The Effects of Galactooligosaccharide (GOS) on Peripheral Insulin Sensitivity and Body Weight Control in Obese Adults With Impaired Glucose Homeostasis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 46
- Locations
- 1
- Primary Endpoint
- systemic insulin sensitivity
Study Overview
Brief Summary
Based on our hypothesis that orally administered GOS will be fermented into a SCFA pattern high in acetate and that this will lead to beneficial effects on human substrate and energy metabolism, we aim to address the following primary objective:
To investigate the effects of a 12-week supplementation of GOS on peripheral insulin sensitivity and body weight control in obese adults with impaired glucose homeostasis.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Basic Science
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 45 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Overweight/obese (BMI ≥ 28 kg/m2 < 40 kg/m2) insulin impaired men and post-menopausal women with impaired glucose tolerance (IGT: 2h plasma glucose during 75g OGTT 7.8-11.1 mmol/l) and/or impaired fasting glucose (plasma glucose ≥ 5.6 mmol/l) aged 45-70 years will be included in the study.
- •In addition, subjects have to be weight-stable for at least 3 months prior to participation (no change in bodyweight, i.e. < 3kg).
Exclusion Criteria
- •diabetes mellitus
- •gastroenterological diseases or major abdominal surgery (allowed i.e.: appendectomy, cholecystectomy)
- •lactose intolerance and other digestive disorders
- •cardiovascular disease, cancer, liver or kidney malfunction (determined based on ALAT and creatinine levels, respectively)
- •disease with a life expectancy shorter than 5 years
- •abuse of products (alcohol consumption > 15 units/week, or any drugs)
- •excessive nicotine use defined as >20 cigarettes per day
Arms & Interventions
Galactooligosaccharide
5g 3x per day for 12 weeks
Intervention: Galactooligosaccharide (Dietary Supplement)
maltodextrin
3x per day for 12 weeks (isocaloric to intervention)
Intervention: maltodextrin (Dietary Supplement)
Outcomes
Primary Outcomes
systemic insulin sensitivity
Time Frame: change from baseline at 12 week supplementation
Secondary Outcomes
- substrate oxidation and energy expenditure(change from baseline at 12 week supplementation)
- plasma markers of substrate and energy metabolism(change from baseline at week 1 and at 12 week supplementation)
- fecal and plasma SCFA concentrations(change from baseline at week 1 and at 12 week supplementation)
- fecal microbiota composition(change from baseline at week 1 and at 12 week supplementation)
- skeletal muscle and adipose tissue gen and protein expression(change from baseline at week 1 and at 12 week supplementation)
