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Fiber and Water Improve Bowel Habit in Humans

Phase 1
Completed
Conditions
Dietary Habits
Bowel Dysfunction
Interventions
Dietary Supplement: Fiber
Dietary Supplement: Fiber and Water
Registration Number
NCT02838849
Lead Sponsor
Universidade de Passo Fundo
Brief Summary

Twenty healthy volunteers had their baseline parameters (symptoms, bowel habit, quality of life, fecal characteristics and microbiota) measured during a week of monitoring followed by randomization to a 14 days course of increased fiber in diet or increased fiber and water intake, with repetition of parameters measuring at the end.

Detailed Description

Demographic and clinical data were collected and recorded in the first interview after signing the informed consent. The protocol was composed of two phases. The baseline phase lasted 7 days, when participants reported their usual diet on a food dairy in the first 3 days, between Sunday and Tuesday. Calculation of nutrient intake was performed using ADS nutri software (UFPEL, Pelotas, Brazil). Participants approved for the next phase were then randomized to fiber and fiber+water groups, which lasted 14 days. During this period participants were asked to report their intestinal habits including bowel movements, graduation of straining and subjective stool consistency. Participants were instructed to rank straining using a Likert scale from 1 (minimum) to 5 (maximum), and the Bristol scale for stool consistency. In the last day of treatment phase (Saturday) participants collected feces and urine of 24 hours, and responded a symptoms questionnaire. Food and liquid intake were recorded on a diary during the last 3 days of treatment for comparison with the baseline phase stage.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • non-obese
  • absence of abdominal complaints
Exclusion Criteria
  • use of medications that interfere with the gastrointestinal tract function
  • past of abdominal surgery
  • any acute or chronic disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
FiberFiberParticipants were treated with 2 sachets of fiber orally a day for 14 days, after baseline characterization of bowel habit and stool features.
Fiber and WaterFiber and WaterParticipants were treated with 2 sachets of fiber orally a day and ingested 2 liters of water a day for 14 days, after baseline characterization of bowel habit and stool features.
Primary Outcome Measures
NameTimeMethod
bowel habit: straining14 days

The patient reported the effort for each evacuation using a Likert scale between 1 and 5 (1 = no effort / 5 = maximal) during 14 days of experimental use of fiber or fiber+water

bowel habit: stool consistency14 days

The patient reported the stool consistency of evacuations using a Bristol scale during 14 days of experimental use of fiber or fiber+water

bowel habit: evacuation frequency14 days

The patient reported in a diary the number of evacuations per day during 14 days of experimental use of fiber or fiber+water

Secondary Outcome Measures
NameTimeMethod
Stool characteristics: fecal weight14 days

A sample of feces was collected at the end of 14 days treatment and analyzed for fecal weight (g)

Stool characteristics: percentage of water14 days

A sample of feces was collected at the end of 14 days treatment and analyzed for water percentage

Abdominal symptoms14 days

self report of any abdominal symptom (yes/not) during treatment with fiber or fiber+water, including: pain, discomfort, distension, defecation urgency, backpain

Stool characteristics: pH14 days

A sample of feces was collected at the end of 14 days treatment and analyzed for measurement of pH

Intestinal microbiota14 days

A sample of feces was collected at the end of 14 days treatment for PCR analyses of 10 bacteria groups.

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