge, Louisiana or surrounding area
Not taking any medication(s) that interfere with oxygen delivery/transport for 4 weeks prior to and throughout the entire study (e.g., includes sedatives, sleeping aids, tranquilizers and/or any medication that depresses ventilation, diuretics, alpha and beta blockers).
Disqualifiers
Living in areas that are more than 1,200 m (~4,000 feet), or have traveled to areas that are more than 1,200 m for five days or more within the last 2 months
Cardiovascular abnormalities, gastrointestinal disorders, or any condition that interferes with oxygen delivery/transport (e.g., kidney disease, cardiovascular disease, etc.)
Oxygen saturation < 95% while awake or oxygen saturation dips below 88% for a total of ≥ 10 min overnight in normoxic conditions
Evidence of apnea or other sleeping disorders
Trial design
Parallel
Treatments tested in this trial
Normobaric hypoxia (NH)
Other interventionLow oxygen exposure to mimic \~8500 feet elevation (experimental)
Normobaric normoxia (NN)
Other interventionNormal oxygen exposure to mimic sea level conditions (sham comparator).
Treatment groups
Trial outcomes
Primary outcomes
Change in iron absorption
Fractional iron absorption will be measured during the baseline weight maintenance phase (day -7) and at the end of the study (day 42). Change in fractional iron absorption will be calculated as: fractional iron absorption on day 42 - fractional iron absorption on day -7.
Sponsors and contacts
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Pennington Biomedical Research Center
Lead sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator