25 Participants Needed

Controlled Diet for Reproductive Hormone Levels

(LEAP Trial)

TC
Overseen ByTrish Coordinator, MS, RD
Age: 18 - 65
Sex: Female
Trial Phase: Academic
Sponsor: University of Colorado, Denver
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to understand how reproductive hormones might change when following a specific diet for five days. Participants will eat an individualized, standardized diet that is either energy-balanced or low in energy. The focus is on females aged 18-30 with regular menstrual cycles and stable weight. The trial does not suit those on hormonal birth control, with polycystic ovary syndrome, or engaged in regular aerobic exercise.

As an unphased study, this trial allows participants to contribute to valuable research on diet and hormone interactions.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that diets with low energy availability (LEA), where the body receives insufficient energy from food, can have mixed effects. In the short term, LEA might cause bodily changes. Studies have found it can affect hormone levels and other health indicators. For instance, lower levels of ferritin, a protein that stores iron, and changes in hormones like estradiol and testosterone may occur. These changes relate to energy intake and can impact health.

Short-term effects, such as those from a few days on such a diet, are usually less serious than long-term effects. Monitoring the body's response is important. Prospective participants in a study involving this type of diet should understand these details to prepare and make informed decisions. Participants are encouraged to ask the trial organizers any questions about safety and expectations.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores how diet can directly influence reproductive hormone levels, an area not deeply explored by current treatment options. While most treatments for hormone imbalances focus on medication or hormone therapy, this study looks at the potential of adjusting energy intake through diet to achieve balance. The unique aspect here is the individualized approach to energy balance, considering fat-free mass, which could lead to more personalized and effective dietary interventions for managing hormone-related conditions. This could open new avenues for non-invasive, lifestyle-based management strategies that are easier to maintain and adjust according to individual needs.

What evidence suggests that this trial's diets could be effective for reproductive hormone levels?

Research has shown that consuming too few calories, known as low energy availability (LEA), can significantly impact reproductive hormones. LEA occurs when calorie intake falls below the body's needs and has been linked to menstrual cycle changes, such as amenorrhea (missing periods for 90 days or more). Some studies suggest that consuming less than 30 calories per kilogram of lean body mass can trigger these hormonal changes. In this trial, participants will follow one of two diet plans: the low energy availability metabolic diet, providing 20 kcal/kg of fat-free mass per day, or the energy balanced metabolic diet, providing 45 kcal/kg of fat-free mass per day. Adequate calorie intake helps maintain stable hormone levels. These findings suggest that the two diet plans in the study might directly influence reproductive hormones due to differences in calorie intake.678910

Who Is on the Research Team?

AE

Ann E Caldwell, PhD

Principal Investigator

University of Colorado Anschutz School of Medicine

Are You a Good Fit for This Trial?

This trial is for women aged 18-30 with a BMI of 18.5-24.9 or 30-45, who have had regular menstrual cycles and stable weight recently. It's not for those on hormonal birth control, pregnant, planning pregnancy soon, diagnosed with PCOS, exercising regularly, or with significant health issues like heart disease or diabetes.

Inclusion Criteria

You have not gained or lost more than 5 kilograms in the past 3 months.
My BMI is either between 18.5-24.9 or 30-45.
You have had regular periods every 18 to 40 days for the past 6 months.
See 1 more

Exclusion Criteria

I have serious health issues like heart disease or diabetes.
I have been diagnosed with polycystic ovary syndrome.
Doing regular planned aerobic workouts.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants follow a 5-day individualized, standardized diet at two levels: energy balance and low energy intake

5 days
2 visits (in-person)

Follow-up

Participants are monitored for changes in reproductive hormones and pituitary function

8 weeks
3 visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Individualized, Standardized Diet
Trial Overview The LEAP Study is examining how reproductive hormones in young women respond to eating a controlled diet that's either balanced in energy or has low energy intake over five days.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Low energy availability metabolic diet (5-days)Experimental Treatment1 Intervention
Group II: Energy balanced metabolic diet (5-days)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Colorado, Denver

Lead Sponsor

Trials
1,842
Recruited
3,028,000+

Citations

Energy availability and its association with health-related ...This study aims to explore the prevalence of LEA among Malaysian national athletes and its associations with health-related outcomes.
Low energy availability: history, definition and evidence of its ...This study demonstrated that exercise (performed at 40% and 70% maximal aerobic capacity) did not affect thyroid hormones when EA was maintained ...
Reasons for and Consequences of Low Energy Availability in ...LEA below 30 kcal/kg/FFM indicates a clinical menstrual status and clearly differentiates amenorrhea, defined as no menses for 90 days, from ...
Endocrine and metabolic repercussions of relative energy ...This review summarizes the endocrine and metabolic changes observed in athletes with low EA with an emphasis on the most recent research findings.
Identifying and Analyzing Low Energy Availability in AthletesWe review the influence of LEA on sports performance and health and discuss biomarkers for diagnosing LEA in each phase.
Reasons for and Consequences of Low Energy Availability ...Whether unintentional or not, LEA may have detrimental consequences on health and performance, because both short-term and long-term LEA induces ...
Short‐Term Severe Low Energy Availability in AthletesThis narrative review aims to characterize the effects of short‐term (days to weeks) severe (< 30 kcal/kg Fat Free Mass/day) low energy availability (LEA) on ...
Energy availability and its association with health-related ...LEA was associated with reduced ferritin, fT3 and sex hormones, with fT3, estradiol and testosterone being significant predictors of LEA. LEA ...
Assessment of relative energy deficiency in sport and ...This study investigated the relationship between REDs screening, BIA assessment of malnutrition and ovulatory status in female endurance runners.
Effects of Short-Term Low Energy Availability on ...Background/Objectives: Low energy availability (LEA) can cause impaired reproductive function, bone health issues, and suppressed immune function, ...
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