The Obese Taste Bud study: Objectives and study design

Author:

Kersten Alexander1,Lorenz Andrea2,Nottmeier Cita3,Schmidt Michael4,Roesner Anuschka5,Richter Florian Christoph6,Röhrborn Kristin7,Witte A. Veronica89,Hahnel Sebastian24,Koehne Till3,Blüher Matthias17,Stumvoll Michael17,Rohde‐Zimmermann Kerstin7ORCID,Schamarek Imke17

Affiliation:

1. Department of Medicine III, Division of Endocrinology, Nephrology and Rheumatology University of Leipzig Leipzig Germany

2. Department of Prosthodontics and Materials Science University of Leipzig Leipzig Germany

3. Department of Orthodontics University of Leipzig Medical Centre Leipzig Germany

4. Clinic of Prosthodontics University Clinic of Regensburg Regensburg Germany

5. Department of Prosthetic Dentistry University Hospital Freiburg Centre for Dental Medicine Freiburg Germany

6. Department of Anaesthesiology and Intensive Care University of Leipzig Medical Centre Leipzig Germany

7. Helmholtz Institute for Metabolic, Obesity and Vascular Research (HI‐MAG) Helmholtz Centre Munich at the University Leipzig and the University Clinic Leipzig Leipzig Germany

8. Cognitive Neurology University of Leipzig Medical Centre Leipzig Germany

9. Department of Neurology Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany

Abstract

AbstractAimsTaste modifies eating behaviour, impacting body weight and potentially obesity development. The Obese Taste Bud (OTB) Study is a prospective cohort study launched in 2020 at the University of Leipzig Obesity Centre in cooperation with the HI‐MAG Institute. OTB will test the hypothesis that taste cell homeostasis and taste perception are linked to obesity. Here, we provide the study design, data collection process and baseline characteristics.Materials and MethodsParticipants presenting overweight, obesity or normal weight undergo taste and smell tests, anthropometric, and taste bud density (TBD) assessment on Day 1. Information on physical and mental health, eating behaviour, physical activity, and dental hygiene are obtained, while biomaterial (saliva, tongue swap, blood) is collected in the fasted state. Further blood samples are taken during a glucose tolerance test. A stool sample is collected at home prior to Day 2, on which a taste bud biopsy follows dental examination. A subsample undergoes functional magnetic resonance imaging while exposed to eating‐related cognitive tasks. Follow‐up investigations after conventional weight loss interventions and bariatric surgery will be included.ResultsInitial results show that glycated haemoglobin levels and age are negatively associated with TBD, while an unfavourable metabolic profile, current dieting, and vegan diet are related to taste perception. Olfactory function negatively correlates with age and high‐density lipoprotein cholesterol.ConclusionInitial findings suggest that metabolic alterations are relevant for taste and smell function and TBD. By combining omics data from collected biomaterial with physiological, metabolic and psychological data related to taste perception and eating behaviour, the OTB study aims to strengthen our understanding of taste perception in obesity.

Publisher

Wiley

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