Impact of Brewer's Spent Grain (BSG) and Bio-transformed BSG Biscuits on Glycaemic Control and Gut Health in Singapore Adults With Metabolic Syndrome
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Enrollment
- 38
- Locations
- 2
- Primary Endpoint
- Change in blood glucose concentration
Study Overview
Brief Summary
The purpose of this research project is to assess the glycaemic controlling effects of consuming BSG and bio-transformed BSG-containing biscuits and its underlying gut - related mechanism in adults with MetS using in-vivo setting.
Detailed Description
This is a double-blind, randomised, parallel experiment, all subjects (38 adults in Singapore with MetS) will complete a 12-week intervention period. Subjects will be randomly assigned to consume their habitual diet with biscuit that either does not contain or contains autoclaved BSG or bio-transformed BSG for 12 weeks. Throughout the intervention, subjects will be assessed for glucose, insulin, lipid and amino acid responses, biomarkers of gut health, and as well as other markers of health.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 35 Years to 85 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Male and female participants, aged 35-85 years old
- •English-literate and able to give informed consent in English
- •Willing to follow the study procedures
- •Meet any 3 of the 5 following NCEP-ATP III MetS criteria: waist circumference > 102 cm (male), > 88 cm (female) (For Asian population: Waist circumference > 90 cm (male), > 80 cm (female)); fasting glucose concentration ≥ 100 mg/dL or on medication; triglyceride ≥ 150 mg/dL or on medication; high density lipoprotein cholesterol (HDL) < 40 mg/dL (male), < 50 mg/dL (female); systolic or diastolic blood pressure > 130/85 mmHg or on medication);
Exclusion Criteria
- •Significant change in weight (≥ 3 kg body weight) during the past 3 months
- •Allergy to barley, wheat, corn, egg, or other ingredients found inside the biscuits.
- •Acute illness at the study baseline
- •Exercising vigorously* over the past 3 months. *Defined as having > 6 metabolic equivalents of exercise daily; approximately 20 mins of moderate intensity exercise (e.g. slow jogging) a day
- •Following any restricted diet (e.g. vegetarian)
- •Have a daily intake of more than 2 alcoholic drinks per day
- •Taking dietary supplements or food which may impact the outcome of interests (e.g. fermented foods, probiotic supplement etc.)
- •Consumption of antibiotics over past 3 months.
- •Pregnant, lactating, or planning pregnancy in the next 6 months
- •Insufficient venous access to allow the blood collection
- •Prescribed and taking antihypertensive/cholesterol-lowering/ type-2 diabetic medication which started less than 3 years prior to the intervention participation
- •High current intake of fibre* from brown rice or wholemeal products. *High, moderate or low intake taken as ≥ 6 servings, 4 - 5 servings, and ≤ 3 servings daily respectively based on My Healthy Plate guidelines
- •High current intake of fibre* from vegetables. * High, moderate or low intake taken as ≥ 2 servings, 2 servings, and ≤ 1 serving respectively based on My Healthy Plate guidelines
Outcomes
Primary Outcomes
Change in blood glucose concentration
Time Frame: Every 12 week (week 0 and week 12)
Glucose concentration in the blood will be measured
Change in insulin concentration
Time Frame: Every 12 week (week 0 and week 12)
Insulin concentration in the blood will be measured
Change in blood triglyceride concentration
Time Frame: Every 12 week (week 0 and week 12)
Triglyceride concentration in the blood will be measured
Change in blood cholesterol concentration
Time Frame: Every 12 week (week 0 and week 12)
Total cholesterol concentration in the blood will be measured
Change in blood Low-density Lipoprotein-cholesterol (LDL) concentration
Time Frame: Every 12 week (week 0 and week 12)
Low-density Lipoprotein-cholesterol concentration in the blood will be measured
Change in High-density Lipoprotein-cholesterol (HDL) concentration
Time Frame: Every 12 week (week 0 and week 12)
High-density Lipoprotein-cholesterol concentration in the blood will be measured
Change in Hemoglobin A1c (HbA1c) concentration
Time Frame: Every 12 week (week 0 and week 12)
Hemoglobin A1c (HbA1c) concentration in the blood will be measured
Change in IL-6 concentration
Time Frame: Every 12 week (week 0 and week 12)
IL-6 concentration in the blood will be measured
Change in TNF-alpha concentration
Time Frame: Every 12 week (week 0 and week 12)
TNF-alpha concentration in the blood will be measured
Change in C-reactive protein concentration
Time Frame: Every 12 week (week 0 and week 12)
C-reactive protein concentration in the blood will be measured
Change in gut microbiome composition
Time Frame: Every 12 week (week 0 and week 12)
Gut microbiome composition in the fecal will be measured
Change in short chain fatty acids concentration
Time Frame: Every 12 week (week 0 and week 12)
Short chain fatty acids concentration in the fecal will be measured
Change in bile acid concentration
Time Frame: Every 12 week (week 0 and week 12)
Bile acid concentration in the fecal will be measured
Secondary Outcomes
- Change in blood pressure(Every 4 week (week 0, week 4, week 8 and week 12))
- Change in zonulin concentration(Every 12 week (week 0 and week 12))
- Change in calprotectin levels(Every 12 week (week 0 and week 12))
- Change in sleep quality by questionnaire(Every 4 week (week 0, week 4, week 8 and week 12))
- Change in appetite assessed by visual analogue scale(Every 4 week (week 0, week 4, week 8 and week 12))
- Change in weight and height(Every 4 week (week 0, week 4, week 8 and week 12))
- Change in skin advanced glycation end products status(Every 4 week (week 0, week 4, week 8 and week 12))
- Change in dietary(Every 4 week (week 0, week 4, week 8 and week 12))
Investigators
Jung Eun Kim
Assistant Professor
National University of Singapore
