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Food Additives - Do Processed Diets Impact on Gut and Metabolic Health

Not Applicable
Completed
Conditions
Metabolic Health
Gut Health
Interventions
Dietary Supplement: Soya lecithin
Registration Number
NCT03842514
Lead Sponsor
University of Aberdeen
Brief Summary

This dietary intervention study will assess the effect in healthy human volunteers of an E number which is a food additive and commonly used and consumed emulsifier, on gut function, gut inflammation and glucose metabolism. We will be using a powdered soy lecithin product in the food to compare a diet with and without this ingredient.

Detailed Description

A dietary intervention study to investigate the effect, in healthy human volunteers, of dietary lecithin (soy lecithin), a commonly used/consumed emulsifier, on markers of gut function particularly bacterial translocation (assessed by measure of venous blood bacterial DNA, circulating lipopolysaccharide \[LPS\] binding protein and soluble CD14), gut inflammation (assessed by measurement of faecal calprotectin), gut microbiota activity/composition (faecal short-chain fatty acid \[SCFA\] profile and bacterial diversity \[16S ribosomal RNA genes\]) and glucose metabolism (measured by oral glucose tolerance test \[OGGT\], plasma fasted lipids and insulin).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria

• BMI ranging from 27-40 kg/m2

Exclusion Criteria
  • Antibiotic use within the past 3 months (due to impact on gut microbiota)
  • Current Statin use
  • Current Aspirin use
  • Chronic inflammatory disorders (including rheumatoid arthritis, inflammatory bowel disease)
  • Food allergies or self-reported food sensitivity or intolerance
  • Diagnosis of diabetes
  • Pregnant or breastfeeding
  • Unsuitable veins for blood sampling
  • Inability to speak, read and understand English
  • Unable to comply to alcohol-free diet for 5 weeks
  • Consumption of nutrition supplements
  • Soy allergy or intolerance.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
High-emulsifier to Low-emulsifierSoya lecithinPhase 1: No intervention - 7 days food diary (recording at home, usual diet) Phase 2: 14 days high-emulsifier (soya lecithin) low-calorie diet at 100% resting metabolic rate Phase 3: No intervention - 7 days washout with usual diet Phase 4: 14 days low-emulsifier low-calorie diet at 100% resting metabolic rate
Low-emulsifier to High-emulsifierSoya lecithinPhase 1: No intervention - 7 days food diary (recording at home, usual diet) Phase 2: 14 days low-emulsifier low-calorie diet at 100% resting metabolic rate Phase 3: No intervention - 7 days washout with usual diet Phase 4: 14 days high-emulsifier( soya lecithin) low-calorie diet at 100% resting metabolic rate
Primary Outcome Measures
NameTimeMethod
Change in bacterial translocationSamples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion

Assessment of change in bacterial translocation by venous blood bacterial DNA measured as responding to pre and post dietary treatment as gene copy number per ml but using more validated universal qPCR primer sets (including total bacteria, phyla- and class-specific primers)

Secondary Outcome Measures
NameTimeMethod
Faecal volatile organics compoundsSamples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion
Faecal short chain fatty acidsSamples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion
Plasma trimethylamine-N-oxide (TMAO)Samples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion
Faecal calprotectinSamples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion
Faecal bacterial 16S rRNA gene sequencingSamples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion
Plasma highly sensitive C-reactive proteinSamples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion
Plasma soluble CD14 and LPS binding proteinSamples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion
Plasma fasting blood glucose and up to 3 hours after OGTTSamples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion
Plasma fasting lipid profileSamples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion

Triglycerides, high and low-density cholesterol will be assessed by Kone automated analyser

Plasma fasted insulin profile and up to 2 hours postprandial OGTTSamples collected at baseline and after each 14 day intervention period. Will be assessed no later than 48 months post final volunteer completion

Trial Locations

Locations (1)

The Rowett Institute

🇬🇧

Aberdeen, United Kingdom

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