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The Effect of Prebiotics on Gastrointestinal Functioning and Metabolism

4 juli 2019 uppdaterad av: Maastricht University Medical Center

Effect of Prebiotic Fibre on Intestinal Health and Functioning

The study will investigate the effect of cereal based prebiotic fibres on intestinal health and functioning and host metabolism.

Studieöversikt

Detaljerad beskrivning

A human dietary intervention study will be performed in overweight to obese subjects with a slow gastrointestinal transit time comparing the effects of a soluble prebiotic fibre vs. placebo on gut health, including gut microbiota composition, gastrointestinal transit time, metabolic health and quality of life.

Studietyp

Interventionell

Inskrivning (Faktisk)

48

Fas

  • Inte tillämpbar

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

20 år till 50 år (Vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • Overweight to obese men and women (BMI ≥ 25 kg/m2 <35 kg/m2)
  • Aged 20-50 years
  • Caucasian
  • Normal fasting glucose (<6.1 mmol/L.)
  • Normal blood pressure (systolic blood pressure 100-140 mmHg, diastolic blood pressure 60-90 mmHg)
  • Weight stable in last 3 months (±2 kg)
  • A low defecation frequency, <4 times/week and no constipation or underlying pathology, as determined by gastro-intestinal questionnaires).
  • A slow whole gut transit (>35h)

Exclusion Criteria:

  • Woman lactating, pregnant (where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test) or (post)-menopausal
  • Regular smokers
  • People with intensive fitness training, eg. athletes (≥3 per week ≥ 1 hour training)
  • Diabetes Mellitus (defined as FPG ≥ 7.0 mmol/l and or 2h PG ≥ 11.1 mmol/l)
  • Gastro-intestinal diseases or abdominal surgery, cardiovascular diseases, cancer, liver or kidney malfunctioning (determined based on ALAT and creatinine levels, respectively) disease with a life expectation shorter than 5 years
  • Following a hypocaloric diet
  • Gluten intolerance
  • Regular use of laxation products, or use of antibiotics, probiotics or prebiotics 3 months prior to the start of the study
  • More than 2 symptoms occurring over a period of 12 weeks in the preceding 12 months such as

    1. Straining in >1/4 defecations;
    2. Lumpy or hard stools in >1/4 defecations;
    3. Sensation of incomplete evacuation in >1/4 defecations;
    4. Sensation of anorectal obstruction/blockade in >1/4 defecations
    5. Manual maneuvers to facilitate >1/4 defecations (e.g., digital evacuation, support of the pelvic floor); and/or
    6. <3 defecations/week
  • Current use of medication interfering with study intervention or interfering with study endpoints/hypotheses
  • Not to be able to understand the study information
  • Blood donation 2 months prior to the study and during the study
  • Participation in other studies

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Grundläggande vetenskap
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Trippel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Placebo-jämförare: Placebo
12 weeks placebo maltodextrin 15g/day ( 5 g in beverage, to be consumed three times a day)
12 weeks daily intake of 15g of maltodextrin
Andra namn:
  • Maltodextrin
Experimentell: soluble wheat bran fibre
12 weeks soluble wheat bran fibre 15g/day (5 g in beverage, to be consumed three times a day)
12 weeks daily intake of 15g of soluble wheat bran fibre

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Whole gut transit time [hours]
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Whole gut transit time as measured by radio-opaque marker method
measured at baseline at week 1 and directly after the 12 week supplementation

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Gastric emptying [min]
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Gastric emptying measured by isotope breath test
measured at baseline at week 1 and directly after the 12 week supplementation
Oro-cecal transit time [min]
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Oro-cecal transit time measured by hydrogen breath test
measured at baseline at week 1 and directly after the 12 week supplementation
Defecation frequency (bowel movement per day)
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Defecation frequency as measured via questionnaire
measured at baseline at week 1 and directly after the 12 week supplementation
Energy expenditure
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Energy expenditure measured by indirect calorimetry
measured at baseline at week 1 and directly after the 12 week supplementation
Substrate oxidation
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Fat and carbohydrate oxidation measured by indirect calorimetry
measured at baseline at week 1 and directly after the 12 week supplementation
Plasma inflammatory cytokines Interleukin-6,8 and 1 (pg/ml)
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
IL-6, IL8,IL-1 measured by enzyme linked immunosorbent assay
measured at baseline at week 1 and directly after the 12 week supplementation
Adipose tissue gene expression
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Adipose tissue gene expression measured by quantitative real time polymerase chain reaction
measured at baseline at week 1 and directly after the 12 week supplementation
Gut permeability
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Gut permeability as measured by multi sugar assay
measured at baseline at week 1 and directly after the 12 week supplementation
Microbiota composition
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Microbiota composition as measured by illumina sequencing in feces
measured at baseline at week 1 and directly after the 12 week supplementation
Fecal Short chain fatty acid concentrations
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Fecal Short chain fatty acid concentrations measured by ion exchange chromatography with conductivity detection
measured at baseline at week 1 and directly after the 12 week supplementation
Plasma short chain fatty acid concentrations
Tidsram: measured at baseline at week 1 and directly after the 12 week supplementation
Plasma short chain fatty acid concentrations measured by liquid chromatography-mass spectrometry
measured at baseline at week 1 and directly after the 12 week supplementation

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 juli 2015

Primärt slutförande (Faktisk)

1 december 2016

Avslutad studie (Faktisk)

1 december 2016

Studieregistreringsdatum

Först inskickad

23 mars 2015

Först inskickad som uppfyllde QC-kriterierna

1 juli 2015

Första postat (Uppskatta)

7 juli 2015

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

8 juli 2019

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

4 juli 2019

Senast verifierad

1 oktober 2018

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • NL52300.068.15

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