Overweight and Obesity Clinical Trial
Official title:
SATIN: Satiety Innovation, Study 2. Effect of Novel Fibres (Arabinoxylan and Beta-glucan) in Appetite, Metabolic and Gut Health.
The proposed study will address the effect of developed novel food products through
processing innovation on motivation to eat, biomarkers of satiety, nutrient bioavailability
and gut health using in vivo studies and validating new in vivo approaches.
Specifically in this protocol the investigators will address, in a short human intervention
study the effect of a potentially satiating product on appetite, appetite biomarkers,
particularly the influence on gut microbiota, tolerance and safety of the products in
healthy obese and overweight participants in free living conditions.
Previous research has suggested that food structure and food composition has a role to play
in controlling consumption. Low-energy, high-fibre diets provide physical bulk in the
gastro-intestinal tract to sustain fullness in a way that low-volume, energy-dense foods
cannot. However, studies shown low long term acceptability be probably associated to its
poor palatability. Taste and hedonic experience remain the main drivers of consumer choice,
and the immediate sensory aspect of food products such as palatability to have greater
salience to consumers than their health promoting properties.
Changing the properties of foods merely by changing oro-sensory properties and through the
delay of gastric emptying deals with mechanisms critical to within-meal satiation and early
post meal satiety and may produce only transient suppression of hunger unless regularly
consumed and represent benefits in delivering nutritional stimuli to key parts of the
gastro-intestinal tract. The potential to manufacture change can make food structure variety
now seem near limitless due the numerous advances in food technology.
Several recent reports have associated satiety effects with fermentable fibre sources in
human dietary studies. Apparently, the large intestine microbiota recovers 'extra' calories
from the diet and might contributes to obesity. However, the different mechanisms involved
in lean and obese subjects are not completely resolved. Recent evidence in experimental
animal designs indicates that changes in gut microbiota composition may be associated with
increased food intake and obesity suggesting that satiety and intake are influenced by the
species composition of the gut microbiota.
This short-term human nutrition study comprises in a randomised, cross-over design testing
either two potentially satiety product, Arabinoxylan (A) or Beta-glucan (B) against an
equivalent amount of heterogeneous natural fibre (Control) in 40 healthy-obese volunteers,
aged 18-65 years old, BMI between 27 and 42Kg/m2 from both genders after an initial
maintenance diet in free- living conditions.
Dietary intake, body weight, blood pressure would be monitored through the study. Faecal,
urine and blood samples will be collected to monitor, glucose, insulin, gut peptides and
assess metabolites of dietary and microbial origin. Orocecal Transit Time (OCTT),
carbohydrate fermentability and methanogen status will be estimated using a breath test and
transit time will be determined using SmartPill™.
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