Oral and Gut Microbiota Changes During Long-term Fasting in Humans (OralFast)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Buchinger Wilhelmi clinic
- Phone Number: 0049 7551 8070
- Email: forschung@buchinger-wilhelmi.com
Study Locations
-
-
-
Überlingen, Germany, 88662
- Buchinger Wilhelmi Clinic
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Both subjects with periodontitis and healthy periodontium will be included.
- Signed informed consent
Exclusion Criteria:
- Not able to sign the informed consent
- diagnosticated with cachexia, anorexia, nervosa, advanced kidney, liver or cerebrovascular insufficiency
- Smoking
- the intake of antibiotics within the last 8 weeks, as well as the intake of probiotics within the last 4 weeks
- periodontal treatment in the last 6 months
- chronic manifest psychical and psychiatric diseases
- participation in another study
- pregnancy or breastfeeding
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Long-term fasting
Long-term fasting according to the Buchinger Wilhelmi fasting program.
|
The participants will undergo a fasting program that includes the daily intake of 250 kcal under medical supervision.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in halitosis
Time Frame: daily from baseline to the 3rd day of food reintroduction
|
Concentration of volatile sulfide compounds (hydrogen sulfide, methylmercaptan and dimethyl sulphide) using the OralChrome devise
|
daily from baseline to the 3rd day of food reintroduction
|
|
Changes in microbiota compositions of subgingival microbial and plaque sampling
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
Aggregatibacter actinomycetemcomitans (Aa), Porphyromonas (Pg), Tannerella forsythia (Tf), Treponema denticola (Td), Parvimonas micra (Pm) and Prevotella intermedia (Pi) analysed by RT-q-PCR
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in microbiota composition in saliva
Time Frame: Baseline, fasting day 10, food reintroduction day 3, 1 and 3 months afterwards
|
16 rRNA gene amplicon sequencing
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Baseline, fasting day 10, food reintroduction day 3, 1 and 3 months afterwards
|
|
Changes in microbiota composition in faeces
Time Frame: Baseline, first spontaneous stool after food reintroduction (up to day 3), 1 and 3 months afterwards
|
16 rRNA gene amplicon sequencing
|
Baseline, first spontaneous stool after food reintroduction (up to day 3), 1 and 3 months afterwards
|
|
Changes in total antioxidant capacity (TAC)
Time Frame: Baseline, fasting day 3, 5, 10
|
(mmol DPPH/L)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in hydrogen sulfide production capacity
Time Frame: at the beginning and the end of fasting, on day 3 and 5, as well as at the food reintroduction
|
measured in serum and urine using the lead acetate assay
|
at the beginning and the end of fasting, on day 3 and 5, as well as at the food reintroduction
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in glutathione (GSH)
Time Frame: Baseline, fasting day 3, 5, 10
|
(µmol/g Hb)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in thiobarbituric acid reactive substances (TBARS)
Time Frame: Baseline, fasting day 3, 5, 10
|
(µmol/L)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in malondialdehyde (MDA)
Time Frame: Baseline, fasting day 3, 5, 10
|
nM/L
|
Baseline, fasting day 3, 5, 10
|
|
Changes in protein carbonyls
Time Frame: Baseline, fasting day 3, 5, 10
|
(nmol/mg protein)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in nicotinamide adenine dinucleotide phosphate (NADPH) oxidase
Time Frame: Baseline, fasting day 3, 5, 10
|
(µL)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in glutathione reductase (GR) activity
Time Frame: Baseline, fasting day 3, 5, 10
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(U/g Hb)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in glutathione peroxidase (GPx) activity
Time Frame: Baseline, fasting day 3, 5, 10
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(U/g Hb)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in peroxiredoxin activity
Time Frame: Baseline, fasting day 3, 5, 10
|
(U/g Hb)
|
Baseline, fasting day 3, 5, 10
|
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Changes in catalase (CAT) activity
Time Frame: Baseline, fasting day 3, 5, 10
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(U/mg Hb)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in superoxide dismutase (SOD) activity
Time Frame: Baseline, fasting day 3, 5, 10
|
(U/g Hb)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in hydroxyl radical scavenging
Time Frame: Baseline, fasting day 3, 5, 10
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(mmol deoxyribose/ml)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in superoxydradical scavenging
Time Frame: Baseline, fasting day 3, 5, 10
|
(mmol NBT/L plasma)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in ABTS scavenging
Time Frame: Baseline, fasting day 3, 5, 10
|
(mmol/L)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in reducing power
Time Frame: Baseline, fasting day 3, 5, 10
|
(mmol/L plasma)
|
Baseline, fasting day 3, 5, 10
|
|
Changes in thiosulfate
Time Frame: Baseline, fasting day 10, food reintroduction day 3
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measured using the monobromobimane method using HPLC and LC-MS/MS
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in persulfidation
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
persulfidation in serum and urine
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in cystein
Time Frame: Baseline, fasting day 10, food reintroduction day 3
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using the S-sulfocysteine (SSC) method which is a HPLC-based method using automated precolumn derivatization with OPA and UV detection at 338 nm in serum and urine
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in amino acid metabolites
Time Frame: Baseline, fasting day 10, food reintroduction day 3
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using a targeted approach in serum and urine
|
Baseline, fasting day 10, food reintroduction day 3
|
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Changes in IL-10 in blood
Time Frame: Baseline, fasting day 10, food reintroduction day 3
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analysed in blood with Bio-Plex 200 Suspension array System
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Baseline, fasting day 10, food reintroduction day 3
|
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Changes in G-CSF in blood
Time Frame: Baseline, fasting day 10, food reintroduction day 3
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analysed in blood with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
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Changes in IFN-γ in blood
Time Frame: Baseline, fasting day 10, food reintroduction day 3
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analysed in blood with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in TNF-α in blood
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
analysed in blood with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in IL-1β in blood
Time Frame: Baseline, fasting day 10, food reintroduction day 3
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analysed in blood with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in IL-6 in blood
Time Frame: Baseline, fasting day 10, food reintroduction day 3
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analysed in blood with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
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Changes in IL-8 in blood
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
analysed in blood with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in IL-17 in blood
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
analysed in blood with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in IL-10 in gingival crevicular fluid
Time Frame: Baseline, fasting day 10, food reintroduction day 3
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analysed in gingival crevicular fluid with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in G-CSF in gingival crevicular fluid
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
analysed in gingival crevicular fluid with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in IFN-γ in gingival crevicular fluid
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
analysed in gingival crevicular fluid with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in TNF-α in gingival crevicular fluid
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
analysed in gingival crevicular fluid with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in IL-1β in gingival crevicular fluid
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
analysed in gingival crevicular fluid with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in IL-6 in gingival crevicular fluid
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
analysed in gingival crevicular fluid with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in IL-8 in gingival crevicular fluid
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
analysed in gingival crevicular fluid with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
|
Changes in IL-17 in gingival crevicular fluid
Time Frame: Baseline, fasting day 10, food reintroduction day 3
|
analysed in gingival crevicular fluid with Bio-Plex 200 Suspension array System
|
Baseline, fasting day 10, food reintroduction day 3
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in Rosenberg scale
Time Frame: daily from baseline to the 3rd day of food reintroduction
|
organoleptic intensity scale for measuring oral malodor: 0 = no odor to 5 = intense odor
|
daily from baseline to the 3rd day of food reintroduction
|
|
Changes in Seemann scale
Time Frame: daily from baseline to the 3rd day of food reintroduction
|
organoleptic assessment: 1 = odor noticable from 10 cm to 3 = odor noticeable from 1m
|
daily from baseline to the 3rd day of food reintroduction
|
|
Changes in Ayurvedic diagnosis of the tongue
Time Frame: daily from baseline to the 3rd day of food reintroduction
|
examination of the tongue
|
daily from baseline to the 3rd day of food reintroduction
|
|
Changes in urinary ketone bodies
Time Frame: daily from baseline to the 3rd day of food reintroduction
|
using ketostix
|
daily from baseline to the 3rd day of food reintroduction
|
|
Changes in capillary blood ketones
Time Frame: daily from baseline to the 3rd day of food reintroduction
|
using GlucoMen areo 2k
|
daily from baseline to the 3rd day of food reintroduction
|
|
Changes in capillary blood glucose
Time Frame: daily from baseline to the 3rd day of food reintroduction
|
using GlucoMen areo 2k
|
daily from baseline to the 3rd day of food reintroduction
|
|
Changes in ph value of the urin
Time Frame: daily from baseline to the 3rd day of food reintroduction
|
using test strips
|
daily from baseline to the 3rd day of food reintroduction
|
|
Changes in weight
Time Frame: daily from baseline to the 3rd day of food reintroduction as well as 1 and 3 months after
|
kg
|
daily from baseline to the 3rd day of food reintroduction as well as 1 and 3 months after
|
|
Changes in blood pressure
Time Frame: daily from baseline to the 3rd day of food reintroduction as well as 1 and 3 months after
|
systolic and diastolic in mmHg
|
daily from baseline to the 3rd day of food reintroduction as well as 1 and 3 months after
|
|
Changes in pulse
Time Frame: daily from baseline to the 3rd day of food reintroduction as well as 1 and 3 months after
|
beats per minute
|
daily from baseline to the 3rd day of food reintroduction as well as 1 and 3 months after
|
|
Plaque Index score
Time Frame: baseline
|
Sillness & Loe, 1964: from 0 = no plaque to 3 = abundant plaque along the gingival margin, interdental spaces filled with plaque
|
baseline
|
|
Gingival index score
Time Frame: baseline
|
Löe & Sillness, 1963: from 0 = normal gingiva to 3 = severe inflammation
|
baseline
|
|
Probing pocket depth
Time Frame: baseline
|
Bleeding on probing, recorded as present within 30 sec (1) or absent (0)
|
baseline
|
|
clinical attachment level
Time Frame: baseline
|
distance between the cemento-enamel junction and the tip of the graduated steel
|
baseline
|
|
recession
Time Frame: baseline
|
distance between CEJ and marginal edge of the free gingiva
|
baseline
|
|
Changes in leucocytes
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(thousands/µl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in erythrocytes
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(millions/µl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in haemoglobin
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(g/dl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in haematocrit
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(in %)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in MCV
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(fl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in MCH
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(pg)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in MCHC
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(g/dl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in thrombocytes
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(thousands/µl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in international normalized ratio
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
ratio
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in Quick
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(in %)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in partial thromboplastin time
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(sec)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in aspartate aminotransferase (AST/GOT)
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(U/l)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in alanine aminotransferase (ALT/GPT)
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(U/l)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in gamma-glutamyl transferase (GGT)
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(U/l)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in alkaline phosphatase
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(U/l)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in uric acid
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mg/dl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in urea
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mg/dl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in glomerular Filtration Rate (GFR)
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(ml/min/1.73m2KOF)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in creatinine
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mg/dl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in thyroid-stimulating hormone (TSH)
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mE/l)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in total cholesterol
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mg/dl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in triglyceride
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mg/dl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in high-density lipoprotein (HDL)
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mg/dl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in low-density lipoprotein (LDL)
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mg/dl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in LDL / HDL - ratio
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
ratio
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in glucose
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mg/dl)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in HbA1c
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mmol/mol)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in sodium
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mmol/l)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in potassium
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mmol/l)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in calcium
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mmol/l)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in magnesium
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mmol/l)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in erythrocyte sedimentation rate
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mm/h)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in C - reactive protein
Time Frame: Baseline, fasting day 10, and food reintroduction day 3
|
(mg/l)
|
Baseline, fasting day 10, and food reintroduction day 3
|
|
Changes in pH value of saliva
Time Frame: Baseline, fasting day 10, food reintroduction day 3, 1 and 3 months afterwards
|
(mol/l)
|
Baseline, fasting day 10, food reintroduction day 3, 1 and 3 months afterwards
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Françoise Wilhelmi de Toledo, MD, Buchinger Wilhelmi
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BuWi_OralFast_2022
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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