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Effect of Sourdough Breads Consumption on Postprandial Responses, Satiety and Food Intake at Subsequent Meal

Not Applicable
Completed
Conditions
Appetite Regulation
Energy Intake
Interventions
Dietary Supplement: Bread with sourdough
Dietary Supplement: Sourdough bread
Dietary Supplement: Wholemeal bread
Registration Number
NCT04788069
Lead Sponsor
KU Leuven
Brief Summary

During this project the effect of different types of sourdough breads consumption on satiety, energy intake at subsequent meal and postprandial metabolic responses, will be investigated.

Detailed Description

A 3-phase randomised cross-over trial will be applied consisting of 3 intervention periods of 2 weeks, with a test day performed at the last day of each intervention period. During each intervention period, participants will consume a fixed amount of test bread, replacing their regular bread, and they will keep food and stool diaries preceding each Test-day. Faecal samples will be collected before each Test-day. On the Test-day, participants will perform a gastric emptying breath test. Furthermore, blood samples and appetite ratings will be collected at regular time points after consumption of the test bread for measurement of glucose, insulin, gut peptides, short-chain fatty acids (SCFA) and blood lipids. Food intake will be assessed by offering the subjects a standard lunch to be consumed ad-libitum.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
43
Inclusion Criteria
  • Female and male participants
  • age range 18 - 50
  • BMI range 18.5 - 25.0 kg/m2 at screening visit
  • Regular eating pattern (3 meals per day on at least 5 days per week)
  • Willingness to consume bread (180 g) on a daily base
  • Stable body weight for the last 6 months
Exclusion Criteria
  • Currently smoking (has smoked in the last 28 days) or willingness to smoke during the study period
  • Pregnancy, lactation or wish to become pregnant during the study period
  • Family history of diabetes
  • Previous or current gastrointestinal or endocrine disorders
  • Previous or current substance/alcohol dependence or abuse (> 2 units per day/14 units per week)
  • Intake of prescription medication
  • Coeliac disease or gluten sensitivity
  • Use of pre- or probiotics within one month preceding the study
  • Use of antibiotics within 3 months preceding the study
  • Excessive concern about eating habits or body weight as evidenced from scores < 18 on the restraint and disinhibition subscales of the Three-Factor Eating Questionnaire (Stunkard & Messick, 1985)

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Bread with sourdoughBread with sourdoughTreatment with bread with sourdough
Sourdough breadSourdough breadTreatment with sourdough bread
Wholemeal breadWholemeal breadTreatment with wholemeal bread
Primary Outcome Measures
NameTimeMethod
Food intake at subsequent mealDuring test day 3 (240 minutes after ingestion of breakfast)

Weighted amounts of ad-libitum food offered minus the weighted leftovers

Appetite measurementsDuring test day 3 (up to 4 hours)

Appetite in response to test meal, will be measured using 100 millimeter (mm) Visual Analogue Scales (VAS) before eating (i.e. 0 minute) and at respective time points after completion of test meal (I.e. 15, 30, 45, 60, 75, 90, 105, 120, 135, 150, 165, 180, 195, 210, 225, 240 minutes).

Secondary Outcome Measures
NameTimeMethod
Stool shape and consistency4 days during intervention with each bread type (totally 3x4 days over a period of 10 weeks)

4-day stool diaries, the Bristol Stool Score

Blood lipidsDuring test day 3

Plasma total cholesterol, triglycerides, LDL and HDL cholesterol, colourimetrically

Insulin responseDuring test day 3 (up to 4 hours)

Blood C-peptide (as indicator of insulin response) will be measured through blood samples collected via placed catheter before eating (i.e. 0 minute) and at respective time points after completion of test meal (I.e. 30, 60, 90, 120, 150, 180, 210, 240 minutes).

Incretin hormonesDuring test day 3 (up to 4 hours)

Incretin hormones (GLP-1 and PYY) will be measured through blood samples collected via placed catheter before eating (i.e. 0 minute) and at respective time points after completion of test meal (I.e. 30, 60, 90, 120, 150, 180, 210, 240 minutes).

Short-chain-fatty-acids1 time after intervention with each bread type (totally 3 times over a period of 10 weeks)

Faecal (GC-FID)

Gastric emptying rateDuring test day 3 (up to 4 hours)

Gastric emptying rate will be measured through 13C-octanoic acid breath samples collected before eating (i.e. 0 minute) and at respective time points after completion of test meal (I.e. 15, 30, 45, 60, 75, 90, 105, 120, 135, 150, 165, 180, 195, 210, 225, 240 minutes).

Free-living energy intake4 days during intervention with each bread type (totally 3x4 days over a period of 10 weeks)

4-day food diaries, mobile app

Change in Gut microbiota composition1 time after intervention with each bread type (totally 3 times over a period of 10 weeks)

Change in Gut microbiota composition after consumption of each test meal for 14 days will be analysed using the relative abundance of bacterial taxa according to 16S rRNA sequencing data

Oral processing behaviourDuring test day 3 (up to 15 minutes)

Participants will be video-recorded to measure oral processing behaviour of the test meal

Glucose responseDuring test day 3 (up to 4 hours)

Blood glucose response will be measured through blood samples collected via placed catheter before eating (i.e. 0 minute) and at respective time points after completion of test meal (I.e. 30, 60, 90, 120, 150, 180, 210, 240 minutes)

Trial Locations

Locations (1)

KU Leuven/ UZ Leuven

🇧🇪

Leuven, Vlaams-Brabant, Belgium

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