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The Effect of Dietary Fibre and Plant Protein on Appetite and Metabolic Function

Not Applicable
Completed
Conditions
Appetite Regulation
Interventions
Other: Rye + equal doses of inulin & gluten
Other: Rye + high dose inulin + low dose gluten
Other: Rye + low dose inulin + high dose gluten
Other: Large non-supplemented rye
Other: Small non-supplemented rye
Other: Refined wheat bread
Registration Number
NCT01965210
Lead Sponsor
Swedish University of Agricultural Sciences
Brief Summary

Acute effects on appetite and metabolic function have been observed for whole-grain rye cereal products. The aim of this study is to evaluate if the appetite suppressing effect of a whole-grain rye breakfast cereal may be further enhanced by the addition of fermentable dietary fibre and plant protein. The aim is also to try to elucidate how observed effects on subjective appetite are mediated in terms of changes in hormonal signals, flow of nutrients in the blood and products from bacterial fermentation of dietary fibre, and to relate this to the different composition of the breakfasts.

Detailed Description

The short-term effects (up to 8 hours after intake) of dietary fibre and plant protein on subjective appetite and metabolism will be evaluated using a randomized cross-over study design. Each participant will consume six different breakfasts on six different occasions separated by a 1 week wash-out period: three rye porridges supplemented with three different combinations of added fermentable dietary fibre and plant protein, two non-supplemented rye porridges differing in amount of rye and one wheat bread. Participants will rate subjective appetite (satiety, hunger and desire to eat) by using a visual analog scale (VAS) every 30 min during an 8-hour period, starting 30 min before breakfast. The concentration of hydrogen and methane in the breath, as indicators of bacterial fermentation of dietary fibre, will be measured every hour. Blood samples will be collected before breakfast and at regular intervals throughout the day for analysis of glucose and hormone levels. The metabolic profile in the blood will be assessed as well as products from bacterial fermentation of dietary fibre, such as short chain fatty acids. Gastric emptying rate will also be evaluated using paracetamol as an indicator. Hormonal responses, changes in the metabolome and fermentation products will be related to subjective appetite and to differences in composition of the breakfasts.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
22
Inclusion Criteria
  • Women must be post-menopausal or habitually take hormonal contraceptives
  • Habitual breakfast eaters
Exclusion Criteria
  • Non-contraceptive use among pre-menopausal women
  • Pregnancy, lactation or wishing to become pregnant during the study period
  • Dieting
  • Weightloss
  • Eating disorder
  • Hyperglycemic
  • Hyperinsulinemic
  • Thyroid disease
  • Metabolic issues
  • Diabetes
  • Physical or psychological problems eating
  • Food intolerances/allergies to foods included in the study
  • Vegetarians
  • Intolerance/allergy to paracetamol
  • Heavy smokers
  • Recent or concurrent participation in an intervention research study

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Rye + high dose inulin + low dose glutenRye + equal doses of inulin & glutenRye porridge supplemented with a high dose of the fermentable dietary fibre inulin and low dose of the plant protein gluten.
Rye + high dose inulin + low dose glutenLarge non-supplemented ryeRye porridge supplemented with a high dose of the fermentable dietary fibre inulin and low dose of the plant protein gluten.
Rye + equal doses of inulin & glutenRye + high dose inulin + low dose glutenRye porridge supplemented with equal doses of the fermentable dietary fibre inulin and the plant protein gluten.
Rye + equal doses of inulin & glutenSmall non-supplemented ryeRye porridge supplemented with equal doses of the fermentable dietary fibre inulin and the plant protein gluten.
Rye + equal doses of inulin & glutenRefined wheat breadRye porridge supplemented with equal doses of the fermentable dietary fibre inulin and the plant protein gluten.
Rye + high dose inulin + low dose glutenRye + low dose inulin + high dose glutenRye porridge supplemented with a high dose of the fermentable dietary fibre inulin and low dose of the plant protein gluten.
Rye + low dose inulin + high dose glutenRefined wheat breadRye porridge supplemented with a low dose of the fermentable dietary fibre inulin and a high dose of the plant protein gluten.
Large non-supplemented ryeRye + equal doses of inulin & glutenLarge portion of rye porridge without supplements.
Large non-supplemented ryeSmall non-supplemented ryeLarge portion of rye porridge without supplements.
Rye + high dose inulin + low dose glutenSmall non-supplemented ryeRye porridge supplemented with a high dose of the fermentable dietary fibre inulin and low dose of the plant protein gluten.
Rye + high dose inulin + low dose glutenRefined wheat breadRye porridge supplemented with a high dose of the fermentable dietary fibre inulin and low dose of the plant protein gluten.
Rye + equal doses of inulin & glutenRye + low dose inulin + high dose glutenRye porridge supplemented with equal doses of the fermentable dietary fibre inulin and the plant protein gluten.
Rye + equal doses of inulin & glutenLarge non-supplemented ryeRye porridge supplemented with equal doses of the fermentable dietary fibre inulin and the plant protein gluten.
Rye + low dose inulin + high dose glutenRye + high dose inulin + low dose glutenRye porridge supplemented with a low dose of the fermentable dietary fibre inulin and a high dose of the plant protein gluten.
Rye + low dose inulin + high dose glutenLarge non-supplemented ryeRye porridge supplemented with a low dose of the fermentable dietary fibre inulin and a high dose of the plant protein gluten.
Rye + low dose inulin + high dose glutenRye + equal doses of inulin & glutenRye porridge supplemented with a low dose of the fermentable dietary fibre inulin and a high dose of the plant protein gluten.
Large non-supplemented ryeRye + low dose inulin + high dose glutenLarge portion of rye porridge without supplements.
Rye + low dose inulin + high dose glutenSmall non-supplemented ryeRye porridge supplemented with a low dose of the fermentable dietary fibre inulin and a high dose of the plant protein gluten.
Small non-supplemented ryeRye + high dose inulin + low dose glutenSmall portion of rye porridge without supplements.
Large non-supplemented ryeRye + high dose inulin + low dose glutenLarge portion of rye porridge without supplements.
Large non-supplemented ryeRefined wheat breadLarge portion of rye porridge without supplements.
Small non-supplemented ryeRye + equal doses of inulin & glutenSmall portion of rye porridge without supplements.
Small non-supplemented ryeRye + low dose inulin + high dose glutenSmall portion of rye porridge without supplements.
Small non-supplemented ryeLarge non-supplemented ryeSmall portion of rye porridge without supplements.
Small non-supplemented ryeRefined wheat breadSmall portion of rye porridge without supplements.
Refined wheat breadRye + high dose inulin + low dose glutenRefined wheat bread.
Refined wheat breadRye + equal doses of inulin & glutenRefined wheat bread.
Refined wheat breadRye + low dose inulin + high dose glutenRefined wheat bread.
Refined wheat breadLarge non-supplemented ryeRefined wheat bread.
Refined wheat breadSmall non-supplemented ryeRefined wheat bread.
Primary Outcome Measures
NameTimeMethod
Subjective appetite profiles8 h (-30, 0, 30, 60, 90, 120, 150, 180, 210, 240, 270, 300, 330, 360, 390, 420, 450, 480)

Subjective feelings of appetite (satiety, hunger and desire to eat) are assessed by visual analogue scale (VAS) (in total 18 measurements).

Secondary Outcome Measures
NameTimeMethod
Gastric emptying rate8 h (-15, 15, 35, 65, 95, 125, 185, 230, 275, 305, 365, 470)

Paracetamol (1 g) was taken with breakfast. The appearance of paracetamol in the blood is directly related to the rate of gastric emptying.

Glucose and hormonal response8 h (-15, 15, 35, 65, 95, 125, 185, 230, 275, 305, 365, 470)

Glucose, insulin, glucagon, glucagon-like peptide-1 (GLP-1), glucose-dependent insulino-tropic polypeptide (GIP), peptide YY (PYY), cholecystokinin (CCK), leptin and ghrelin are measured in plasma samples.

Metabolic profiles8 h (-15, 15, 35, 65, 95, 125, 185, 230, 275, 305, 365, 470)

The flux of nutrients is measured in plasma samples.

Breath hydrogen and methane response8 h (-30, 30, 90, 150, 210, 270, 330, 390, 450, 480)

Measurements of the concentration of breath hydrogen and methane(in total 10 measurements).

Products from bacterial fermentation of dietary fibre8 h (-15, 15, 35, 65, 95, 125, 185, 230, 275, 305, 365, 470)

Products from bacterial fermentation of dietary fibre are measured in plasma samples.

Ad libitum food intake8 h after breakfast (480 min)

Energy intakes will be assessed from the ad libitum dinner in order to validate subjective appetite measurements.

Trial Locations

Locations (1)

Paediatric Research Facility; The Children's Hospital at Uppsala University Hospital

🇸🇪

Uppsala, Sweden

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