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Clinical Trials/NCT05743790
NCT05743790CompletedNot Applicable

The Role of Dietary Intake and Host Genetics in Gut Microbiome Response to Resistant Starch Consumption

Cornell University1 site in 1 country196 target enrollmentStarted: September 26, 2019Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
196
Locations
1
Primary Endpoint
Gut microbiome

Study Overview

Brief Summary

Resistant starch (RS), a type of dietary fiber, was shown to have beneficial effects on human health through its impact on microbes present in the intestine. However, the effects of RS on the gut microbiota and in turn, on human health, can vary between individuals. Consequently, everyone may not reap the same health benefits by eating high amounts of RS. Factors predicting how an individual's gut microbes as well as the beneficial metabolites produced by these microbes respond to RS supplementation would be helpful in developing precision nutrition approaches that maximize the benefits of dietary fiber intake. The objective of this study was to evaluate candidate predictors of gut microbiota response to RS supplementation.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Other
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • •Above 18 years of age
  • •Willing to consume the supplements provided throughout the duration of the study

Exclusion Criteria

  • •History of diabetes, prediabetes or impaired glucose tolerance.
  • •Existing, UNTREATED, thyroid condition.
  • •Usage of systemic antibiotics (intravenous injection, intramuscular, or oral) within 6 months prior to the study.
  • •Acute disease at the time of enrollment.
  • •Chronic, clinically significant pulmonary, cardiovascular, gastrointestinal, hepatic, or renal functional abnormality.
  • •History of active UNTREATED gastrointestinal disorders or diseases including:
  • •i. Inflammatory bowel disease (IBD) ii. Ulcerative colitis (mild-moderate-severe) iii. Crohn's disease (mild- moderate-severe) iv. Indeterminate colitis v. Irritable bowel syndrome (IBS) (moderate-severe) vi. Persistent, infectious gastroenteritis, colitis or gastritis vii. Persistent or chronic diarrhea of unknown etiology viii. Clostridium difficile infection (recurrent) ix. Chronic constipation
  • •Suspected state of immunosuppression or immunodeficiency including HIV.
  • •History of bariatric surgery.
  • •Pregnant or lactating women.

Arms & Interventions

Group A: RS2 first

Experimental

Crackers were provided during each of 3 treatment periods in a crossover design. The 3 types of crackers were matched for total carbohydrate content. Treatment period 1 (10 days): After a 3-day ramp up, participants received 120g of crackers/day containing resistant starch type 2 (30g/day) for 7 days; Treatment period 2 (10 days): Participants received control crackers with 100% digestible starch; Treatment period 3 (10 days): After a 3-day ramp up, participants received 120g of crackers/day containing resistant starch type 4 (30g/day) for 7 days. There were 5-day washout periods between the treatment periods.

Intervention: RS2-control-RS4 (Dietary Supplement)

Group B: RS4 first

Experimental

Crackers were provided during each of 3 treatment periods in a crossover design. The 3 types of crackers were matched for total carbohydrate content. Treatment period 1 (10 days): After a 3-day ramp up, participants received 120g of crackers/day containing resistant starch type 4 (30g/day) for 7 days; Treatment period 2 (10 days): Participants received control crackers with 100% digestible starch; Treatment period 3 (10 days): After a 3-day ramp up, participants received 120g of crackers/day containing resistant starch type 2 (30g/day) for 7 days. There were 5-day washout periods between the treatment periods.

Intervention: RS4-control-RS2 (Dietary Supplement)

Outcomes

Primary Outcomes

Gut microbiome

Time Frame: 7 weeks

16S rRNA gene survey of gut microbial communities

Fecal short-chain fatty acid concentration

Time Frame: 7 weeks

Fecal short-chain fatty acid concentration measurements with ultra-performance liquid chromatography

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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