- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05389033
Probiotic Supplementation and Exercise Performance in the Heat
Effect of Probiotic Supplementation on Exercise Metabolism During Exercise in the Heat and Subsequent Effect on Gastrointestinal Disturbance and Gut Microbiome Composition
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study design
Participants The study is open to well-trained endurance 18-50 years (n = 24). Participants will be invited to take part in a matched-pairs design supplement intervention study. Participants will be split into two groups (n = 12), one which will supplement with a probiotic, the other a placebo, for 4 weeks.
Initial assessment During the first visit, subjects will first be asked that the have read the participant information sheet, including that they fit the inclusion criteria. Participants will then be asked to complete the Readiness to Exercise Questionnaire to ensure there are no contraindications before they proceed to exercising, such as a musculoskeletal injury or any medical condition for which exercise would pose an above normal risk (e.g. heart condition). Subjects will complete an incremental cycling test to volitional exhaustion to assess VO2max and blood lactate profile. Briefly, section 1 will commence at 95W and each stage will increase by 30W every 3 min. The wattage will continue to increase until the blood lactate concentration increases beyond 4mmol·L-1. The blood LT will be defined as the second abrupt increase of blood lactate concentration around 4mmol·L-1 by means of a linear-regression break point analysis. In the last 30s of each stage, heart rate (Polar Electro, Finland) will be recorded and a capillary blood sample (fingertip) will be obtained for blood lactate concentration analysis by micro-assay (Lactate Pro LT-1710, ArkRay Inc., Kyoto, Japan). This initial stage will be followed by a 15 min recovery period. Section 2 of the test protocol will then commence at 3.33 w/kg-1 for 150 s and thereafter will be increased by 50 W for a further 150 s. Subsequently, increases of 25 W every 60 s will occur until volitional fatigue or a drop in cadence below 70 rev/min-1. VO2max will be determined as the highest 30 s VO2 consumption.
After completing the initial VO2max test to determine exercise intensity and resting for 30-60 minutes, subjects will complete a familiarisation session during which they will cycle at the prescribed power output for 90 minutes followed by the time to exhaustion trial. This session will be used to familiarise subjects to the procedures of using a rectal thermometer, heart rate monitor, fluid consumption during exercise, exercise capacity test, and the timings of these throughout the experimental trial. The session will also be used to assess, and if necessary, adjust the velocity to attain the required 90% lactate threshold (~70-80% VO2max intensity).
Experimental trials On the morning of the main experimental trials at ~08:00, participants will report to the laboratory in a fasted state. A baseline blood (6 mL) and breathe sample will be collected before participants are provided with a standardized high-CHO breakfast (CHO: 2 g.kg-1 BM; PRO: 0.4 g.kg-1 BM; Fat: 0.2 g.kg-1 BM; comprising cereal, milk, orange juice, and a cake bar. This is representative of an elite real-world cyclists 'Race-day" breakfast (see Table 3.3) (Heikura et al., 2019; Muros et al., 2019; Morton, unpublished observations; Sánchez-Muñoz et al., 2016). Blood samples (6 mL) will be taken 15,30, 60, 90, 120, min postprandially via an indwelling cannula. Subjects will then be fitted with a heart rate monitor (Polar Electro, Finland) and be asked to measure nude body mass (SECA, Hamburg, Germany) in private. It will be explained to the participant that they need to weigh themselves in only their underwear and they will be shown to a private room in order to do this.
Immediately following this, the 180 minute cycle will commence. Participants will complete a 180 minute, steady state cycle (90% lactate threshold), in the heat (32 °C, and 40% humidity). Oxygen consumption will be sampled every 30 min throughout the trial using a metabolic cart. This will required participants to breath into a mouth piece while wearing a nose clip. Ratings of perceived exertion (RPE) and heart rate will also be recorded every 30 minutes. Ratings of perceived GI discomfort will also be assessed during the exercise using a validated subjective scale. Participants will consume 200mL before commencing exercise and then every 15 minutes during the 180 min steady state cycling. Drinks will contain dextrose and fructose in a ratio of 2:1. The total carbohydrate ingestion rate will be 90g per hour. This amount is similar to that consumed by elite cyclists during Tour Stage racing (Morton, unpublished observations; Heikura et al., 2019).
Blood (6 mL) and breathe samples will be collected every 30 minutes in order to quantify exogenous carbohydrate absorption and oxidation. Blood samples will be drawn via an indwelling cannula and breath samples will be collected directly from the mixing chamber of the metabolic cart.
Immediately following the 180-min submaximal cycle, participants will undertake a cycling capacity test whereby they will cycle at 150% LT to volitional exhaustion. No music will be played, and no physiological measurements will be taken during the cycling capacity test. The only available information to the participants will be the fixed power output and cadence.
Before each of the experimental visits, participants will be provided with a standardised 24hr diet to provide 8 g.kg BM CHO. This will be provided from a mixture of food and drinks.
Supplementation Participants will then be randomly assigned to receive either a probiotic supplement, or visually identical placebo. Probiotics are live bacterial compounds that have been researched based upon their positive effects on human health, e.g. digestive and immune health. They are commonly found in many fermented foods such as yogurts and sourdough bread. These bacteria can be cultivated and taken in more concentrated forms, such as supplements. These can vary in terms of the number of different strains per product (usually between 1 - 10+ strains) and the number of live bacteria (products can range from millions to hundreds of billion colony forming units). The probiotics used in this study are a commercially available probiotic (Lactobacillus acidophilus (CUL60 and CUL21), Bifidobacterium bifidum (CUL20), Bifidobacterium animalis subs p. Lactis (CUL34), 25 billion CFU, Proven Probiotics), and come in a single pill form. Participants will be required to consume one pill daily and will be provided all supplements at the start of the study. Participants will be told verbally about the dosing, and instructions will be clearly stated on the label of the bottle. However, since these bacteria typically exist within the digestive system before supplementation, there is no risk of 'overdosing'. Likewise, there is no risk of harm to children, should they access the supplements.
Stool sample collection Following each experimental visit, samples will be collected from participants. Participants will be provided with commercial kits (Fe-Col® Faecal Sample Collection Kits, UK) and provided with instructions on how to use the kit and store the samples until they are able to transport them to research team. Participants will be asked to store the samples in a -20C freezer until they are able to bring the sample back to the laboratory.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Merseyside
-
Liverpool, Merseyside, United Kingdom, L3 3AF
- Recruiting
- Liverpool John Moores University, Tom Reilly Building, Byrom Street Campus
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Training/competing in exercise/sport for a minimum of 4 hours per week
Exclusion Criteria:
- Free from current illness
- No history of diabetes, high cholesterol, uncontrolled asthma or history of heart disease
- Free from current musculoskeletal injury
- No history of and free from GI related clinical conditions (IBS, Chron's Disease)
- Not currently taking NSAIDs/Antihistamines/Immunosuppressive drugs
- Without history of gastric ulcers or other gastric problems
- Free from habitual use of NSAIDs i.e. 2 x per week for previous 1 month
- Have no allergy or intolerance to standardised meal foods or be adherent to kosher diet
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Active probiotic
Lactobacillus acidophilus (CUL60 and CUL21), Bifidobacterium bifidum (CUL20), Bifidobacterium animalis subs p. Lactis (CUL34), 25 billion CFU, (Proven Probiotics, United Kingdom)
|
28 days daily supplementation with active probiotic
|
Placebo Comparator: Placebo
Chicory Root Extract (Min 90% Fructo-oligosaccharides) - Providing: 100mg FOS Microcrystalline Cellulose - 137.26 mg |
28 days daily supplementation with placebo
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Gastro-Intestinal Disturbance Following Probiotic Supplementation
Time Frame: 4 weeks
|
Subjective assessment of GI discomfort experienced during cycling effort in the heat pre- and post- 4-week probiotic supplementation
|
4 weeks
|
Change in Exogenous Glucose-Fructose Oxidation Following Probiotic Supplementation
Time Frame: 4 weeks
|
During exercise carbohydrate will be administered and the uptake and utilization of this will be measured via gas analysis of breath, tracer detection will be compared pre- and post- 4-week probiotic supplementation.
|
4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in time to exhaustion after 180 mins cycling exercise in the heat following probiotic supplementation
Time Frame: 4 weeks
|
Participants will cycle at a wattage on the bike that is high enough to induce fatigue, they will cycle at this wattage until failure (inability to keep the pedals turning/voluntary stoppage).
This will be compared pre- and post- 4-week probiotic supplementation.
|
4 weeks
|
Change in circulatory metabolites during exercise following probiotic supplementation
Time Frame: 4 weeks
|
Glucose will be measured during exercise, this will be compared pre- and post- 4-week probiotic supplementation.
|
4 weeks
|
Change in circulatory metabolites during exercise following probiotic supplementation
Time Frame: 4 weeks
|
Lactate will be measured during exercise, this will be compared pre- and post- 4-week probiotic supplementation.
|
4 weeks
|
Change in circulatory metabolites during exercise following probiotic supplementation
Time Frame: 4 weeks
|
Insulin will be measured during exercise, this will be compared pre- and post- 4-week probiotic supplementation.
|
4 weeks
|
Change in circulatory metabolites during exercise following probiotic supplementation
Time Frame: 4 weeks
|
Non-esterified fatty acids will be measured during exercise, this will be compared pre- and post- 4-week probiotic supplementation.
|
4 weeks
|
Change in circulatory metabolites during exercise following probiotic supplementation
Time Frame: 4 weeks
|
Glycerol will be measured during exercise, this will be compared pre- and post- 4-week probiotic supplementation.
|
4 weeks
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- Pro Heat LJMU
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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